VAERS ID: 1285980

AGE: 33| SEX: M|STATE: NC (United States)

Description

Chills Fever Nausea Weakness Bleeding (Clots) from penis

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Symptoms

Chills, Pyrexia, Nausea, Asthenia, Blood urine present

Vaccines

VAX DATE: 03-30-2021| ONSET DATE: 03-30-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (JANSSEN)) 0 COVID19 JANSSEN 07067502 IM LA

RECVDATE:05-04-2021
RPT_DATE:
CAGE_YR:33
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Doctor at the detention facility first saw the patient on May 3, 2021 and did not address anything regarding J&J vaccine. Patient informed that the lab test administered ruled out STI's and the antibiotic treated the UTI's.
V_ADMINBY:OTH
OTHER_MEDS:Synthroid, Protonix 20 mg, HCTZ 25 mg, Norvasc 5 mg, Zyrtec 10 mg, Bentyl
CUR_ILL:
HISTORY:Since incarceration Pre-Hypertension, Thyroid was never a problem but he allegedly have that issue now. Diagnosed by a doctor that is never at the facility to evaluate. It was 34 days before a Jail physician saw him on May 4, 2021 after the vaccination. It was days before he was 27 days off and on bleeding before he was seen by the jail physician. Lab Test was performed on April 7, 2021 he was given Doxycycline for a UTI. (Believed misdiagnosis) Bleeding continues after the antibiotic is finished. Please contact Sheriff and Administrator to follow-up. In addition the individual can provide feedback.
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:05-04-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Multiple allergies
V_FUNDBY:

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