Adverse Event Reporting

VAERS ID 2489152
Gender Male
Age 58
StateCode TX
Pharmaceutical Company UNKNOWN MANUFACTURER
Lot Number
Number of vaccinations
Vaccinated 2021-05-08
Onset 2021-05-08
Condition Hospitalized Life Threatening Permanent Disability
Symptoms
  • Thrombosis
  • Anticoagulant therapy

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Kenalog

Laboratory Data

Write-up

Patient reports having had Johnson and Johnson covid vaccine on May 8 2021 and then 4 weeks afterward having blood clot in his right leg (calf) that kept him in the hospital for 3 days until released on blood thinners.
Patient reports still having valve issues in his right foot as a result.