National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 5/14/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 1276540

Case Details

VAERS ID: 1276540 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Oklahoma  
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Discomfort, Feeling abnormal, Lethargy, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210454151

Write-up: FEELING LETHARGIC; HAVEN''T BEEN FEELING GOOD EVER SINCE; OCCASIONAL SHORT FEVER MILD; SEVERE NAUSEA; STOMACH UPSET EVERY TIME WHEN EATING AND FASTING; BRAIN FOG; BLOATING AFTER EATING; DISCOMFORT; This spontaneous report received from a patient concerned a 32 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced stomach upset every time when eating and fasting. On 11-APR-2021, the subject experienced brain fog. On 11-APR-2021, the subject experienced bloating after eating. On 11-APR-2021, the subject experienced severe nausea. On 11-APR-2021, the subject experienced discomfort. On 11-APR-2021, the subject experienced haven''t been feeling good ever since. On 11-APR-2021, the subject experienced occasional short fever mild. On 12-APR-2021, the subject experienced feeling lethargic. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from occasional short fever mild, and had not recovered from stomach upset every time when eating and fasting, discomfort, severe nausea, brain fog, bloating after eating, feeling lethargic, and haven''t been feeling good ever since. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not needed as per standard procedure since case is assessed as non-serious.

New Search

Link To This Search Result:

Government Disclaimer on use of this data

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166