Report #2825170

Received Feb 7, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 47 yrs
State: NV
Recovered: Unknown
Vaccinated: Nov 9, 2021
Onset: Nov 10, 2021
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (JANSSEN))	JANSSEN	2	213D21A	IM / LA

Symptoms (2)

PruritusUrticaria

Symptom narrative

Reported Systems: 10037087:PRURITUS; 10046735:URICARIA; Narrative: Patient notes that after booster dose of Johnson and Johnson Covid-19 Vaccine she developed localized hives like reaction to the arm with in 12 hours of injection. Other Relevant HX: Other: URTICARIA