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From the 5/7/2021 release of VAERS data:

Found 188,897 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 16 out of 1,889

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VAERS ID: 1256679 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203821A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Anion gap decreased, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood urea normal, Carbon dioxide normal, Cerebrovascular accident, Dysmetria, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin decreased, Hemiparaesthesia, International normalised ratio normal, Magnetic resonance imaging head abnormal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Platelet count normal, Red blood cell count decreased, Red cell distribution width normal, Skin sensitisation, Thalamic infarction, Troponin normal, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic erythropenia (narrow), Haemorrhage laboratory terms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: lisinopril, atorvastatin
Current Illness: NA
Preexisting Conditions: HTN, HLD
Allergies: NKDA or food allergies
Diagnostic Lab Data: Brain MRI: IMPRESSION:Acute left thalamic infarction. Approximate age of 12 hours and no hemorrhagic transformation. Lab Results Component Value Date WBC 5.22 04/25/2021 NRBCPCT 0 04/25/2021 RBCT 4.40 04/25/2021 HEMOGLOBIN 13.2 (L) 04/25/2021 HEMATOCRIT 40.8 (L) 04/25/2021 MCV 92.7 04/25/2021 MCH 30.0 04/25/2021 MCHC 32.4 04/25/2021 PLT 189 04/25/2021 RDW 11.8 04/25/2021 Lab Results Component Value Date GLUCOSE 106 (H) 04/25/2021 CALCIUM 8.2 (L) 04/25/2021 K 4.1 04/25/2021 CO2 27.0 04/25/2021 CL 101 04/25/2021 BUN 17 04/25/2021 CREATININE 1.1 04/25/2021 ANIONGAP 7.0 04/25/2021 EGFR $g60 04/25/2021 Lab Results Component Value Date INR 1.1 04/25/2021 Lab Results Component Value Date TROPONINI <0.012 04/25/2021
CDC Split Type:

Write-up: R sided paresthesias started at 8pm on 4/24/21 and worsened to entire R side of body on 4/25/21 am. He was evaluated and admitted to the hospital 4/25/21 and found to have left thalamic stroke. No weakness in arm noted but some R hand dysmetria along with decreased sensation.


VAERS ID: 1257022 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-24
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blister rupture, Blood blister, Fibrin D dimer normal, Gingival blister, Haematocrit increased, International normalised ratio normal, Laboratory test normal, Petechiae, Platelet count decreased, White blood cell count normal
SMQs:, Severe cutaneous adverse reactions (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gingival disorders (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: He was in his usual state of excellent health until yesterday. He noticed a small blister over his left upper gum. This burst and was clearly filled with blood. Over the ensuing 24 hours, he has had multiple such blisters and came to the Emergency Room for fear of a reaction to the COVID vaccine that he had had 13 days ago. This was Johnson and Johnson. He had no major reactions to it. On coming to the Emergency Room today, he noticed significant petechiae forming over the lower extremities as well as scattered petechiae forming elsewhere. He presented to the Emergency Room and there was noted to have a CBC showing hematocrit of 51, 4000 platelets, and a white count of 7.7 with an unremarkable differential. INR is 1.1. D-dimer was 0.33. Chemistries were limited, but were within normal limits.


VAERS ID: 1257353 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Headache, Oropharyngeal pain
SMQs:, Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 102 degree fever for 24 hours after the shot, along with a sore throat and severe headache.


VAERS ID: 1257356 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Myalgia, Pyrexia, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Synthroid, adderall, estrogen patch, progesterone, Benadryl, Claritin, Tylenol, melatonin
Current Illness: None
Preexisting Conditions: Thyroid
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Hives, welt at injection site. Achy joints/muscles. Dizzy. Low grade fever. Started 12 hours after injection. Ongoing 48 hours after.


VAERS ID: 1257364 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-18
Onset:2021-04-24
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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: Clindamycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itchy rash and swelling at injection site a week post vaccine


VAERS ID: 1257366 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: none
Current Illness: none
Preexisting Conditions: bicuspid aortic value and mild dilation of root of the aorta
Allergies: none known
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Chest pain, pinching, squeezing pain towards left side of upper chest - persistent


VAERS ID: 1257371 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-17
Onset:2021-04-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site warmth, Nausea, Pain, Rash macular
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Prenatal vitamin
Current Illness:
Preexisting Conditions: Asthma
Allergies: Ceclor, Protein in milk (similar reaction to those with lactose intolerance)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Initially a few hours after the 1st dose of the vaccine I got a bad headache, body aches, and extremely tired. As well as my arm being sore and painful. After a couple days, I felt better. Then, on 04/24/2021 around 6pm, I noticed my arm was hurting again, I looked and noticed that there is a red splotch where I received the vaccine that is warm to the touch and sore. It is about 2.5" wide and 1.5" high (I measured with a measuring tape) I used my contactless thermometer to see the temp difference. the ''normal'' part of my arm was between 97 to 97.3 F. The splotch was between 99 and 99.3 F. I have also been experiencing nausea and diarrhea today 4/25/2021 as well.


VAERS ID: 1257377 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER 8729 / 2 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER 8727 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal discomfort, Diarrhoea, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Lisinopril 10mg/day Simvastatin 20mg/day Multivitamins (Flomax) Tamsulosin 0.4mg once/day Loratadine 10mg as needed diclofenac sodium 1 % Gel (Commonly known as: VOLTAREN), topical 2g applied 1-2 times daily to ease fingers pain
Current Illness: None Prostrate byopsi was done on 04/06/2021 (no complaint on this)
Preexisting Conditions: Unknown (except hypertension and hyperlipidemia with daily treating medications stated above)
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On my first vaccine shot done in 03/26/2021, only minor fever was experienced (expected, no complaint on this one). On my second vaccine shot done in 04/23/2021, I experienced: 1). slight fever (temp "normal" around 96-F) on the first and second day after the shot was given at 1:10pm (I took 800mg Ibuprofen before sleep at first night around 3am, and took 400mg Ibuprofen at the second night around 2am), AND 2). rather heavy diarrhea on 04/24/2021 twice (at around 4pm), and heavier diarrhea on 04/25/2021 twice (at around 6pm); in both days, I took Imodium to treat my stomach upsets.


VAERS ID: 1257390 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Eye swelling, Headache, Periorbital swelling, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever around 100.7 for more than 24 hours, puffy and swollen eyes and splitting headache


VAERS ID: 1257413 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Headache, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Cymbalta, lamotrigine, melatonin,
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Back pain, fever over 100, headache, soreness and swelling at injection site


VAERS ID: 1257461 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-17
Onset:2021-04-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037821A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Pain of skin, Rash, Rash macular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Vitamin D. Fish oil.
Current Illness: Nine
Preexisting Conditions: None
Allergies: Latex (bandage)
Diagnostic Lab Data: None yet.
CDC Split Type:

Write-up: Large Red splotchy rash on arm. Itching. Some pain to touch. Onset approx. 7 days from vaccination.


VAERS ID: 1257468 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-22
Onset:2021-04-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes simplex
SMQs:, Opportunistic infections (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: Flaxseed Oil, Omega-3 Algae Oil, Medical Cannabis, Alprazolam 0.12 {as needed}, Valacyclovir {as needed}
Current Illness:
Preexisting Conditions: HSV2, Depression, General Anxiety Disorder, Perimenopause
Allergies: Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Very sudden and aggressive outbreak of HSV2 48 hours post vaccine


VAERS ID: 1257621 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Crying, Increased appetite, Menstruation irregular
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Fertility 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day after the shot (4/24/21) I had stomach cramps and oils not stop crying. The next day (4/25/21) the cramps continued, along with a massive appetite. The following day (4/26/21) at about 3:50am I woke up to heavier cramping and started my period a week early. I usually start my period at the same time of the month, but after the vaccine shot, period symptoms started and my period began earlier than normal.


VAERS ID: 1257634 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Asthenia, Chest pain, Dizziness, Heart rate increased, Hypertension, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (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: fish oil, flax seed oil, magnesium, vitamin D, probiotic, multi-vitamin
Current Illness: none
Preexisting Conditions: heart problems, anxiety
Allergies: dust
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have anxiety, rapid heart beat especially when waking up unable to sleep, chest pain, higher blood pressure, a little dizziness and weakness.


VAERS ID: 1257647 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-02-03
Onset:2021-04-24
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ascorbic Acid (VITAMIN C) 250 MG tablet aspirin 81 MG EC tablet atorvastatin (LIPITOR) 20 MG tablet benzonatate (TESSALON PERLES) 100 MG capsule Calcium Carbonate-Vitamin D (CALCIUM-D) 600-400 MG-UNIT TABS Ferrous Sulfate (IRON) 325 (65 Fe)
Current Illness:
Preexisting Conditions: Cardiovascular and Mediastinum HTN (hypertension), benign Endocrine Hypothyroidism Controlled type 2 diabetes mellitus without complication, without long-term current use of insulin (CMS/HCC) Other Mixed hyperlipidemia Chronic fatigue Iron deficiency anemia Vitamin D deficiency H/O tubal ligation Microalbuminuria
Allergies:
Diagnostic Lab Data: SARS-CoV-2 RT-PCR -- detected
CDC Split Type:

Write-up: Tested positive for COVID19 Post Immunity date


VAERS ID: 1257662 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-01
Onset:2021-04-24
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Mobility decreased, Muscle tightness, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Dystonia (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament 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: Ibuprofen, topiramate, atomoxetine, sumatriptan
Current Illness: Migraines, occasional high blood pressure
Preexisting Conditions: Migraines
Allergies: Plant allergies
Diagnostic Lab Data: None. Haven''t been to doctor yet
CDC Split Type:

Write-up: Swollen, painful arm. Inability to move arm very much. Muscles feel like they are "seizing" Treatment: ibuprofen, ice packs Outcome: currently still extremely sore (3days after shot)


VAERS ID: 1257676 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-17
Onset:2021-04-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B2929 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: None
Current Illness: None
Preexisting Conditions: Overweight
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: About a week after injection I developed itching at the injection site along with redness and slight swelling. Symptoms lessened over the next two days with no treatment.


VAERS ID: 1257692 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-12
Onset:2021-04-24
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye pain, Headache
SMQs:, Glaucoma (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: Lisinopril
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I haven?t had a headache for years until this weekend. Sore and achey around and behind left eye and left forehead.


VAERS ID: 1257701 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-22
Onset:2021-04-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth, Myalgia, Pruritus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Fatty Acids Calcium with Vit D Multi Vitamin Estradiol Sertraline
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash, swelling, redness at injection site. Approximately 2cm by 3cm ventral to injection location. Area hot to touch. Skin sensation decreased. Painful to touch. Itching developed in location approximately 24 hours after abnormality occurred. Pain on lifting of arm. Achey pain in muscles of left forearm and elbow. Acetaminophen and Benadryl decreased symptoms but have not resolved them.


VAERS ID: 1257712 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatigue, fever, muscle aches and joint pain.


VAERS ID: 1257718 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / UNK - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Pain, Sleep disorder
SMQs:

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:

Write-up: Began getting really tired in the evening on the same day as the shot. Could not sleep for 2 nights. Really sore (body aches) and bad headaches. Arm where injection was give very sore.


VAERS ID: 1257720 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:

Write-up: Chills, fever, lethargy for approx 24 hours


VAERS ID: 1257722 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: Miralaz
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: Seafood allergy (shell and fin)
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Initially, pain and swelling in the upper arm, and extreme fatigue the following day. Reporting because as of day 3, the injection site is a hard lump, and is very itchy.


VAERS ID: 1257724 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, chills, aches occured for about 16 hours


VAERS ID: 1257725 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:

Write-up: Chills, severe headache, fatigue, nausea, 101.5 fever


VAERS ID: 1257755 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-10
Onset:2021-04-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Contusion, Erythema, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Oct. 2014 flu shot- pt had an convulsing episode and vomiting from having an allergic reaction to taking vax.
Other Medications: Sotalol, nifedipine, potassium chloride, furosemide, Eliquis,
Current Illness:
Preexisting Conditions: AFIB, HBP
Allergies: multiple blood pressure medications, statins, bromine, erythymican, formaldehyde ,
Diagnostic Lab Data:
CDC Split Type:

Write-up: a couple of weeks after taking the vaccine her right arm was so sore it was almost paralyzed. It was bruised then turned red and painful. The pain is like a burning sensation. It was sore from elbow to shoulder blade. She has been applying hot packs and seems to help. She says her symptoms are getting better.


VAERS ID: 1257788 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Chills, Headache, Heart rate increased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Seasonal allergies
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12 hours after vaccination, had a fever, chills, increased heart rate (roughly 50 bpm higher than normal), headache, pain in chest. This lasted roughly 12 hours through the night and into the morning


VAERS ID: 1257830 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / UN

Administered by: Public       Purchased by: ?
Symptoms: Chills, Migraine, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram 10mg 1xday
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Around 5pm after getting the vaccine, I developed a fever of 101 and got chills, body aches, a migraine, and severe nausea (no vomiting). It lasted about 14 hours.


VAERS ID: 1257852 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal Birth control pills (Sprintec), trazodone
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, body chills, body aches and pain, fatigue


VAERS ID: 1258221 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I vomited multiple times over the course of a couple days and I had a fever of 101 with lots of sore muscles


VAERS ID: 1258354 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Headache, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, headache, body aches, beginning 7 hours after vaccine, lasting 24-36 hours


VAERS ID: 1258447 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-24
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Brain natriuretic peptide, Corticosteroid binding globulin test, Echocardiogram, Fibrin D dimer, Full blood count, Glycosylated haemoglobin, Hemianopia, Hemiparesis, Lipids, Liver function test, Magnetic resonance imaging head, Metabolic function test, Myocardial necrosis marker, Thyroid function test, Ultrasound Doppler, Visual field defect
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: asthma, seizure disorder, TBI, remote ETOH abuse
Allergies: naprosyn, vicodin, morphine
Diagnostic Lab Data: Echo, MRI Brain wo contrast, US Carotid Bilateral, BMP, LFT, CBC, Cardia Enzymes, BNP, CBG, D-Dimer, HgbA1C, Lipid Profile, Thyroid,
CDC Split Type:

Write-up: patient reported acute onset of left sided weakness with associated left visual field deficit with left sided lateral hemianopsia.


VAERS ID: 1259531 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-10
Onset:2021-04-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atenolol, Trelegy, vitamin D, albuterol inhaler
Current Illness: none
Preexisting Conditions: hypertension
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bell''s Palsy symptoms


VAERS ID: 1260758 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-24
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Cognitive disorder, Dizziness, Epistaxis, Headache, Pain in extremity, Vision blurred
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: Birth control (drospirenone and ethinyl estradiol tablets)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Nose bleed at work 12 days post vaccine, never had a nose bleed before in my life. Pain in left shoulder and right leg on day 11. Persistent headache for two days. Occasional light-headedness, blurred vision, slow cognitive abilities for 2 days since nose bleed.


VAERS ID: 1260984 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Chest pain, Chills, Dizziness, Heart rate increased, Influenza like illness, Myalgia, Nausea, Palpitations, Pyrexia, Tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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: Lebatalol 300mg Prenatal vitamins
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 8 hours after dosage I experienced Heart palpitations, tachycardia, GI pain, nausea, severe flu symptoms such as fever, shivering, joint pain and muscle tenderness. Dizzy and lightheaded. This lasted about 18 hours. All symptoms started to subside but GI pain and increased heart rate/chest pain remains


VAERS ID: 1260990 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0431321A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Finasteride Metoprolol Valsartan/Hctz Gabapentin Praastatan Prednisone Hydrocodone /Acetamin
Current Illness: ADEM
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: My legs and arms went numb.


VAERS ID: 1261004 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-17
Onset:2021-04-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament 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: Kidney Stone passed a few weeks prior
Preexisting Conditions: N/A
Allergies: Pennicillin
Diagnostic Lab Data: Have not been to the doctors yet, hoping it will go away within a couple of days.
CDC Split Type:

Write-up: A week after having the shot administered, site of injection became red, itchy, hard, swollen and felt slightly warm to the touch (like an infection). Arm is also sore. It has been swollen for 3 days now, so no final outcome yet.


VAERS ID: 1261044 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-04-07
Onset:2021-04-24
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (broad)

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

Write-up: Almost certain it is Shingles on left side of torso. Left shoulder blade area and under left arm pit. Had chicken pox as a child. Will visit doctor tomorrow. Note: The Lot Number on vaccination card is not clearly written. It could be E128733 or something else....


VAERS ID: 1261374 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Insomnia, Myalgia, Pain, Pruritus, Pyrexia, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Vicodin
Diagnostic Lab Data:
CDC Split Type:

Write-up: hives, scattered over body itchy hands and feet headache fever chills all over body/muscle ache fatigued sleeplessness


VAERS ID: 1261770 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-20
Onset:2021-04-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Beetroot, CBD oil capsules, Vitamins C and D, Black seed oil capsules
Current Illness: None
Preexisting Conditions: Osteoarthritis, Hypertension
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have a rash on my arms and legs. Pink bumps that whenever I scratch them turn dark.


VAERS ID: 1261855 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-04-22
Onset:2021-04-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure measurement, Facial paralysis, Lacrimation increased
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Lacrimal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 25MG Pioglitazone 30MG
Current Illness: None
Preexisting Conditions: Hypertension, Diabetes type 2, hyperlipidemia
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: a 58 yr old female who presents with Facial Droop (since Covid shot Moderna first dose done on 4/22/21, Eyes watery, face drop mostly left side, ), Blood Pressure (would like to increase her Losartan to 2x a day), Health Maintenance (declines all HM dues for now) She reports that she had her first Moderna COVID-19 vaccine 4 days ago. The following day she developed some drooping and the left side of her face and some watery eye. By her report the symptoms are staying about the same without any improvement noted. She has not had any fever


VAERS ID: 1261863 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, chills, fatigue, muscle aches, headache, a little sore at injection point on arm. No medication taken. Took approximately 36 hours for adverse effects to subside.


VAERS ID: 1262115 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Induration, Pruritus, Rash, Rash erythematous, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: NONE
Current Illness: NONE
Preexisting Conditions: NONE KNOWN
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: FOUR WEEKS AFTER INITIAL FIRST DOSE, A "MODERNA RASH" SHOWED UP IN THE SAME LEFT ARM ONE DAY AFTER VACCINATION OF DOSE #2. THE RASH STARTED AS FIRM ON THE DAY AFTER VACCINATION AND PROGRESSED OVER 3 DAYS TO A FULL RED RASH (CLASSIC MODERNA RASH), 6 INCH IN DIAMETER, FIRM TO TOUCH, SLIGHTLY WARM, SLIGHTLY ITCHY AT TIMES, RED BUT NOT ANGRY RED. IMPORTANT NOTE: THIS IS THE EXACT SAME REACTION HIS SISTER GOT A MONTH AGO ON HER FIRST SHOT OF MODERNA. A CLASSIC MODERNA RASH THAT WE HAVE SEEN IN OUR PATIENTS BEFORE.


VAERS ID: 1262301 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016B21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: no adverse event just patient is 17. this is her second shot . she had no adverse reaction


VAERS ID: 1262322 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Dizziness, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

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: losartan, metformin, amlodipine, levothyroxine, rosuvastatin, glipizide.
Current Illness: none
Preexisting Conditions: type 2 dieabetes, high blood pressure, high cholesteral.
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: dizzy, nausea, vomiting, and diarrhea for three days now.


VAERS ID: 1262458 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Fatigue, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Gabbapentin, Adderall, Claritin.
Current Illness: n/a
Preexisting Conditions: R/A and Fibro
Allergies: Percocet and kiwis
Diagnostic Lab Data: N/A No Dr.''s office visit seeked out since I warned this may happen. It was just completely worse that I thought it would ever be.
CDC Split Type:

Write-up: Severe Joint and Muscle Pain as well as fatigue with a moderate headache and accompanied by fever. Started at 3:30 AM on Sat., 04-24-21 Tried to report through my phone but kept getting error message. Pain and fever where more tolerable by Sun. 04-25-21 but now have lower left pain in the abdomen. Around the kidney area.


VAERS ID: 1263287 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament 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: Fluoxetine, spriolactoin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe Fatigue, Severe nausea and vommitting, severe muscle aches and pains, fever-like symptoms


VAERS ID: 1263648 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-23
Onset:2021-04-24
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Immune thrombocytopenia, Immunology test, Platelet factor 4
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 500 MG tablet Take 500 mg by mouth every 8 (eight) hours as needed albuterol sulfate 90 mcg inhaler Inhale 2 puffs into the lungs every 6 (six) hours as needed for Wheezing ARIPiprazole (ABILIFY) 30 MG
Current Illness:
Preexisting Conditions: Anxiety ? Arthritis ? Bipolar disorder (HCC-CMS) ? COPD (chronic obstructive pulmonary disease) (HCC-CMS) ? Depression ? Diabetes mellitus (HCC-CMS) ? Dyslipidemia ? Hypothyroidism ? Kidney disorder ? PID (pelvic inflammatory disease) Hx Secondary to Chlamydia, S/P Surgery ? Ulcer Hx
Allergies: Atorvastatin Nausea and/or Vomiting Not Specified ... Iodinated Contrast Media Nausea and/or Vomiting Not Specified Betadine [Povidone-iodine] Rash (flat, red, speckled area) Low
Diagnostic Lab Data: sent elisa platelet factor 4
CDC Split Type:

Write-up: ITP, steroids, might need IVIG


VAERS ID: 1264491 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-04-24
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling of body temperature change, Neurological symptom
SMQs:

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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210450249

Write-up: FATIGUE; OUTER NERVE SENSATION; WARM AND COLDNESS OF ELBOW AND 2 FINGERS; This spontaneous report received from a patient concerned a 38 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 24-APR-2021 14:30 for prophylactic vaccination. No concomitant medications were reported. On 24-APR-2021 15:30, the subject experienced outer nerve sensation. On 24-APR-2021 15:30, the subject experienced warm and coldness of elbow and 2 fingers. On 25-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fatigue, and outer nerve sensation, and the outcome of warm and coldness of elbow and 2 fingers was not reported. This report was non-serious.


VAERS ID: 1264672 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-24
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Cold sweat, Dizziness, Electrocardiogram, Hyperhidrosis, Musculoskeletal discomfort, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (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: Bio Identical Hormones, Vtms, herbal teas about 3x wk
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG, Chest X- Ray and Blood work-2 x... first blood results showed elevated enzymes? tromponin? then on second blood draw- normal.. at 7 am nurse offers aspirin... and explained Dr prescribed it at 3 am but it had not been given to me.. wow.. I was discharged @ 8:15 am
CDC Split Type:

Write-up: On 04/26/21 @ 2 am.. felt a sharp pain on left side of chest.. felt weird . Got out of bed to see if Id feel better... began to get clammy/sweaty- especially behind my neck... felt faint and dizzy- woke my husband up and told him my symptoms in case I d pass out.. he helped me to car and took me to hospital...


VAERS ID: 1265640 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
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:

Write-up: Constant ear ringing bad both ears


VAERS ID: 1265653 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-22
Onset:2021-04-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Deafness, Ear discomfort, Ear pain
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: junel, flonase, claritin-d, vitamin d, vitamin c
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: clogged ears, hearing loss, ear pressure, ear pain


VAERS ID: 1265932 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO171 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Facial pain, Paraesthesia oral, Rash, Toothache
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Vascepa 2gm, Multivitamin, Probiotic, Vitamin D 2000IU
Current Illness: None
Preexisting Conditions: Histamine Intolerance, Eczema, Chemical Sensitivity, Sarcoidosis, Uterine Fibroids, Hypertriglyceridemia
Allergies: Nitrites, Barium Sulfate, Betadyne, maybe Polyethylene Glycol
Diagnostic Lab Data: 4/25/21: Blood pressure at ER triage was 178/131, then 170/90. After IV treatment with Benadryl, Medrol & Pepcid blood pressure was 141/79. Pulse oximetry (rapid pulse), temp normal
CDC Split Type:

Write-up: 4/24/21 1:05pm first dose Pfizer vaccine 1:10pm huge allergic reaction, felt like pre-anaphylaxis, like I was going to die 1:13pm took 2 Benadryl 25mg 5:30pm took 1 Benadryl 25 mg Loose stools all day, stayed home as Benadryl was working 4/25/21 12:30am took 1 Benadryl 25mg (weird feeling in my tongue) 1:25pm took 1 Benadryl 25mg for pain in my cheekbones & teeth and rash on both cheeks below eyes 1:58pm took 1 Benadryl 25mg " " 2:19pm took 1 Benadryl 25mg " " 2:49pm checked into hospital emergency room as allergic reaction would not subside 4:30pm got IV with Benadryl 25mg, Methylprednisolone & Pepcid (throat felt strange) 7:26pm discharged from ER 4/26/21 Medrol 24g 4/27 Medrol 20g


VAERS ID: 1265943 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Nodule, Pain, Pruritus, Rash, Skin discolouration, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Sulfa, amoxicillin, keflex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red/discolored skin about 2-3 inches in diameter. Painful with and without touching within 24 hours of 2nd dose. Lump formed below redness. The lump and redness/rash became itchy about 72 hours after injection with continued soreness and tenderness.


VAERS ID: 1266097 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-14
Onset:2021-04-24
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Breast mass, Breast pain, Fatigue, Pain in extremity, Tenderness
SMQs:, Lipodystrophy (broad), Tendinopathies and ligament 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: n/a
Current Illness: slight seasonal allergies - pollen
Preexisting Conditions: no
Allergies: amoxicillin
Diagnostic Lab Data: None, but I?ve had a mammogram scheduled for the 4th of May. Maybe I should cancel.
CDC Split Type:

Write-up: Sore arm for a few days with fatigue, resolved after a week. On the morning of 4/23 the bottom of my shot (left) arm felt bruised, tender. By the night of 4/23 my left armpit was also sore, tender. Late night 4/23 my left breast was extremely sore and I noticed lumps, very swollen ducts? As of now, late night on 4/28, or very early morn 4/29, the lumps are large, extremely painful and don?t seem to be going away . I?m anxious about my second shot.


VAERS ID: 1266098 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Dizziness, Feeling abnormal, Feeling cold, Headache, Pain, Pain in extremity, Pyrexia, Vaccination site rash, Vertigo
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None yet
CDC Split Type:

Write-up: Body aches and 101 fever 12 hrs after shot. Chills and headache after. Next day arm soreness and a rash around the vaccination site, lasting 4 days and still going. On day 4 after vaccine, dizziness, weakness and vertigo. Brain fog. Still ongoing


VAERS ID: 1266126 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Hypotension, Myalgia, Nausea, Pallor, Pyrexia, Syncope, Thirst, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; ALLEGRA; CLARITIN [CLARITHROMYCIN]; MONTELUKAST; VITAMIN D [COLECALCIFEROL]
Current Illness: Dust allergy (environmental allergy); Pollen allergy (environmental allergy)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Fainted; Thirsty; Shaking; Look pale; Hypotension; Arm soreness; Nausea; CHILLS; Fever; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Fainted) in a 22-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Pollen allergy (environmental allergy) and Dust allergy (environmental allergy). Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]), FEXOFENADINE HYDROCHLORIDE (ALLEGRA) and CLARITHROMYCIN (CLARITIN [CLARITHROMYCIN]) for Allergy, MONTELUKAST for Asthma, COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]) for Supplementation therapy. On 23-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 24-Apr-2021, the patient experienced SYNCOPE (Fainted) (seriousness criterion medically significant), THIRST (Thirsty), TREMOR (Shaking), PALLOR (Look pale), HYPOTENSION (Hypotension), MYALGIA (Arm soreness), NAUSEA (Nausea), CHILLS (CHILLS) and PYREXIA (Fever). On 24-Apr-2021, SYNCOPE (Fainted), TREMOR (Shaking), PALLOR (Look pale) and HYPOTENSION (Hypotension) had resolved. At the time of the report, THIRST (Thirsty), MYALGIA (Arm soreness), NAUSEA (Nausea), CHILLS (CHILLS) and PYREXIA (Fever) outcome was unknown. The action taken with mRNA-1273 in response to the event was not applicable. The treatment medications included Tylenol (paracetamol) and Advil (Ibuprofen). Company comment: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. Headache, nausea, myalgia, pyrexia and chills are consistent with the product safety profile.; Sender''s Comments: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. Headache, nausea, myalgia, pyrexia and chills are consistent with the product safety profile


VAERS ID: 1266436 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymph node pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: Ni
Preexisting Conditions: Seasonal allergies, hypothyroidism
Allergies: Tetracycline, Ibuprofen
Diagnostic Lab Data: Swollen and painful lymph nodes in left under arm for 4 days
CDC Split Type:

Write-up: Swollen and painful lymph nodes and left under arm


VAERS ID: 1266463 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-24
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: CSF protein increased, Lumbar puncture, Magnetic resonance imaging thoracic normal, Paraesthesia, Sensory level abnormal, Serology test, Urinary retention
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: history of transverse myelitis 27 years ago
Allergies: none
Diagnostic Lab Data: MRI thoracic spine negative Lumbar puncture Serologies Further work up underway
CDC Split Type:

Write-up: Tingling, thoracic sensory level loss, urinary retention. CSF protein elevated to 90. Started approximately 3 weeks from time of vaccine. Drug store provided vaccine 04/06/2021 Admitted to hospital 04/27/21


VAERS ID: 1267659 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 137; Estradiol .025 every other day; Medroxyprgesterone 1.25 every other day Naproxen sodium 440; Famotidine 20; Docusate sodium 100; Stress B Complex
Current Illness: No
Preexisting Conditions: Hashimotos Hypothyroidism, Menopause
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Low grade fever (never got to 101*), chills, muscle aches, fatigue


VAERS ID: 1268046 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-16
Onset:2021-04-24
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 02706704 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: Elavil 50 mg Levothyroxine 100 mg
Current Illness:
Preexisting Conditions: depression hypothyroid
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Abd. pain, nausea started last pm. No vomiting.


VAERS ID: 1268363 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-03-05
Onset:2021-04-24
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain, Diarrhoea, Headache, Magnetic resonance imaging, Nausea, Thrombosis, Vein disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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: possible NASH, HTN, h/o prostate cancer (on Q3month Lupron), Asthma
Allergies:
Diagnostic Lab Data: MRI of abdomen with left portal vein thrombosis, benign liver cyst PF for antibodies, 7 weeks after vaccination, mildly elevated and inconclusive
CDC Split Type:

Write-up: Patient received Johnson Johnson COVID vaccination on March 5th (Its not listed as an option for me to choose - Hence Janssen). Two weeks later patient and wife described symptoms of significant abdominal pain and headache, which improved after 24 hours, since then, abdominal pain on and off with worsening, nausea vomiting and diarrhea. Presented to Hospital with sepsis, negative evaluation, possibly GI etiology, given symptoms. MRI of the abdomen shows left portal vein thrombosis/which is an unusual site. Patient has no liver cirrhosis or metastatic cancer. Is being investigated for idiopathic or acquired thrombophilia


VAERS ID: 1269176 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-24
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anger, Cognitive disorder, Crying, Depression, Dyspnoea, Gait inability, Malaise, Muscular weakness, Nasopharyngitis, Oropharyngeal pain, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow)

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: Alcohol use (Occasional); Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies and she is pretty healthy, very athletic and has not been ill in the last 20 years.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210452494

Write-up: SHORTNESS OF BREATH; COULDN''T WALK; COLD; CAN''T COMPREHEND/THINK; FEELS DEPRESSED; ANGRY; CRYING; NOT FEELING WELL; MUSCLE WEAKNESS; THROWING UP; SORE THROAT; This spontaneous report received from a patient concerned a 55 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol user, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies and she is pretty healthy, very athletic and has not been ill in the last 20 years.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 24-APR-2021, the subject experienced throwing up. On 24-APR-2021, the subject experienced sore throat. On 24-APR-2021, the subject experienced muscle weakness. On an unspecified date, the subject experienced shortness of breath, couldn''t walk, cold, can''t comprehend/think, feels depressed, angry, crying, and not feeling well. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from muscle weakness, throwing up, and sore throat, and the outcome of shortness of breath, not feeling well, couldn''t walk, cold, can''t comprehend/think, angry, crying and feels depressed was not reported. This report was non-serious.


VAERS ID: 1269613 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 44A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 41B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Eye irritation, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, Rash, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Corneal disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Took COVID test on 4/27/2021
CDC Split Type:

Write-up: Dose -1 Moderna Pain in the left arm for 2 weeks. Dose -2 Moderna fever - 102 Body Pains Sore throat Burning eyes Rash on left arm ( Took Tylenol) Fever, bodypains subsided after 3 days. Sore throat, Rash and burning eye sensation still persists.


VAERS ID: 1269783 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-17
Onset:2021-04-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: A large red swollen and itchy bump appeared on my arm about a week after I received the shot. It is further down my arm than the injection site but aligns with pictures and reports of "Covid arm" I''ve researched and heard about from friends.


VAERS ID: 1269974 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-04-24
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Head discomfort, Paraesthesia, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210451813

Write-up: WHEEZING FEELING; WOOZY; HEAD FEELS TINGLY; LIGHTHEADEDNESS; FEELING OF PRESSURE ON HEAD; This spontaneous report received from a patient concerned a 28 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Batch number was not reported. The company has requested follow-up for batch number. No concomitant medications were reported. On 24-APR-2021, the subject experienced wheezing feeling. On 24-APR-2021, the subject experienced woozy. On 24-APR-2021, the subject experienced head feels tingly. On 24-APR-2021, the subject experienced lightheadedness. On 24-APR-2021, the subject experienced feeling of pressure on head. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from wheezing feeling, woozy, head feels tingly, lightheadedness, and feeling of pressure on head. This report was non-serious.


VAERS ID: 1269984 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-24
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Oropharyngeal pain, Rhinorrhoea
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210452239

Write-up: THROAT HAS BEEN HURTING; RUNNY NOSE; FEELS WEAK; This spontaneous report received from a patient concerned a 58 year old female. The patient''s weight, height, and medical history were not reported. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 05-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 24-APR-2021, the subject experienced throat pain. On 24-APR-2021, the subject experienced runny nose. On 24-APR-2021, the subject experienced feeling weak. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the throat pain, runny nose and feeling weak was not reported. This report was non-serious.


VAERS ID: 1270035 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-27
Onset:2021-04-24
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (broad)

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

Write-up: Developed shingles three weeks after vaccine


VAERS ID: 1270061 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: YES - PNA vaccine , similar adverse reaction
Other Medications: inhaler
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 04/24/21 FIRST DOSE , SHE NOTICED A SM NODULE A THE SITE OF VACCINE ON L UPPER ARM... on 4/25/21 IT WAS A SIZE OF A SM GOLF BALL, IT IS RED, WARM AND ITCHY. 04/26- The size has grown to nearly a tennis ball and its puffy. She has taken Advil - 200 MG ( 2 tabs ) and Benadryl cream.


VAERS ID: 1270091 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-23
Onset:2021-04-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047421A / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Cardiac flutter, Dyspnoea, Dyspnoea exertional, Fatigue, Headache, Heart rate increased, Influenza like illness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Black Seed Oil, Multivitamin
Current Illness: no illness
Preexisting Conditions: I have Beta Thalassemia Minor Side effects of Lupron (administered 2011), Extreme hot flashes
Allergies: None
Diagnostic Lab Data: I have not yet seen my doctor although I have called an left a message about my issue. Awaiting her phone call.
CDC Split Type:

Write-up: after the shot, while I was walking to the next table, my heart began to race and there was a fluttering in my chest. I was given a number and sat down for 15 min. after a few minutes, the fluttering stopped and my heart rate became normal. After 15 min I went home. The next morning, I woke up to flulike symptoms. I stayed in bed teh whole day because I was too weak and my head was pounding. I did take two Tylenol but not until later in the day because I couldn''t get up. The next day I was still weak but able to move about slowly because I was still fatigue. Monday, I took the day off because I was still fatigue, I rested all day Monday with very little movement. Tuesday I went work and in the course of my day, walking the halls at a fast pace, my heart began to race, the fluttering returned and I became short of breath. I nearly fell to the floor but caught myself. Every day I have been feeling the shortness of breath and the elevated heart rate as well as the fluttering but only on exertion. If I stay still or sit, I am fine, but walking at a fast pace puts me back in distress. It''s been 6 days now.


VAERS ID: 1270139 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-09
Onset:2021-04-24
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN OU2A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Back pain, Blood test, Breast pain, Chest X-ray normal, Chest pain, Computerised tomogram thorax abnormal, Constipation, Echocardiogram, Electrocardiogram normal, Headache, Muscle spasms, Muscle strain, Musculoskeletal chest pain, Pain, Painful respiration, Pulmonary thrombosis
SMQs:, Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Lipodystrophy (broad), Tendinopathies and ligament 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 40 MG Omeprezole, 50 MCG Flonase, mens multivitamn
Current Illness:
Preexisting Conditions: acid reflux, allergies
Allergies: Penicillin
Diagnostic Lab Data: 2x EKGs, X-ray, CT Scan, Heart Echo, multiple rounds of bloodwork
CDC Split Type:

Write-up: Started experiencing extreme chest pains (stabbing feeling) between my lower right breast and upper rib cage on Saturday afternoon, especially when trying to take a big inhale. I went to the emergency room the next day after pain meds (ibprofen) did not help, and they did an EKG and X-Ray and they said it was a muscle strain. I went home and alternated between 3000 MGs of Tylenol every 24 hours, 2400 MGs of Ibuprofen, 8 hours of 4% lidocaine patch and then off for 8 hours + and a heating pad when the patch was off. The pain in my chest got worse and worse on Mon and Tue (started having spasms in the chest that caused extreme sharp shooting pain down my back up into my head) so went back into the ER Tues night. They


VAERS ID: 1270147 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-20
Onset:2021-04-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B12A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Lymphadenopathy, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin, b complex, allegra, culturelle
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itchy rash all over body, swelling of inner thigh lymph node


VAERS ID: 1271081 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-03-16
Onset:2021-04-24
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Painful respiration, Pulmonary thrombosis, Vasoconstriction
SMQs:, Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adarex 150mg, Livosaterizine 5mb, Superamate 10mg, Pamadadide 10mg, Fentanyl, Tizanidine 4mg, Clonazepam
Current Illness: hEDS and MCAS/MCAD
Preexisting Conditions: hEDS and MCAS/MCAD
Allergies: Mass Octivation Disorder - mass cells are released which causes a reaction. Stress can cause the same type of reactions and I''ve had many reactions to many medications, Zolar, Kineret, Coumadin, lovonix, IVC filter, Aspirin, NSaids
Diagnostic Lab Data: I''m VASO constricted and they couldn''t get blood
CDC Split Type:

Write-up: I received the J&J vaccine on 3/16/2021 and then flew to watch over my dads house while he went through cancer treatment. I began to have pain in my chest that was getting progressively worse, yesterday I had a very sharp pain when taking a shallow breath. I went to the hospital they thought I had pneumonia, but then saw a blood clot in right upper side, I''ve had a prior event but that was attached to an injury in 2012. I''ve not had any other issues.


VAERS ID: 1272487 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-19
Onset:2021-04-24
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 AR / IM
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Hypoxia, Pyrexia, SARS-CoV-2 test positive, Syncope, Vaccine breakthrough infection
SMQs:, Torsade de pointes/QT prolongation (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Substance use disorder
Allergies: none
Diagnostic Lab Data: NP specimen 4/24/21 positive for SARS-CoV-2 by PCR
CDC Split Type:

Write-up: This patient was seen in the ER and hospitalized on 4/24/21 after syncope, and was found to have hypoxia and fever. NP specimen for SARS-CoV-2 was positive by PCR Cycle Threshold was 15.4 We are trying to get whole genome sequencing done on the specimen. This appears to be a new COVID-19 case after being fully vaccinated. This is the reason for reporting. She is stable and may be discharged in the next day or two.


VAERS ID: 1272504 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-10
Onset:2021-04-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Pain, Pain in extremity
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament 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: Omeprazole (20mg/day); Nortriptyline (20mg/day); Flaxseed Oil (1000mg/day); Calcium Carbonite + D (600mg/day); Multi-vitamin 50+ for women (1/day); Probiotic (generic for Align - 1/day); Biotin (1000mg/day)
Current Illness: none
Preexisting Conditions: IBS
Allergies: Sulfa
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Injection site sore for about 5 days - then 5 days later shoulder became very sore and achy. Arm now aches continuously and is very weak. Mobility without pain is limited. Have not contacted my doctor yet - but will do so soon. No doctor visit planned yet. (Suspecting this is SIRVA????)


VAERS ID: 1273276 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-12
Onset:2021-04-24
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cerebral venous thrombosis, Venogram abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: levothyroxine 50 mcg tablet (taken for Hashimoto thyroiditis) naproxen 250 mg tablet (taken PRN)
Current Illness:
Preexisting Conditions: Hashimoto thyroiditis
Allergies: no allergies on file
Diagnostic Lab Data: 4/29-MRV Brain without contrast
CDC Split Type:

Write-up: 19 y.o. female with h/o Hashmoto''s thyroiditis now admitted 4/29/2021 with cerebral venous thrombosis. She received J&J COVID vaccine on 4/12.


VAERS ID: 1276492 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-24
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Food allergy (BANANAS/STRAWBERRIES/CARROTS ALLERGY); Hypertension
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210423; Test Name: Body temperature; Result Unstructured Data: 101 F; Test Date: 20210424; Test Name: COVID-19 PCR test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210451939

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID 19 INFECTION; This spontaneous report received from a patient concerned a 57 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hypertension, codeine, demerol, NSAIDS allergy, and bananas, strawberries, carrots allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802072 expiry: UNKNOWN) dose was not reported, 1 in total administered on 10-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 21-APR-2021, the patient had a dry cough. On 22-APR-2021, the patient started to feel sore all over. On 23-APR-2021 (Friday) night, patient had chills and fever of 101F and took Tylenol to relieve the fever. On 24-APR-2021, patient got a COVID test and it came back positive for COVID (coded suspected covid 19 infection and suspected clinical vaccination failure). On 26-APR-2021, the patient saw infectious disease specialist and received the monoclonal antibody treatment for COVID. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from suspected covid 19 infection, and the outcome of suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210452164. This case is associated with product quality complaint (PQC) number 90000177846.; Sender''s Comments: V0: 20210451939-COVID-19 VACCINE AD26.COV2.S-Suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1276745 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-24
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D [VITAMIN D NOS]; LORATADINE; METFORMIN 1A PHARMA; COSENTYX; SIMVASTATIN +PHARMA; HCTZ
Current Illness: Hypertension; Psoriatic arthritis; Thyroid disorder; Type II diabetes mellitus
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Bell''s palsy; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of FACIAL PARALYSIS (Bell''s palsy) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036B21A) for COVID-19 vaccination. Concurrent medical conditions included Type II diabetes mellitus, Psoriatic arthritis, Hypertension and Thyroid disorder. Concomitant products included VITAMIN D [VITAMIN D NOS], LORATADINE, METFORMIN HYDROCHLORIDE (METFORMIN 1A PHARMA), SECUKINUMAB (COSENTYX), SIMVASTATIN (SIMVASTATIN +PHARMA) and HCTZ for an unknown indication. On 11-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Apr-2021, the patient experienced FACIAL PARALYSIS (Bell''s palsy) (seriousness criterion disability). At the time of the report, FACIAL PARALYSIS (Bell''s palsy) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.; Sender''s Comments: This case concerns a 59-year-old female with a serious unexpected event of Facial paralysis. Event latency 14 days from second dose mRNA-1273. Events resolved. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1276753 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-23
Onset:2021-04-24
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Headache, Insomnia, Lethargy, Myalgia, Nausea, Pain, Pyrexia, Rhinorrhoea, Seizure, Sleep disorder, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LAMICTAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Seizures (History of seizures)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Seizures; Sleep erratic; slept all day; Runny nose; excruciating pain, body was too much in pain; weakness; body ache; Fever 102F at night time; Nausea; Headache; Joint pain, pain in every joints; Muscles pain especially lower back; lethargic; Could not sleep; This spontaneous case was reported by a consumer and describes the occurrence of SEIZURE (Seizures) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Seizures (History of seizures). Previously administered products included for an unreported indication: FLU VACCINE VII (Allergic reaction to flu vaccine, could not breath and in the ER room for 2 days and seizure activity.) in 2011. Concomitant products included LAMOTRIGINE (LAMICTAL) for Seizure. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Apr-2021, the patient experienced LETHARGY (lethargic), INSOMNIA (Could not sleep), ARTHRALGIA (Joint pain, pain in every joints), MYALGIA (Muscles pain especially lower back), HEADACHE (Headache) and NAUSEA (Nausea). On 25-Apr-2021, the patient experienced SEIZURE (Seizures) (seriousness criterion medically significant), SLEEP DISORDER (Sleep erratic), SOMNOLENCE (slept all day), RHINORRHOEA (Runny nose), PAIN (excruciating pain, body was too much in pain), ASTHENIA (weakness), MYALGIA (body ache) and PYREXIA (Fever 102F at night time). On 26-Apr-2021, PYREXIA (Fever 102F at night time) had resolved. At the time of the report, SEIZURE (Seizures), SLEEP DISORDER (Sleep erratic), LETHARGY (lethargic), INSOMNIA (Could not sleep), SOMNOLENCE (slept all day), RHINORRHOEA (Runny nose), PAIN (excruciating pain, body was too much in pain), ASTHENIA (weakness), ARTHRALGIA (Joint pain, pain in every joints), MYALGIA (Muscles pain especially lower back), MYALGIA (body ache), HEADACHE (Headache) and NAUSEA (Nausea) outcome was unknown. Treatment included 1 tablet of Ibuprofen 200mg at approximately 3:00am 25Apr2021. Company comment: This case concerns a 54 Y/O F with H/O influenza vaccine reaction, with serious unexpected event of seizure, and nonserious unexpected sleep disorder, insomnia, lethargy, somnolence, asthenia, pain, rhinorrhea, and expected pyrexia, headache, myalgia, arthralgia, nausea. Latency Day 1 after 2nd dose mRNA-1273. Event outcomes unknown. Based on current available information and temporal association between use of the product and start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: This case concerns a 54 Y/O F with H/O influenza vaccine reaction, with serious unexpected event of seizure, and nonserious unexpected sleep disorder, insomnia, lethargy, somnolence, asthenia, pain, rhinorrhea, and expected pyrexia, headache, myalgia, arthralgia, nausea. Latency Day 1 after 2nd dose mRNA-1273. Event outcomes unknown. Based on current available information and temporal association between use of the product and start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1281404 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-24
Onset:2021-04-24
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (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: Atorvastatin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: ER visit on 4/24 ENT evaluation on 4/26
CDC Split Type:

Write-up: Left side Bell''s Palsy


VAERS ID: 1282273 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-30
Onset:2021-04-24
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Limb discomfort, Thrombosis, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (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: Insulin, BP med, high cholesterol pt unsure of names of meds
Current Illness: stage 5 renal disease
Preexisting Conditions: DM , HTN, Renal disease
Allergies: sufur
Diagnostic Lab Data: Ultrasound of right leg on 04/27/2021 at Hospital
CDC Split Type:

Write-up: Blood Clot in Right Leg


VAERS ID: 1282916 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-24
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: pollen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itch started around stomach area, first thought it was a bug bite. Eventually hives started spreading all over the chest, back, under the arms, thighs, and now my hands and neck. Was not sure if this was caused by the vaccine until 5/1. Found out that this was a rare non-severe symptom, and that''s when I started taking allergy meds (Benadryl) for Antihistamines and it has relieved the itch temporary. Does not stop the spread of the itchiness.


VAERS ID: 1284014 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-24
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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: Vitamin D, Calcium, Tylenol, Zyrtec
Current Illness: no illnesses. I have seasonal allergies and am taking Zyrtec
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: On about day 17 after the vaccination I started having pulsing (heartbeat type pulsing -tinnitus) in my right ear. I didn''t make the connection that it could be related to the vaccine as I had no side effects after my shot. I didn''t report it to my doctor as i thought it was just congestion or water in my ear. It was an annoying heavy pulsing but no ringing. It wasn''t until I talked to a friend who had the same thing that we wondered if it could be related to the vaccine. Mine has quieted down as of today 05/03/21, though I still notice it from time to time. Just as I think it has gone away I will notice a few pulses in my ear. I saw an article about numbers of people having similar symptoms after their vaccinations and thought I should report it here.


VAERS ID: 1286810 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-24
Onset:2021-04-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Epilepsy, Fall, Head injury, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NOT KNOWN
Current Illness: EPILEPSY
Preexisting Conditions: EPILESY
Allergies: PENICILLIN
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: AFTER THE PT RECEIVED THE VACCINE, HE CAME TO REGISTER TO SIGN FOR IT. THEN HE WAS TOLD TO SIT FOR 15 MINUTES TO MAKE SURE HE DOESNT HAVE ANY ALLERGIC OR ADVERSE REACTIONS. HE WAS LOOKING AROUND THE STORE WHEN HE ALL OF THE SUDDEN HAD SEIZURE AND FELL ON THE FLOOR. WE CALLED EMS RIGHT AWAY HOWEVER HE WOKE UP AND BOTH HIM AND HIS FRIEND TOLD US TO DISCONNECT WITH EMS. HIS FRIEND TOLD US THAT HE HAS EPILEPSY AND HE HAS EPISODES LIKE THIS TIME TO TIME. THE PT EXPERIENCED SOME CUTS ROUND HIS FORHEAD AND HIS (L )EYEBROW WHICH WE HELPED CLEAN UP WITH DISINFECTANT AND BANDAID. AFTER HE LEFT WITH HIS FREIND (WHO WAS THE DRIVER), WE FOLLOWED UP WITH HIM AND HIS FREIND AND THEY SAID HE IS DOING WELL.


VAERS ID: 1289444 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-10
Onset:2021-04-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Movement disorder, Neck pain, Pain, Pain in extremity
SMQs:, Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Arthritis (broad), Tendinopathies and ligament 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:

Write-up: Right arm pain, unable to move this arm when she raises it she gets shooting pain that goes through the entire arm into the neck and also headaches.


VAERS ID: 1289927 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-12
Onset:2021-04-24
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Arthralgia, Chemotherapy, Dyspnoea, Gait disturbance, Neck pain, Pain in extremity, Pulmonary embolism, Thrombosis, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Colon Ca
Allergies:
Diagnostic Lab Data: Pt
CDC Split Type:

Write-up: Patient was discharged from the hospital after massive PE. She went to the hospital at 2am last Saturday. Patient described unbelievable pain from shoulder neck and arms. She could hardly walk to her car. Went to ER. There they ran tests and found many blood clots in lungs. Blood clots had stopped the blood in that area. They were not definitive but said it sounded like that. Got a breathing apparatus after because it''s been hard to breathe and she has been shaky. Her shot was administered 04/12 during chemo. Hospital April 24. She was discharged and given a blood thinner and pain medication - Oxycodone & Eliquis.


VAERS ID: 1292564 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-24
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Full blood count normal, Mobility decreased, Muscle twitching, Pain, Pain in extremity, Pruritus, Sleep disorder, Urine analysis normal
SMQs:, Anaphylactic reaction (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid Fluoxetine
Current Illness: none
Preexisting Conditions: none
Allergies: Codeine
Diagnostic Lab Data: Full CBC and urinalyis 05/06/21-all normal
CDC Split Type:

Write-up: Pain in left arm still persists over a month later.. hard to lift anything.. causing twitching and tingling in my neck and left side of my face. Horrible Severe all-over-body itching three weeks after still persists and is getting worse as of today''s date. No rash or any sign of reasoning. Went to an urgent care facility, ran a full CBC, all is healthy as normal-must be from vaccine. Suffering and losing consistent sleep from the itching rages that come and go.


VAERS ID: 1294085 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-03-26
Onset:2021-04-24
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045A21A / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Influenza like illness
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TRELEGY; ALBUTEROL [SALBUTAMOL]
Current Illness: COPD
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Bells Palsy; Flu like symptoms; This spontaneous case was reported by a consumer and describes the occurrence of BELL''S PALSY (Bells Palsy) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045A21A and 020B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included COPD. Concomitant products included FLUTICASONE FUROATE, UMECLIDINIUM BROMIDE, VILANTEROL TRIFENATATE (TRELEGY) and ALBUTEROL [SALBUTAMOL] for an unknown indication. On 26-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced INFLUENZA LIKE ILLNESS (Flu like symptoms). On 25-Apr-2021, the patient experienced BELL''S PALSY (Bells Palsy) (seriousness criterion medically significant). On 24-Apr-2021, INFLUENZA LIKE ILLNESS (Flu like symptoms) had resolved. At the time of the report, BELL''S PALSY (Bells Palsy) outcome was unknown. Action taken with the mRNA-1273 in response to the events was not applicable. Treatment medication are Valacyclovir, Prednisone and Gabapentin. Company comment:Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1245277 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-23
Onset:2021-04-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Full blood count, Gait disturbance, Pain in extremity, Tachycardia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (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: Famotidine 40 MG Levoxyl .125 MG Breo 100mg Albuterol Sulfate 90mcg Lorazepam 1mg Monelukast 10 mg
Current Illness: I had double lower lobe pneumonia dated 1/11/2021 but was told I no longer had it in 2/14/2021
Preexisting Conditions: Asthma
Allergies: Shell fish Levaquin
Diagnostic Lab Data: 4/21/21 22401 Chest x-ray CBC 4/22/21 D dimer
CDC Split Type:

Write-up: Pain in bottom of feet for weeks that I could barely walk Tachycardia (pulse 113; normal pulse in 80''s)


VAERS ID: 1245319 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-22
Onset:2021-04-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Bruxism, Chills, Pain
SMQs:

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: Asthma
Allergies: Amoxicillin penicillin and sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills so bad I had to put a mouthguard in to prevent me from grinding my teeth the whole time and body aches worse than when j hurt my back and had a discetomy


VAERS ID: 1245500 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-23
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)

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: Metformin Ramipril Omega3 Enskyce
Current Illness: Pre-diabetic triglycerides
Preexisting Conditions: Pre-diabetic Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash around the injection area


VAERS ID: 1245619 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-04-23
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
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:

Write-up: On base


VAERS ID: 1245952 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-22
Onset:2021-04-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Cold sweat, Loss of consciousness, Nausea, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (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: Birth control pill Singular Zyrtec Flonase Azelastine
Current Illness: Back pain
Preexisting Conditions: Asthma Migraine
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Woke up about 12hrs after vaccine and felt incredibly nauseous and had chills. I was walking downstairs to take Tylenol and I felt like I was going to pass out. Luckily I sat down and then proceeded to pass out, although I am not sure what really happened. My mom found me about 10 seconds later confirming I wasn?t out for that long, but she was slapping my face and talking to me and I was unaware. She reported that my eyes were open. When I came to I was having cold sweats, I was clammy, and my ears were ringing. I was very scared and I don?t know what happened to me. I felt like I was dreaming when I woke up, but once my Tylenol kicked in I felt better. But it still was a very strange out of body experience.


VAERS ID: 1245955 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-23
Onset:2021-04-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Autoimmune disorder, Blood calcium increased, Blood test, Computerised tomogram normal, Fatigue, Heart rate increased, Hypertension, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Armour estradiol multivitamin vitamin D
Current Illness:
Preexisting Conditions: Hashimoto autoimmune
Allergies: Erythromycin codeine morphine Sulfur-based drugs eggs
Diagnostic Lab Data: CAT scan normal. Bloodwork showed elevated blood calcium but all other values were normal.
CDC Split Type:

Write-up: Rapid heartbeat 24 hours severe stomach pain two weeks muscle and joint pain two weeks extreme high blood pressure two weeks. Extreme fatigue two weeks. The vaccine triggered an auto immune response. It triggered a flareup in my body and I was very ill for several weeks. Because of my severe stomach pain and blood pressure soaring my doctor ordered a CAT scan and blood work up. I am now three weeks post vaccine and my body seems to be calming down my blood pressure has returned to normal and the stomach pain has stopped. The extreme fatigue muscle and joint pain is still present but much better.


VAERS ID: 1245981 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-21
Onset:2021-04-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation
SMQs:, Supraventricular tachyarrhythmias (narrow)

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: Dilizatem ER 180
Current Illness: None
Preexisting Conditions: Past Acute AFIB. No issue for 3 years.
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: AFIB event confirmed via Smart Device.


VAERS ID: 1246229 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-22
Onset:2021-04-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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: Loratadine 10mg, Pseudoephedrine HCI 30mg, Spring Valley Iron 65mg, Bupropion 150 mg, Nutrilite Cal Mag D, Spring Valley L-Lysine 500 mg
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA I woke up this morning with diarrhea, and the frequency is getting shorter between episodes.


VAERS ID: 1246301 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-22
Onset:2021-04-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Pain, Pain in extremity, Pyrexia, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Multi vitamin, glucosamine, chondroitin, MSM, cetrizine HCI 10 mg, mometasone furoate, testosterone cypionate .5ml weekly, finastoride 1.25 mg 3 times weekly
Current Illness: None
Preexisting Conditions: Seasonal allergies
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Light ringing in ears starting about 10 hours after vaccine and slightly intensifying since then, Sore arm starting about 2 hours after vaccine Body aches and light headache started around 9 hours after vaccine Low grade fever started at around 12 hours after vaccine and rose to 101 over night. Extreme fatigue upon waking up the following morning.


VAERS ID: 1246434 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-23
Onset:2021-04-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014C21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:

Write-up: Patient describes feeling anxious. HBP


VAERS ID: 1246643 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-23
Onset:2021-04-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure decreased, Chest discomfort, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Dehydration (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: influenza - eye swelling
Other Medications: albuterol, flovent, benzonatate, levothyroxine, lamotrigine, flonase, synjardy, atorvastatin, heather, aripiprazole, basaglar, fisap, buproprion, lisinopril, atorvastatin
Current Illness: SOB from immunotherapy
Preexisting Conditions: hypothyroidism, type 2 diabetes, hypertension, hyperlipidemia, obesity, vit D deficiency
Allergies: NKDA, allergies - just started immunotherapy
Diagnostic Lab Data: O2, BP
CDC Split Type:

Write-up: Patient started complaining of some chest tightness about 30 minutes after getting vaccine, O2 in low 90s. We administered O2 at 2L and gave a nebulizer treatment under the CNP onsite. She iniatially improved, but then started wheezing and BP started dropping, then gave epi and started fluids. Patient started allergy shot immunotherapy between first and second doses COVID; last dose 24 h prior to second covid vaccine.


VAERS ID: 1246701 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-22
Onset:2021-04-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Feeling of body temperature change, Headache, Hot flush, Pain, Sensitive skin
SMQs:

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: None
Current Illness: Common cold 3 weeks before
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up with a headache, body aches, hot flashes (hot, then cold, then hot, then cold - no fever), sensitive/raw feeling skin all over (even scalp) Took ibuprofen, and within 2 hours, all symptoms were gone except the sore arm from injection.


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