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From the 4/30/2021 release of VAERS data:

Found 153,440 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

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VAERS ID: 1213299 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), 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: NA
Current Illness: Pain Cholesterol Asthma Vit D deficiency
Preexisting Conditions: Pain Cholesterol Asthma Vit D deficiency
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling and lump in the arm


VAERS ID: 1213349 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Headache
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: Amlodapine
Current Illness: None
Preexisting Conditions: High blood pressure and asthma
Allergies: Bee stings and raspberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: Non stop headaches. Taking Tylenol but not working very well.


VAERS ID: 1213517 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Muscle spasms, Pain in extremity
SMQs:, Dystonia (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: Advil Cold & Sinus, Bayer Aspirin 325 mg, Advil 200 mg, Vitron Iron pill, Life Extension brand of: Omega 3, One-Per-Day, Liver Efficiency, Balance Probiotic, Youthful Legs, Vitamin D3, Milk Thistle, CoQ10
Current Illness: None
Preexisting Conditions: A little overweight due to homecaring for my 95 year mother-in-law for the past 3 years. No time for myself so it shows on my Doctor''s records the weight gain the past 3 years.
Allergies: lortab, latex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Left Leg soreness. Woke up today, 04/15/2021 with Charley Horse in Left calf.


VAERS ID: 1214095 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Pain in extremity, Peripheral swelling, Thrombophlebitis, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atorvastatin metoprolol
Current Illness: hx: htn, inc chol
Preexisting Conditions: as above
Allergies: NKDA
Diagnostic Lab Data: le doppler u/s
CDC Split Type:

Write-up: patient had pain and swelling in left leg - sent for doppler - positive for thrombiphlebitis


VAERS ID: 1214096 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt developed cold like symptoms. later test positive for Covid (4/14/2021)


VAERS ID: 1214117 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Laboratory test, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune 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? Yes
Hospitalized? No
Previous Vaccinations: Yellow Fever Vaccine/2014
Other Medications: Vitamin D, K, Vitamin B complex Multivitamin Fish Oil
Current Illness: None
Preexisting Conditions: None
Allergies: Yellow Fever Vaccine
Diagnostic Lab Data: He received IV Toradol to help out with his extremity pain. Labs were checked to rule out electrolyte disturbance, thrombocytopenia. The patient''s neurologic examination does not demonstrate classic signs of Guillain-Barre, there is no evidence of muscle weakness or paralysis and his deep tendon reflexes are normal. Acute pain has been described in acute Guillain-Barre, and so I gave the patient return precautions regarding progressive symptoms. At this point, there are not enough objective criteria to diagnose him with GBS, symptoms do not suggest the need for hospitalization for observation. Even so, it is clear the severe extremity pain is a result of the vaccine.
CDC Split Type:

Write-up: Patient developed mild case of Guillain Barre Syndrome 34 hours after injection of the Johnson and Johnson vaccine. Patient has severe extremity pains. The patient has a personal history of being diagnosed with Guillain-Barre after a yellow fever vaccination.


VAERS ID: 1214126 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: I am experiences pain in both my legs, in the calf musscle of both legs and palpatations int he calf muscle.


VAERS ID: 1214248 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-10
Onset:2021-04-14
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: Deep vein thrombosis, Thrombophlebitis superficial, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (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: omeprazole 20 mg once daily multivitamin daily albuterol inhaler 2 puffs q6 hrs prn shortness of breath
Current Illness:
Preexisting Conditions: obesity sleep apnea asthma
Allergies: iodine shellfish hydrocodone
Diagnostic Lab Data: Venous ultrasound with right peroneal deep venous thrombosis and right lesser saphenous superficial venous thrombosis. diagnosed in visit to ER. discharged from ER on antocoagulant
CDC Split Type:

Write-up: Patient presented with new onset dvt 5 wks post covid 19 vaccination. 36 yr old female with solitary risk factor of previous history of DVT. Of note, pt had dvt in 2002 which occurred while on birth control (and pt became pregnant).


VAERS ID: 1214252 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Delaware  
Vaccinated:2021-03-06
Onset:2021-04-14
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Myalgia, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR
Current Illness: None
Preexisting Conditions: ADHD, Mild intermittent asthma, heart murmur (unknown type)
Allergies: Lactose
Diagnostic Lab Data: +COVID PCR on 4/14/2021
CDC Split Type:

Write-up: Breakthrough COVID case: patient received J&J vaccine on 3/6/2021. experienced fever, chills, myalgias, fatigue for 12-48 hours. Patient developed mild upper respiratory symptoms on 4/13/2021 and tested positive for COVID via PCR testing on 4/14/2021.


VAERS ID: 1214297 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Brain natriuretic peptide, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Echocardiogram, Full blood count, Laboratory test, Metabolic function test, Pulmonary embolism, Troponin
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: fexofenadine, omeprazole, Breztri
Current Illness: no acute illnesses
Preexisting Conditions: asthma, gastroesophageal reflux, obstructive sleep apnea
Allergies: iodine (contrast agents), penicillin
Diagnostic Lab Data: Hospitalization, CTPE protocol, Echo, labs (including but not limited to CBC, CMP, Troponin, BNP), all testing occurred on 4/14-4/15/2021
CDC Split Type:

Write-up: patient was diagnosed with bilateral pulmonary emboli within 3 weeks of vaccine administration, developed dry cough within 1 week of vaccine that progressed to worsening shortness of breath.


VAERS ID: 1214573 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Tenderness, X-ray normal
SMQs:, Osteonecrosis (broad), Arthritis (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: Flexeril, Zyrtec, escitalopram, trazodone, MiraLAX as needed, Flonase
Current Illness: None
Preexisting Conditions: past medical history of gastroesophageal reflux disorder, diverticulitis, depression, seasonal allergy, insomnia
Allergies: No known drug allergies
Diagnostic Lab Data: X ray right shin showed no fracture or malalignment no destructive osseous processes or aggressive periosteal reaction. No radiopaque foreign body or soft tissue gas.
CDC Split Type:

Write-up: Patient was seen in ER On 4/14/2021 with a complaint of right anterior hip pain. Patient denied any injury she received Johnson & Johnson vaccine on 4/8/2021 and has been worried about the side effects. Patient endorses a sharp pain which is worse with palpation right over the tibial bone. Right anterior shin x-ray showed no fracture or malalignment no destructive osseous processes or aggressive periosteal reaction. No radiopaque foreign body or soft tissue gas. Patient was discharged home to follow-up with her primary care. On today''s visit patient states that she continues to have her right shin pain overall it is getting better she has tried ibuprofen/Aleve, however still worried about Johnson & Johnson vaccine side effects. Denies recent fall or injury. No swelling on exam Duplex ordered


VAERS ID: 1214577 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Thrombophlebitis superficial, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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: norethindrone, alprazolam, ubrogepant, citalopram
Current Illness:
Preexisting Conditions: Hx of DVT/PE not currently on anticoagulation
Allergies: penicillin
Diagnostic Lab Data: identified by duplex ultrasound
CDC Split Type:

Write-up: RLE thrombosis of greater saphenous vein


VAERS ID: 1214620 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cough, Dyspnoea, Inappropriate affect, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Dementia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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: xyrem, escitalopram, gabapentin, sunosi
Current Illness:
Preexisting Conditions: asthma (mild), narcolepsy
Allergies: morphine/morphine- based
Diagnostic Lab Data:
CDC Split Type:

Write-up: brief shallow coughing with wheezing and slight inability to catch breath; brought on by episode of laughing- entire experience was singular


VAERS ID: 1214632 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Public       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: Lisinopril
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: Bactrim
Diagnostic Lab Data:
CDC Split Type:

Write-up: Large area of rash over arms, thighs, calves, and buttocks. Rash at its peak about 6 hours after it started, then reduced overnight with only some rashes remaining.


VAERS ID: 1214735 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Facial paralysis, Headache, Hemiparesis, Magnetic resonance imaging, Neurological symptom
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hearing impairment (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: Montelukast 10mg, Ventolin HFA, PRN Albuterol nebulizer PRN
Current Illness: None noted
Preexisting Conditions: Intermittent asthma
Allergies: NKA
Diagnostic Lab Data: CT & MRI on 4/14/21 at Hospital.
CDC Split Type:

Write-up: Patient received Janssen vaccine on 3/26/21. States she had a headache on day one of receiving vaccine and progressive neuro symptoms afterwards. Went to UC 4/14/21 with facial drooping, left side weakness. Sent to ED and airlifted to hospital.


VAERS ID: 1215012 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (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), Vestibular disorders (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I stood up and then blacked out (no dizziness beforehand). After I felt dizzy and sweaty (no nausea). The blackout was for less than 30 seconds. Did not seek medical treatment since did not injure self and felt back to normal after about 5 to 10 minutes.


VAERS ID: 1215017 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain
SMQs:, Retroperitoneal fibrosis (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: Coq10 And Turmeric
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe pain in lower left side of back


VAERS ID: 1215340 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Exposure during pregnancy, Pruritus, Rash, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: Prenatal vitamin
Current Illness: Ear infection and slight sinus congestion a week prior
Preexisting Conditions:
Allergies: None known
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: I am about 6 weeks pregnant. No known complications in this pregnancy, or any previous pregnancies. On 4/14, 6 days after receiving the Janssen vaccine, I started to break out in an itchy rash at about 5:30pm. It started on my left calf, and over the course of the next couple hours it spread to my left arm (bicep area), right arm (bicep area), right calf and knee, and left thigh. The areas were red, hot, and itchy, with some larger raised welts scattered through the area. It didn?t seem to respond to Benedryl, but I was able to sleep after liberally applying hydrocortisone cream. It seemed better in the morning, with a few lingering patches by the knees. However, at about 1:30pm it came back, this time mostly covering new places- lower back, shoulders, forearms, stomach.


VAERS ID: 1215814 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, 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: Topamax
Current Illness: Possible diagnosis of idiosyncratic intracranial hypertension
Preexisting Conditions:
Allergies: Penicillin family
Diagnostic Lab Data:
CDC Split Type:

Write-up: Redness and swelling at injection site. Started 48 hours after injection, and is still there 72+ hours later. Contacted medical professional through a telehealth visit, who recommended Benadryl as to not impact the vaccine''s effectiveness, but suggested monitoring it incase it increased in severity.


VAERS ID: 1215930 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Myalgia, Rhinorrhoea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), 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: Cetirizine HCI 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, coughing, muscle aches, fatigue, runny nose, changes in breathing ability


VAERS ID: 1216238 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Migraine, 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: N/A
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: ROS: (10+) CONSTITUTIONAL: subjective fever, subjective chills, no night sweats EYES: No blurry vision, no loss of vision, no black spots, no curtain of lights. EAR, NOSE, THROAT ROS: (10+) CONSTITUTIONAL: subjective fever, subjective chills, no night sweats EYES: No blurry vision, no loss of vision, no black spots, no curtain of lights. EAR, NOSE, THROAT, MOUTH: No ear pain, no hearing loss, no ringing in the ears, no nasal discharge, no sore throat, no oral lesions, no dental pain. CARDIOVASCULAR: No chest pain, no syncope, no palpitations RESPIRATORY: No cough, no coughing blood, no shortness of breath GASTROINTESTINAL: yes nausea, no vomiting, no diarrhea GENITOURINARY: No dysuria, no hematuria, no discharge MUSCULOSKELETAL: No back pain, no limb pain, Full ROM to all extremities and joints. Nml gait. SKIN/BREAST: No rash, no lumps NEUROLOGICAL: No numbness, no weakness, no dizziness ALL SYSTEMS REVIEWED AND NEGATIVE EXCEPT AS NOTED ABOVE. PAST MEDICAL HISTORY: No significant medical history FAMILY HISTORY: No significant medical history SOCIAL HISTORY: No tobacco use yes alcohol use No recreational drug use PHYSICAL EXAM: (9 systems with 2 per system) CONSTITUTIONAL: No acute distress, A/O x 3, WDWN EYES: PERRLA, EOMI, No redness, no discharge, no vision change. EARS, NOSE, MOUTH, THROAT: TM clear and intact, no nasal discharge, pharynx normal, mucosa moist. NECK: Supple, non-tender, no meningismus CARDIOVASCULAR: RRR, no murmurs/rubs/gallops, peripheral pulses equal and strong bilaterally. RESPIRATORY: Lungs CTAB, no wheezes, rales, rhonchi. Breathing comfortably. CHEST/BREAST: no tenderness, no lumps/masses, no deformities. GASTROINTESTINAL: Soft, non-tender, non-distended, no pulsatile mass GENITOURINARY: exam deferred. LYMPHATIC: no lymphadenopathy, no edema MUSCULOSKELETAL: no deformities, no tenderness, nml gait NEUROLOGIC: CN 2-12 intact. nml UE and LE strength and sensation. No ataxia. Nml gait. No visual deficits. DERMATOLOGIC: No rashes, No open wounds. PSYCHIATRIC: No psychomotor abnormalities, no gaze avoidance.
CDC Split Type:

Write-up: migraine, fevers, body aches x 2 days after receiving J&J vaccine on 13Apr21; states max temp 100 at home; reports taking tylenol at home with minimal relief; last dose yesterday around 1200; denies any vision changes.


VAERS ID: 1216268 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Pharmacy       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: No
Preexisting Conditions: No
Allergies: Unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest Pain on 14 APR 2021 at 5 PM Chest Pain getting worse on 15 APR 2021 around 6 PM after dinner. Will visit to doctor office tomorrow 16 APR 2021 if appointment available.


VAERS ID: 1216382 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, 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: Lysine and magnesium
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: None known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA 6 days after injection, starting having hive like bumps and redness in my upper torso. They seem to come and go.


VAERS ID: 1216429 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Fatigue, Headache, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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: Lisinopril 10 mg Escitalopram 5 mg Vitamin D 2000 units
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Headache, fatigue, nausea, upset stomach, overall feeling sick. This started on day 13 after injection in the morning when waking up.


VAERS ID: 1216443 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / UN

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Dizziness, Headache, Muscular weakness, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (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: Levothyroxine
Current Illness:
Preexisting Conditions: Hashimotos
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, lightheaded, severe muscle weakness and back pain. Headache. Increasing rash on back of scalp over 24 hours later.


VAERS ID: 1216504 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Headache
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: N-Acetyl Cysteine 1g (1000kmg)... 1x daily Vitex agnus-castus 400mg ... 2x daily Metformin hcl 500mg ... 2x daily Aspirin 81mg ... 1x daily Vitamin B6 100mg ... 1x daily Vitamin D3 50mcg ... 1x daily Cetirizine hydrochloride 10mg ... 1x
Current Illness:
Preexisting Conditions: Generalized anxiety disorder, chronic depression, chronic migraines (migraines typically occur for me right before my menstrual cycle)
Allergies: Seasonal allergies, mild allergies to hibiscus, papaya and passion fruit
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intense headache beginning 4/14 around 6pm. Despite rest, hydration, and acetaminophen the headache didn''t subside. Headache intensity decreased around 5pm on 4/15


VAERS ID: 1216579 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lithium, Propranolol, Prazosin, Hydroxyzine Hcl, Trazodone, multivitamin, fiber capsule, melatonin
Current Illness: none
Preexisting Conditions: hypertension, bipolar disorder
Allergies: erythromycin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Extreme itchiness and redness, started in my legs and moved to my arms (in the morning). By noon, it was full body. Called and set a telehealth appointment, and was advised to visit urgent care. At urgent care, I was examined and diagnosed with hives. I was given a dose of prednisone and a short prescription for hydroxyzine to help with the itching. I''m still extremely itchy. I''ve never had seasonal allergies, there have been no med, food or product changes, and the prednisone helped briefly but did not eliminate the itchiness. I was told to try an over-the-counter relief products, which I will be trying tomorrow.


VAERS ID: 1216606 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Dysphagia, Throat irritation
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: About 2-5 minutes after shot, I couldn?t swallow. My throat muscles just wouldn?t work, but it was really sporadic like once or twice every 30 seconds-2 minutes I was not able to swallow. After 30 minutes of no worsening and waiting at vaccine site, my throat became itchy on my drive home and i had to clear it often. Rarely this happens to me if I eat honeydew melon or drink soymilk. I went to Urgent Care, throat looked open and they told me to take Benadryl. I?m curious if you?ve had reports like this of sporadic throat inoperation and if it will happen worse with the second dose.


VAERS ID: 1216627 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Injection site erythema, Rash macular
SMQs:, 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: Mirena IUD
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red splotchy area on upper left arm around the area of injection. It''s not itchy or painful, raised, bumpy, or warm to the touch. It''s just red. First noticed in the evening of the following day after the injection. The red area grew throughout the day of the 2nd day following injection. This occurred after the second dose of the moderna vaccine. I had no adverse effects after the first dose.


VAERS ID: 1216628 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Losathan, pravastatin; levothyroxine; provision; glucosamin chondrotin; calcium; vitamin c
Current Illness:
Preexisting Conditions: High blood pressure; thyroid
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heavy nosebleeds-- 10 minutes, heavy blood loss. Daily since day of second shot


VAERS ID: 1216630 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Dizziness, Eye pain, Headache, Hyperacusis, Nausea, Photophobia, Physical examination
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular 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: UNK
Current Illness: n/a
Preexisting Conditions:
Allergies: CEPHALOSPORINS; SULFA MEDS; CELECOXIB
Diagnostic Lab Data: ROS: General: No fatigue, fevers/chills, malaise Eyes: light sensitivity; No eye pain, eye discharge, visual changes Ears: No ear pain, hearing changes Nose/throat: No nasal congest CV: No chest pain, palpitations, syncope, edema Pulm: No SOB, wheezes, cough, hemoptysis GI: No anorexia, abd pain, nausea, vomiting, diarrhea GU: No dysuria, hematuria, urgency, frequency MSK: No joint pain, edema, warmth, redness, deformity Neuro: HA; No seizures, weakness, numbness/tingling, vertigo, lightheadedness, AMS Skin: No rash, lesions, itching Heme: No easy bruising/bleeding, petechiae All systems reviewed and negative except as stated above. Physical Exam: Vital signs reviewed, no acute intervention necessary General: NAD, AOX3, cooperative Head: Normocephalic, atraumatic Eyes: PERRL, EOMI, no conjunctival injection, no scleral icterus; no photophobia on exam Ears: No edema/erythema of otic canal, no TM edema/erythema/dullness/bulging Nose: No nasal discharge Throat: No pharyngeal edema, erythema, tonsillar exudates, uvular deviation, asymmetric swelling, trismus, drooling, or voice changes Neck: No meningismus; normal ROM Lymph: No cervical lymphadenopathy Respiratory: Unlabored breathing, normal respiratory effort, LCTAB CV: Normal peripheral circulation, RRR, no m/r/g Skin: No rashes, petechiae, or purpura Neuro: Grossly intact, moves all extremities equally, gait normal MSK: No TTP, deformity, ecchymosis, or focal edema Psych: Normal mood, normal affect, appropriate responses
CDC Split Type:

Write-up: right-sided HA with pain around rightt eye x 5 days with dizziness and nausea coming on yesterday since receiving J&J vaccine on 10Apr21; denies any vision changes or vomiting; light and noise sensitivity present. 25 yo f c/o ongoing R sided post-orbital/temporal ha w/stated light sensitivity but w/o other visual changes x5d, states got J&J covid19 vaccine 10APR and sx''s started 2-3 hrs after that; Pt states ongoing nausea w/o vomiting; Pt states taking multiple doses of OTC ibuprofen w/o sig relief; Pt concerned for relation to J&J vaccine; Pt denies any fevers/ns/chills, neck pain, cp, sob, dyspnea, abd pain, diarrhea, rashes, prior hx of similar ha


VAERS ID: 1216655 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, 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: Lipitor, Licinopril, Diltiazem
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Had extreme chills for approximately one half hour, then was okay until following night had a mild fever for a few hours, was fine after and since then.


VAERS ID: 1216661 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Chills, Disorientation, Feeling cold, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Prevacid, Inderal, Mirapex, Lipitor, Baclofen, Lipitor, Low Dose Naltrexone (4.5 mg), Vitamin D3, St. Johns Wort, CoQ10
Current Illness: Multiple Sclerosis
Preexisting Conditions: Multiple Sclerosis
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received vaccine approx 11:20am, no issues until 10:30pm when I started to feel chilled. I took my temp with a forehead thermometer and it read 98.x. I put the thermometer on my nightstand thinking it prudent to have it handy. In bed under covers I kept feeling cold and started shivering/teeth chattering, within an hour or so my forehead thermometer read 102. My recollection of the time between midnight and 2 to 3am is vague as I was very disoriented, I recall taking my forehead temp several times during those hours - that took a lot of effort, and I saw several readings of 105 and I believe one over 106. I remember thinking I should be in the ER, then thinking how could I get there, then thinking I would call 911 but that I could probably not get my mind/body to be able to physically make a phone call. I believe that during this time span I had brief periods of consciousness when I was somewhat aware that I was having a high fever event, but that there wasn''t much I could do about it (I live alone). By 4am I was more aware, forehead temp reading was 102.something - I got up and made my way to the kitchen, I was unsteady on my feet and remember telling myself to be careful and not to fall. Temp gradually dropped throughout Tuesday, mostly back to normal on Wed.


VAERS ID: 1216675 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (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: Lialda Multivitamin
Current Illness: None
Preexisting Conditions: Ulcerative colitis
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: About palm size red area around injection site. Slight itching.


VAERS ID: 1216682 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Eczema, Fatigue, Headache, Limb discomfort
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Eczema
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, stomach cramps, sever headache, fatigue, "dead arm"


VAERS ID: 1216683 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Public       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: Wellbutrin, 450mg
Current Illness:
Preexisting Conditions: Anxiety, depression, vulvodynia, insomnia
Allergies: Pollen, dust, cats, dogs, something in most lipsticks
Diagnostic Lab Data: none so far, going to call an audiologist tomorrow
CDC Split Type:

Write-up: I hear ringing in my ears that won?t stop. Sometimes it gets dimmer if i sit up, but it?s really bad when I lay down and when I?ve been trying to go to sleep. It?s like a whirring sound, the kind you?d hear from a machine whirring (like when you stand next to an ice cream machine?) There?s also this, like, chugging noise in the background.


VAERS ID: 1216688 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Fatigue, 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: citalopram Aurovela Fe Oral Mirena IUD
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Soy
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Swelling and redness at injection site, deltoid swollen to 2-3 times normal size Itching at injection site, slight rash Soreness in armpit on same side as injection site Joint pain and fatigue


VAERS ID: 1216693 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A214 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache
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: Multi vitamin
Current Illness: None
Preexisting Conditions: Arthritis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Budding headache , at night about 9pm, starting on April 14th, and again tonight the 15th at 9pm


VAERS ID: 1216697 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Chills, Decreased appetite, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (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: Dulaglitide, glimepiride,, Atorvastatin, Ergocalciferol
Current Illness:
Preexisting Conditions: T2DM HJTN
Allergies: NKDA
Diagnostic Lab Data: N ot seen-. Pt called
CDC Split Type:

Write-up: c/o feeling weak, sore, poor appetite, fever, chills


VAERS ID: 1216699 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Nervousness, Underdose, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Medication errors (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: NO
Current Illness: NO
Preexisting Conditions: NO
Allergies: NO
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Patient was injected with a new, unfilled/empty syringe. Patient was then injected with a new filled syringe with the appropriate dosage of the Moderna first dose vaccine. Patient was nervous, had blurry eyesight, and felt faint, vitals were checked by staff and by responding EMS. Patient felt better by the time EMS showed up after having some snacks. Patient has reported no adverse reaction other than initial blurriness and faintness as of 4/15/21


VAERS ID: 1216715 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA C32L20A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Pyrexia, Sensitive skin
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: 30 mg Vyvanse 0.1 mg Clonidine Both once per day in the morning
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Skin Sensitivity, Fever, Chills, and Stomach Ache


VAERS ID: 1216762 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN0161 / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site lymphadenopathy, Lymphadenopathy
SMQs:, 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
Allergies: None
Diagnostic Lab Data: Will be going to doctor tomorrow
CDC Split Type:

Write-up: Huge swollen lymph node under armpit of arm that got injection.


VAERS ID: 1216768 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, 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: Keflex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills, fever, slight headache, tiredness


VAERS ID: 1216906 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Rash papular
SMQs:, 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: Zoloft, welbutrin XL, birth control, Claritin
Current Illness:
Preexisting Conditions: Re-occurring mononucleosis, delayed sleep phases disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8 days after the vaccine I noticed a rash around the injection site. The area is slightly raised and red, it is not itchy but feels a little tender to touch. It covers an area about the size of a larger bandaid.


VAERS ID: 1217055 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, 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: No
Current Illness: No
Preexisting Conditions: No
Allergies: Not known
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Allergy, red and itchy and hives


VAERS ID: 1217057 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site rash, 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? 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: I had 0 adverse symptoms for the week following my vaccination. On the evening of the 7th day, I developed a rash around my ankles and on my arm around the injection site. That has spread into a full-body rash which is extremely itchy. Antihistamines have helped (Benedryl) but only provide temporary relief. Significant discomfort.


VAERS ID: 1217214 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Women?s multivitamin DIM supplement
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab work April 15,2021
CDC Split Type:

Write-up: Hives and welts not controlled with Benadryl Cream or oral tabs. Went to ER as spread was significant and had IV solumedrol. Hives led up. Within an hour of discharge they started coming back and were not controlled with Benadryl still. Hives were apprearing in new locations and spreading rapidly again. Went back to ER for further treatment.


VAERS ID: 1217225 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Headache, Immediate post-injection reaction, Nausea, Pain, Pain in extremity, Pyrexia, Restlessness, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline 100mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: My right arm was sore almost immediately after being vaccinated, but it wasn?t bad. Then later at night when I was trying to get to sleep I was horribly restless, shaking, and feverish. I had to bundle up in blankets because I was so cold. My whole body ached terribly, and I had a headache. It lasted a few hours and I couldn?t get to sleep. At one point I felt extremely nauseous and ran to the bathroom, barely holding back vomit, but then it went away and never came back. The day after that (April 15th) I was extremely fatigued and still had body aches and a headache. I took my temperature at 5 am on April 15th and it was 99.4?. I mostly just slept a lot and didn?t have much of an appetite. My arm was still a little sore during this whole time. As I?m writing this at 5 am on April 16th, I still have a headache.


VAERS ID: 1217268 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Axillary pain, Chills, Cough, Decreased appetite, Fatigue, Headache, Injection site pain, Limb discomfort, Musculoskeletal discomfort, Nausea, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: SHINGLE VACCINE- had most of the adverse effects that were listed . Sick for three days. Treated myself, got better after 3 day
Other Medications: Sertraline --- Atorvastatin ---Atenolol ---Aspirin ---Calcium-Magnesium-Zinc ---Vitamin D3 ---Lutein ---Omega 3fish oil ---Senior Womens Multi-Vitamin ---Miralax --- Prevacid
Current Illness: COVID-19 for most of January 2021 and hospitalized Jan.11 for 4 days.
Preexisting Conditions:
Allergies: Erythromycin---Rash Septra---Severe Heartburn
Diagnostic Lab Data:
CDC Split Type:

Write-up: Awakened at 1:30am 4-14-21 with intense pain in both of my upper arms and some back and leg discomfort. Pain at injection site in left arm. Started having chills and fever ranging from 99.8 to 100.8 Slight nausea later in the day. Fatigue throughout duration. Headache. Loss of appetite. occasional cough. Treated symptoms with rest and Tylenol. 416/21 I am having pain in my arms and pains in my armpits but most of my other symptoms have subsided.


VAERS ID: 1217272 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site pain, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatigue, slight fever, chills same day and next. Itchy arm starting around 5 days after with on and off pain.


VAERS ID: 1217355 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-24
Onset:2021-04-14
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Elanzopine
Current Illness:
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: ER visit for possible stroke
CDC Split Type:

Write-up: Bells Palsey


VAERS ID: 1217634 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Sleep disorder, Tenderness
SMQs:, 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Woke up around 2:00 am on 4/14 with leg pain on left side of lower left leg above the ankle in the calf area. Felt like pain was moving up leg. Pain was strong enough to wake me up and was something I never experienced before. Leg is still tender in that spot but there is no bruising or discoloration.


VAERS ID: 1217899 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Syncope, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: Topamax, Mirena, questran
Current Illness: Sinus/allergy issues month prior. Took mucinex & Benadryl
Preexisting Conditions: Migraine, arthritis, IBD, orthostatic hypotension, asthma
Allergies: Sulfa, corn, sorbitol, dextrose, glucose
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme fatigue - days 2-7 after vaccine Prolonged dizziness - comes and goes - not only from standing up too quickly - starting 4/14 - can be anything from momentary to 30 minutes. Occasionally fainting. Fainting - starting 4/14 - following dizziness - has happened 4 times Tinnitus - starting 4/14 - comes and goes - severity/loudness increases before dizziness


VAERS ID: 1218067 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: severe headache, dizziness and blurry vision
Preexisting Conditions: migraines, restless leg syndrome
Allergies: Bactrim
Diagnostic Lab Data: sent to ER
CDC Split Type:

Write-up: severe headache, dizziness and blurred vision


VAERS ID: 1218349 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headaches for two days after shot. One week after shot, extreme tiredness, headaches, severe sore throat. Symptoms still persisting.


VAERS ID: 1218382 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 7+ LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Cerebrovascular accident, Computerised tomogram head normal, Hemiplegia, Magnetic resonance imaging head abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

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: Almomipine (hypertension) Low dose aspirin
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: Had 2 CAT scans done on 4/14/2021. No internal bleeding. MRI was done on 4/15/21 and showed that he had a massive stroke due to a blot clot.
CDC Split Type:

Write-up: My father had a massive stroke 3 days after taking his shot. He is now currently paralyzed on his right side and not speaking


VAERS ID: 1218705 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Bone lesion, Magnetic resonance imaging
SMQs:

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:
Current Illness:
Preexisting Conditions: metastatic breast cancer
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient noted to have liver hematoma (post liver biopsy 4/02/2021) on 4/14/21 MRI (ordered to evaluate cancer bone metastatic lesions). Patient told to report to ER based on imaging findings. Patient clinically stable per ER note and discharged without intervention


VAERS ID: 1218786 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Dyspnoea, Headache, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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: No
Current Illness:
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Feel pain on the stomach, headache, loose of breath and High pulse, causing go on A Emergency yo the Emergency Room.


VAERS ID: 1219109 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Chills, Hot flush, Migraine, 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Chronic migraine when I was 6 until I was 17. Not as bad now.
Allergies: Cat dander
Diagnostic Lab Data:
CDC Split Type:

Write-up: First day, 7th, had fever of 101.3 and was sore all over and was having hot flashes.. Next day, 8th, was a little sore and still having g hot flashes. On the 13th, I started getting the hot flashes so bad I had to keep my heat at 66. No more than that. After I would get a hot flash, it was followed by chills. That has been flip flipping until today. Two days ago, 14th, had migraine that wouldn''t go away all the way until today, 16th, where I still have migraine and I still have hot flashes/ chills.


VAERS ID: 1219316 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-03-11
Onset:2021-04-14
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: COVID-19
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: Lisinopril 20mg Trazodone 150 mg METFORMIN 500 mg Rosuvastatin
Current Illness: None
Preexisting Conditions: Diabetes type 2
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I tested positive for Covid 19 despite being fully vaccinated.


VAERS ID: 1219389 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Pain
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: Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium


VAERS ID: 1219688 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenopia, Eye pain, Laboratory test, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypoglycaemia (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: Cyclobenzaprine 5 mg ( one at night)
Current Illness:
Preexisting Conditions: Interstitial cystitis ( chronic bladder inflammation)
Allergies: No
Diagnostic Lab Data: Eye exam- 4/15, bloodwork 4/16 (awaiting results)
CDC Split Type:

Write-up: Change in vision.. right eye... pain and white lines.. peripheral.. heaviness over both eyes still present from shot although nothing in comparison to first three days after shot.


VAERS ID: 1219827 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Deafness, 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: None
Current Illness: None
Preexisting Conditions: Mild asthma
Allergies: None
Diagnostic Lab Data: None. I have no insurance.
CDC Split Type:

Write-up: Increased ringing in both ears. Gradual but significant hearing loss in left ear. Started maybe on 4/12, but is noticeable on 4/14 and has gotten worse since.


VAERS ID: 1220190 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Computerised tomogram normal, Dyspnoea, Electrocardiogram normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: All tests done on 4-14-2021
CDC Split Type:

Write-up: Shortness of breath. Dyspnea and chest pain was ED diagnosis. CT scan clear, CXR clear, EKG clear. Blood clotting factors were high. Discharge instruction were to follow up with Cardiology on 4-16-2021


VAERS ID: 1220414 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-25
Onset:2021-04-14
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (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: Patient stated he helped family move and his arm was sore after the shot, but starting two days ago it started burning with use, and not all the time.
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had normal discomfort after the shot. helped family moving heavy items that day and next day and was sore afterward. no issues until two days ago when he has started having burning in the area with use of his arm. it is not happening constantly, just seldom with use of his left arm.


VAERS ID: 1220499 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache, Laboratory test
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Healthy
Allergies: None Known
Diagnostic Lab Data: sent to ER for evaluation, lab testing and possible CT head imaging
CDC Split Type:

Write-up: Onset some fatigue 1-2 days after vaccine, onset headache 7 days post vaccination, moderate in severity, helped by ibuprofen, headache has recurred over 48 hour period.


VAERS ID: 1220733 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Joint swelling, Peripheral swelling, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: none
Preexisting Conditions: type 2 diabetes, hypertension
Allergies: none
Diagnostic Lab Data: 4/16/20 - venous ultrasound left lower extremity
CDC Split Type:

Write-up: Patient presented to the clinic today reporting onset of pain to posterior left knee with swelling to left lower leg and ankle on 4/14/21. Patient sent to local hospital for venous ultrasound of left leg which showed thrombus to left distal superficial femoral vein, popliteal vein, and peroneal vein. Patient was then sent over the emergency department where he was evaluated and started on Eliquis.


VAERS ID: 1221238 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-24
Onset:2021-04-14
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Ecchymosis, Full blood count, Haemoglobin normal, Immune thrombocytopenia, Petechiae, Platelet count decreased, Thrombocytopenia, White blood cell count normal
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (narrow), 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: No home medications.
Current Illness: No recent viral illness, no chronic health conditions.
Preexisting Conditions: Prior concussion April 2020. No other chronic issues.
Allergies: No known allergies.
Diagnostic Lab Data: CBC with WBC 7.2, Hgb 16, PLT 2.
CDC Split Type:

Write-up: Janssen vaccine received by patient on 3/24/21, no immediate symptoms. As of 4/14/21 started having petechia and non-traumatic ecchymosis. PLT count of 2. Hospitalized for severe thrombocytopenia, thought to be ITP. Currently admitted as of 4/16/21, report made on day 1 of hospitalization.


VAERS ID: 1221297 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / -

Administered by: Other       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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, daily multivitamin (Rainbow light Men?s One)
Current Illness: None
Preexisting Conditions: Had a lung surgery to fix a burst bleb when I was about 20, that left me without a plural sac on the left side. Reoccurring chest pain (presumed to be because of blebs).
Allergies: Penicillin
Diagnostic Lab Data: Nothing other than an in person exam.
CDC Split Type:

Write-up: Six days after being vaccinated I broke out with a rash on both arms (triceps area) and on the top of my feet. The rash kept moving to different parts of my body, my knees and thighs, my lower back, even the bottom of my feet in the palms of my hands. It kept moving from location to location for two full days (I started taking corticosteroids and antihistamines this AM, which help a lot)


VAERS ID: 1221315 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: End stage renal disease on dialysis
Allergies: Bactrim, Lisinopril
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient started noticing left arm swelling and pain about 2-3 weeks after the vaccine. She then presented to the hospital 4/16/21 and was found to have a deep vein thrombosis in her left brachial vein as well as a thrombosis in her right internal jugular vein. She is currently being further worked up and will be admitted to the hospital for anticoagulation.


VAERS ID: 1221504 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN J-J 1805031 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Headache
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: Acxion Fentermina
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: severe headache for the last 3 days


VAERS ID: 1222451 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JOHNSON & JOHNS / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Swelling face, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None .
Current Illness: Daily supplements. B-12 , D
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swollen face, and eyes lids.


VAERS ID: 1222682 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-23
Onset:2021-04-14
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Diarrhoea, Dyspnoea, Fatigue, Tension headache
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen Fish Oil Omeprazole Loratadine Tylenol Fluticasone Proprionate
Current Illness:
Preexisting Conditions: Hyperlipidemia
Allergies: Dilaudid: Swollen lips Motrin: Lips get swollen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was spoken to via a telephone appointment and reports that she had diarrhea that same day of her vaccine and reports fatigue and new onset SOB at rest x 1 day. She is also c/o head tightness, back pain and BLE pain even at rest since she received her vaccine. She denies swelling to injection site, fever, hives, n/v, diarrhea, abdominal pain


VAERS ID: 1222736 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Chills, Diarrhoea, Dizziness, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen Ensure Complete Acetaminophen Prednisone Polyvinyl Alcohol 0.6% solution Diclofenac Sodium
Current Illness:
Preexisting Conditions: Hyperlipidemia Anemia Raynaud''s Phenomenon
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt c/o body aches, abdominal pain, and diarrhea. She reports she took diclofenac which only helped for a little while but her symptoms returned. She reports her abdominal pain is throughout all 4 quadrants and diarrhea. She reports her pain as a 10/10, and says it is a pain that she has never felt before. She says she also has chills, weakness, and feels feint.


VAERS ID: 1222832 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Laboratory test, Neck pain, Urine analysis
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Arthritis (broad)

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

Write-up: Started dizziness on 14th eve neck pain , back pain, fatigue. went to ER. Blood test were taken to check counts and were reported normal. Fluid was injected via IV and advised Meclizine 25 mg. advised pain killers if needed. advised to contact ENT specialist if the condition continues after 2 to 3 days.


VAERS ID: 1222922 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN C42A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Myalgia, Pain in extremity, Ultrasound scan normal
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Left leg pain, chills, muscolar pain


VAERS ID: 1222925 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac monitoring, Computerised tomogram head abnormal, Echocardiogram, Eye haemorrhage, Headache, Hypoaesthesia, Ischaemic stroke, Magnetic resonance imaging head abnormal, Mental impairment, Muscular weakness, Slow speech
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Retinal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 125 mg Loratadine 10 mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Tests during evaluation at hospital Tests while admitted to hospital April 15 to April 16. Had 2 each CAT scans, 1 each MRI, On Heart monitoring, received blood thinners in belly, heart test ultrasound.
CDC Split Type:

Write-up: 04/14/21 8:00 PM; Pain on right side of head with blood inside of right eye. Drove to emergency room. Had pressure and pain 4 more times while waiting in emergency room. Evaluated in Emergency room. Admitted to hospital 04/15/21. Had testing CAT scans and MRI determined minor stroke or Ischemic stoke. Numbness on Right side involving right cheek, weakness in RH leg and arm, speech is a little slow; during hospital stay and continued after into April 17th. Released from hospital at 6PM on April 16. As of April 17 at 10:30 AM Still having issues, difficulty thinking, headache, numbness and slight pain in head and arm. Right leg is weak. Will call doctor on Monday April 19 to set up appointment.


VAERS ID: 1222947 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Enuresis
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: N/A
Current Illness: N/A
Preexisting Conditions: unknown
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient has experienced NOCTURNAL ENURESIS for 2 evenings at this point. She received the vaccine on Monday (4/12), and it''s Saturday (4/17) as I type this as it was reported to me.


VAERS ID: 1223024 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Fatigue, Headache, Nausea, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Daily mutli vitamin, vitamins d, glucosamine, msm, vitamin c
Current Illness: None
Preexisting Conditions: None
Allergies: None aware of
Diagnostic Lab Data: None, Covid PCR test negative 2 days before injection
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA Headache, body ache, difficultly breathing, nausea, tired


VAERS ID: 1223098 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Public       Purchased by: ?
Symptoms: Headache
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: Metaprolol 50x1plavex
Current Illness:
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache for the last 36 hours and I don''t get Headaches,it''s not severe but medium like I''m on Plavix so I don''t think I can get blood clots


VAERS ID: 1223432 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebral venous sinus thrombosis, Cerebrovascular accident
SMQs:, 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), Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: CVA and cerebral venous sinus thrombosis


VAERS ID: 1223627 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram, Cough, Dyspnoea, Full blood count, Laboratory test, Pulmonary pain, Troponin
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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? No
Previous Vaccinations:
Other Medications: ATORVASTATIN 20 MG LEVOTHYROXINE 100 MCG DULOXETINE 30 MG
Current Illness: NONE
Preexisting Conditions: UN-DIAGNOSED LEFT FLANK PAIN
Allergies: ANYTHING PENICILLIN BASED
Diagnostic Lab Data: CHEST X RAY CT WITH CONTRAST BLOOD WORK----CBC, D-DIMER AND TROPONIN
CDC Split Type:

Write-up: COUGH STARTING 2 HOURS AFTER INJECTION TROUBLE BREATHING STARTING THE FOLLOWING NIGHT WITH LUNG PAIN WITH EVERY COUGH WHICH BECAME WORSE


VAERS ID: 1223704 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-13
Onset:2021-04-14
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: not known so far
Diagnostic Lab Data:
CDC Split Type:

Write-up: Throbbing/tension headache around and above eyes level, arms/legs muscle ache last for 2 days that did not go away when taking Tylenol 500mg.


VAERS ID: 1223718 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

Administered by: Public       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho cyclen
Current Illness: endometriosis
Preexisting Conditions:
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe pain in the left leg


VAERS ID: 1223829 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-03
Onset:2021-04-14
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: Macrobid
Diagnostic Lab Data:
CDC Split Type:

Write-up: About a week and a half after vaccination, I have a rash on the back of my neck under my hairline. It?s itchy and bumpy. I don?t know ignore related to the vaccine or not, but it?s not normal for me to get rashes and I haven?t come into contact with any known allergens. I haven?t changed my soap or anything like that.


VAERS ID: 1223973 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN COVID / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Disorientation, Dizziness, Dysarthria, Dysstasia, Echocardiogram normal, Facial paralysis, Headache, Hyperhidrosis, Intensive care, Laboratory test, Magnetic resonance imaging normal, Muscular weakness, Neurological symptom, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Daily Vite Multivitamin each AM Pantoprazole 40 mg 2x a day Simvastatin 20 mg each AM Trazodone 100 mg at bedtime Ubidecarenone 100 mg each AM Trulicity 1 shot a week Vitamin D2 50,000 units oral Friday Duloxetine 60 mg each AM Lisinopril
Current Illness: none
Preexisting Conditions: Type II late onset diabetes High BP
Allergies: none
Diagnostic Lab Data: CT Scan 4/14/21 upon arrival to hospital showed area of brain no oxygen Lab work 4/14/21 Heart Ultrasound 4/16/21 normal CT Scan 4/15/21 normal MRI 4/16/21 nomral
CDC Split Type:

Write-up: At work while sitting at my desk I became dizzy, broke out in sweat, disoriented, blurred vision, slurred speech. Called plant nurse. She said my face was drooping, I couldn''t smile or stand. She called Ambulance. Ambulance arrived and decided symptoms of stroke and called for helicopter to take me to medical center. When I arrived they did CT and I was later told it showed possible areas of no oxygen to brain. They gave me TPA drug and almost immediately I could see improvement - my headache cleared. Throughout the next couple hours I regained movement on right side and all functionality returned except weakness in right arm. I stayed in ICU for 24 hours as required after receiving TPA and while additional tests were ran then was discharged on Friday, April 16, 2021


VAERS ID: 1225366 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Feeling hot, Paraesthesia
SMQs:, Peripheral neuropathy (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? No
Previous Vaccinations:
Other Medications: Pantoprazole Sod Tabs 40mg 1 daily Triamcinolone Acetonide Nasal Spray once daily Probiotic Calcium 600mg w Vit D3 20mcg Omega3 1080mg Vit C1,000mg Vit E 184mg Vit D3 25mg vitB12 1000mcg
Current Illness: none
Preexisting Conditions: neuropathy from chemo due to breast cancer 2012 two layers of lymph nodes removes from left arm pit
Allergies: penicillian
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 4/14/2021 woke up with leg tingling and warm sensation and tightness .in right calf not painful but annoying next day both legs from knees down friday called pcp didnt think it was anything to worry about just keeps an eye on it watch for swelling and redness saturday it was much better. Sometimes it happen in my left arm. today brothering me again


VAERS ID: 1225589 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine normal, Blood urine present, C-reactive protein normal, Gait disturbance, Haemoglobin normal, Liver function test normal, Metabolic function test, Myalgia, Pain, Pain in extremity, Paraesthesia, Platelet count normal, Pregnancy test urine negative, Protein urine present, Red blood cells urine negative, Renal function test normal, Rhabdomyolysis, Urine analysis abnormal, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (narrow), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Arthritis (broad), Proteinuria (narrow), Tubulointerstitial diseases (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? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: D+C due to retained products of conception on 4/2 after voluntary interruption of pregnancy via medication on 3/22
Preexisting Conditions: Mitral valve prolapse, asymptomatic
Allergies: NKDA
Diagnostic Lab Data: 4/16: CK 127768. WBC 12.66, Hgb 14.6, platelets 278. BMP, CRP wnl. Cr:0.6. Urine pregnancy negative. UA with large blood, 100 protein 4/17: CK 76,406. AST 1772, ALT 513. Cr: 0.6 4/18: CK 46034. AST: 1220 ALT:454
CDC Split Type:

Write-up: Vaccine received 4/7/2020. On Wednesday 4/14/2020, pt went to the gym and did high intensity interval training involving body weight exercises, specifically an exercise called "v-ups". Exercise was not more strenuous than usual, and pt was well hydrated. Pt reports that she exercises often and this was not a new exercise. Soon after workout, pt began having muscular pain in the hip, radiating into her inner thighs bilaterally with associated tingling. On 4/15, pain worsened and pt had difficulty ambulating. Denies any edema, erythema in her legs or unilateral leg swelling. Presented to the ED on 4/16 and found to have elevated CK of 127,768 with UA significant for large blood and protein, without RBC, indicative of rhabdomyolysis. Pt did not have any known risk factors that may precipitate rhabdomyolysis. On admission, fluids were initiated with downtrending CK, LFTs, and renal function remained stable. er D&C was done at on 4/2 and she reports there were no complications during or after the procedure. Her BHCG was elevated at the time and she tried an oral abortion pill but still had some fetal remnants so went for a D&C. She had the J&J vaccine shortly after on 4/7 and she reports no complications around and shortly after getting the vaccine. Denies vaginal bleeding or odor. Denies fevers, chills, abd pain, diarrhea, constipation, dysuria, chest pain, palpitations, shortness of breath, nausea/vomiting.


VAERS ID: 1226053 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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:
Current Illness:
Preexisting Conditions: High cholesterol
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Ringing in ears, started about day 9 after vaccination and continues at day 13.


VAERS ID: 1226180 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / SYR

Administered by: Public       Purchased by: ?
Symptoms: Angiogram, Aphasia, Cerebral haemorrhage, Computerised tomogram abnormal, Computerised tomogram head, Computerised tomogram neck, Electroencephalogram, Epilepsy, Fibrin D dimer increased, Full blood count abnormal, Headache, Hemiparesis, Magnetic resonance imaging head abnormal, Muscular weakness, Periorbital pain, Platelet count decreased, Superior sagittal sinus thrombosis, Thrombocytopenia, Venogram
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home prescription medications. No hormone supplementations. Patient taking as needed Advil for headaches which started approximately 7 days following vaccination.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: See above. All relevant tests from 4/18/2021: CT brain, CTA brain/neck, CTV brain, MRI brain wwo contrast, routine EEG, D-dimer, CBC
CDC Split Type:

Write-up: 52-year-old previously healthy female who received first dose of Janssen COVID-19 vaccine on 4/7/2021. She started having periorbital right headaches starting on or about 4/14/2021. Headaches were alleviated with OTC Advil. On the morning of 4/18/2021, she awoke with RIGHT arm weakness which, over the course of several hours, progressed to include right-sided leg weakness and aphasia. Initial CT head showing multifocal hemorrhage within the LEFT frontal lobe. Course complicated by epileptic seizure. MRI brain with and without contrast and CT venogram brain notable for superior sagittal sinus thrombosis involving the mid and anterior segments of the superior sagittal sinus. Patient found to have new thrombocytopenia on admission with platelet level 78k; previously had normal platelets 6/4/2019. D-dimer elevated $g 4.00 mcg/ml FEU. Started on Argatroban gtt, nicardipine, and IVIG.


VAERS ID: 1226193 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Feeling hot, Hyperhidrosis, Peripheral coldness, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Acetaminophen 500mg PO q6 PRN
Current Illness: N/A
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine administered Sunday at 2PM, severe chills/fever within 72 hours status post vaccine administration. 72 hours after: venous distention on vaccinated arm from the inner upper arm to wrist. Blood pressure <130/80. no fever, no chills. Thursday okay. Friday night at around 9PM, sudden feeling of loss of consciousness but without actually losing. Huge gush of warmth and blood to brain. After episode, cold and sweaty hands. Both arms had distended veins visible. Saturday morning, back to normal. no venous distention, no feeling of fainting. Saturday night at 10:30PM, BP 155/99, HR 88, distention of veins on both arms. 11:40PM, bilateral leg swollen, no pain, no signs or symptoms of VTE, no SOB. Sunday AM: blood pressure normal, swollen legs disappeared, achy and sore knee and hip joints bilaterally. Still monitoring signs and symptoms. PCP advised to take Aspirin 81mg daily.


VAERS ID: 1226308 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Surgery, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Women?s one a day multivitamin, fish oil, daily probiotic, vitamin C, vitamin D, vitamin B, Microgestin birth control
Current Illness: None
Preexisting Conditions: Chronic low back pain, degenerative disc disease, spinal stenosis, herniated discs
Allergies: None
Diagnostic Lab Data: Er visit 4/15/21 with bloodwork showing elevated white blood cell count as well as CT scan confirming appendicitis
CDC Split Type:

Write-up: Appendicitis beginning 4/14/21, leading to surgery (appendectomy) 4/15/21


VAERS ID: 1226699 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN LOT-042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Contusion, Increased tendency to bruise, Renal pain, Stomatitis, Tongue eruption
SMQs:, Severe cutaneous adverse reactions (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (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? No
Previous Vaccinations: Flu shot always came down with flu
Other Medications: Pentazocine, hydroxyzine, Allegra,multi-vitamin, vita c
Current Illness:
Preexisting Conditions: Autoimmune problems from tic bite. Hives, chronic muscle pain,pulmonary fibrosis.
Allergies: NSAIDs,aspirin,sulfa.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Starting on 04/13/2021 noticed very easy bruising seems to be improving. Starting 04/16/2021 backache right side near kidney area, still on-going. Starting 04/18/2021 sore on tongue and right inside of mouth.


VAERS ID: 1226769 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203121A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Muscle spasms, Muscular weakness, Paraesthesia, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I had the regular symptoms (fever of 104, shaking, chills, headache) 6 hours after the shot. What is my new concern is leg weakness and pins and needle feeling in my legs that started a few days after the vaccine. My legs still feel weak and I have occasional pins and needles and muscle cramps all through my legs, but especially my left.


VAERS ID: 1227131 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arachnoid cyst, Blood pressure measurement, Heart rate, Magnetic resonance imaging, Magnetic resonance imaging head, Platelet count, Platelet factor 4, Venogram
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: MARIJUANA; TYLENOL; ALEVE
Current Illness: Ex-smoker; Insomnia
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210415; Test Name: Platelet count; Result Unstructured Data: over 200000, normal; Test Date: 20210415; Test Name: Platelet count; Result Unstructured Data: 268; Test Date: 20210415; Test Name: Platelet count; Result Unstructured Data: 227; Test Date: 20210415; Test Name: MRI brain; Result Unstructured Data: Cerebral venous sinus thrombosis observed; Test Date: 20210415; Test Name: CT venograph; Result Unstructured Data: no thrombosis, rather there was arachnoid granulation; Test Name: MRI; Result Unstructured Data: see comments; Comments: nonvisualized of A1 segment of right ACA, more distal segment supplied by Left ACA, this is a normal anatomic variant. Also non visualization of R vertebral artery which is felt to be a normal anatomic variant as well.; Test Name: Heart rate; Result Unstructured Data: 88; Test Name: Venogram; Result Unstructured Data: see comments; Comments: An absence of flow in right traverse sinus highly suggestive of thrombosis sluggish flow in sigmoid sinus and superior IJ; Test Name: Platelet factor 4; Result Unstructured Data: testing planned; Test Name: Blood pressure; Result Unstructured Data: 120/86
CDC Split Type: USJNJFOC20210428480

Write-up: ARACHNOID GRANULATION; This spontaneous report was originally received from the patient''s husband and concerned a 45-year-old female patient. Initial information was received and processed with additional information received in discussion with treating physician on 15-APR-2021. The patient''s weight 69 kg and height 178 cm. Patient''s medical history included smoking for 10 years and quit 10 years ago. Subject''s concurrent conditions included insomnia. The patient was reported to be in good health, Body Mass Index (BMI) reported as 21.7. The patient had no family history of blood clots. On 08-APR-2021, the patient received vaccination with Janssen COVID-19 vaccine Ad26.CoV2.S (suspension for injection, route of administration not reported; batch number not reported and requested), dose unspecified, for COVID-19 vaccination. Batch number was not reported, will be requested. Non-company suspect drug included unspecified contraceptive pill (unknown, oral) for unspecified indication. Concomitant medications included cannabis sativa for insomnia. On an unspecified date ''just following'' vaccination, the patient had influenza-like symptoms . On 10-APR-2021, patient started experiencing headaches. On 14-APR-2021 (6th day post-vaccination), the patient presented to Emergency Room (ER) with four days of worsening headache and diagnosed with suspected right transverse sinus thrombosis (later ruled out.) The patient was transferred to a second hospital''s intensive care unit (ICU) on an unspecified date. On 15-APR-2021 (7th day post-vaccination), a magnetic resonance imaging (MRI) scan of the brain showed suspected cerebral venous sinus thrombosis (CVST). No other symptoms or neurologic deficits reported, and her platelet count was reported as normal at 268,000 on admission (units and normal range not reported). The admitting physician initiated argatroban whilst closely following the patient''s platelet count. Testing for a panel for heparin-induced thrombocytopenia including anti-platelet factor 4 (anti-PF4) antibodies and other unspecified workup were also planned. On an unspecified date, MRV of brain showed an absence of flow in right transverse sinus highly suggestive of thrombosis, sluggish flow in sigmoid sinus and superior IJ. MRA showed non-visualized of A1 segment of right ACA, more distal segment supplied by Left ACA, this is a normal anatomic variant. Also non visualization of R vertebral artery which is felt to be a normal anatomic variant as well. This read was reviewed on 15-APR with neuro-interventionalist physician and 3 radiologist who were all in agreement that this was instead a normal variant (arachnoid granulation.) Report was addended to clarify that there was never any thrombosis. Patient''s blood pressure was 120/86 and heart rate 88. Patient was fully anticoagulated with argatroban. No heparin was received. Heparin induced thrombocytopenia (HIT) panel was sent and lab was requested to urgently process. Platelet count remained normal from 268 to 227 on 15-APR-2021. On 15-APR-2021, a CT venogram was performed which again confirmed no thrombosis; rather there was arachnoid granulation (normal variant). All imaging was confirmed with neuro-interventionalist physician and 3 radiologist who were all in agreement. Treatment with agratroban was discontinued on 15-APR-2021. As of 15-APR-2021, patient was clinically improving. Headache was resolved and neurologically intact. Patient was eating and was planned to discharge home later in the day. The action taken with COVID-19 vaccine Ad26.CoV2.S was not applicable. Action taken with contraceptive pill was unknown. The event arachnoid granulation was recovering This report was serious (hospitalization/prolonged hospitalization).; Sender''s Comments: V0: A 45-year-old female experienced headache 2 days after vaccine and was hospitalized for suspected transverse venous sinus thrombosis (which was ruled out) 6 days after vaccine. There was no secondary hemorrhage, and after the imaging was reviewed with a neuroradiologist, it was determined that there was no thrombosis at all, but rather an arachnoid granulation (normal anatomic variant.) This was confirmed on follow up CT venogram the following day. Relevant concomitant medications included oral contraceptives. Platelet count was normal (268,000) on admission. No heparin was received, but a panel for heparin-induced thrombocytopenia, including ELISA for anti-PF4 antibodies is pending. The patient was initially anticoagulated on argatroban and symptoms improved one day after admission; the headache is resolved, she is neurologically in tact, and discharge is planned to home. Although the use of oral contraceptives is a risk factor for thrombosis, there was no thrombosis in this case.


VAERS ID: 1227227 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Rash, Rash papular, 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: non contiguous papular rash on back and back of arms; excoriated and healing well without any s/sx of infection; no weeping; some early papules developing; pruritic; will treat with prednisone taper;


VAERS ID: 1227401 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Decreased appetite, Feeling of body temperature change, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Headache, nausea, no appetite, hot/cold flashes. 4days so far. Loss of energy n strength.


VAERS ID: 1227405 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Breast pain
SMQs:, Retroperitoneal fibrosis (broad), Lipodystrophy (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: Shingles
Other Medications: No
Current Illness: No
Preexisting Conditions: I use diet and exercise to control my sugar which has been good
Allergies: Milk, bactrim, ciprofloxacin, feldene
Diagnostic Lab Data: I didn''t go to my doctor
CDC Split Type:

Write-up: I had a few pains on my left side near bottom of breast , then an aching pain that went to my back. I have not had this symptom since Wednesday


VAERS ID: 1227420 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Migraine, Nausea, Sleep disorder
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? 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: Severe migraine for 3 days, migraine made me nauseous and stomach hurt. Day #2 severe lower back pain as well. Migraine so bad I had nights I couldn?t even sleep.


VAERS ID: 1227834 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Chest pain, Computerised tomogram thorax normal, Echocardiogram normal, Fibrin D dimer decreased, Magnetic resonance imaging normal, Myocardial necrosis marker increased, Myocarditis, Scan with contrast normal, Ventilation/perfusion scan
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Guafacine 1mg 2x day bystolic 10 mg 1x day Rousavastin 10mg 1x day
Current Illness: Autism, hypentsion
Preexisting Conditions: Austism
Allergies: Iodine contrast dye
Diagnostic Lab Data: Cardiac enzymes blood work ...as high as 17.67 ..discharged from hospital at 7.35.. ..extremely elevated Cat scan with contract...normal no blockage no damage to heart muscle D dimer test low.. .nuclear scan of lungs..no clots found Leg dabbler..no clots found Echocardiogram .. no periocarditis No trigger evidence except that Johnson and Johnson vaccine was received 5 days earlier
CDC Split Type:

Write-up: Chest pain, Elevated blood pressure, elevated cardiac enzymes, Acute myocarditis


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