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From the 9/10/2021 release of VAERS data:

Found 7,242 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit



Case Details

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VAERS ID: 1232156 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-03-10
Onset:2021-03-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Military       Purchased by: ?
Symptoms: Brain stem infarction, Cerebral haemorrhage, Intraventricular haemorrhage, Platelet count normal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 30 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: HTN, HbA1C 8.0 on admit
Allergies: None
Diagnostic Lab Data: 3/17 platelets 213,000 4/8 platelets 306,000
CDC Split Type:

Write-up: 6 days after vaccine patient had ICH/IVH or (R) spontaneous aneurysmal hemorrhage. On April 8th while in acute rehab he had (L) brainstem infarct.


VAERS ID: 1232211 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-01
Onset:2021-04-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dizziness, Feeling abnormal, Headache, Purpura, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control Fertibiotic fertility vitamins Other fertility vitamins Vitamin d
Current Illness: N/a
Preexisting Conditions: Pcos Interstitial cystits
Allergies: Penicillin, Bactrim, Levaquin metro and cipro were taken all together and don''t know which im allergic to.
Diagnostic Lab Data: Blood work and ct scan on Friday April 16th
CDC Split Type:

Write-up: Monday one week after vaccine was administered, red dots all over my legs appeared when I woke up. Did not itch which I found strange bc they looked like flea bites. But I went to the ER and said they were purpura. Also as of Tuesday April 13th, I have had throbbing headaches daily lasting on and off all day. Finally today and last night (April 19 and 20th) I have been dizzy. I am feeling weird. I regret taking this vaccine. If there was a way to undo this I would.


VAERS ID: 1232266 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-25
Onset:2021-04-14
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Angiogram normal, Anion gap, Blood creatinine increased, Blood glucose normal, Blood urea increased, Computerised tomogram head normal, Diarrhoea, Dizziness, Glomerular filtration rate decreased, Headache, International normalised ratio increased, Magnetic resonance imaging normal, Neurological examination, Prothrombin time prolonged, SARS-CoV-2 test negative, Scan with contrast normal, Urine analysis normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver-related coagulation and bleeding disturbances (narrow), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: macrobid 100 mg lidocaine 4% patch imitrex 100 mg calcium-vitamin D 500 $D nifedical XL 30 mg propranolol HCL 120 mg Omeprazole 20 mg BID colace 100 mg paxil 30 mg daily lipitor 20 mg xyzal 5 mg asa 81 mg wellbutrin 150 mg relpax 40 mg flon
Current Illness: HSV 1 infection HSV 2 infection
Preexisting Conditions: Depression ? Dyslipidemia ? Environmental allergies ? Esophageal reflux ? Migraine ? MS (multiple sclerosis) ? Normal coronary arteries ? OSA (obstructive sleep apnea) PVD
Allergies: cefuroxime - diarrhea cipro - rash dilaudid - rash morphine- seizure vicodin - sedation
Diagnostic Lab Data: MRI 4/18 without contrast - no evidence of acute infarct CT angio - head - no acute pathology negative COVID -19 PCR CMP with glucose 108, BUN 23, creatinine 1.14, eGRF 49, anion gap 8 - all other values WNL Prothrombin time 20.3/INR 2.0 U/A - negative CBC with diff - wnl except noncyte absolute count of 1.04
CDC Split Type:

Write-up: presentation to the ED on 4/17 with intractable HA & dizziness x3 days. Pt with MS. Normal & nonfocal neurologic exam. Given her use of Coumadin with described severe headache, head CT was obtained. This did not reveal any acute pathology. Patient was treated with a combination of IV fluids, IV Reglan, IV Benadryl, oral Valium, scopolamine patch, IV Haldol, IV magnesium, IV Decadron for combined dizziness and headache. She reported complete resolution of headache thereafter. She was able to ambulate midway through her emergency department visit but later reported intractable dizziness for which she felt uncomfortable being discharged. As such, general medicine was contacted for observation admission to obtain MRI to rule out posterior infarct and continue treatment for her intractable dizziness. MRI obtained 4/18 with and without contrast showed no evidence of acute infarct and no evidence of active demyelinating lesions. Findings compatible with known history of multiple sclerosis with supratentorial demyelination. There was no of opacified right maxillary sinus for which she will continue Flonase. Patient was seen by physical therapy who felt she was safe for discharge as she was able to ambulate independently without persistent dizziness. PT and Care Management arranged for in-home physical therapy 3-5 times per week. Prescriptions for Antivert and Zofran provided for presumed peripheral vertigo. Did discuss the possibility of current symptoms being related to Janssen COVID 19 vaccination on March 25th, although I did convey this seemed unlikely to patient and her brother. Patient is to follow up with her primary care doctor and was provided strict return precautions. in 4/20/21 phone call f/u with RN Care Manager pt reports ongoing dizziness, headaches including new onset diarrhea. PCP informed


VAERS ID: 1232281 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Electrocardiogram, Heart rate increased, Scan
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: beta blocker
Current Illness: none
Preexisting Conditions: POTS
Allergies: allergic to most of big 8 foods and too many more to list
Diagnostic Lab Data: EKG and C-Scan for blood clots. C-scan was negative.
CDC Split Type:

Write-up: Approximately 6 hours after being vaccinated, the patient''s heart rate skyrocketed to 178 bpm, as measured by an Apple watch. In the next few minutes it settle to about 120 bpm. On the way to the ER it skyrocketed again to 150 bpm, then settled to about 115 bpm. Over the next 6 hours it slowly decreased to about 100 bpm and did not return to normal until 24 hours after the initial vaccination shot.


VAERS ID: 1232289 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-26
Onset:2021-04-12
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: right lung PE


VAERS ID: 1232303 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JANSSEN / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood magnesium, Differential white blood cell count, Dizziness, Electrocardiogram, Full blood count, Influenza like illness, Metabolic function test, Pain, Pyrexia, Vertigo, Vertigo positional, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), 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? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: O CBC WITH DIFF, O COMPREHENSIVE METABOLIC PANEL, O HCG QUAL RFLX TO QUANT IF POS, O HOLD FOR ADDITIONAL ORDERS, O MAGNESIUM, O UA CULTURE IF INDICATED, O EKG (all occurred on April 16th at the hospital)
CDC Split Type:

Write-up: Day after shot, I experienced flu-like symptoms. I experienced a high fever and body aches. On the 13th of April, I began to experience severe dizziness, vertigo, and blurred vision. I have been experiencing this everyday since the 13th of April. I was submitted to the hospital on April 16th due to severe dizziness and blurred vision. The diagnosis was BPPV (benign paroxysmal positional vertigo) and I received 0.9% NaCl (NS) and Meclizine (Antivert). I am still experiencing severe dizziness and vertigo.


VAERS ID: 1232413 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-02
Onset:2021-04-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Cerebrovascular accident, Computerised tomogram head abnormal, Condition aggravated, Cough, Death, Diarrhoea, Muscle spasms, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-18
   Days after onset: 15
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen (Tylenol) 325 MG 2 tabs x 4 as needed for Pain/Fever 100 B-1 HCL (Thiamine) 1 x day B-12 Tablet 2 tabs 1 x day Alendronate Sodium (Fosamax) 70 mg 1 x week Wednesday: bone density Allopurinol 100mg
Current Illness: ? CVA?s (stroke): June 5, 1992, November 14, 1994, February 14, 2021 ? TIA?s recurring stroke residuals returning since 2014 ? Neuro-encephalopathy ? Seizure Disorder conscious temporal lobe ? Chronic Migraines ? Malignant resistant hypertension ? Cardio myopathy ? Diabetes type 2 insulin dependent ? Rheumatoid Arthritis ? Gout ? COPD ? Asthma ? Lupus ARC ? MS ? Osteoporosis ? Neuropathy ? Shand?s Hospital treated her for Parkinson?s
Preexisting Conditions: see above
Allergies: Codeine Shellfish Bee Stings Haldol Valium Rosefin3
Diagnostic Lab Data: CT scans on April 8, 2021 at both Hospital, hospital
CDC Split Type:

Write-up: beginning the day after the vaccine Patient experienced dairrhea, extreme nausea, cramps, coughing and weakness. This persisted for 3 days. Patient suffered a stroke or multiple strokes either 5 or 6 days after administration of the vaccine. She has since died as a result of the strokes.


VAERS ID: 1232435 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-03-14
Onset:2021-03-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood pressure increased, Chest pain, Electrocardiogram normal, Heart rate increased, Myocardial necrosis marker normal, Pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ibuprofen, biliberry
Current Illness: none
Preexisting Conditions: diabetes type 2, hypertension, high cholesterol,
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8 hours after receiving J&J vaccination, the patient experienced upper stomach pain that radiated into the chest area with an increase in HR to 160 and increase in BP to 220/160. Patient was taken to ER where they treated increased HR and BP. ER found nothing wrong with EKG, enzymes, etc. cardiac work up was unremarkable. Patient again had increase in HR to 165 and increase in BP 2 days later (March 16th) at 6pm with no warning. This time extreme upper abdominal pain that radiated into the chest. Patient again went ER and treated for high Heart rate and BP. Patient was admitted to hospital for 2 days. . 3 weeks later again had episode of increased HR and BP with upper abdominal pain that resulted in ER visit. was released again after treatment.


VAERS ID: 1232464 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-11
Onset:2021-03-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Hypoaesthesia, Pain, Peripheral swelling, Thrombosis, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, metoprolol, D3, B Complex, Calcium, Multiple vitamin,
Current Illness:
Preexisting Conditions:
Allergies: Ambien
Diagnostic Lab Data: US blood work
CDC Split Type:

Write-up: pt says one of her toes on her left foot went completely number. Within a couple of days she started swelling between her left big toe and the toe next to it. Her entire left foot started swelling and then her leg started swelling. She went via ambulance to ER. They did an US of her leg and found 2 blood clots in the back of calve. She was given a RX for blood thinner. She went to 3 pharmacies and could not find it so she went home. She went home and then her right foot swelling as well. She went back via ambulance to ER. She was given blood thinner injection, and IV and took blood work. Pt was admitted where she stayed for 5 days. She was released and prescribed Eliquis. She has to take 20 mg a day for first week and then 10mg a day the following week for 3 months. She still has constant pain and her left foot continues to swell. Pt will have to have another US in 3 months.


VAERS ID: 1232476 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-25
Onset:2021-04-12
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180529 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Cerebral venous sinus thrombosis, Full blood count normal, Headache, Magnetic resonance imaging head normal, Metabolic function test normal, Platelet count normal, Venogram abnormal
SMQs:, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Lorazepam, Pepcid, Protonix
Current Illness:
Preexisting Conditions: Myocardial infarction (x4), colorectal cancer treated in 2005, tobacco use (1/2 ppd), gastritis, migraine; back pain, herniated disc, lumbar canal stenosis, hysterectomy, obesity, anxiety
Allergies: Augmentin, Ampicillin, Erythromycin, Percocet
Diagnostic Lab Data: CT Head Venogram 4/17/21, MRI Brain 4/18/21
CDC Split Type:

Write-up: Patient presented to Emergency Department on 4/17/21 with a severe headache that started 5-7 days prior. CBC and Chem-8 were normal with platelets of 314. Findings from CT head venogram showed irregularities of the left transverse sinus with possible sinus thrombosis. Patient was admitted for further work-up and treatment. Patient was followed by Neurology. On 4/18 MRI revealed no cavernoma seen and no stroke or hemorrhage. Per Neurology, the areas of filling defects seen on CTV are still present which could be nonocclusive thrombus vs stenosis with prominent arachnoid granulations, but given history and risk factors, would treat as cerebral sinus venous thrombosis. Patient was treated with heparin then transitioned to apixaban, which she was discharged on. Patient was instructed to follow up with neurology in 3 months for a repeat CTV. Patient was discharged 4/19/21.


VAERS ID: 1232507 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-07
Onset:2021-04-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Fatigue, Headache, Hepatic enzyme increased, Lymphocyte count increased, Malaise, Pain, Pyrexia, Ultrasound abdomen normal
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Other Medications: Ortho-tricyclen daily, claritin daily, albuterol sulfate PRN
Current Illness: None
Preexisting Conditions: PCOS, mild exercise induced asthma
Allergies: NKDA
Diagnostic Lab Data: 4/14/21: AST=210 U/L; ALT=271 U/L; Alkphos 317 U/L; Lymphocytes 4.4K/uL; 4/16/21: AST=198 u/L; ALT= 163 u/L; Alkphos 407 u/L
CDC Split Type:

Write-up: Approximately 6hrs after receiving the J&J COVID19 vaccine, patient developed headache, fever, body aches and abdominal pain and bloating. The fever and body aches resolved but abdominal bloating and pain, fatigue/malaise, and headache has persisted. Patient was seen in the ER for abdominal complaints on 4/14/21 and her labs revealed elevated liver enzymes, her abdominal US was unremarkable. patient was discharged home and asked to follow up with PCP. Her repeat CMP in our office on 4/16/21 revealed similarly high liver enzymes. I evaluated patient on 4/19/21- she continues to have abdominal bloating and pain, fatigue/malaise, and headache without improvement. Her additional labs and imaging are pending


VAERS ID: 1232530 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-30
Onset:2021-03-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       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? Yes
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:
CDC Split Type:

Write-up: Patient reports she developed redness / hives to arms and back of her neck within 30 min observation period. was given diphenhydramine 25mg. by the time she got to the emergency dept there was Minimal residual erythema of bilateral shoulders - no hives currently


VAERS ID: 1232590 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Central vision loss, Chills, Dizziness, Headache, Hyperhidrosis, Photophobia, Pyrexia, Temperature intolerance
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Many b/c went to the emergency room - all checked out ok done 4.16.2021
CDC Split Type:

Write-up: First day - debilitating chills, fever, sweats, weakness Day 7 started experiencing light sensitvity, loss of central vision, dizzyness, headache Note: I have never had anything like this happen before (not prone to migraines etc.) Now in Day 13 and still have headaches light headedness and sensitivity to heat and light


VAERS ID: 1232609 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-05
Onset:2021-04-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test, Confusional state, Fatigue, Joint swelling, Pain in extremity, Peripheral swelling, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Shellfish
Diagnostic Lab Data: 4/18/2021, urgent care sent him to the hospital for ultrasound and blood work. Blood work was good, ultrasound revealed blood clots in superficial veins in knee and calf. He was put on blood thinners. Doctor said there?s not enough evidence to prove it?s the vaccine. But could be a coincidence.
CDC Split Type:

Write-up: Confusion, very tired, joint aches, at first. On Tuesday April 13, my husband woke up in pain to his left leg. The left leg had a painful softball sized hard lump on inside of knee and a little bigger than a golf ball hard lump on his calf. Had no treatment until April 18th


VAERS ID: 1232638 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0653285 / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Fatigue, Headache, Pain in extremity, Rash, Ultrasound scan, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Orllisa Levothyroxin Woman?s one multi vitamin
Current Illness: Covid long hauler.
Preexisting Conditions: History of stroke
Allergies: Bactrim
Diagnostic Lab Data: Bloodwork and ultrasound 04/13/21
CDC Split Type:

Write-up: Rash, headache , fatigue, blurred vision, leg pain


VAERS ID: 1232649 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-31
Onset:2021-04-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NORVASC, OMPRAZOLE, PREPARATION H CR., TAMOXIFEN
Current Illness:
Preexisting Conditions: BREAST CANCER, HTN, GERD, HEMORRHOIDS
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Spoke to Pt who states worsening calf pain and recent redness of feet since Covid vaccine. Pt with h/o J&J vaccine in March. Pt scheduled for breast reconstruction surgery. Pt advised to go to ER for increased leg pain given h/o recent J&J vaccine.


VAERS ID: 1232675 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Cardiac disorder, 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)

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: IT WAS DISCOVERED THERE WERE UNKNOWN HEART ISSUES. 04/07/2021 STROKE WAS ON LEFT SIDE.
CDC Split Type:

Write-up: SHE WAS PERFECTLY HEALTHY 91 YEAR OLD, ON NO MEDS, RECEIVED HER VACCINE ON TUESDAY AND WAS FINE THAT EVENING. CALLED TO CHECK ON HER WEDNESDAY AT APPROX 9:30 AM, COULD NOT UNDERSTAND WHAT SHE WAS SAYING. CALLED EMS, TRANSPORTED TO EMERGENCY ROOM AND SAID TO HAVE HAD A STROKE.


VAERS ID: 1232711 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (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: LOSARTAN, CHLORTHALIDONE
Current Illness:
Preexisting Conditions: HTN, PREDIABETES
Allergies: NORVASC
Diagnostic Lab Data:
CDC Split Type:

Write-up: Spoke to Pt who states concerned about possible s/e from J&J vaccine given 4/1/2021 on left arm. Pt states onset of increased headaches, joint pain, and left sided tingling 3 days post-vaccination. Pt reports worsening of tingling on left side of body from head to feet. Pt advised to go ER.


VAERS ID: 1232730 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test, Chills, Computerised tomogram normal, Fibrin D dimer increased, Headache, Pain, Pyrexia
SMQs:, Haemorrhage laboratory terms (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levoxil - for lack of thyroid (romoved); Lexapro
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: Wednesday, 14th, blood tests - in the Dr office and she called me later that day and said she said my d-dimer result was elevated and she had me go to ER to get MRI done - no one was there to do it (the MRI )and and I had a CT scan instead. Results for CT scan were clear and normal.
CDC Split Type: vsafe

Write-up: That evening, I had fever and chills and body aches starting about 10 pm. I had a headache too. Next morning, I stayed in bed and took ibuprofen and went back to sleep and 30 minutes later the fever broke. I still had body aches and headaches for two to three days. I went to get test for a concern that ended up not being a health concern at all.


VAERS ID: 1232763 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-03-12
Onset:2021-03-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiocardiogram, Anxiety, Asthenia, Dizziness, Dyspnoea, Pain in extremity, Pulmonary embolism, Tremor, Vision blurred
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none known
Preexisting Conditions: Pulmonary emphysema
Allergies: Penicillins
Diagnostic Lab Data: 3/17/21 - CTA of the chest at the emergency department was positive for bilateral pulmonary embolisms
CDC Split Type:

Write-up: On 3/17/21 patient returned to clinic complaining of sudden onset of dizziness, weakness, shaking, some SOB and anxiety. Patient reports this started suddenly at noon. She reports associated lightheadedness and difficulty with focusing her vision. She reports "feeling like I am going to pass out and not wake up". Denies nausea, vomiting, head injury, fall, slurred speech, confusion, or chest pain. Last meal was previous night, has not eaten that day. She denies recent alcohol use, did admit to smoking marijuana prior to episode starting. She did have the Johnson&Johnson Covid vaccine on 3/12/21, only has had a sore left arm, denies other side effects. Patient was sent to the emergency department via ambulance for further evaluation. Work up at the emergency department showed bilateral pulmonary embolisms.


VAERS ID: 1232777 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-05
Onset:2021-04-19
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A211A / UNK UN / IM

Administered by: Work       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (broad)

Life Threatening? Yes
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: none
Current Illness: none
Preexisting Conditions: anxiety BPH
Allergies: sulfa medication
Diagnostic Lab Data: Chest CTA - L sided pulmonary emboli
CDC Split Type:

Write-up: pulmonary emboli Treatment-Xarelto just started treatment


VAERS ID: 1232803 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-03-27
Onset:2021-04-03
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: School       Purchased by: ?
Symptoms: Abdominal discomfort, Flushing, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rashes and hives on my hands, then feet then legs exactly 1 week after my vaccination. Itching started on the back of my hands and then progressed to the tops of my feet and rose up my legs, I took 2 Benadryl and went to urgent care. The Benadryl started working within a half hour of taking it. The itching started as o laid in bed where the only food or liquid I consumed before getting out of bed was a bottled water. The doctor stated that I may be allergic to the pba?s in the water bottle. I have never been allergic to this before I was given this vaccine. Intense itching and hives have been occurring ever since that day and without taking Claritin or Benadryl daily the itching and hives takes over my whole body. I fear I could go into anaphylaxis if I do not take this medication. I have cut out several different foods and different liquids including bottled water and have fasted yet still am getting a allergic reaction. I saw my family dr and he said it?s likely due to the Johnson and Johnson covid 19 vaccine and I believe that to be true. Other symptoms include facial flushing and upset stomach


VAERS ID: 1232815 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Ohio  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Blood lactic acid, Blood phosphorus increased, Blood pressure immeasurable, Coma, Death, Headache, Hypotension, Shock, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: BP unobtainable, pH 6.8, lactate 15 Contact Hospital for lab and clinical details
CDC Split Type:

Write-up: Abdominal pain, vomiting, headache, hypotension, syncope, coma, shock, death at 2:00 pm 03/08/2021


VAERS ID: 1232835 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-16
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Chest discomfort, Hypoaesthesia, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left side facial, arm and leg numbness and tingling. Left Tight chest, raised blood pressure.


VAERS ID: 1232845 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-03-11
Onset:2021-03-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Computerised tomogram head, Confusional state, Dysarthria, Electrocardiogram normal, Feeling abnormal, Full blood count normal, Mental status changes, Metabolic function test, Muscular weakness, Troponin normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: None
Current Illness: Patient was diagnosed with viral illness on 2/23/2021
Preexisting Conditions: COPD, Gout, diverticulitis, hypertriglyceridemia, seasonal allergic rhinitis, peripheral neuropathic pain, alcoholism
Allergies: Cephalexin, dilaudid, Bee sting
Diagnostic Lab Data: CT scan of the brain was normal. CMP, CBC, troponin, and ECG all normal. These were all performed at the emergency department
CDC Split Type:

Write-up: J&J vaccine today, given at 10:30 am. Patient has allergy to bees, carries an Epi Pen. He was waiting for about 30 minutes after the vaccination when he started to complain of "feeling weird" to an RN whom performed his vaccination. Patient had confusion, slurred speech, left sided arm and leg weakness, altered mental status and severe shaking chills.


VAERS ID: 1232882 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-09
Onset:2021-04-13
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: vaccine administered on 3/9/21. Newly diagnosed shingles on 4/13/21.


VAERS ID: 1232916 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea, Body Aches, Mid Sternal Chest Pain, Shortness of Breath


VAERS ID: 1232940 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-03-23
Onset:2021-03-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Headache, Hypersomnia, Muscular weakness, Pain in extremity, Thrombosis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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: none
Current Illness: No.
Preexisting Conditions: Diabetic
Allergies: None.
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient had a headache, weak arm, slept a lot more, experienced pain in arm as well, and a "funny feeling" in her chest. Patient went to the ER and said they found a blood clot.


VAERS ID: 1232951 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Aphasia, Blood test, Chills, Electrocardiogram, Magnetic resonance imaging, Pain, Transient ischaemic attack
SMQs:, 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), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: MRI, blood test, EKG, stroke tests. Everything was clear. Had to show ER Doctor that morning that the J&J vaccine was being pulled.
CDC Split Type:

Write-up: On April 8, 2021, I received the J&J vaccine. Initially, I only had the chills and body aches. Then, on Monday April 12, 2021, I went to the gym where I worked out. When I came home and after showering, I returned a phone call shortly after 8 P.M. While speaking on the phone, I could tell after a few minutes of talking something was off, and then all of a sudden, the words stopped coming out. After a few more seconds, I was trying to yell upstairs to my wife for help. I sounded like a goat while trying to yell that word. I then snapped out of it, and was able to speak clearly and normal again. I told my wife and called back my friend. My friend said I sounded like I was getting sick when I had the attack. The next morning I went to the hospital. I was diagnosed with a Transient Ischemic Attack "TIA."


VAERS ID: 1233010 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-03
Onset:2021-04-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Malaise, Myalgia, Nausea, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), COVID-19 (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: multivitamins
Current Illness:
Preexisting Conditions: barrett esophagus, chronic diarrhea,
Allergies:
Diagnostic Lab Data: on 13th got tested for covid and it was negative - rapid test.
CDC Split Type:

Write-up: when received the vaccine he got nausea that was mild, it continued and got worse on the 11th and 12th, the 13th he threw up from being sick, headache, fatigue, chills were all experienced through this time with muscle pain.


VAERS ID: 1233011 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-06
Onset:2021-03-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Cardiac arrest, Fall, Hip fracture, Open reduction of fracture
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Osteoporosis/osteopenia (broad), Respiratory failure (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Coumadin
Current Illness: Parkinsons, Amyloidosis, Atrial Fibrillation
Preexisting Conditions: see above
Allergies: Penicillin, Sulfa, Myecitin''s
Diagnostic Lab Data: many
CDC Split Type:

Write-up: Janssen vaccine received 3/6/2021. Had a fall from sudden onset weakness 3/9/21 broke hip then ORIF and cardiac arrest. Now at skilled nursing facility


VAERS ID: 1233041 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Chest pain, Computerised tomogram normal, Diarrhoea, Dyspnoea, Electrocardiogram normal, Fatigue, Fibrin D dimer increased, Pain, SARS-CoV-2 test negative, X-ray
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control, Multivitamin, Biotin
Current Illness: no
Preexisting Conditions: no
Allergies: Neosporin
Diagnostic Lab Data: D-Dimer-elevated/normal EKG-normal X-Ray-normal CT-Scan-normal COVID-19-normal
CDC Split Type: vsafe

Write-up: The next morning I went to urgent care because I was experiencing really bad chest pains and body aches where an EKG and chest X-Ray were perform and I was released and advised if the symtoms got any worse to come back or got to the ER. For the next week the chest pain persist and got worse. I experienced severe chest pains, struggled with breathing at night, was extremely tired and felt worn out. I had sharp pains throughtout my body so I went to the ER where a EKG and D-Dimer test was perfomed and was advised it was elevated and I left. I went to the ER later that day who checked the D-Dimer who advised it was normal and was I was released from there as well after monitoring. The next day I began having sharp pains in my stomach and diarreah which prompted me to now go to hospital where a CT scan, X-Ray and EKG was perfomed there also which all results came back normal and advised I reach out to a Cardiovascular Specialist for the Chest pains and I have an appointment scheduled for 4/21/21 for further followup on that


VAERS ID: 1233046 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram head normal, Computerised tomogram spine, Full blood count normal, Intervertebral disc protrusion, Metabolic function test normal, Nausea, Paraesthesia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Vicodin
Diagnostic Lab Data: CBC - normal (PLT 217), Metlyte 8 normal. CTA head normal. CT Lumbar spine shows mild disc bulding at L4-5.
CDC Split Type:

Write-up: Initial onset of bilateral lower extremity paresthesias and nausea/vomiting on 4/9/21, lasting 2 days and 1 day respectively. Improvement then noted with return of right lateral leg paresthesia on 4/18/21. No treatment attempts made by patient. Mild right lower leg symptoms persist. No headache, vision changes, abdominal pain, petechiae or bleeding reported.


VAERS ID: 1233047 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-18
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Coagulation test abnormal, Deep vein thrombosis, Full blood count, Metabolic function test, Pain in extremity, Pregnancy test, SARS-CoV-2 test, Ultrasound scan, X-ray
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Oxycodone-apap 5mg/325mg, Ibuprofen 600mg
Current Illness: Patient fell on 4/9/2021 twisting her left ankle and falling onto right hip. C/O severe left ankle/foot pain and right hip pain.
Preexisting Conditions: PMH of DVT and CVA, approximately 2016
Allergies: metoclopramide
Diagnostic Lab Data: CBC, Coag, metabolic panel, pregnancy test, covid-19 pcr, ultrasound, xrays
CDC Split Type:

Write-up: 38 y/o F pt with a PMH of DVT, CVA, presents to the ED with complaints of left thigh and calf pain. Diagnosis of DVT in left leg.


VAERS ID: 1233116 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-06
Onset:2021-04-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram normal, Headache, Laboratory test normal, Myocardial necrosis marker normal, Nausea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (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: Vitamin D, Vitamin B-Complex, Melatonin, Fish Oil
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG and chest X-ray performed, both clear. Cardiac enzyme and other basic blood test all within normal range. Blood pressure slightly elevated (continuing).
CDC Split Type:

Write-up: Leg pain, pressure headaches and chest tightness resulting in ER visit 4/12. Attending physician noted no visible signs of clots. Occasional shortness of breath and brief bursts of dizziness and nausea (not necessarily together) persist, as do minor headaches.


VAERS ID: 1233128 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-05
Onset:2021-04-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Headache, Nausea, Pain, Periodontitis
SMQs:, Acute pancreatitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Other Medications: Sodium warfarin 7-8mg daily
Current Illness: None - for the past nearly 15 years
Preexisting Conditions: DVT -Factor 5 blood clotting
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 4 hours after receiving vaccine I came down with overwhelming head pain that could not be lessened with pain medication. No pain meds worked at all - all I could do was sleep. I had nausea, muscle aches (bad-still suffering); While still undergoing symptoms I got my teeth cleaned at the dentist (BIG MISTAKE). I came down immediately with a severe periodontitis infection that needed treating with antibiotics. The dentist was dubious that the infection had anything to do with the teeth cleaning (I disagree- I believe the infection exacerbated the period of disease (2 weeks one day ) I am writing because I literally CRINGE each time I hear about the Janssen vaccine only effecting a handful of people!! I SAY CRAP TO THAT!! This is a bad vaccine. I have not been this ill for decades and it is doubtful to me whether or not it was worth getting this vaccine at all. I would NEVER take it had I know HOW BAD and HOW LONG the side effects lasted - Over 2 weeks. I highly recommend that this vaccine is permanently shelved. I would not wand ANYONE to undergo what I have gone through the past 2 weeks - obviously complicated to some degree with the oral infection and teeth cleaning, however, I have never in the past been affected by a vaccine or teeth cleaning in this way before - ever.


VAERS ID: 1233159 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-03-17
Onset:2021-03-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Cold sweat, Computerised tomogram normal, Constipation, Dyspepsia, Dyspnoea, Eating disorder, Feeling abnormal, Gastrointestinal disorder, Influenza like illness, Injection site mass, Injection site pain, Magnetic resonance imaging normal, Malaise, Mobility decreased, Muscle strain, Pain, Petit mal epilepsy, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: Morbid Obesity, Asthma, Sleep Apnea
Allergies: Penicillin, Iodine, Amoxicillin, chicken, soy products
Diagnostic Lab Data: MRI, Catscan - normal
CDC Split Type:

Write-up: At the time of the vaccine, I felt fine, soreness at the injection site but nothing. For days later, I began to feel, ill all over and could not get out of bed. I had severe abdominal pain, aches and pains all over my body. Particularly in places where I had pre existing conditions. As the day progressed, I continued to have severe GI issues, could not eat (pain like food was stuck) heart burn, constipation (clamy like flu). Shortness of breath, I could not walk far. I took 3 trips to the ER where they treated for the abdominal spasms, UTI, and pain. By the end of the week I had a slight fever. I tested negative for COVID during that time. For two weeks I was unable to eat, get out of bed. I had several petite mal seizures. If felt like my body was fighting the vaccine and the vaccine was attaching all of me weak or any preexisting conditions. Eventually, after 3.5 weeks I was able to sit up, and walk. I still have shortness of breath, some fogginess, Muscle strain, walking with a cane and a lump at the injection site.


VAERS ID: 1233173 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-13
Onset:2021-03-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Chest X-ray, Chest discomfort, Dyspnoea, Electrocardiogram, Fatigue, Flushing, Laboratory test, Nausea, Palpitations
SMQs:, Anaphylactic reaction (narrow), 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), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine , Losartan, iburprofen as needed
Current Illness: none
Preexisting Conditions: Multiple sclerosis
Allergies: sulfa, codine
Diagnostic Lab Data: now) Rapid Heart rate, Heart Palpitations- they did blood work, EKG, Chest x Ray March 22nd 2021 - Follow up Appointment, Still ex
CDC Split Type:

Write-up: On March 14,2021 I started having the feeling of a "heavy" chest & shortness of breath as I you had a chest cold, waves of nausea and very fatigue ? I slept a lot March 15, 2021 ? I tried to resume my normal activity still really fatigued but tried to exercise being I was walking 4 to 5 miles a day since November ? After exercising a couple hrs later my heart felt like it was beating in my throat and racing ? happened thought the night . March 16, 2021- same thing on and off all day ? heart racing ? flushed face, Fatigue and went into the Emergency Room around 7 pm upon arrival my blood pressure was super high (being I''m on bp pills it has never been out of control and always been regulated until


VAERS ID: 1233202 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-10
Onset:2021-04-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram, Fall, Hypoaesthesia, Magnetic resonance imaging, Thrombosis, Ultrasound Doppler, Ultrasound scan
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Sexual dysfunction (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NKDA
Diagnostic Lab Data: Patient states that Hospital performed 2 CT scans, MRI, Echo, and Carotid doppler. She states "they saw a small blood clot on the right side of my brain."
CDC Split Type:

Write-up: Patient states that while vacationing, 3 weeks and 1 day after receiving her Janssen vaccine, she woke up at 8:30am with numbness in her left foot. When attempting to stand she fell to floor. After checking her blood pressure and blood sugar she took 2 tylenol and sat down to rest. Around 10:30am she began to have numbness in her left hand and on the left side of her face. She was taken by ambulance at that time to Hospital. While there they ran a number of tests and scans diagnosing her with have a stroke caused by a small blood clot in right side of her brain. She was admitted to the hospital and was not discharged until 4/3/2021. Upon returning home, she has been seeing her PCP, APRN and a neurologist. She has since been released on 4/19/2021 to go back to work and has no residual side effects from stroke. She states she is now on blood pressure and cholesterol medication and is taking a daily baby Aspirin.


VAERS ID: 1233251 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-03-24
Onset:2021-03-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Chest X-ray, Dizziness, Ear pain, Electrocardiogram, Eye pain, Headache, Nausea, Palpitations, Pyrexia, Tinnitus, Vertigo, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Liothyronine sodium K100 7.5 MCG
Current Illness: none
Preexisting Conditions: asthma
Allergies: Dairy and Corn allergy, gluten sensitivity
Diagnostic Lab Data: EKG, chest x-ray, IV, bloodwork on 3/30. Results did not indicate an issue with heart structure or abnormalities in blood. Additional bloodwork performed 4/15, results did not reveal cause of symptoms. Family practice referred patient to ENT specialist.
CDC Split Type:

Write-up: Dizziness, severe headache, heart palpitations, fever 102.5, blurred vision, severe earache, ringing in ears, pain behind eyes, vertigo, nausea, stomach pain on day of vaccine. Took ibuprofen 200mg. on 4/25 at 8:00 am. Fever and chills resolved and headache lessened with ibuprofen. Went to emergency room for dizziness and heart palpitations on 3/30. Heart palpitations resolved after hospital evaluation. Headache, vertigo, earache and ringing in ears persist to present


VAERS ID: 1233266 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-01
Onset:2021-04-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Contusion, Dry skin, Erythema, Fatigue, Full blood count, Hypoaesthesia, Musculoskeletal stiffness, Paraesthesia, Peripheral coldness, Peripheral swelling, Skin discolouration, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: SULFER BASED ANTIBIOTICS, PENICILLIN, ALCOHOL
Diagnostic Lab Data: CBC at emergency room 4/17/21
CDC Split Type:

Write-up: Sudden onset of bruise in left ring finger and on left foot, left of big toe, both appeared at once while eating lunch. Left ring finger went numb, white and cold, with bruise appearing on the middle digit. Other finger tips turned pink. Skin turned red onhands with tingling sentation. Right hand blood vessels came to the surface and began to swell at intersections. Skin on rt. hand looked whiter and dry. The sudden onset sent me to the emergency room, the condition began to fade in 3 hours, not completely. The same reaction occured the next day at 12 noon. I took a hot shower and the condition improved followed by extreme tiredness. *At the time of vaccination, & on both of these events I had a stiff neck/red skin.


VAERS ID: 1233345 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-12
Onset:2021-03-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Chest X-ray, Chills, Dyspnoea, Fibrin D dimer, Full blood count, Headache, Influenza like illness, Pyrexia, Thrombocytopenia
SMQs:, Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: FEV1 Oxygen levels D-Dimer TSH Chest X-Ray CBC
CDC Split Type: vsafe

Write-up: The afternoon after I got the shot I went for a jog. When I returned, I got intense chills and a fever of 103 degrees along with some flu like symptoms. I had a slight headache. Ibuprofen helped but the next day I had similar symptoms, but they went away by the end of the day. On the third day I felt a little better, so I went for a run. I had some shortness of breath and it was difficult to breathe when I was running. I normally run 4 miles daily. The shortness of breath was present for a week after that and also started to happen intermittently even at rest. One week after the shot I saw a doctor and they did some testing but did not find anything definitive. Six weeks after the shot I went to the ER and they diagnosed with Thrombocytopenia. At this point it has been seven weeks the shortness of breath has improved, and I haven''t experienced it for a few days.


VAERS ID: 1233354 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Feeling abnormal, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Dementia (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:
CDC Split Type:

Write-up: Patient presented for J&J Covid-19 Vaccination. Reported feeling anxious in anticipation of vaccination and stated that she felt like her heart was racing. Patient denies chest pain, shortness of breath or any other s/s. Assisted patient to wheelchair for safety and monitoring. 11:40 BP 137/90, p=132 regular, rr=18/min, o2 sat 98%RA. 11:45 BP 127/83, p=116 regular , rr= 18/min, o2sat 98%RA. Patient denies chest pain, shortness of breath or any other s/s. 11:52 BP 131/86, p=124 regular, rr=18/min, o2sat 96%RA. Patient denies chest pain, shortness of breath or any other s/s. 12:08 BP 115/80, p=96 regular, rr=18/min, o2sat 97%RA. Patient denies chest pain, shortness of breath or any other s/s. 12:20 BP 126/84, p=105, rr/16/min, o2sat 98%RA. Patient denies chest pain, shortness of breath or any other symptoms. 12:22 BP 132/86, p=132, rr= 18/min, o2 sat 98%RA. Patient stated that she feels like her heart is racing again and now she feels "foggy and not right". Called 9-1-1 for transport to hospital for further evaluation. EMS arrived, assessed patient and transported patient to the hospital for further evaluation. Spouse with patient and meet patient at the hospital.


VAERS ID: 1233377 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood magnesium, Blood thyroid stimulating hormone, Dizziness, Dysmenorrhoea, Fatigue, Feeling abnormal, Full blood count normal, Headache, Heavy menstrual bleeding, Laboratory test, Magnetic resonance imaging head normal, Menstrual disorder, Night sweats, Pain, SARS-CoV-2 test negative, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), COVID-19 (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: Magnesium Chaste Tree Vitamin D 5HTP
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: April 16, 2021: CBC w/ Auto Diff BMETA Magnesium, Serum TSH/THYROID-Stimulating HORM UPT Lab Draw MRI BRAIN MRI/MRA MRV HEAD w/o contrast UA HEMATOLOGY Profile DIFFERENTIAL, AUTOMATED COVID-19 BDMAX I was told all the results came back normal.
CDC Split Type:

Write-up: Night sweats, muscle aches, headache, fatigue, dizziness, lighted headed, brain fog all began less than 24 hours after vaccination. Period cycle started early and was very intense cramps, heavy bleeding, vomiting. To date, the headache, dizziness, light headed, brain fog and fatigue are still being experienced 13 days after being vaccinated. I called a nurse line on 4/16/2021 to talk over my side effects and was told to visit an urgent care center, who then sent me to the ER for bloodwork and an MRI of the brain. Was told all results came back normal, to continue to monitor myself and make an appointment with a primary care physician if I feel the same in week.


VAERS ID: 1233439 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Decreased appetite, Dizziness, Dyspepsia, Eosinophil count decreased, Fatigue, Head discomfort, Headache, Nausea, Pain in extremity, Photophobia, Platelet count normal, Rash, Rash erythematous, Skin warm, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 105mg NP Thyroid daily
Current Illness: None
Preexisting Conditions: Under active Thyroid but controlled w NP Thyroid meds
Allergies: None known
Diagnostic Lab Data: Negative STAT ultrasound at ER, normal platelet levels, yet low eosinophils
CDC Split Type:

Write-up: Not too many adverse symptoms the day of and after vaccine... tired at times and sensitivity to light but continued to eat and helped w energy. Also, warm left side of neck and slight red rash. Not expecting to have leg pain in my calf 6 days later then moved to quad muscle and entire left leg felt achy. CDC at this point said to check out any leg pain. Pain was not severe but bothersome... had STAT ultra sound at ER on day 7, turned out negative for blood clots. Returned to my physicians office day 8... still not feeling right with more of a rash on left side of neck and warm to the touch. Tired and slightly light headed and slight pain in left upper chest. Digestion not the best starting day 5 thru 10. Blood test returned normal for platelet levels but low eosinophils... either allergies or body is fighting the vaccine and creating antibodies (most likely). No known allergies besides maybe skin reaction to Timothy Bluegrass. Moderate headache day 9 and 10 which made me more fatigued (pain on both sides of head above ears and temples)... normally I do not get headaches. Also, loss of appetite or feeling slight nauseous on day 8, 9, and 10 after the vaccine. Now on day 11 and 12.. feeling better but still not quite right. Lightheaded and feeling fullness in head but more energy than day 9 and 10 by far. Never heard of people having symptoms after day 1 or 2 of the vaccine, so obviously I think this should be more documented for patients especially after blood clotting as a possibility 6 days after the vaccine.


VAERS ID: 1233544 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dry mouth, Dysphagia, Hyperhidrosis, Nausea, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), 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 (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: hypercholesrolemia , scoliosis
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient received the vaccine janssen at 2:12 pm . At 2:13 pm patient complaint of experiencing dizziness , nausea, sweating , blurry vision dry mouth , difficulty swallowing saliva . per Dr order administer the Epi-pen . 911 was called . Paramedics transport patient to the nearest hospital


VAERS ID: 1233644 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-05
Onset:2021-04-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Diarrhoea, Headache, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: headaches, fever, diarrhea, chest pressure


VAERS ID: 1233655 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-31
Onset:2021-04-11
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Vitamin B12 decreased
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: cefadroxil
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient is a medical doctor. . patient reports at 10pm April 11, 2021 , he was reaching into a closet when his entire right side fell asleep/was numb. He reports that sitting temporarily help relieve symptoms, however when he stood, symptoms returned. patient sought care at ER. His BP was 183/110. However, nothing was found to be wrong except B-12 level was low. Patient reports that symptoms lasted 45 minutes.


VAERS ID: 1233674 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Blood urine, Chest pain, Chills, Headache, Injection site erythema, Injection site swelling, Micturition urgency, Nausea, Skin warm, Urinary tract infection
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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: Date of Birth Date Of Birth 11/16/1993 Current Medications levonorgestrel and ethinyl estradiol (LOSEASONIQUE) 0.1-0.02 mg (84) 0.10 mg (7) oral 3MPk Instructions: Take 1 tablet by mouth daily. Authorized by DO on 2/16/2021 ibuprofen (A
Current Illness: Noted Hematology and Oncology Iron deficiency anemia 2/16/2021 Overview 2/16/2021 Heavy periods, iron deficiency anemia in women of childbearing age. Iron supplements and bowel regiment discussed. Start OCP to help regulate periods q 3 months.
Preexisting Conditions:
Allergies: Allergies as of 4/20/2021 Reviewed by CNP on 4/9/2021 Noted Reaction Type Reactions Janssen Covid-19 Vaccine (eua) [covid-19 Vac,ad26(janssen)-pf] 04/20/2021 Contraindication Percocet [oxycodone-acetaminophen] 04/02/2019 GI Upset GI upset
Diagnostic Lab Data:
CDC Split Type:

Write-up: nausea, back pain possible uti foul odor, blood in urine ongoing for 2 weeks, urine urgency, abdominal pain unsure if related to period (Period doesn''t typically last two weeks), chills, janssen vaccine small bump on arm where vaccine is, arm is warm to touch with redness around the area, headache comes ago did not have a h/a last week, chest pain


VAERS ID: 1233697 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Ageusia, Anosmia, Asthma, Blood albumin decreased, Blood creatine phosphokinase increased, Blood creatinine increased, Blood glucose increased, Blood sodium decreased, COVID-19, Chest X-ray normal, Chest discomfort, Chest pain, Chills, Coagulation test normal, Condition aggravated, Diabetes mellitus, Diarrhoea, Differential white blood cell count normal, Dyspnoea, Echocardiogram abnormal, Electrocardiogram normal, Fibrin D dimer normal, Full blood count normal, Glycosylated haemoglobin increased, Headache, Hypoglycaemia, Hypoxia, Influenza A virus test negative, Influenza B virus test, Lung infiltration, Metabolic function test, Myalgia, Nausea, Protein total decreased, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Tachypnoea, Troponin T increased, Troponin increased, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (narrow), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cozaar, Norvasc, HCTZ, Lipitor, NovoLIN R, Lantis
Current Illness:
Preexisting Conditions: ASTHMA, CHRONIC KIDNEY DISEASE, DIABETES, HYPERTENSION, TOBACCO ABUSE DX OF COVID-19 15 APRIL 21.
Allergies: NKDA
Diagnostic Lab Data: 4/15/21 IN ED Port CXR - NEGATIVE, on discussion with Radiologist, subtle focal infiltrate consistent with COVID infiltrates, per ED note. CBC unremarkable; CMP elevated glucose, Elevated Troponin, Creatine Kinase Elevated, D-Dimer within normal range, EKG unremarkable, Influenza A & B negative, COVID 19 Positive, Coag panel within normal limits 4/16/21 CXR - Normal, Glucose - at 1720 374, at 2,225 338 , Troponin T - Elevated21.43 (Ref Range 19), Hemaglobin A1C 13.3 CMP Creatinine 1.36, Sodium low at 131, Glucose 258, D-Dimer within normal limits, CBC unremarkable, 4/17/21 Glucose 47 @ 1720, CMP W/GFR Glucose 43 @ 0500, CBC/W/Diff unremarkable. 4/18/21 Glucose @0215 55 CBC W/Diff unremarkable, CMP@ 0827 Albumin low, Creatinine high, glucose 131, protein low, sodium low, 4/19/21 Echocardiogram: There is an echodensity in the right atrium which measures 1 cm x 1 cm best appreciated in apical four-chamber imaging. This may represent a prominent crista terminalis ridge but recommended further imaging such as cardiac MRI (given acute COVID 19 infection) forfurther evalaution. CBC w/ Diff unremarkable, CMP creatinine high, glucose high, proien low, sodium low.
CDC Split Type:

Write-up: Patient received Jassen vaccine 4/10/21. 4/11/21 began with symptoms of fever, headache, chills, nausea, vomiting, and diarrhea, loss of taste and smell. 4/15/21 he presented to ED with symptoms of fever, chest pain and pressure, shortness o breath, myalgias, headache, tachypnea, tachycardia, hypoxia. Was given IV Decadron, DuoNeb and albuerol in ED. Inprovment seen, but patient continued with tachypnea and difficulty breathing. He was admitted to ED with a diagnosis of COVID 19 , asthma exacerbation and elevated Troponin at 31.52 (Ref Range 19) . During admission, glucose levels were labile, requiring adjustment to routine insulin regimen and Glucovance for hypoglycemia. An Echocardiogram was ordered due to elevated Troponin levels on admission. Echocardiogram 4/19/21 showed a density in the right atrium. Cardiology recommended a cardiac MRI. Patient was transfered to Hospital 4/19/21 for elevated care and evaluation, with diagnosis of


VAERS ID: 1233724 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-28
Onset:2021-03-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / N/A UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Computerised tomogram thorax abnormal, Condition aggravated, Deep vein thrombosis, Dyspnoea, Fibrin D dimer, Lung opacity, Nausea, Pain in extremity, Pneumonia, Pyrexia, SARS-CoV-2 test negative, Thrombectomy, Thrombophlebitis superficial, Ultrasound Doppler abnormal, Venous angioplasty
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), COVID-19 (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: Acetaminophen, birth control pill
Current Illness:
Preexisting Conditions: History of PE after birth in 2018 - treated with Xarelto for 9 months; right ovarian cysts and fibroid
Allergies: none
Diagnostic Lab Data: 4/13/2021 D-Dimer 1962 Venous doppler positive for right common femoral and great saphenous vein thrombosis
CDC Split Type:

Write-up: COVID-19 - Janssen ADR Come to ER on 4/8/2021 with chills, fever, weakness and dx with pneumonia after receiving COVID-19 vaccine 1 week ago and discharged on azithromycin. On 4/13/2021, came back to ED with worsening SOB, weakness, nausea and now with right thigh and leg pain, ground glass findings on CT thorax, positive for acute DVT on right leg and negative COVID testing. 4/14/2021 - right femoral vein thrombectomy and right external iliac vein angioplasty


VAERS ID: 1233781 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pain in extremity, Peripheral swelling, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Trelegy Ellipta 100-62.5-25 mcg Albuterol ulfate 90 mcg/Actuation
Current Illness: none
Preexisting Conditions: COPD, AAA, HLD, Psoriasis, Tinnitus, Tobacco Dependence
Allergies: none
Diagnostic Lab Data: 4/20/2021 Doppler Venous Left lower extremity
CDC Split Type:

Write-up: left lower leg pain extremity swelling


VAERS ID: 1233791 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-07
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / UN

Administered by: Other       Purchased by: ?
Symptoms: Haemoglobin normal, Headache, Platelet count normal
SMQs:

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: New Chapter Vitamin B Comples/1 tablet per day
Current Illness: Hashimotos/hypothyroidism (no medication is taken)
Preexisting Conditions: Allergy to cats (3 are in the house). Hashimoto''s/hypothyroidism, 3 years or more. NO HEADACHE WAS EVER HAD DUE TO MY THYROID ILLNESS PRIOR TO my J & J VACCINE.
Allergies: Allergic to long hair cats
Diagnostic Lab Data: 4/15 HEMOGLOBIN AND PLATLETS BLOOD TEST: NORMAL RANGE.
CDC Split Type:

Write-up: CONTINUOUS ROVING HEADACHE SINCE 3/12. ALL SIDES OF THE BRAIN. 24/7 INTERMITTENT BUT EVERYDAY. LEVEL 1-2-3. PRIOR TO VACCINE, ZERO VACCINES IN MY LIFE. HEADACHE STILL CONTINUING


VAERS ID: 1233807 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-31
Onset:2021-04-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Blood lactic acid, Dysmenorrhoea, Full blood count, Gastrointestinal pain, Metabolic acidosis, Troponin, Ultrasound abdomen, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Lactic acidosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Chronic kidney disease (broad), Tumour lysis 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair 10 mg daily, Xyzal 5 mg daily, Pepcid 20 mg daily, multivitamin, Calcium, Vitamin C, Probiotic.
Current Illness: None
Preexisting Conditions: Chronic Urticaria
Allergies: None
Diagnostic Lab Data: CBC, Metabolic, D Dimer, lactic acid and troponin levels were normal. Upper right quadrant limited Ultrasound study was normal.
CDC Split Type:

Write-up: I am a menopausal woman with last date of period August 2019. On 4/7/21 I developed abdominal bloating and cramping related to menstruation. On 4/8/21 I developed mild mucous vaginal discharge with blood streaks. Thereafter, I developed tan discharge for a few days. I''ve continued to have upper GI pain for the next 2 weeks. I went to the ER on 4/18/21 for lab work up and they performed a right upper quadrant Ultrasound. I have a GI appointment today for further work up.


VAERS ID: 1233854 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Discomfort, Herpes virus infection
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Aimovig 140 mg 1x/mth Progesterone 300mg 1x/day Estradiol.05mg patch 2x/week Testosterone.25% cream 1x/night Diltiazem 30mg - 2x/am; 1x/pm Esomeprazole 40 mg 1x/day Vit D2 1.25 mg 1x/week Xanax .5mg 3x/day Tizanidine 2mg 1x/night Milk Thi
Current Illness: None
Preexisting Conditions: High blood Pressure
Allergies: Lisinoporol Amytriptaline
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 7 days after the shot I had my first ever herpes outbreak (I was tested 20 years ago & told it was in my system). My doctor called it an ?atypical outbreak? because there are only 2 small lesions that look like blisters. No pain, just a little discomfort. Dr said to get a sample of discharge if there is any. She also thought it might be a staff infection? I?ve been put on: valacyclovir 1gram 2x/day for 5 days Gabapentin 100mg 3x/day Mupirocin ointment 2% 3x/day


VAERS ID: 1233901 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-03-18
Onset:2021-03-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Blood test, Dehydration, Electrocardiogram, Heart rate increased, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Dehydration (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 25 mg,
Current Illness:
Preexisting Conditions:
Allergies: nka
Diagnostic Lab Data: blood work EKG
CDC Split Type:

Write-up: pt says he started feeling nauseated. He started having severe abdominal cramps that came in waves and raised heart rate. He went to Hospital ER in State. He was admitted for observation. He had blood test and had an EKG. He was given regimen morphine shots. He DX was severe abdominal cramps, raised heart rate and Dehydration. He was told to FU w/ PCP. Pt feels like these symptoms were from taking the vax earlier that day. He did not feel well for about 5 to 6 days. He says he feels better today.


VAERS ID: 1233923 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-03-26
Onset:2021-03-27
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 OT / IM

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Bell's palsy, Cough, Dry eye, Eye pain, Facial pain, Facial paralysis, Fatigue, Feeding disorder, Oedema, Pain, Speech disorder
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), 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: Asorbic Acid 500 mg Ferrous Sulfate 325 mg Norinyl 1+35 (Take one tablet 1/35 daily for 28 days)
Current Illness: None
Preexisting Conditions: Obesity Oral Contraceptives
Allergies: None
Diagnostic Lab Data: Emergency room evaluation
CDC Split Type:

Write-up: Patient contacted for follow up regarding post vaccine status. On day 2 patient reported feeling very tired, more so than usual, body aches, cough, and a decrease in taste. Patient agreed to come in to the clinic on Friday to be evaluated for COVID testing. On the day of testing mother called clinic and stated to cancel appointment, patient had gone to the emergency department the day before. Mother reports that patient began complaining of increased facial pain on 04-14-2021. Soon the facial pain increased, and the patient noticed she was having trouble chewing her food and talking, as well as a facial droop to the right side of her face. As the mother was driving the patient to the hospital the patient began complaining of edema to her lips and tongue, and that her right eye was hurting and was very dry. After being evaluated in the emergency department the patient was diagnosed with Bell''s Palsy and sent home with the following prescriptions: Prednisone 20 mg, Valacyclovir 50 mg, and eye drops.


VAERS ID: 1234080 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast mass, Breast pain, Breast swelling, Breast tenderness, Headache, Induration, Pain in extremity, Paraesthesia, Suppressed lactation, Tenderness, Thrombophlebitis superficial, Ultrasound Doppler
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, venous (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Lipodystrophy (broad), Functional lactation disorders (narrow), 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: Unknown
Current Illness: Unknown- reported to urgent care on 4/10/21 that she''d had fatigue and sligth body aches prior to getting the vaccine. (Neg COVID-19 PCR test 4/10/21)
Preexisting Conditions: CIN
Allergies: Ancef {Cefazolin}- anaphylaxis
Diagnostic Lab Data: 4/14/21 USV Venous Upper Extremity Duplex Left, 4/14/21 USV Venus Upper Extremity Duplex Left, Impression: 1. There is no deep venous thrombosis in the visualized deep veins of the left upper extremity. 2. Short segment superficial venous thrombus in the cephalic vein in the left forearm 4/19/21 USV Venus Upper Extremity Duplex Left, Left Cephalic Vein: Short segment of thrombosis continues at the mid forearm. Measuring 15 mm in length, previously 12 mm. ADDITIONAL FINDINGS: Normal cardiac pulsatility is present in the subclavian veins. _____________________ Impression There is no sonographic evidence for deep venous thrombosis in the visualized deep veins of the left upper extremity. Short segment of superficial thrombophlebitis continues at the left cephalic vein within the forearm.
CDC Split Type:

Write-up: 4/10/21 Patient presented to Urgent Care with Arm Pain (left arm painful and tingly since COVID shot 4/8; now pain is different and there is a lump on her forearm she can feel). 4/13/21 Contacted the office to schedule an appointment regarding worsening symptoms. Scheduled appointment. 4/14/21 cont. Seen in office by PA for: 1. Left arm pain - tender nodule L forearm, will get US due to recent birth, Johnson and Johnson vaccine, FH of DVT, to r/o DVT causing the lump, await results. Symptomatic care in the interim, may use warm compresses. - USV VENOUS UPPER EXTREMITY DUPLEX LEFT; Future 2. Paresthesia of left arm - site of reported injection and superficial induration 1.5cm from acromion process, suspect SIRVA due to sit of administration of vaccine, recommend symptomatic care with warm compresses, gentle massage if benefit noted, pt is breastfeeding so recommend local care at this time, consider PT, pt declines at this time as she will be on vacation next week. Discussed possible cortisone injection but deferred due to recent COVID vaccine 6 days ago, pt agrees as there is some recommendation to avoid steroids in close proximity to vaccinations to avoid blunting the immune response 3. Family history of DVT - see #1 4/15/21 After speaking with the DVT clinic Dr contacted the patient and recommended she take an 81mg low dose daily aspirin, until symptoms resolve, around one month. And repeating venus duplex in 7-10 days. Determined she would go prior to her leaving for her trip as she planned to be out-of-town during that time frame. (Per provider result notes.) 4/16/21 Patient was seen in emergency department for: Patient presents for evaluation of multiple concerns. Following the Johnson & Johnson COVID-19 vaccine she was recently diagnosed with superficial thrombophlebitis in the left forearm by ultrasound, has been taking aspirin and symptoms have not worsened. Left upper extremity exam is quite reassuring today, I see no clinical evidence for DVT and she is neurovascular intact. I did not feel that repeat ultrasound was necessary at this time, but she does have this scheduled next week so I advised her to keep that appointment. She has a very slight headache which has been present since the day she received the vaccine, currently 2/10 without vision or other neurologic concerns. No abdominal pain. I have low clinical suspicion for CVST or PVT at this time. Advised return if she develops worsening headache or new neurologic symptoms. Patient complained of new onset left lower lateral breast pain and lump starting today. She is currently breastfeeding and notes decreased milk production today. She does have a tender fullness on exam but no redness or visible swelling, she is nontoxic and well-appearing without fever. She has history of mastitis in the past, but she states her PCP recommended she be evaluated for possible blood clot in the breast. Advised the patient that I have very little concern for that at this time, if anything it would be superficial and not amenable to anticoagulation but I did not feel that imaging was necessary at this time. I will cover her with antibiotics for lactational mastitis, she has cephalosporin allergy but states she had formal testing for penicillin allergy and tolerated this well so I prescribed Augmentin. She will use a warm compress and continue nursing, I did recommend she start on the right side to initiate let down on the left. 4/20/21 patient was seen in the office for: Patient presents for follow up of recent ED visit. She was seen here last week for left arm pain/nodule/paresthesa following her Johnson & Johnson vaccine. She also reported a slight headache that was present since day of vaccine. An US was performed and showed a left cephalic vein thrombus of LUE. She was advised to start ASA 81mg daily for the next month and get repeat US in 7-10 days. She then called in with left breast pain/swelling and was directed to the ED for evaluation of possible blood clot. She does have hx of mastitis several weeks ago. The ED did not pursue additional imagining of breast, they told her it was likely lactational mastitis and they did prescribe augmentin and warm compresses for this. Today, patient presents states he feels "a lot better". Regarding the left breast lump, redness, swelling she states this has completely resolved. She did not start the augmentin as she was worried about this potentially causing thrush for her daughter; she explains she had mastitis 7-8 weeks ago and was on antibiotics and then her and her daughter continually passed thrush back/forth to eachother 3x so she was hoping to avoid this. She did treat with frequent feeding/pupming, and warm compresses and symptoms resolved. She was told to see us for elevated blood pressure in the ER, per review of EMR and her DC papers, her blood pressure in the ED was 130/75. Today her blood pressure is 122/78. Regarding her left arm symptoms, she states the numbness/tingling has nearly resolved; she will occasionally get a very mild tingling in her 4th/5th fingers that resolves after a few seconds. She denies pain or swelling of the arm. She no longer can palpate the clot and thinks that it is gone. She no longer feels swelling or tenderness in her left axilla. She stopped the ASA and started motrin/warm compresses as was advised by the ED. Her mild headache continues since the vaccine but is somewhat improved. She denies worsening or severe headache; denies vision changes, dizziness, lightheadedness, speech difficulty, etc. Phone encounter also from 4/20/21: Phone call placed to DVT clinic to get their guidance as Dr had talked with them last week. Reached RN, who reviewed with Dr. After review of patient''s history/chart/growth of superficial clot, Dr recommended that patient not travel as planned and continue on 81mg ASA daily. They would like us to place a referral so they can see her later this week or early next week. They also want us to place order for repeat US either this coming Friday or Monday and they will coordinate to get this done at their office/same time as appointment. I did place phone call to patient to discuss and give their advice. They had just left this morning for another state by car. I reviewed Dr advice to not travel and she will discuss with her husband if they are going to run around or not. She was agreeable to continuing on the 81mg ASA Daily and repeat US/visit with DVT clinic in 5-7 days as recommended.


VAERS ID: 1234096 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-10
Onset:2021-03-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blepharospasm, Blood test, Burning sensation, Chest discomfort, Computerised tomogram thorax normal, Condition aggravated, Dizziness, Electrocardiogram normal, Fibrin D dimer increased, Flushing, Head discomfort, Hypoaesthesia, Insomnia, Magnetic resonance imaging abnormal, Migraine, Mood altered, Muscle twitching, Musculoskeletal stiffness, Transverse sinus stenosis
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (broad), Arthritis (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: none
Preexisting Conditions: chronic migraines
Allergies: None
Diagnostic Lab Data: MRI transverse sinus stenosis ekg normal ct scan of chest normal blood test for blood clots D-dimmer was off. Bp 144/100
CDC Split Type:

Write-up: 6 days post vaccine patient started experiencing migraines and almost every morning since. Post vaccine 21 days right eye and right hand started to twitch . April 12th when vaccine paused became worried. Went to the ER on April 16th complaining of increased migraines/head pressure, numbness in right hand and off and on numbness in both legs, stiff neck, dizziness, mood changes, insomnia. April 19th more symptoms flushing burning in legs and numbness. Chest felt weird like someone put vicks on it.


VAERS ID: 1234108 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-03-13
Onset:2021-04-19
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Catheterisation cardiac abnormal, Chest pain, Myocardial infarction, Thrombosis
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lysonpril, Vitamin D, Xarelto
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Went to the hospital with chest pain. They performed a catheter to check for blockages and instead found an extremely rare blood clot that ultimately caused a mild heart attack.


VAERS ID: 1234112 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-31
Onset:2021-03-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Chills, Dizziness, Headache, Hypersensitivity, Hypoaesthesia, Impaired work ability, Malaise, Mobility decreased, Pain, Paraesthesia, Pyrexia, Visual field defect, Weight decreased
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lorazepam
Current Illness: None
Preexisting Conditions: None
Allergies: Lexapro CeleXA Paxil Prozac Zoloft Viibryd
Diagnostic Lab Data: TPA on 4/9/2021
CDC Split Type:

Write-up: The evening that I took the vaccination I was running a fever body aches and chills the day after taking the vaccination I had the same effects fever body aches chills 5 days after taking the vaccination very sick not feeling well not feeling myself passed out twice at home the sixth day after taking the vaccination I proceeded to work was sent home before I could even get in the building went to ER was treated for an allergic reaction after telling them I was 6 days from vaccination then on 4-9-2021 I was taken by my husband to the ER my entire left side was numb tingling sensation couldn''t lift my leg couldn''t hold my arm up had no peripheral vision severe headache at the ER I was seen my neurologist and I was told that I had 20 minutes to make a decision whether to take the TPA shot which I chose to take I was released from the hospital on 4/11/2021 I am finally going back to work tomorrow ( 4-21-2021) I am now having more anxiety I''ve had extreme weight loss I''ve lost 20 lb since this occurred


VAERS ID: 1234149 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A218 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal X-ray, Abdominal pain, Blood test, Fatigue, Headache, Impaired work ability, Pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: tumor - pituitary in my head that I''m being seen for
Allergies: wheat; corn; soy; seasonal allergies
Diagnostic Lab Data: Bloodwork and X-ray on abdomen - Tuesday 13th
CDC Split Type: vsafe

Write-up: Headache started on the 10th. I was exhausted. Monday, I started having abdominal pain and the pain throughout my left side of my body. I still had a slight headache. The abdominal pain comes and goes - I still get it to this day. I called my Dr and he referred me to go to ER on Tuesday, 13th. No treatment, they told me to follow up with dr if I had pain continue. I just went today to a follow up with my doctor. She increased my medication for pain so I can get to work as I''ve been out for the last 5 days since I have not been able to. She told me to do the Naproxen twice a day now and also gave me Gabapentin and Tramadol.


VAERS ID: 1234152 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-12
Onset:2021-03-18
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK LA / -

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Anticoagulant therapy, Cerebral venous sinus thrombosis, Computerised tomogram head, Condition aggravated, Death, Fibrin D dimer normal, Generalised tonic-clonic seizure, Influenza A virus test negative, Influenza B virus test, International normalised ratio normal, N-terminal prohormone brain natriuretic peptide increased, Platelet count normal, Pneumonia aspiration, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Seizure, Status epilepticus
SMQs:, Cardiac failure (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Embolic and thrombotic events, venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-28
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: SEE PAGE 2
Current Illness: MS
Preexisting Conditions: MS
Allergies: NONE
Diagnostic Lab Data: unable to get medical records from hospital
CDC Split Type:

Write-up: Pt. had (what we think) a small seizure on Thursday, March 18th and then again on Saturday, March 20th. On Sunday, March 21st, 911 had to be called as his seizure did not end. He had a grand male. He was seizing for several hours. At the time this was all occurring he has been on anti seizure meds for a few years Divalproex 1000 mg am and 1000 mgs pm daily). He passed 1 week later, March 28 at approx 6:45pm at the Clinic. I am unable to get any information on his medical report for that week. Statement from his Nurologists is on second page. Additional information for Item 18: Statement: 47 year old gentleman who passed away on March 28 from aspiration pneumonia secondary to status epilepticus and on a history of multiple sclerosis / additional leukoencephalopathy of unknown etiology (both treated with rituximab), prior seizures (on valproic acid) and pulmonary embolism (on apixaban). The key reason for reaching out is in light of the announcement about the side effects of the Johnson & Johnson vaccine specifically cerebral venous sinus thrombosis. While he had a known history of seizures, he had no clear trigger for these seizures; including that his valproic acid level was therapeutic (83.0 mcg/mL) at time of presentation. He had, however, received the Johnson & Johnson vaccine on March 12 before having what in hindsight appeared to be repeated seizures between March 18-21; he had a more significant one on March 21 that hospitalized him. This time frame appears consistent with the reported cases of central venous sinus thrombosis associated with the Johnson & Johnson vaccine. Equally, he was taking apixaban at that point in time and his PLT (173) / INR (1.1) / PTT (36.6) at time of presentation were all normal and stable. He did have an elevated ProBNP (552.0) at presentation; nasopharyngeal swab was negative for COVID / Influenza A/B / RSV and non-contrast head CT did not show any clear new abnormalities. His only D-dimer was obtained on March 23 and was 226. He did not have a CT angiogram or venogram. Overall the link between the vaccine and pt. seizures is not definite. At the same time, the similarity with the reported cases has led to me wanting to report it in case of the possible link. If you require further information then please don''t hesitate to email me Pt. med list at the time of this incident Modifinil - 100 mg/1per day/AM Sertraline - 100 mg/1per day/AM Vitamin D3 - 50 mg/1per day/AM Divalproex - 500 mg/2per day/AM Eliquis - 5 mg/1per day/AM Furoseminde - 20 mg/1per day/AM Metroprolol - 100 mg/1per day/AM Lisinopril - 10 mg/1per day/AM Divalproex - 500 mg/2per day/PM Eliquis - 5 mg/1per day/PM Metroprolol - 100 mg/1per day/PM Melatonin - 5 mg/1per day/PM Quetiapine - 50 mg/3per day/PM


VAERS ID: 1234162 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal mass, Headache, Laboratory test, Pyrexia, Ultrasound scan
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Migraine shots
Current Illness:
Preexisting Conditions: Aspergillus Mycoplasma Fluoroquinolone Toxicity
Allergies: Dilauded Ciproflaxin Levaquin Steroids Advil
Diagnostic Lab Data: Ultrasound Blood work
CDC Split Type: vsafe

Write-up: The evening that I got the shot I had a low-grade fever and severe headaches. The next day I had a really painful mass in my groin on the left side. The headaches are still present at base of my Occipital Lobe. There is a lump there that is the size of a marble. I went to the ER four days after the shot, and they gave me antibiotic. after locating a mass in my groin. The doctor thinks it might be a lymph node 1X3 centimeter lump. I have an Ultrasound scheduled for this week. Both Lumps are still present. Tylenol normally works on the headaches. I have been to the ER, PCP and a gynecologist.


VAERS ID: 1234170 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-20
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site swelling, Thrombosis, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: We got a call from Doctor from ER to inform us that this patient came to the ER today & got swollen arm @ the injection site (left arm). They did the ultra sound & found there''s a clot in brachial vein on the opposite arm (right arm). Doctor said they''ll give pt Eliquist today.


VAERS ID: 1234241 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control - progesterone only
Current Illness: None
Preexisting Conditions: None
Allergies: Contrast dye
Diagnostic Lab Data:
CDC Split Type:

Write-up: Low grade 1(100-101) temp and fatigue persistently every day since vaccine (20 days and counting). Transient headaches.


VAERS ID: 1234257 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-05
Onset:2021-04-16
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Angiogram abnormal, Arthralgia, Aspartate aminotransferase decreased, Asthenia, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood creatinine normal, Blood urea normal, Chest X-ray normal, Chest pain, Computerised tomogram head abnormal, Eosinophil percentage, Fatigue, Fibrin D dimer, Globulin, Haematocrit normal, Haemoglobin normal, Headache, Hypoaesthesia, International normalised ratio normal, Lymphocyte percentage, Mean cell haemoglobin normal, Monocyte percentage, Neutrophil percentage increased, Pain, Paraesthesia, Platelet count normal, Pregnancy test urine negative, Protein total normal, Red cell distribution width normal, SARS-CoV-2 test positive, Sinus tachycardia, Thrombosis, Troponin, White blood cell count increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Supraventricular tachyarrhythmias (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow), Sexual dysfunction (broad)

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

Write-up: a 27 y.o. female with a history of Covid infection December 26, 2020, positive covid test December 29, 2020. She had approximately 2 weeks of symptoms including generalized body ache and generalized weakness. Fatigue and some headache. Had some persistence of symptoms after that time. Had some benefit from ibuprofen. Was seen at emergency room on January 27, 2021 stating that she felt that all her symptoms of Covid had resolved except for some chest pain which awoke her on January 27. She presented to the emergency room. Had sinus tachycardia at 113 but otherwise unremarkable physical exam, laboratory studies with white blood count elevated 16,004-20, hemoglobin 13.7 g hematocrit 41.8%, MCV 87.1, RDW 12.7%, platelet count 329,000, segs 72.8%, lymphs 20.6%, monocytes 4%, eosinophils 1%, basophil 0.6%. BUN 10.1, creatinine 0.8, AST 24, ALT elevated 56, alkaline phosphatase 68, total protein 7.6, total bilirubin 0.3, albumin 3.6, globulin by subtraction 4.0, troponin less than 0.02, D-dimer quantitative 0.22, urine pregnancy test normal. Chest x-ray normal. Chest pain appears to be musculoskeletal and was reproduced by palpation of her chest wall. No evidence of deep venous thrombosis or pulmonary embolism. D-dimer was normal. Heart rate returned to normal after some intravenous fluids. Patient discharged on Zithromax 500 mg day 1 and then to 50 mg days 2 through 5. Also continued on ibuprofen. Received Johnson and Johnson vaccine April 5, 2021. Over the next week patient started having increasing soreness. Her joints hurt more than usual and her headache was worse. She had a sensation that her legs were "numb and tingly" starting at her buttocks and extending down her leg. Because of reported incidence of cerebral sinus thrombosis or cerebral vein thrombosis patient appropriately presented for screening in the emergency room and was sent for appropriate imaging. April 16, 2021 CT scan of head with and without contrast no acute intracranial hemorrhage, no mass-effect or midline shift. On contrast-enhanced images there appears to be a lobular nonocclusive filling defect in the far lateral right transverse sinus. Lobular occlusive filling defect is also likely present in the mid to central right transverse sinus. Short segment filling defect in the medial left transverse sinus. Remainder of sinuses and internal cerebral veins are patent. Focal lobular filling defect within the confluence of the right and transverse sinus most likely related to arachnoid granulation. No edema hemorrhage of the cerebellum or cerebrum. No other significant findings. April 16, 2021 confirmatory MRI angiogram of head without contrast with no restricted diffusion to suggest acute or subacute infarct. Contrast void in the middle to central right transverse sinus consistent with occlusive thrombus. Nonocclusive thrombus in the far lateral right transverse thrombus. Narrowing of the medial left transverse sinus without complete occlusion. April 16, 2021 2345 hrs. inital hematology consultation. D-dimer and fibrinogen levels have been requested stat and are still pending. If fibrinogen level is low will replace with cryoprecipitate. If D-dimer is elevated barely confirms diagnosis of possible vaccine related thrombosis. The fact the patient is not thrombocytopenic at this time is encouraging, however despite the lack of thrombocytopenia she still has clearly documented symptomatic nonocclusive and occlusive thrombus in her cerebral sinus. From UPtoDate.com Ad26.COV2.S (Janssen COVID-19 vaccine, also referred to as the Johnson & Johnson vaccine) ? On April 13, 2021, the US Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) recommended pausing administration of AD26.COV2.S to further investigate rare cases of cerebral venous sinus thrombosis and thrombocytopenia [33]. As of that date, six cases had been reported, all in females aged 18 to 48 years with onset 6 to 13 days after vaccination; during this period, 6.8 million doses were administered (with 1.5 million doses in females of that age range) [121-123]. Since some vaccine recipients have not been followed for longer than the time frame over which these symptoms develop, the incidence may change with additional follow-up. Initial symptoms included headache, backache, chills, and fatigue, and progressed to focal neurologic deficits. Intracerebral hemorrhage and thromboses at other sites were also seen in some patients. All of the five patients who were tested for the anti-PF4 HIT antibody tested positive. Another case, in a young male who was a vaccine recipient in one of the pre-emergency use authorization efficacy trials, had been previously reported. These cases appear similar to those reported following ChAdOx1 nCoV-19/AZD1222, another adenovirus-vector vaccine. Although rare, the observed number of events exceeded the expected rate among females <50 years old. Given the extreme rarity of these events, the FDA and CDC acknowledge that they recommended the pause out of an abundance of caution and to ensure awareness of these rare events. ?Evaluation and management of possible thrombotic complications ? Recipients should be aware of the possible association and seek immediate care for signs and symptoms suggestive of thrombocytopenia (eg, new petechiae or bruising) or thrombotic complications (including shortness of breath, chest pain, lower extremity edema, persistent severe abdominal pain, unabating severe headache, severe backache, new focal neurologic symptoms, and seizures) [117]. In such cases, some experts suggest evaluation with complete blood count and differential (including the platelet count), quantitative D-dimer, HIT testing, and imaging of any suspected site of thrombosis [113,114,125]. Onset 4 to 20 days after vaccination, platelet count <150,000/microL, elevated D-dimer, and a positive anti-PF4 antibody (HIT antibody) suggest the diagnosis. Treatment with a non-heparin/non-warfarin anticoagulant (eg, argatroban or direct oral anticoagulant) and intravenous immune globulin has been suggested. The CDC recommends not using heparin in individuals with thromboses following receipt of Ad26.COV2.S unless HIT testing is negative [126]. (See "Cerebral venous thrombosis: Etiology, clinical features, and diagnosis" and "Clinical presentation and diagnosis of heparin-induced thrombocytopenia", section on ''Terminology and HIT variants'' and "Management of heparin-induced thrombocytopenia", section on ''Role of IVIG''.) As stated above all the 6 cases were "all in females aged 18 to 48 years with onset 6 to 13 days after vaccination" this would certainly fit the timeframe that we are seeing in this case. Recommendations from national guidelines would be to start treatment with dexamethasone immediately while awaiting intravenous gammaglobulin. To pursue intravenous gammaglobulin treatment at 1 g/kg over 1 to 2 days. It is recommended to avoid heparin and instead use direct factor X inhibitor such as Eliquis, which this patient is already been started on. There is unfortunately considerable risk that even though patient''s symptoms appear mild at this time, that she may deteriorate in the very near future and I would recommend treating her aggressively at this time with dexamethasone and intravenous gammaglobulin while we are awaiting further testing. Patient clearly has had unusual thrombosis, especially in a 27-year-old. With the fact that she had headache dating back to January, it is impossible to determine the acute versus chronic nature of her venous sinus thrombosis. Covid infection does cause increase in coagulation as well. However, given the small risk of tragic outcome with cerebral vein and sinus thrombosis in the setting of Covid vaccinations, we will proceed aggressively with treatment starting tonight with intravenous gammaglobulin and intravenous dexamethasone. Will require rapid fasting glucoses to evaluate possible hyperglycemia from high-dose dexamethasone. Will consider stopping dexamethasone at 48 hours. Current recommendation for gammaglobulin would be single 1 g/kg or 500 mg/kg over 2 days. No recommendations for treatment beyond this point. Current recommendations for gammaglobulin dosing would recommend using an adjusted dose for patients with greater than 125% of their ideal body weight. This patient at 122 kg on a 5 foot 2 inch frame does qualify for adjusted dose and her orders reflect that. I appreciate the opportunity see this patient this evening and consultation requested by Dr. We will follow patient in hospital. Hopefully she will have gradual improvement and avoid any serious or tragic complications of her cerebral sinus thrombosis. We will have pharmacy report possible adverse reaction to Johnson & Johnson vaccine to the FDA as required by law. April 17, 2021 follow up. No new events. Laboratory studies remained excellent. White blood count is further elevated, however, this may be secondary to high-dose dexamethasone with a white blood count of 16,060. Hemoglobin 14.0 g hematocrit 42.8%, MCV 86.8, RDW 12.9%. Platelet count is actually increased slightly at 374 as of 9:10 AM this morning. Differential shows left shift as expected with dexamethasone. Results from yesterday showed fibrinogen normal at 369 (180?415) pro time normal at 10.4 seconds with INR of 0.97, PTT 26.7. D-dimer 0.23 (0.19?0.50). With platelet count, fibrinogen and D-dimer normal I am inclined to believe that this is not an acute post vaccination HIT-like phenomena. If it were I would still expect to see some degree of thrombocytopenia elevated D-dimer and perhaps low fibrinogen. The other explanations for her cerebral venous sinus thrombosis are either idiopathic spontaneous and merely coincidentally associated at the exact same time as her Covid infection or more likely, cerebral venous sinus thrombosis secondary to hypercoagulable state secondary to her Covid infection from December 2020. Unfortunatly there is no way to accurately date the acuity of the venous thrombosis in her cerebral sinus. HIT Testing is still pending and most likely will not be available for 3-4 more days despite being ordered stat. Have called the laboratory and asked them to check with our outside reference lab what the expected return time is on this test. (LabCorp says "Tuesday April 20, 2021). Patient refused intravenous gammaglobulin infusion which has been ordered last night. Patient has been receiving dexamethasone which was a bridge until intravenous gammaglobulin could be administered. Current guidance from the expert hematology panel (EHP) on Covid vaccine induced thrombosis dated April 7, 2021 from the public health would state that a patient who has a reduced platelet count without thrombosis with a D-dimer normal and normal fibrinogen or thrombosis with a normal platelet count and D-dimer normal and normal fibrinogen are "unlikely cases". They recommend for probable cases who have D-dimers that are elevated to send HIT assay and then give immediate intravenous gammaglobulin while awaiting results. They recommend fibrinogen supplementation, if needed. They recommend a direct acting antithrombin agents such as the Eliquis this patient is receiving. They recommend steroids particularly if there is a delay in getting intravenous gammaglobulin delivered. With the fact that we now have 24 hours in the hospital with no evidence of thrombocytopenia, no evidence of increased fibrinolytic activity or active thrombosis, and no evidence of hypofibrinogenemia, I would argue that her presentation is subacute. In this setting, I do not feel intravenous gammaglobulin would be necessary and does involve a small risk as well as considerable cost. Dexamethasone also involves small risk and negligible cost. I have discontinued both of these medications. My overall impression would be that this was not related to her Johnson & Johnson vaccination which was recent, but rather her more distant Covid infection. It is impossible to definitively answer the question however. The next question is duration of anticoagulation. Risk of recurrent cerebral sinus venous thrombosis is relatively small but the morbidity can be high. Studies have been performed showing medications in the same class as Eliquis have been associated with a decrease in incidence of the recurrence. Most hematologist recommend 3 months of anticoagulation for provoked venous thrombosis including cerebral sinus venous thrombosis. I feel this patient''s thrombosis is "provoked", with her association at the same time of her Covid infection (and possibly vaccination). I would recommend Eliquis (apixaban) 5 mg twice daily or Xarelto (rivaroxaban) 20 mg daily with food. I would feel comfortable in discharging patient for outpatient follow up IF Dr and other speciality services agree. Plan 3 months of full dose anticoagulation with direct factor X inhibitor. Circulation 2010 Jun 29;121(25):2740-6 "Long-term evaluation of the risk of recurrence after cerebral sinus-venous thrombosis", Background: The clinical course of cerebral sinus-venous thrombosis (CSVT) is largely unknown because prospective studies with a long follow-up and with the goal to assess thrombosis recurrence rate and predisposing factors for recurrence are lacking. Methods and results: One hundred forty-five patients with a first CSVT were followed up for a median of 6 years after discontinuation of anticoagulant treatment. End points were recurrent CSVT or other clinical manifestations of venous thromboembolism. CSVT recurred in 5 patients (3%) and other manifestations of venous thromboembolism (deep vein thrombosis of the lower limbs or pulmonary embolism) were seen in 10 additional patients (7%), for a recurrence rate of 2.03 per 100 person-years (95% confidence interval, 1.16 to 3.14) for all manifestations of venous thromboembolism and 0.53 per 100 person-years (95% confidence interval, 0.16 to 1.10) for CSVT. Nearly half of the recurrences occurred within the first year after discontinuation of anticoagulant therapy. Risk factors for recurrent venous thrombosis were male sex (adjusted hazard ratio, 9.66; 95% confidence interval, 2.86 to 32.7) and, for thromboses other than CSVT, severe thrombophilia resulting from antithrombin, protein C, protein S deficiency, anti-phospholipid antibodies, or combined abnormalities (adjusted hazard ratio, 4.71; 95% confidence interval, 1.34 to 16.5). Conclusions: The risk of recurrent CSVT is low and is higher in the first year after discontinuation of anticoagulant treatment and among men. Mild thrombophilia abnormalities are not associated with recurrent CSVT, but severe thrombophilia entails an increased risk of deep vein thrombosis of the lower limbs or pulmonary embolism. April 19, 2021 Follow up, no change in condition. Discussed case with Dr, will order Factor V Leiden, prothrombin gene mutation, anti phospholipid and anti cardiolipin antibodies, if she will allow draw. Expect Heparin Induced Thrombosis testing result tomorrow, but with no thrombocytopenia after given heparin, expect will be normal. Will await result. If discharged, would recommend 3 months direct thrombin inhibitor (Eliquis/Xarelto/Pradaxa) at full anticoagulation dose. Then stop, no taper. Overall still feel "provoked" thrombosis due to December Covid, unrelated to J&J Covid vaccine, but can not definitively prove that..


VAERS ID: 1234455 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-24
Onset:2021-04-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis, Guillain-Barre syndrome, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture abnormal, Mastication disorder, Neurological symptom, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Gabapentin.
Current Illness: None. Was healthy at and prior to vaccination.
Preexisting Conditions: None.
Allergies: None
Diagnostic Lab Data: Lumbar puncture, 4/19/21, Guillain Barre syndrome with Bell?s palsy of the facial muscles.
CDC Split Type:

Write-up: One week after taking the vaccine the patient developed numbness and tingling in his face, hands, and feet. These symptoms progressed over time and on April 18, 2021, he presented to the ER with ?weird nerve symptoms,.? He remained there overnight and was admitted the next day., He was diagnosed by lumbar puncture with Bell?s palsy of the face secondary to Guillain Barre syndrome., He is presently still an inpatient there. He?s being treated with IV immunoglobulins, with no improvement. His eyes and facial muscles droop, and he has difficulty chewing food. The patient has no PCP but the hospital should be able to give you medical records of his admission. The patient and I both strongly support vaccines, and we were both eager to be vaccinated, but we don?t believe this rare illness has struck him with no precipitating event except the vaccine.


VAERS ID: 1234474 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood creatine phosphokinase increased, Blood urine present, Dizziness, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Vestibular 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Exforge Febuxostat
Current Illness:
Preexisting Conditions: IgA Nephropathy
Allergies: None
Diagnostic Lab Data: Creatine levels elevated at 1.8 04/19/2021
CDC Split Type:

Write-up: Possible kidney infection or inflammation in the kidneys. Blood in urine and raised creatine levels in blood. Fever, light headed, near faint incident.


VAERS ID: 1234500 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-22
Onset:2021-04-10
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808069 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Magnetic resonance imaging head abnormal, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Nonenone
Allergies: Amoxicillin
Diagnostic Lab Data: MRI
CDC Split Type:

Write-up: Blood clot leading to stroke


VAERS ID: 1234563 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-11
Onset:2021-03-21
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Computerised tomogram, Dizziness, Fall, Fatigue, Headache, Pain in extremity, X-ray
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Simvastatin 10 mg daily Carbidopa levodopa 100 mg 3x daily I caps eye vitamin 1 x day 81 mg aspirin 1x day Escitalopram 10 mg daily Polyethylene glycol 17 mg daily Docks are sodium 100 mg 2x daily
Current Illness: No
Preexisting Conditions: Macular degeneration Early parkinsons
Allergies: Eggs
Diagnostic Lab Data: X-rays, CT Scan,
CDC Split Type:

Write-up: Fatigue, weakness, dizziness, leg pain, head pain. Had a fall on 3/23, not sure if it was due to the vaccine


VAERS ID: 1234820 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-03
Onset:2021-04-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Dizziness, Dyspnoea, Headache, Laboratory test normal, Presyncope
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Sulfa drugs and bee stings
Diagnostic Lab Data: Labs all WNL.
CDC Split Type:

Write-up: Severe HA day after dose 1 of Janssen covid vaccine. Felt good over following week. Developed shortness of breath, chest pain. Dizziness and near syncopal episodes daily for past week.


VAERS ID: 1234874 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Unknown  
Location: Wisconsin  
Vaccinated:2021-03-20
Onset:2021-04-06
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Diagnostic procedure, Dyspnoea, Fibrin D dimer, Haematocrit decreased, Haemoglobin decreased, Oedema peripheral, Peripheral swelling, Platelet count normal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown to writer.
Allergies: none listed
Diagnostic Lab Data: U/s (-) for DVT, hgb 11.7, hct 34.6, D-dimer 1.12, Plt 282,000
CDC Split Type:

Write-up: RLE edema in the calf with difficulty breathing x 2 weeks. R calf 2x the size of LLE.


VAERS ID: 1234888 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test normal, Burning sensation, Chest X-ray normal, Dizziness, Dry eye, Dyspnoea, Electrocardiogram normal, Fatigue, Headache, Influenza virus test negative, Palpitations, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Corneal disorders (broad), Vestibular disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vyvanse 40mg Vitamin C Vitamin D3
Current Illness: N/A
Preexisting Conditions: ADHD
Allergies: Bee stings
Diagnostic Lab Data: ER blood panel test (all levels normal) 4/18/2021 EKG (normal) 4/18/2021 Chest x-ray (normal) 4/18/2021 Covid Test PCR + Flu (negative) 4/18/2021 Rapid Covid Test (negative) 4/20/2021
CDC Split Type:

Write-up: -Fatigue, headache, fever, dizziness, burning sensation in head 4/9/2021 ~2AM-6PM -Fatigue 4/9/2021-4/20/21 -Fatigue, dizziness, fever, headache, dry eyes, shortness of breath 4/17/2021 5PM-12AM -Heart palpitations, fatigue, dizziness, fever, headache, dry eyes, shortness of breath 4/18/2021 3PM-4/19/2021 12AM (was hospitalized) -Resting heart-rate upon arrival to hospital was ~105


VAERS ID: 1235107 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-12
Onset:2021-03-28
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Blood culture, Cervicitis trichomonal, Chest X-ray, Chills, Chlamydia test, Culture urine, Fatigue, Full blood count, Headache, Metabolic function test, Pain, Pyrexia, Salpingitis, Ultrasound abdomen
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (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? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Methotrexate, allegra, metformin, multivitamin, folic acid, Sertraline, Humira
Current Illness: Dental abscess in February
Preexisting Conditions: Diabetes, psoriatic arthritis
Allergies:
Diagnostic Lab Data: Complete blood count, comprehensive metabolic panel, blood culture, urine culture, trichomonas screen, chlamydia screen, chest x ray, abdominal ultrasound. All on 4/1, 4/2, and 4/3.
CDC Split Type:

Write-up: I was hospitalized on April 1 for pyosalpinx of unknown origin (not STD related). Symptoms included fever, chills, fatigue, soreness, abdominal and back pain, and headaches. I was hospitalized for four days, and on IV antibiotics for three of those days, followed by two weeks of oral antibiotics.


VAERS ID: 1235167 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-03-09
Onset:2021-03-20
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody positive, Computerised tomogram head, Contusion, Full blood count, Hypertension, Immune thrombocytopenia, Metabolic function test, Petechiae, Platelet count decreased, Platelet transfusion, Ultrasound abdomen, Urine analysis
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Accidents and injuries (narrow), Hypertension (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartan 25mg
Current Illness: None
Preexisting Conditions: HTN
Allergies: None known
Diagnostic Lab Data: Numerous CBC and BMPs between 3/25/21 and present; Urinalysis, Abdominal U/S and Brain CT.
CDC Split Type:

Write-up: Bruising. Petechiae - had blood test 3/25/21 - sent to ER low platelets; Also had high BP. Given platelets, admitted 3/26/21, given steroids and BP meds. D/c''d 3/28/21. Dx: ITP. Given 4 day dose of Dexamethasone. Platelets increased. 1 week later platelets dropped. By 4/15/19, they dropped some more and seem to have leveled out (4/19/21), but still testing weekly. ANA blood work positive, but no other symptoms to fit most common autoimmune diseases. Saw rheumatologist today for more blood work.


VAERS ID: 1235186 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood pressure measurement, Chills, Dizziness, Fatigue, Nausea, Pain, Pyrexia, Restlessness
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Phenteromine 37.5 mg Xyzal allergy medicine Cranberry w/ D-Mannose capsules Women?s probiotic Vitamin D Liquid collagen
Current Illness:
Preexisting Conditions: IBS
Allergies:
Diagnostic Lab Data: Trip to urgent care today (4/20) @ 6pm EST after another major dizzy spell and nausea. Doctor found No issues w/ blood pressure, ears or pupil Dilation. Referred to primary care for further tests or emergency room. Planning on contacting my physician tomorrow for apt
CDC Split Type:

Write-up: 8hrs after injection onset of fatigue, Fever with chills, body aches, major lower back aching, nausea, dizziness restlessness. Lasted for 24 hrs. Majority of symptoms have subsided. Random lightheaded and dizzy spells have continued multiple times daily, with occasional nausea.


VAERS ID: 1235199 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Gait inability, Nausea, Pain in extremity, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methotrexate Omeprazole venaflexine Birth control Folic acid
Current Illness: Rheumatoid Arthritis
Preexisting Conditions: Rheumatoid Arthritis
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Deep pain in right leg, could not walk for a week. Slight pain still present. Fatigue, dizziness, nausea, blurred vision


VAERS ID: 1235435 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Shingles was confirmed by dr. as my diagnosis today, 4/20/21, urgent care
CDC Split Type:

Write-up: Shingles. I had chicken pox as a 5 year old and the vaccine didn''t exist at that time. I''ve never before had a shingles outbreak but got my first one a week after the Janssen COVID-19 vaccine. No other logical explanation other than it being triggered by the shot.


VAERS ID: 1235447 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-22
Onset:2021-04-17
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid abnormal, Ear pain, Headache, Hypoaesthesia, Jugular vein thrombosis, Migraine, Thrombosis, Transverse sinus thrombosis, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad), Sexual dysfunction (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Escitalopram 20 mg daily, levothyroxine 125 mcg daily, Vyvanse 60 mg daily, MILI 0.25-0.035 mg 1 tablet daily, buspirone 15 mg 1 tablet twice daily
Current Illness: Office visit on 3/3/21 for concern for bilateral tinnitus and Meniere''s given family history.
Preexisting Conditions: Hypothyroidism, ADHD, mild major depression, tongue anomaly, situational anxiety, obesity BMI 37, menometroorrhagia
Allergies: No Known Allergies
Diagnostic Lab Data: CT head and neck with contrast shows thrombosis of the left transverse and sigmoid sinuses and left internal jugular vein.
CDC Split Type:

Write-up: Patient presented to the ER on 4/20/21 with headache. On Saturday (4/17/2021), the patient had "the worst headache I have ever had" along with severe inner left ear pain. Patient took an ibuprofen which helped with the pain for about an hour then the pain came back. Pain got worse 2 hours later when she drove home from work. She called the RN line and was told to take ibuprofen and follow up in the AM. The next day 4/18/2021, patient went to urgent care and received Toradol and was told it was a migraine. Today 4/20/21, patient still had pain and noted feeling left sided facial numbness and blurry vision that correlated with when she got the headache. Patient went to an urgent care today and CT scan revealed a blood clot. She was then sent to the ED for evaluation. In the ED, she has no headache and facial numbness and has minimal left ear pain. Her headache is localized to the left side of her head. Patient denies fever, chills, and COVID symptoms. Patient was started on argatroban drip per hematology recommendation.


VAERS ID: 1235561 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-27
Onset:2021-03-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Computerised tomogram, Headache, Impaired driving ability, Loss of personal independence in daily activities, Magnetic resonance imaging, Ocular discomfort, Pain in extremity, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 135 1xD oral, Pantaprozonic 60mg 1xD Oral, LOTS of Tylenol after Vaccine (not fun)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Consulted with Primary Care Doctor and advised to visit ER, CT scan, and MRI was done (4-15-2021) waiting to see the neurologist, headaches are continual and are affecting my work. My eyesight is affected as well (blurry vision) making it difficult to drive and attend to daily routines and family needs. I have yet another Primary Care follow up schedule for Friday (4-23-2021)
CDC Split Type:

Write-up: Severe Headaches, Eye Pressure, and pain extended all the way to the back of my head. Joint pain is constant, especially in the legs.


VAERS ID: 1235593 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-03-05
Onset:2021-03-21
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Blood follicle stimulating hormone, Blood luteinising hormone, Blood thyroid stimulating hormone, Differential white blood cell count, Endometriosis, Full blood count, Heavy menstrual bleeding, Metabolic function test, Thrombosis, Ultrasound abdomen, Uterine leiomyoma, Vitamin B12, Vitamin D
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Other Medications: Sertraline 75 mg., Thyroid 30 mg., Adderall XR 60 mg., Diazepam 10 mg., PRN, Sumatriptan 100 mg., PRN, Botox every 90 days for migraines, Vitamin B12 injection 1000 mcg/ml once/month, Vitamin D3, Magnesium, Cod Liver Oil 2,000 i.u.
Current Illness: None
Preexisting Conditions: Migraine headaches, Fibromyalgia, Fibromuscular dysplasia (diagnosed 12/2020), Hypothyroidism, Renal artery aneurysm, removed successfully 1/18/21, Herniated disc L4-5.
Allergies: Tramadol
Diagnostic Lab Data: April 9, 2021 EXAM: PELVIC ULTRASOUND TECHNIQUE: Endovaginal sonography was performed. INDICATION: Menorrhagia COMPARISON: None FINDINGS: The uterus measures 7.77 cm in length, 4.26 cm in AP dimension, and 6.04 cm in transverse dimension. The endometrial echo complex measures 9.8 mm in greatest sagittal thickness. There is a C-section scar in the lower uterine segment. An intramural fibroid in the anterior uterine fundus abutting the endometrium measures 1.1 cm. A junctional zone cyst is noted posteriorly. There is a nabothian cyst. The right ovary measures 2.57 cm x 1.16 cm x 2.20 cm. Vascularity is confirmed. Follicles are noted. No right adnexal mass identified. The left ovary measures 2.78 cm x 1.30 cm x 1.14 cm. Vascularity is confirmed. Follicles are noted. No left adnexal mass identified. There is trace physiologic free fluid in the cul-de-sac. IMPRESSION: 1. Uterine fibroid. 2. Solitary junctional zone cyst. This is nonspecific, but could indicate evolving adenomyosis. CBC with differential, Vitamin D3, Vitamin B12, TSH, Comprehensive Metabolic Panel, FSH, Luteinizing hormone. All within normal limits.
CDC Split Type:

Write-up: I received the Janssen vaccine on 3/5/2021. My first menstrual cycle after the vaccine, which started on 3/21/21, was significantly different than any other period. I woke in the middle of the night to extreme pain in my abdomen and bled along the floor as I walked to the bathroom. There were clots in the blood in addition to extraordinarily heavy blood flow. The period was so significantly different from any other that I scheduled an appointment with a nurse practitioner that works with my primary care doctor. I asked her to "run" all tests that were available and approved by insurance, which she did. All came back normal. Due to the significant difference in my period this month, the ARNP requested an inner-uterine ultrasound which found the below:


VAERS ID: 1235612 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-15
Onset:2021-03-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Endoscopy, Gastrooesophageal reflux disease, Nausea, Throat irritation, Vomiting
SMQs:, Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific dysfunction (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: Went to the ER and they couldn''t find anything so they diagnosed me with GERD, though the medication they gave me didn''t help much. Additionally I made an appointment with a gastroenterologist which they didn''t find anything but gave me more medication for temporary treatment while trying to figure out what''s wrong with me. Still waiting on the biopsy results.
CDC Split Type:

Write-up: Before the vaccine, I was able to and hold down food. After words, my throat was irritated and I kept throwing up due to that feeling. It''s been going on for close to over a month and I''m currently taking Acid Reflux medication, Vomiting and Nausea medication after going to the a gastroenterologist to which they didn''t find anything doing an endoscopy that occurred on April 12th, 2021. Still waiting on the biopsy. With medication, current only symptom is painful stool (due to medication most likely) and after eating, burning in the throat (most likely due to acid reflux type symptoms). Only able to eat a certain amount before throwing up again.


VAERS ID: 1235966 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose, Blood glucose abnormal, Blood pressure diastolic increased, Blood pressure measurement, Dizziness, Headache, Loss of consciousness, Nausea, Respiratory rate, Vital signs measurement
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies. The patient had no chronic medical history.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Vital signs measurement; Result Unstructured Data: Stable; Test Name: Blood pressure; Result Unstructured Data: 132/95 (unit not provided); Test Name: Respiratory rate; Result Unstructured Data: 18 (unit not provided); Test Name: Blood glucose; Result Unstructured Data: 9 (unit not provided)
CDC Split Type: USJNJFOC20210420193

Write-up: BLOOD SUGAR WAS 9; BLOOD PRESSURE 132/95; NAUSEA; PAIN IN BACK OF HEAD; DIZZINESS; LOSS OF CONSCIOUSNESS; This spontaneous report received from a physician concerned a 26 year old male. The patient''s weight was 245 pounds, and height was 172.7 centimeters. The patient had no known allergies and had no chronic medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration was not reported, batch number: 202A21A and expiry: unknown) dose was not reported, 1 total, administered on left deltoid on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the patient complained of dizziness, nausea and pain in back of his head. Once the nurse arrived at the cell, the patient was on the floor with loss of consciousness. He was placed on a stretcher following which he regained consciousness. His vitals signs (unspecified) were stable, blood sugar was 9 (unit not provided), blood pressure was 132/95 (unit not provided) and respiratory rate was at 18 (unit not provided) (NR: not provided for all tests). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from loss of consciousness on APR-2021, had not recovered from dizziness, nausea, and pain in back of head, and the outcome of blood sugar was 9 and blood pressure 132/95 was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0-20210420193- Covid-19 vaccine ad26.cov2.s-loss of consciousness. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1235969 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Body temperature, Chest X-ray, Fatigue, Gait inability, Hypoaesthesia, Pyrexia, SARS-CoV-2 test, Tremor, Vomiting
SMQs:, Acute pancreatitis (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad), Sexual dysfunction (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: Asthma; Attention deficit hyperactivity disorder; Migraine; Penicillin allergy; Psoriasis
Preexisting Conditions: Medical History/Concurrent Conditions: Lyme disease; Seizure; Comments: Currently not on any medications.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: CXR; Result Unstructured Data: Normal; Test Date: 202104; Test Name: COVID-19 antigen test; Result Unstructured Data: Negative; Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: 104
CDC Split Type: USJNJFOC20210420466

Write-up: VOMITING/EMESIS; SHAKES; LEGS NUMB; FEVER; WEAKNESS; TIREDNESS; UNABLE TO WALK; This spontaneous report received from a physician concerned an 18 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included Lyme disease, and seizure, and concurrent conditions included attention deficit hyperactivity disorder, intermittent asthma, migraines, psoriasis, and penicillin allergy, and other pre-existing medical conditions included currently not on any medications. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported,1 total administered on 08-APR-2021 at 14:45 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 08-APR-2021 around 19:30, the patient experienced vomiting, had fever, shakes and complained of numb legs and was unable to feel them. He was instructed by his physician to go to the nearest Emergency room (ER). The patient visited emergency room or department and physician office for treatment of the events. He went to ER but was unable to walk at that time and was carried in. The patient was evaluated, had normal chest X-ray (CXR), temperature up to 104, had emesis, underwent rapid covid test which was negative. He was given intravenous (IV) fluids, Zofran, Tylenol and was discharged home. It was reported that the patient was doing better but with continued tiredness, weakness, his legs were feeling better, temperature was down, coherent and was tolerating fluids. Laboratory data included: Body temperature (NR: not provided) 104, COVID-19 antigen test (NR: not provided) Negative, and CXR (NR: not provided) Normal. Treatment medications (dates unspecified) included: paracetamol, and ondansetron. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from vomiting/emesis, fever, shakes, and legs numb, had not recovered from weakness, and tiredness, and the outcome of unable to walk was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210420466-covid-19 vaccine ad26.cov2.s-vomiting/emesis, shakes, legs numb, unable to walk. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210420466-covid-19 vaccine ad26.cov2.s-Fever. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1235972 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-04-02
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac failure congestive, Dyspnoea, Gingival pain, Gingival swelling, Pericardial effusion, Toothache
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Oropharyngeal allergic conditions (narrow), Gingival disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420579

Write-up: CONGESTIVE HEART FAILURE; FLUID AROUND HEART; HAD TROUBLE BREATHING; TEETH AND GUMS STARTED HURTING; TEETH AND GUMS STARTED HURTING; GUM SWELLING; This spontaneous report received from a pharmacist concerned a 79 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, 1 total administered on 01-APR-2021 for prophylactic vaccination about 1:30 pm in left deltoid. No concomitant medications were reported. On 02-APR-2021, the patient experienced gum swelling, teeth and gums started hurting, trouble breathing. His tongue and throat did not swell. On 03-APR-2021, the patient visited the emergency room (ER) about 12:30am and was given Solumedrol intravenously and was sent home advised to take Benadryl. The patient took Benadryl 4-6 hourly all day on 03-APR-2021. The patient visited the ER again on 04-APR-2021 about 5:30 am with swollen gums again and was informed that he had fluid around heart and given Lasix. Emergency department (ED) HCP told patient that the vaccine gave him congestive heart failure (according to patient) and he was given Solumedrol at ED again and sent home on Medrol dose pack. On Monday 04-APR-2021, the patient visited his primary care physician and congestive heart failure had resolved. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from events of gum swelling, teeth and gums started hurting, had trouble breathing an unspecified date in Apr-2021, and from fluid around heart, and congestive heart failure on 05-APR-2021. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210420579- covid-19 vaccine ad26.cov2.s-Congestive heart failure, fluid around heart, had trouble breathing, teeth and gums started hurting, gum swelling. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1235992 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-05
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Blood glucose, Blood magnesium, Body temperature, Body temperature increased, Chills, Differential white blood cell count, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Full blood count, Glomerular filtration rate, Headache, Liver function test, Malaise, Metabolic function test, N-terminal prohormone brain natriuretic peptide, Nausea, Night sweats, Palpitations, Retching, Syncope, Troponin T
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210405; Test Name: Body temperature; Result Unstructured Data: Raised; Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: Raised; Test Date: 20210410; Test Name: CBC; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Metabolic function test; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: NT-proBNP; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Liver function test; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Troponin T; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Differential white blood cell count; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Glomerular filtration rate; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Glucose; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Electrocardiogram; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Fragment D dimer; Result Unstructured Data: Normal; Test Date: 20210410; Test Name: Magnesium; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210420859

Write-up: SHORTNESS OF BREATH; HEART PALPITATIONS; SEVERE DIZZINESS; STOMACH UPSET; NAUSEA; HEADACHE; FAINTED; FEELING UNWELL; CLAMMY CHILLS; TEMPERATURE RAISED A LITTLE; GENERAL FATIGUE; NIGHT SWEATS AND WAKE UP FROM SLEEP; DRY HEAVING; This spontaneous report received from a patient concerned a 46 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included possible COVID-19 infection in FEB-2020 (not confirmed). The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, 1 total, administered on left deltoid muscle on 05-APR-2021 13:00 for prophylactic vaccination. No concomitant medications were reported. On 05-APR-2021, the patient was fainted for about 5 minutes after vaccination and about 8 hours later, she experienced dry heaving, clammy chills, night sweats and wake up from sleep, feeling unwell, temperature raised a little, general fatigue and headache. It was reporter that, the clammy chills subsided by 07-APR-2021 after patient took Tylenol (paracetamol), but then later reported that it was still ongoing. On 09-APR-2021, the patient experienced severe dizziness, more temperature raising, further nausea and stomach upset. On 10-APR-2021, the patient experienced shortness of breath, heart palpitations, increased nausea and stomach upset. It was reported that the patient had visited emergency room at hospital at around 2 PM on the same day for shortness of breath, heart palpitations, increased nausea and stomach upset, dry heaving and temperature increase. The symptoms that were ongoing included the night sweats which wake from sleep, nausea and stomach upset and other symptoms were resolved. On 10-APR-2021, the patient''s normal laboratory data included complete blood count (CBC), differential white blood cell count, electrocardiogram, fragment D dimer, glomerular filtration rate, glucose, liver function test, magnesium, metabolic function test, NT-proBNP, and troponin T. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fainted on 05-APR-2021, severe dizziness, shortness of breath, heart palpitations, dry heaving, feeling unwell, and temperature raised a little on APR-2021, and general fatigue, and headache on 07-APR-2021, and had not recovered from clammy chills, nausea, stomach upset, and night sweats and wake up from sleep. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210420859 - covid-19 vaccine ad26.cov2.s - fainted. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1236009 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Unknown  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Heart rate increased, Hypersensitivity, Pruritus, Throat tightness, Vascular access site bruising
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421013

Write-up: HEART RATE INCREASED; THROAT TIGHTENING WITHIN 10 MINUTES; SEVERE ITCHING; BRUISING (VASCULAR); ALLERGIC REACTION; This spontaneous report received from a patient concerned a 62 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced heart rate increased. On 10-APR-2021, the subject experienced throat tightening within 10 minutes. On 10-APR-2021, the subject experienced severe itching. On 10-APR-2021, the subject experienced bruising (vascular). On 10-APR-2021, the subject experienced allergic reaction. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heart rate increased on APR-2021, and throat tightening within 10 minutes on 11-APR-2021, and had not recovered from severe itching, allergic reaction, and bruising (vascular). This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1236011 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-07
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421103

Write-up: FAINTING; This spontaneous report received from a consumer via a company representative concerned multiple patients. The patient''s weight, height and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: Unknown) frequency one total, dose was not reported, administered on 07-APR-2021 for prophylactic vaccination.. No concomitant medications were reported. The batch number was not reported. Per procedure, no follow-up will be requested for this case. The consumer reported about the article which said that multiple people on 07-APR-2021 experienced fainting after receiving the vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fainting on unspecified date in APR-2021. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210420898.; Sender''s Comments: V0: 20210421103-covid-19 vaccine ad26.cov2.s-fainting. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1236018 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421295

Write-up: RASH ON BOTH LEGS; ITCHINESS AT RASH SITE; BURNING SENSATION AT RASH SITE; This spontaneous report received from a patient concerned a 49 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 16:31:00 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced rash on both legs. On 09-APR-2021, the subject experienced itchiness at rash site. On 09-APR-2021, the subject experienced burning sensation at rash site. Treatment medications included: prednisone. Additional treatment medications (dates unspecified) included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash on both legs, itchiness at rash site, and burning sensation at rash site. This report was non-serious.


VAERS ID: 1236020 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:2021-04-06
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dehydration, Diarrhoea, Electrocardiogram, Fatigue, Feeling abnormal, Heart rate, Heart rate increased, Lip swelling, Oxygen saturation, Oxygen saturation decreased, Swollen tongue, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210406; Test Name: O2 saturation; Result Unstructured Data: 90; Test Date: 20210407; Test Name: Heart rate; Result Unstructured Data: FASTER; Test Date: 20210407; Test Name: ECG; Result Unstructured Data: UNKNOWN
CDC Split Type: USJNJFOC20210421308

Write-up: DIARRHEA; VOMITING; DEHYDRATED; FASTER HEART RATE; LIP SWELLING; TONGUE SWELLING; FEELINGS AROUND MOUTH; CHILLS; TIRED; OXYGEN LEVELS DROPPED DOWN; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 06-APR-2021 09:10 am for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 06-APR-2021, shortly after about 5-10 minutes of vaccination, the patient started experiencing feelings around mouth and lips and tongue got swollen. The Paramedic on site gave 2, 25mg of Benadryl and monitored the patient for 45 minutes and things settled. The patient was released to come home where, the patient began experiencing chills that lasted for about 2 hrs. The patient was tired which was normal but oxygen level dropped to 90 so, the patient had oxygen in house for a breathing situation; then the patient was okay about 3 hours later. On 07-APR-2021, approximately about 4:00 am, the patient had severe vomiting and diarrhea. Vomiting and diarrhea lasted for about 5 hrs. The patient was dehydrated and went to the emergency room (ER) where an electrocardiogram (EKG) was done as the patient had a fast heart rate. The patient was administered IV fluids and monitored for about 3 hrs. Chills returned but the patient came home at about 1:00 pm. The patient stated that the reaction showed that immune system of the patient kicked in. The patient was slowly advancing the diet and was doing better at the time of this report. Laboratory data included: OXYGEN LEVEL (NR: not provided) on 06-Apr-2021 was 90, ECG (NR: not provided) on 07-Apr-2021 was UNKNOWN, and Heart rate (NR: not provided) on 07-Apr-2021 was FASTER. Treatment medications (dates unspecified) included: 2 doses of diphenhydramine hydrochloride of 25 mg for lips swelling & tongue swelling and feelings around mouth and oxygen for oxygen level dropped and IV fluids for diarrhea, vomiting, dehydrated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from oxygen levels dropped down, and lips swelling and tongue swelling, on an unspecified date and from diarrhea, and vomiting on 07-APR-2021, and was recovering from chills, tired, faster heart rate, dehydrated, lips swelling and tongue swelling, and feelings abnormal. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0;20210421308-covid-19 vaccine ad26.cov2. s- oxygen levels dropped down, Severe diarrhea, vomiting, dehydration ,lips swelling and tongue swelling, faster heart rate. This events are considered unassessable. The events have a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the events.


VAERS ID: 1236063 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Illinois  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: 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), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422259

Write-up: PASSED OUT; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, administered 1 total, start therapy date were not reported for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced passed out. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of passed out was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0-20210422259- Covid-19 vaccine ad26.cov2.s- passed out. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event..


VAERS ID: 1236067 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Loss of consciousness, Rash, Swelling face
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (narrow), 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), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422310

Write-up: SWOLLEN FACE; BAD RASH ALL OVER BODY; PASSED OUT; This spontaneous report received from a patient concerned a 38 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 041A21A, expiry: UNKNOWN) dose was not reported, 1 total, administered on left arm on 01-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 01-APR-2021, the patient passed out and had no symptoms until seven days. On 07-APR-2021, the patient experienced pretty bad rash. On 08-APR-2021, the patient experienced swollen face and rash all over body which made him to visit an urgency clinic where he was prescribed with prednisone for rash. The patient visited doctor or healthcare professional office for events passed out, swollen face, and bad rash all over body and emergency room or department or urgent care for events swollen face, and bad rash all over body. It was reported that, the medication had not eradicated the symptoms but only calmed them down. According to the patient, if he had stop taking the medications the symptoms would go back to the same intensity as before. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from passed out on 01-APR-2021, and had not recovered from swollen face, and bad rash all over body. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210422310-covid-19 vaccine ad26.cov2.s -Passed out. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1236093 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bursitis, Chills, Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423005

Write-up: CHILLS; BURSITIS; BRUISING IN BLACK AND BLUE DISCOLOURATION AT RIGHT ELBOW; This spontaneous report received from a patient concerned a 49 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin allergy. The patient experienced drug allergy when treated with ibuprofen. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, and expiry: UNKNOWN) dose was not reported, administered on 01-APR-2021 10:55 for prophylactic vaccination. Non-company suspect drugs included: prednisone (tablet, oral, batch number: Unknown) 50 mg, 1 time every 1 day, from 02-APR-2021 for bursitis. No concomitant medications were reported. On 01-APR-2021 15:55, the subject experienced bursitis. On 01-APR-2021 15:55, the subject experienced bruising in black and blue discoloration at right elbow. On 02-APR-2021 04:30, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable; and treatment with prednisone was withdrawn. The patient recovered from chills on 02-APR-2021, had not recovered from bruising in black and blue discoloration at right elbow, and the outcome of bursitis was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1236105 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-03
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chills, Computerised tomogram head, Facial bones fracture, Fall, Feeding disorder, Lip injury, Loss of consciousness, Pyrexia, SARS-CoV-2 test, Vertigo
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), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: MECLIZINE HYDROCHLORIDE
Current Illness: Abstains from alcohol; Non-smoker; Vertigo
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting. The patient had no known drug allergies and no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210404; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210404; Test Name: Chest X-ray; Result Unstructured Data: Normal; Test Date: 20210404; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 20210407; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210407; Test Name: Head CT; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210423964

Write-up: BLACKED OUT; VERTIGO AGGRAVATED; BROKEN NOSE; FALL; BUSTED LIPS; COULD NOT EAT ANYTHING; CHILLS; FEVER; This spontaneous report received from a patient concerned a 33 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included vertigo, non-alcohol user, and non-smoker. The patient was not pregnant at the time of reporting. The patient had no known drug allergies and no history of drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: 21-JUN-2021) dose was not reported, 1 total, administered on right arm on 03-APR-2021 13:30 for prophylactic vaccination. Concomitant medications included meclozine hydrochloride for vertigo. On 03-APR-2021, 15 minutes after vaccination the patient felt dizzy. On the same evening, the patient experienced fever, vomiting, sweating, dizziness and chills. On 04-APR-2021, the patient could not eat anything and experienced black out and fell from which the patient experienced busted lips and broken nose. The patient was taken to the emergency room and was hospitalized on 04-APR-2021. During hospitalization the patient had blood test and chest X-ray which was normal and COVID-19 virus test was negative. At the hospital the patient was diagnosed with aggravated vertigo due to vaccination but according to the patient it was not her vertigo since she did not get her usual vertigo symptoms before blacking out (dizziness, room spinning, or feeling like about to fall). The duration of hospitalization was 1 day. On 07-APR-2021, the patient went back to the hospital to follow-up and the patient''s physician ran tests for blood work and computed tomography (CT) scan of her head with no abnormal findings. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the blacked out, vertigo aggravated, broken nose, fall, busted lips, could not eat anything, chills and fever was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20210423964-covid-19 vaccine ad26.cov2.s -Vertigo aggravated. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY VO:20210423964-covid-19 vaccine ad26.cov2.s-broken nose, black out. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1236113 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Eye discharge, Eye swelling, Hyperhidrosis, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424153

Write-up: RIGHT EYE CLEAR LIQUID SECRETION; RIGHT EYE WAS SWOLLEN SHUT; ARM SORENESS; REDNESS OF FACE; SWEATING; This spontaneous report received from a patient concerned a 45 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 202A21A expiry: 23-JUN-2021) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced redness of face. On 10-APR-2021, the subject experienced sweating. On 10-APR-2021, the subject experienced arm soreness. On 12-APR-2021, the subject experienced right eye clear liquid secretion. On 12-APR-2021, the subject experienced right eye was swollen shut. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from right eye clear liquid secretion, and right eye was swollen shut on 12-APR-2021, and redness of face, and sweating on 11-APR-2021, and was recovering from arm soreness. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious.


VAERS ID: 1236117 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-07
Onset:2021-03-27
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Asthenia, Blindness unilateral, Blood test, Chest pain, Confusional state, Dizziness, Eye pain, Feeling abnormal, Gait disturbance, Hypoaesthesia, Impaired work ability, Influenza like illness, Loss of personal independence in daily activities, Lumbar puncture, Magnetic resonance imaging abnormal, Myalgia, Neurological examination abnormal, Neurological symptom, Ophthalmological examination abnormal, Optic neuritis, Pain, Pain of skin, Paraesthesia, SARS-CoV-2 test negative, Scan with contrast, Vision blurred, Visual field defect
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Optic nerve disorders (narrow), Cardiomyopathy (broad), Demyelination (narrow), Lens disorders (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Ocular infections (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad), Sexual dysfunction (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Two (2) Eye exams, 3/30/21 confirming swollen optic nerves. MR w & without contrastI 3/31/21 Blood work 4/2/21 CoVid Test 4/9/21 Negative Hospital: April 10-12th. MRI w/ & without Contrast Extensive Blood work Spinal Tap Neuro-Opt exam Further tests pending...Further treatment pending
CDC Split Type:

Write-up: Immediately had flu symptoms the same night as vaccine that went away within 2 days. HOWEVER, twenty-one (21) days later, both eyes were extremely painful to move. Then I lost vision in right eye with extreme blurriness & partial blind spots resulting in a diagnosis of Optic Neuritis by Ophthalmologist and Neurologist. Confirmed optic Neuritis on MRI scan. Twenty-four (24) days later, numbness in legs, feet and right arm started. Hard to walk up and down stairs. Twenty-six (26) days later, extreme pain in in muscles and skin along with tingles all over and numbness. Weakness and Chest pain. Flu like symptoms without fever ie: aches, pains, skin pain, confusion. Dizziness, feeling of being extremely anxious and out of sorts in space. Had to complete round of Steroids and numbness and tingles got better, but did not dissolve. After completion of IV steroids, thirty-four (34) days later all symptoms returned full force and worsening. Checked into ER 4/10 and admitted into hospital. Have not been able to complete normal routine or work level since March 27th due to neurological disturbance and symptoms. Two (2) Eye exams, 3/30/21 confirming swollen optic nerves. MRI 3/31/21 Blood work 4/2/21 CoVid Test 4/9/21 Negative Hospital: April 10-12th. MRI Extensive Blood work Spinal Tap Neuro-Opt exam Outcome pending and further treatment pending results.


VAERS ID: 1236119 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-20
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Condition aggravated, Exposure during pregnancy, Fibrin D dimer increased, Full blood count, Immune thrombocytopenia, Platelet count decreased, SARS-CoV-2 test negative
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? Yes
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: Prenatal vitamins
Current Illness: Immune thrombocytopenia purpura, pregnancy
Preexisting Conditions: Immune thrombocytopenia purpura, pregnancy
Allergies: None
Diagnostic Lab Data: CBC 23 MAR (before vaccine): Platelets 119 CBC 20APR: Platelets 59 CBC 20APR: Platelets 56 DDimer 20APR: 732 (Normal range for third trimester of pregnancy) SARS CoV-2 Antigen: Neg PENDING: HIT antibodies (both ELISA and Functional), coags, cmp, repeat CBC, Urine Protein/Creatine ratio
CDC Split Type:

Write-up: 25 yo G2P0 @ 37+1 pregnant with longstanding immune thrombocytopenia purpura with a routine CBC showing PLTs of 56 down from 119 1 month ago. Had J&J vaccine on 4/9. - Lab repeated and confirmed - D/w MFM and Hematologist. In an abundance of caution, will get coags, CMP, and P/cr urine ratio to evaluate for HELLP. Will also get HIT antibodies to evaluate for possibility of Vaccine induced thrombocytopenia(VIT). - Will plan on treating with Dexamethasone 40mg Daily x 4 days to increase platelet count. D/w hematologist, and he will see the patient and run the test for HIT antibodies (PF-4) and initiate IVIG treatment, which would help treat the low platelets either from exacerbation of ITP or VIT. If these come back positive, will likely transfer patient to HN for admission and delivery to be followed by therapeutic anticoagulation with non-heparin based therapy, consistent with usual therapy for HIT.


VAERS ID: 1236124 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-23
Onset:2021-04-17
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Axillary vein thrombosis, 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 4 days of right upper extremity pain and swelling with diagnosis of right upper extremity axillary vein DVT that was treated with DOAC apixaban.


VAERS ID: 1236155 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-03-08
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ear discomfort, Ear pain, Eye pruritus, Fatigue, Headache, Hypersensitivity, Nausea, Periorbital swelling, Rash, Somnolence, Swelling of eyelid, Tinnitus, Vertigo
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma (When her asthma flares up she uses an inhale.); High cholesterol
Preexisting Conditions: Medical History/Concurrent Conditions: Bronchitis (The patient had Bronchitis and pneumonia at 22 years.); Pneumonia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425679

Write-up: ALLERGIC REACTION; SWOLLEN EYELID; VERTIGO; RASH ON NECK; NAUSEA; EYES PUFFY; ITCHY EYES; EAR CLOGGED; EARACHE; RINGING IN EAR; SLEEPY; TIRED; HEADACHE; This spontaneous report received from a patient via Social media concerned a 45 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included bronchitis, and pneumonia, and concurrent conditions included asthma, and high cholesterol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018, expiry: UNNOWN) dose was not reported, administered on 08-MAR-2021 09:30 for prophylactic vaccination. No concomitant medications were reported. On 08-MAR-2021, the subject experienced sleepy. On 08-MAR-2021, the subject experienced severe headache. On 08-MAR-2021, the subject experienced tired. On 21-MAR-2021, the subject experienced earache. On 21-MAR-2021, the subject experienced ringing in ear. On APR-2021, the subject experienced ear clogged. On 05-APR-2021, the subject experienced eyes puffy. On 05-APR-2021, the subject experienced itchy eyes. On 12-APR-2021, the subject experienced swollen eyelid. On 12-APR-2021, the subject experienced vertigo. On 12-APR-2021, the subject experienced rash on neck. On 12-APR-2021, the subject experienced nausea. On an unspecified date, the subject experienced allergic reaction. Treatment medications (dates unspecified) included: triamcinolone, ibuprofen, ciprofloxacin/dexamethasone, azithromycin, and prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from ringing in ear, was recovering from earache, and nausea, had not recovered from, swollen eyelid, rash on neck, tired, and headache, and the outcome of vertigo, eyes puffy, allergic reaction, sleepy, ear clogged and itchy eyes was not reported. This report was non-serious.


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