VAERS ID: 1331089

AGE: 54| SEX: M|STATE: WA (United States)

Description

54yo male w/suspected Penile Mondor's disease (PMD) 2 weeks after receiving j&j vaccine 4.30.21 Penile Mondor's disease (PMD) is a benign, self-limiting thrombophlebitis of the superficial dorsal vein of the penis.

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Phlebitis superficial

Vaccines

VAX DATE: 04-30-2021| ONSET DATE: 05-13-2021| DAYS TO ONSET: 13
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (JANSSEN)) Unknown COVID19 JANSSEN Unknown Unknown Unknown

RECVDATE:05-19-2021
RPT_DATE:
CAGE_YR:54
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:none
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:05-19-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.