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From the 11/12/2021 release of VAERS data:

Found 130 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Manufacturer is JANSSEN and Symptom is Myocarditis or Pericarditis

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Case Details

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VAERS ID: 1741713 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-09-15
Onset:2021-09-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Myocarditis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Positive for COVID-19 August 10th, 2021
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe chest pains, myocarditis


VAERS ID: 1745733 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-09-27
Onset:2021-09-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Brain natriuretic peptide, Chest X-ray, Electrocardiogram, Full blood count, Pericarditis, Troponin
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: ekg cbc bnp triponen and chest x ray
CDC Split Type:

Write-up: acute pericardites


VAERS ID: 1747671 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arterial rupture, Catheterisation cardiac, Myocardial infarction, Myocarditis, Reproductive tract disorder, Troponin
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Accidents and injuries (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had no pre-existing conditions. Patient never had coronavirus.
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Troponin; Result Unstructured Data: 7.3 ng/mL; Test Date: 202107; Test Name: Cardiac catheterization; Result Unstructured Data: Normal, no blockages were found
CDC Split Type: USJNJFOC20210953105

Write-up: APPARENT HEART ATTACK; MYOPERICARDITIS AND INFLAMED HEART; CORONARY TEAR; GYNECOLOGICAL PROBLEMS; This spontaneous report received from a Company representative concerned a 34 year old female of unknown race and ethnic origin. The patient''s height, and weight were not reported. The patient had no pre-existing conditions. The patient never had coronavirus. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry date: Unknown) dose was not reported, 1 total, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. The patient did not notice complications until three months later on 09-JUL-2021 the pain started with what felt like heartburn or indigestion, but three days later on 12-JUL-2021 pain intensified to the point that she was breathing into a paper bag for relief and body aches kept her up at night. After three days on 12-JUL-2021, the patient experienced apparent heart attack. By the time patient went to an emergency room, where the amount of troponin in her blood was 7.3 nanograms per milliliter (normal range between 0 to 0.04.), which indicates heart injury. They asked her to get done cardiac catheterization. They sent her by ambulance to hospital for treatment. Catheterization was done and they did not find any blockages and it was normal. The patient also experienced inflamed heart (myopericarditis and inflamed heart) and a coronary tear that will take six to eight months to heal. She met the next day with an infectious diseases team, which recommended additional testing before noting on her admissions paperwork. In addition to continuing to heal, she said she has also developed gynecological problems and her doctors have mentioned the potential for a hysterectomy. On an unspecified date patient was hospitalized. Number of days hospitalized was unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from myopericarditis and inflamed heart and coronary tear and the outcome of apparent heart attack, gynecological problems was not reported. This report was serious (Hospitalization Caused / Prolonged). This case, from the same reporter is linked to 20210953564.; Sender''s Comments: V0: 20210953105 -COVID-19 VACCINE AD26.COV2.S-Apparant Heart attack, Myopericarditis and inflamed heart ,Coronary tear. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1751746 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myocarditis, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210957261

Write-up: MYOCARDITIS; PERICARDITIS; This spontaneous report received from consumer via social media from another pharmaceutical company concerned multiple patients. The patients weight and height were not reported. No past medical history or concurrent conditions were reported. The patients all received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose, start therapy date were not reported 1 total administered for prophylactic vaccination. The batch numbers were not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patients experienced myocarditis and pericarditis. The reporter stated that "the total data of adverse events from Vaccine Adverse Event Reporting System, comprising of all age groups from 14-DEC-2020 to 13-AUG-2021, showed 3033 case reports of myocarditis and pericarditis after vaccination out of which 78 cases were attributed to use of JANSEEN COVID-19 VACCINE". No further details were provided. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the myocarditis and pericarditis was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210944284, 20210957248, 20210957269 and 20210957342.; Sender''s Comments: 20210957261 -COVID-19 VACCINE AD26.COV2.S-Myocarditis , Pericarditis . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1755733 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-08-05
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Chest pain, Computerised tomogram, Constipation, Deep vein thrombosis, Fibrin D dimer, Malaise, Pericarditis, Pneumonia, Pulmonary embolism, Pyrexia, Scan with contrast
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: COLCHICINE; METOPROLOL; VITAMIN D3; ELIQUIS; XARELTO; AMITRIPTYLINE; IBUPROFEN
Current Illness: Abstains from alcohol; Hypertension ((well-controlled)); Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (prior to vaccination.); Comments: The patient did not have any history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210824; Test Name: Fibrin D dimer; Result Unstructured Data: Elevated; Test Date: 20210824; Test Name: CT scan; Result Unstructured Data: did not see anything; Test Date: 20210830; Test Name: Scan with contrast; Result Unstructured Data: Pulmonary embolism, 1 deep vein thrombosis in each leg
CDC Split Type: USJNJFOC20210958673

Write-up: ATRIAL FIBRILLATION; PULMONARY EMBOLISM; DEEP VEIN THROMBOSIS; PNEUMONIA; PERICARDITIS; CONSTIPATION; SEVERE CHEST PAIN THAT RADIATED UP TO SHOULDERS; MALAISE; LOW-GRADE FEVER; This spontaneous report received from a health care professional (nurse) concerned a 65 year old male. The patient''s weight was 205 pounds, and height was 74 inches. The patient''s past medical history included: COVID-19 in JAN-2021, and concurrent conditions included: non alcohol user, non smoker, and well controlled hypertension. The patient did not have any history of drug abuse or illicit drug use. The patient experienced drug allergy when treated with levofloxacin for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 204A21A expiry: UNKNOWN) dose was not reported, 1 total, administered on 03-AUG-2021 to left arm for prophylactic vaccination. Concomitant medications included amitriptyline for drug used for unknown indication, apixaban for drug used for unknown indication, colchicine for drug used for unknown indication, colecalciferol for drug used for unknown indication, ibuprofen for drug used for unknown indication, rivaroxaban for drug used for unknown indication, and metoprolol. On 05-AUG-2021, the patient had malaise and typical low-grade fever. On 24-AUG-2021, the patient experienced severe chest pain that radiated up to shoulders. The patient went to emergency room and laboratory data included Fibrin D dimer Elevated, but the emergency room doctor said it was likely due to constipation. They also performed computerized tomogram (CT) without contrast and did not see anything. They sent patient to home, but on 30-AUG-2021, the pain came back worse than before. The patient went back to emergency room. Laboratory data included CT scan with contrast, which showed pulmonary embolism and 1 deep vein thrombosis in each leg. The patient was transferred and admitted to hospital on 30-AUG-2021. Treatment medications included: heparin drip. They thought they might had to surgically remove the pulmonary embolism, but ended up just treated medically, and was converted to Eliquis (apixaban). During the hospital admission, the patient experienced atrial fibrillation and was cardioverted. The patient was discharged from hospital on 07-SEP-2021. The patient was admitted for 8 days during first admission. The patient was home for a week. On 13-SEP-2021, the patient experienced pneumonia and went back to hospital was re-admitted on 13-SEP-2021 with pneumonia and pericarditis (built up fluid in the pericardium). The doctors at previous hospital mentioned inflammation but they never treated it. The patient was discharged from hospital on 19-SEP-2021. The patient was admitted for 6 days during second admission. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from malaise, and low-grade fever on 09-AUG-2021, and the outcome of constipation, pulmonary embolism, deep vein thrombosis, atrial fibrillation, pneumonia, pericarditis and severe chest pain that radiated up to shoulders was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210958673 -COVID-19 VACCINE AD26.COV2.S-Pulmonary embolism, deep vein thrombosis, atrial fibrillation, pneumonia, pericarditis .This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1757253 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-08-30
Onset:2021-09-11
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute coronary syndrome, Arterial catheterisation, Electrocardiogram, Myalgia, Myocarditis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D3, 5000 IU, every other day Fexofenadine, OTC, one daily Multivitamin, One-A-Day Men''s
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NSAID medications Tylenol Aspirin Nightshade food group
Diagnostic Lab Data: EKG (multiple), 09/22 - 09/23 Radial Artery Catheterization, 09/22
CDC Split Type:

Write-up: Myopericarditis, extreme fever (105+ degree), muscular soreness, acute coronary syndrome


VAERS ID: 1762106 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-03-25
Onset:2021-05-20
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aortic aneurysm, Back pain, Blood test, Chest X-ray, Dyspnoea, Magnetic resonance imaging thoracic abnormal, Muscle spasms, Myocarditis, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole 40mg twice a day
Current Illness: none
Preexisting Conditions: none
Allergies: bee stings
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started with periodic sharps pain in back under left clavical. Then became constant sharp pain, soreness in left arm, could not sit down- constantly trying to "rub" pain away thing it was a muscle spsam . i was in a remote location fishing with my son. became so painful we went back to cabin and called Advice nurse. they put ER doctor on the phone and he asked lots of questions and suggested i go to emergency room to get checked out for possible heart attack. While driving out of the isolated area, pain became very bad and we call 911. emergency people arranged meeting at location and i was transported to hospital by ambulance. i was now having difficulty breathing, they had me on oxygen and monitoring vitals. at Emergency room- rushed into facility and immediately checked for heart problems. they took multiple blood samples, chest X-rays and two Chest MRI''s.. did not find any issues with my heart and could not explain severe pain. 2nd MRI was to specifically look at Aorta- they found 4cm aneurism in ascending Aorta. They said this was probably not the source of the pain. after 3 hours , with new pain meds and muscle relaxers- they released me to my wife and we drove back. pain really didn''t go away and again became more accute, Called Advice nurse again on May 21, no help. Went back to ER at Hospital on May 24th. same routine as first ER visit, chest Xray and 2 MRI''s - again no specific diagnosis but later in the day spoke to my Primary Physician who suspected Miyrocarditis.


VAERS ID: 1765512 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic shock, Asthenia, Balance disorder, Chest pain, Feeling abnormal, Headache, Heart rate irregular, Hypoaesthesia, Myalgia, Myocardial infarction, Nausea, Pericarditis, Thunderclap headache
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: 2004-2005 Flu Vaccine (Anaphylactic Shock)
Other Medications: Lisinopril
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Opioids; latex; compazine; corn; aspirin
Diagnostic Lab Data: (Cardiologist)
CDC Split Type: vsafe

Write-up: About 40 mins after my vaccine, I started to experience anaphylactic shock. I was experiencing chest pain. I was also having bad headache and muscle pains. I went to the urgent care. They diagnosed it as I was almost having little heart attacks and they sent me to the ER and treated the anaphylaxis. They discharged me and I went back to the ER, and I was being monitored for irregular heartbeat. They discharged me and then I went back. They admitted me to the hospital for 3 days. The hospital was where I was hospitalized. They found that I had inflammation around my heart. I now have no balance, nausea, bad headache, extreme weakness. I also have no feeling in my hands and feet and my jaw is numb. I will be laying around and I feel like my whole body is disconnected. I am still having a bad headache like a clap that will not go away.


VAERS ID: 1768448 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-17
Onset:2021-09-15
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Arthralgia, Cardiac stress test, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer normal, Full blood count normal, Metabolic function test normal, Neck pain, Pain, Pericarditis, Troponin normal
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclen lo
Current Illness: none
Preexisting Conditions: none
Allergies: Amoxicillin
Diagnostic Lab Data: 9/15/21- CBC, CMP, Troponin, EKGx3, CTA, D-dimer- all normal 9/23/21- stress test- abnormal due to peak HR reached at 5 minutes. Echo- normal
CDC Split Type:

Write-up: 9/15/21 began experiencing sharp left side chest pain that would radiate up left shoulder and neck, accompanied with shortness of breath upon mild exertion. Was evaluated at the ER that night for pulmonary embolism and MI. All test at hospital were normal. was referred to cardiologist and diagnosed with pericarditis on 9/29/21. symptoms began to improve on 9/28/21 and have resolved on 10/1/21.


VAERS ID: 1772053 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-16
Onset:2021-06-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Fluid retention, Hypertension, Laboratory test, Myocarditis, Pericarditis, X-ray
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: 37yo M with 6 days of diffuse, constant chest pain after receiving J&J vaccine on 16JUN. Patient reporting SOB and increased symptoms when laying flat. Patient hypertensive on exam, otherwise vitals wnl. CV/PULM exam unremarkable. EKG nsr. Concern for possible post vaccination pericarditis vs myocarditis vs much lower concern for PE. Patient counseled on findings and escorted to the ED for further evaluation and treatment. Patient will f/u after clearance from ED. Pt was sent to Medical Center. Pt was given a cardio referral. Had a full lab work up, and x-rays. Pt has been seen in clinic multiple times for follow up and continued chest pain. Pt also reports extreme fluid retention.


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