이상반응 보고

VAERS ID 2273617
성별 남성
나이 27세
주 코드 OH
제약회사 JANSSEN
로트 번호 211D21A
예방접종 횟수 1
접종일 2022-05-12
발병일 2022-05-12
상태 회복
증상
  • 비정상적인 느낌(Feeling abnormal)
  • 다한증(Hyperhidrosis)
  • 메스꺼움(Nausea)
  • 창백(Pallor)
  • 자극에 무반응(Unresponsive to stimuli)
  • 떨어지다(Fall)
  • 황반 발진(Rash macular)
  • 보행 장애(Gait disturbance)
  • 비정상적인 자세(Posture abnormal)
  • 보행 속도 감소(Decreased gait velocity)

이환 중 질병

none listed

지병

unknown

기타 의료

unknown

이전 예방접종

알레르기

none listed

임상 검사

None at time of event.

증상 상세

RE: Patient DOB 08/24/1994 12:45p Received first dose Janseen vaccine, instructed to wait 15 minutes.
12:55p Self-reported while waiting he became nauseous ?a few minutes? after administration of vaccine, walked to bathroom, began feeling ?worse? and returned to Health Department office.
Upon entering the HD office, observed client to be pale, three small reddish blotches on left cheek, no verbal response, leaning and stumbling to left, holding onto furniture.
Client took two steps and began falling forward toward floor.
Landed on floor, slightly on left side, head did not impact floor, eyes closed, no verbal response.
911 called.
Smelling Salt effective and began responding to questions, remained lying on left side.
1:00 Paramedics arrived, client sitting upright on floor, drinking water, responding appropriately.
VS within normal range.
Able to stand up on own, unassisted gait slow and steady.
Color natural, red blotches fading, skin remains diaphoretic.
States he is ?feeling better?.
Declined transport to hospital.
1:10p Remained in office drinking water, talking.
Encouraged to follow up with physician.
Left building without further incident.