Report #2828450

Received Feb 26, 2025

Hospitalized

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: Female
Age: 73 yrs
State: MN
Recovered: Recovered
Vaccinated: May 20, 2021
Onset: Feb 20, 2025
Days to onset: 1372
Hospital days: 1

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (JANSSEN))	JANSSEN	1	003A21A	IM / RA

Symptoms (2)

COVID-19SARS-CoV-2 test positive

Symptom narrative

Hospitalization related to COVID 19 following completion of primary vaccine series

Current illness

o Abnormal thyroid stimulating hormone (TSH) level (R79.89) o Avitaminosis D (E55.9) o B12 deficiency (E53.8) o Caregiver burden (Z63.6) o Cataract (H26.9) o GERD (gastroesophageal reflux disease) (K21.9) o Hypercholesterolemia (E78.00) o Hyperparathyroidism (E21.3) o Hypertriglyceridemia (E78.1) o Hypothyroidism (E03.9) o Macular degeneration of left eye (H35.30) o Non-insulin dependent type 2 diabetes mellitus (E11.9) o Osteoarthritis (M19.90) o Situational stress (F43.9)

Medical history

Other medications

Aspirin EC 81 MG Oral Tablet Delayed ReleaseTAKE 1 TABLET DAILY.Atorvastatin Calcium 20 MG Oral TabletTake 1 tablet dailyBD Pen Needle Mini U/F 31G X 5 MMCelecoxib 200 MG Oral Capsule (CeleBREX)TAKE 1 CAPSULE DAILY AS NEEDED FOR ARTHRITISCl

Allergies

hydrocodone o Premarin o No Known Food Allergies

Lab data

Covid positive test date 02/20/2025