VAERS ID: 2331264

AGE: 54| SEX: M|STATE: FR

Description

DIZZINESS; FATIGUE; BLOOD PRESSURE HIGH; FAINTING; This spontaneous report received from a consumer by a Regulatory Authority (RA, GR-GREOF-202201504) on 22-JUN-2022 concerned a 54 year old male. The patient's weight was 78 kilograms, and height was 178 centimeters. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin and batch number were not reported, expiry: unknown) dose was not reported, 1 total administered on 01-OCT-2021 for unspecified indication. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. Age at time of vaccination 54 years old. No concomitant medications were reported. On 01-OCT-2021, the patient experienced dizziness, fatigue, blood pressure high and fainting (drug start period for dizziness and fainting reported as 10 minutes). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from dizziness, fatigue, blood pressure high, and fainting. This report was serious (Other Medically Important Condition).

Symptoms

Dizziness, Fatigue, Hypertension, Syncope

Vaccines

VAX DATE: 10-01-2021| ONSET DATE: 10-01-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (JANSSEN)) 1 COVID19 JANSSEN Unknown Unknown

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:GRJNJFOC20220644632
FORM_VERS:2
TODAYS_DATE:06-23-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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