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Report #2855985

Received Aug 28, 2025

Office visit
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
26 yrs
State
CA
Recovered
Not recovered
Vaccinated
Oct 1, 2021
Onset
Oct 1, 2021
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (JANSSEN))JANSSEN1—IM / LA

Symptoms (8)

AstheniaBrain fogChest discomfortChest painHeart rate irregularInfluenzaMyocarditisPalpitations

Symptom narrative

AT THE TIME OF INJECTION: FLU SYMPTOMS, MYOCARDITIS SYMPTOMS, PALPITATIONS, IRREGULAR HEARTBEAT, CHEST PAIN/TIGHTNESS, BRAIN FOG, LOW ENERGY; PROLONGED SYMPTOMS: MYOCARDITIS SYMPTOMS, PALPITATIONS, IRREGULAR HEARTBEAT, BRAIN FOG, LOW ENERGY

Current illness

NO

Medical history

NO

Other medications

NO

Allergies

GLUTEN, ANIMALS, DUST, COMMON ALLERGIES