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From the 10/8/2021 release of VAERS data:

Found 7,946 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit



Case Details

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VAERS ID: 1239428 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-31
Onset:2021-04-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test abnormal, Immunoglobulin therapy, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: ITP baseline 65,000 platelets
Preexisting Conditions: ITP diagnosed 2010
Allergies: None
Diagnostic Lab Data: Prior to 3/31 hematologist blood test 65K platelet count 4/2 ER blood test 43K 4/3 admitted 5am blood test 33K 4/4 released on Easter w/ 63K platelet count after IVIG and 40mg of Dex for 2x days
CDC Split Type:

Write-up: Drop in platelet count from 65k to 33k admitted to A County hospital two days after vaccine through emergency room. To increase platelets my hematologist recommend steroids Dex 40mg x 4 days and IVIG to bring my platelets up after they rapidly decreased after receiving the JJ vaccination.


VAERS ID: 1239455 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-02
Onset:2021-04-15
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN COVID-19, JANSS / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Deep vein thrombosis, Laboratory test, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine, Shakeel multi vitamin, fish oil, glucosamine
Current Illness: None
Preexisting Conditions: None. I am in excellent health
Allergies: None
Diagnostic Lab Data: 04/19/2021 ultrasound 04/20/2021 blood work/labs
CDC Split Type:

Write-up: DVT in lower left leg


VAERS ID: 1239726 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZIA / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chills, Computerised tomogram, Headache, Malaise, Pain, Pyrexia, SARS-CoV-2 test positive, Thrombosis, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control Wellbutrin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: COVID-19 positive test result on April 20, blood test showed clotting- ct scan no lung clotting
CDC Split Type:

Write-up: Super sick 2-6 days after shot. Fever, chills, aches, headache, vomiting


VAERS ID: 1239775 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-10
Onset:2021-04-07
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood electrolytes decreased, Blood glucose increased, C-reactive protein increased, Muscle fatigue, Pain in extremity, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Guillain-Barre syndrome (broad), Hyponatraemia/SIADH (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: Lexapro 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: Nsaids
Diagnostic Lab Data: Elevated glucose, elevated c-reactive, decreased electrolytes Dvt was negative
CDC Split Type:

Write-up: Leg pain, muscle fatigue, tingling


VAERS ID: 1239776 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Alanine aminotransferase normal, Anion gap normal, Anisocytosis, Aspartate aminotransferase normal, Band neutrophil percentage increased, Basophil count normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide increased, Chills, Eosinophil count normal, Erythema, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, Hyperhidrosis, Induration, International normalised ratio normal, Lymphocyte count normal, Lymphocyte morphology abnormal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metamyelocyte percentage increased, Monocyte count increased, Monocyte percentage, Neutrophil count normal, Neutrophil percentage, Normochromic anaemia, Pain in extremity, Peripheral swelling, Platelet count normal, Protein total normal, Pyrexia, Red blood cell count normal, Red cell distribution width normal, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Malignant lymphomas (broad), Myelodysplastic syndrome (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (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: Penicillin
Diagnostic Lab Data: WBC 6.6 x10(3)/mcL (3.46-9.76) ? RBC 5.33 x10(6)/mcL (4.26-5.50) ? Hemoglobin 16.1 g/dL (13.2-16.6) ? Hematocrit 48.5 % Higher Than Normal (38.7-48.4) ? MCV 91.0 fL (82.4-96.5) ? MCH 30.2 pg (27.9-33.4) ? MCHC 33.2 g/dL (33.1-35.8) ? Platelets 170 x10(3)/mcL (153-339) ? RDW CV 13.3 % (11.9-14.7) ? MPV 7.5 fL (6.3-10.3) ? Neutrophils 60.2 % (38.4-79.7) ? Lymphocytes 22.6 % (11.3-48.4) ? Monocytes 16.1 % Higher Than Normal (3.6-12.1) ? Basophils 0.6 % (0.0-1.0) ? ABS Neutrophils 4.00 x10(3)/mcL (1.09-6.89) ? ABS Lymphocytes 1.50 x10(3)/mcL (0.73-3.07) ? ABS Monocytes 1.10 x10(3)/mcL Higher Than Normal (0.19-0.83) ? ABS Eosinophils 0.00 x10(3)/mcL (0.00-0.44) ? ABS Basophils 0.00 x10(3)/mcL (0.00-0.07) ? Eosinophils 0.5 % (0.0-6.7) Protime 13.7 Sec (11.5-14.1) ? APTT 38.6 Sec (27.3-40.1) ? INR 1.09 (0.87-1.13) Glucose 111 mg/dL Higher Than Normal (74-106) ? Urea Nitrogen 14 mg/dL (9-20) ? Creatinine 1.29 mg/dL Higher Than Normal (0.66-1.25) ? Sodium 138 mmol/L (137-145) ? Potassium 4.6 mmol/L (3.5-5.1) ? Chloride 99 mmol/L (98-107) ? Carbon Dioxide 30.5 mmol/L Higher Than Normal (22-30) ? Calcium 9.6 mg/dL (8.4-10.2) ? Protein 7.3 g/dL (6.3-8.2) ? Albumin 4.7 g/dL (3.5-5.0) ? Bilirubin 0.8 mg/dL (0.2-1.3) ? Alkaline Phosphatase 75 U/L (38-126) ? Aspartate Aminotransferase 43 U/L (17-59) ? Alanine Aminotransferase 43 U/L (4-50) ? Hemolysis Index NO HEMOLYSIS (0.0-15.0) ? GFR Calculated Black 70.7 ? GFR Calculated Non-Black 61.1 ? Anion Gap 8.4 mmol/L (8-16) Neutrophils Segmented 48 % (42-75) ? Neutrophils Band Form % 16 % Higher Than Normal (0-6) ? Lymphocytes Atypical 5 % Higher Than Normal (0-3) ? Metamyelocytes % 1 % Higher Than Normal (0) ? Anisocytosis SLIGHT ? Normochromic YES ? Basophils 1 % (0-2) ? Lymphocytes 17 % Lower Than Normal (20-55) ? Monocytes 12 % (2-13) ? Platelet Estimate ADEQUATE (130-450) Fibrin D-Dimer 1.59 mcg/mL Higher Than Normal (0.49) Specimen: PLASMA
CDC Split Type:

Write-up: Extreme lower Extremity pain; like running a marathon; Red swollen lumps in legs; fever; chills and sweats This has been currently going on for 12 days with fever everyday up to 103


VAERS ID: 1239800 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-04
Onset:2021-04-07
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Electrocardiogram, Full blood count, Metabolic function test, Pain in extremity, Paraesthesia, Peripheral swelling, Troponin, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (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: statin. took Advil since arm pain began
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 4/14 - cbc, bmp, troponin, EKG 4/15 - Doppler US LUE , CK
CDC Split Type:

Write-up: continued and worsening L arm pain s/p J&J COVID-19 vaccine on 4/4. pt was seen in urgent care on 4/14 and 4/15 for L arm pain and swelling, w/ tingling down to hand/fingers


VAERS ID: 1239806 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-07
Onset:2021-04-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 014A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Electrocardiogram, Heart rate increased, Hyperhidrosis, Hypertension, Pyrexia, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline Allertec Taytulla
Current Illness: No
Preexisting Conditions: No
Allergies: Amoxicillin
Diagnostic Lab Data: EKG 3:30am
CDC Split Type:

Write-up: Started around 12:30am, convulsions, chills, rapid heart rate and high blood pressure, took 2 Advil 104 fever, profuse sweating Given 2 Tylenol at hospital


VAERS ID: 1239813 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-04-07
Onset:2021-04-20
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: COVID-19, Oesophageal rupture, SARS-CoV-2 test positive
SMQs:, Gastrointestinal perforation (narrow), Accidents and injuries (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown, was told not on blood pressure medications. Only occasional heartburn medications
Current Illness: Unknown- Has had history of having food get stuck in esophagus per nurse at facility
Preexisting Conditions: unknown- told none
Allergies: unknown
Diagnostic Lab Data: Went to the hospital- Torn esophagus- having surgery at hospital
CDC Split Type:

Write-up: None at time of vaccine known. Reaction was 13 days later (potentially not related). Patient tested positive for COVID-19 later the evening of reaction.


VAERS ID: 1239974 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-03-31
Onset:2021-04-13
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cognitive disorder, Echocardiogram normal, Headache, Hypoaesthesia, Lack of spontaneous speech, Transient ischaemic attack, Venogram normal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine Primrose Oil
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: Penicillin
Diagnostic Lab Data: CT scans, MRI/MRV, echocardiogram, blood work including platelets and d-dimer, all normal 4/13-4/14 Discharged with diagnosis of suspected TIA.
CDC Split Type:

Write-up: Approx 6:30 pm headache 7:05 pm headache immediately subsided, right arm grew numb 7:09 pm speech became difficult. Trouble stringing words together. 7:15 difficulty spelling/texting 7:25 pm numbness speed to lower right quadrant of face. Speech became more labored. 7:40 arrived in ER, numbness in face resolved Approx 8:00 speech improved, arm numbness resolved CT scans, MRI/MRV, echocardiogram, blood work including platelets and d-dimer, all normal. Kept in hospital under observation until approx 6:30 4/14. Discharged with diagnosis of suspected TIA. Followup scheduled with primary physician and neurology consult.


VAERS ID: 1240016 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Headache, Hypoaesthesia, Influenza like illness, Migraine, Pain, Pallor, Paraesthesia, Peripheral coldness, Pyrexia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms 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? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: *First 48 hrs severe flu like symptoms- achy, stomach ache, fever, chills. *Day 3 - stomach ache *Day 4 - stomach ache, loss of feeling in hands / pins and needles / severe drop in body temperature going as low as 97 degrees / chills / chattering of teeth / freezing hands *Day 5 - stomach ache, loss of feeling in hands / pins and needles in hands and arms / pins and needles in face / freezing hands *Day 6 - stomachache, tingly hands and face, freezing / white hands *Day 7 - very mild symptoms *Day 8 - severe headache / felt like a migraine *Day 9 - severe headache / felt like a migraine


VAERS ID: 1240025 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-06
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Influenza like illness, Malaise, Pain, Pyrexia, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Previous Vaccinations:
Other Medications: HRT Therapy
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I took a Covid test which was negative.
CDC Split Type:

Write-up: I received the Johnson and Johnson vaccine (1 shot) on April 1, 2021. I felt fine for a week. A week after the shot I feel ill with a high fever, aches, and fatigue (general flu-like symptoms). I recovered, then a week later I suffered the same set back. I went to get a Covid test and it was negative. This past week I tried to resume general exercise, and I feel ill again. At this point, when I attempt to do anything physical (not overly strenuous, but light exercise) I relapse into flu-like symptoms. I am worried that I will continue to get flu-like symptoms when I try to exercise at all. I am not sure how long to remain completely at rest. It seems like 21 days should be enough. I am confused on what to do and if this fatigue and flu symptoms will continue when I try any physical activity.


VAERS ID: 1240045 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Blood test, Dizziness, Dyskinesia, Electrocardiogram, Fatigue, Headache, Heart rate increased, Hypoaesthesia, Limb discomfort, Muscular weakness, Paraesthesia, Pyrexia, Urine analysis, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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: None
Current Illness: None i''m aware of
Preexisting Conditions: Slight tinitus. Some toenail fungus. Nothing serious
Allergies: None i''m aware of
Diagnostic Lab Data: I would have to check over my ER visit records. They took multiple blood tests and tested urine. EKG monitor. Lung scan. MRI on my brain. Keeping in mind that this was all within hours of my initial adverse reaction. From my understanding, all tests returned fairly normal results for a healthy 43 y/o male, so they were not immediately concerned that this was vaccine related. But my sysmptoms persist off and on and it has been a full week since the initial reaction.
CDC Split Type:

Write-up: I received the shot on 4/10. First 24 hours I had a slight fever and headache. Treated with Acetaninophhen. Since that time, I had relatively mild symptoms 4/11 - 4/13. Mostly fatigue. On 4/14, I had a sudden increase in heart rate, dizziness, tingling sensation in all arms and legs and weakness in my limbs/grip. This prompted me to visit the ER. They ran numerous blood tests amd scans on me but found no abnormalities. Various unusual symptoms have continued to persist since 4/14. For brief moments I feel fine. At other times I have experience fatigue, diziness/vertigo, rapid heart rate, pins and needles feeling in my left hand and left leg. Left leg numbness/tightness and heaviness. The fingers on my left hand sometimes move involuntarily. And my anxiety has also gone up during this time. Tonight it has migratee to my left foot, where I have numbness in several of my toes. I''m looking for advice. Should I be concerned? Should these symptoms still be occurring 11 days after receiving my shot? It has been very distressing and there seem to be very few people who have knowledge on this subject. My care providers keep saying to self monitor and contact them if symptoms worsen. The problem is symptoms don''t necessarily worsen, they just migrate from one area of my body to another. The numbness comes and goes in maybe 1-2 hour intervals.


VAERS ID: 1240148 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Purpura to Leg


VAERS ID: 1240479 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-03-19
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Asthenia, Chills, Diarrhoea, Fatigue, Feeling abnormal, Limb discomfort, Nausea, Pain in extremity, Skin burning sensation, Ultrasound scan, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Dementia (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Arthritis; Fatigue
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Heaviness in limbs; Leg pain; Pneumonia; Comments: Patient second shingles shot begins in February.
Allergies:
Diagnostic Lab Data: Test Date: 20210325; Test Name: Diagnostic ultrasound; Result Unstructured Data: No clots found
CDC Split Type: USJNJFOC20210339649

Write-up: FATIGUE; FELT HORRIBLE; SKIN BURNING AND HURTS TO TOUCH/SKIN ON FIRE/PAINFUL SKIN; NAUSEA; CHILLS; DIARRHEA; VOMITTING; LEG HEAVINESS; LEG PAIN/INTERMITTENT PAIN IN HIPS, BACK, DOWN TO MY KNEES; WEAKNESS; This spontaneous report received from a patient concerned a 63 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included covid infection, double lung pneumonia, leg pain, and leg heaviness, and concurrent conditions included arthritis, and fatigue, and other pre-existing medical conditions included patient second shingles shot begins in february. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802070 expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 2021, the subject experienced leg heaviness. On 2021, the subject experienced leg pain/intermittent pain in hips, back, down to my knees. On 2021, the subject experienced weakness. On 19-MAR-2021, the subject experienced diarrhea. On 19-MAR-2021, the subject experienced vomitting. On 19-MAR-2021, the subject experienced chills. On 19-MAR-2021 16:00, the subject experienced nausea. On 19-MAR-2021 23:00, the subject experienced skin burning and hurts to touch/skin on fire/painful skin. On 20-MAR-2021, the subject experienced felt horrible. On 25-MAR-2021, Laboratory data included: Diagnostic ultrasound (NR: not provided) No clots found. On an unspecified date, the subject experienced fatigue. Treatment medications (dates unspecified) included: calcium chloride dihydrate/fructooligosaccharides/glucose/magnesium chloride hexahydrate/potassium chloride/sodium chloride/sodium lactate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomitting, and nausea on 20-MAR-2021, was recovering from diarrhea, had not recovered from chills, skin burning and hurts to touch/skin on fire/painful skin, leg pain/intermittent pain in hips, back, down to my knees, weakness, fatigue, and leg heaviness, and the outcome of felt horrible was not reported. This report was non-serious.; Sender''s Comments: V1:Medical assessment comment not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1240485 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-03
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Confusional state, Dyspnoea, Electrocardiogram, Inflammation, Neck mass, Neck pain, Swelling, Vision blurred
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (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: Ankylosing spondylitis (autoimmune disease(spondyloarthritis from understanding))
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Electrocardiogram; Result Unstructured Data: Electrocardiogram; Test Date: 20210408; Test Name: Blood test; Result Unstructured Data: blood work; Test Date: 20210413; Test Name: Blood test; Result Unstructured Data: blood work
CDC Split Type: USJNJFOC20210417102

Write-up: NECK PAIN (WITH RADIATION); SHORTNESS OF BREATH; BLURRED VISION; CONFUSION; BULGE IN NECK ON LEFT SIDE/NECK SWELLING; WHOLE LEFT SIDE OF BODY IS SWOLLEN; SEVERE INFLAMMATION; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight was 240 pounds, and height was not reported. The patient''s concurrent conditions included ankylosing spondylitis. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 03-APR-2021 12:05 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: Electrocardiogram (NR: not provided) Electrocardiogram (units unspecified). On 03-APR-2021, the subject experienced neck pain (with radiation). On 03-APR-2021, the subject experienced shortness of breath. On 03-APR-2021, the subject experienced blurred vision. On 03-APR-2021, the subject experienced confusion. On 03-APR-2021, the subject experienced bulge in neck on left side/neck swelling. On 03-APR-2021, the subject experienced whole left side of body is swollen. On 03-APR-2021, the subject experienced severe inflammation. On 08-APR-2021, Laboratory data included: Blood test (NR: not provided) blood work. Treatment medications included: diazepam, and prednisone. On 13-APR-2021, Laboratory data included: Blood test (NR: not provided) blood work. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from neck pain (with radiation), shortness of breath, blurred vision, confusion, bulge in neck on left side/neck swelling, whole left side of body is swollen, and severe inflammation. This report was non-serious.; Sender''s Comments: V0:20210417102-Ccovid-19 vaccine ad26.cov2.s-Neck pain. 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, UNDERLYING DISEASE


VAERS ID: 1240500 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-02
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Dizziness, Respiratory arrest, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Hypoglycaemia (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension; Peanut allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210419746

Write-up: ANAPHYLACTIC REACTION; LIGHT HEADED; SYNCOPE/LOST CONSCIOUSNESS; STOPPED BREATHING; VOMITING/PERSISTENT EMESIS; This spontaneous report received from a patient concerned a 52 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hypertension, and anaphylaxis to peanuts. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total administered on 02-APR-2021 to right arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 02-APR-2021, after vaccination patient experienced an anaphylactic reaction. The patient was at her local pharmacy and was waiting in chairs as instructed; then she walked to her vehicle and began to feel light-headed and lost consciousness. Her husband was with her and was able to administer life saving measures, the local pharmacist was able to administer an epi-pen to her right thigh. On 02-APR-2021, the patient stopped breathing and was then transported to the local ER(emergency room) where she was treated. She regained consciousness and had persistent emesis and the patient was kept in hospital for 24 hours before being discharged. The patient was hospitalized for one day. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from syncope/lost consciousness, and was recovering from light headed, vomiting/persistent emesis, and anaphylactic reaction, stopped breathing. This report was serious (Hospitalization Caused/ Prolonged, and Life Threatening).; Sender''s Comments: v0 A 52-year-old female patient with the past medical history remarkable for anaphylaxis to peanuts experienced anaphylactic reaction the same day the Janssen COVID-19 Vaccine Ad26.COV2 was administered. The patient began to feel light-headed and lost consciousness, an epi-pen was administered. The next day the patient stopped breathing and was treated in the local ER (emergency room). Later she had persistent emesis. Given the close temporal relationship and history of anaphylaxis to peanuts the events are considered related.


VAERS ID: 1240502 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-06
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling cold, Hypoaesthesia oral, Injection site pain, Migraine, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (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: The patient had no medical history.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210419870

Write-up: NUMBNESS LIPS; FELT COLD AIR IN THE NECK; WEAKNESS IN THE LEFT ARM; INJECTION ARM HURT; MIGRAINE (DIZZY, HEADACHE, NAUSEA, FELT LIKE SOMETHING WAS RATTLING IN HER HEAD, FELT LIKE THERE WAS A HOLE ON HER HEAD); This spontaneous report received from a consumer concerned an 18 year old female. The patient''s height, and weight were not reported. The patient had no medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, 1 total administered on 06-APR-2021around 10:30 in right arm for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, around 5 pm, the patient was dizzy, and had a headache and her injection arm hurt. On 07-APR-2021, the patient experienced numbness lips, and reported that "felt like something was rattling in her head, felt like there was a hole on her head, felt cold air in the neck", weakness in the left arm, nausea for which she was put on IV. On an unspecified date, the patient experienced migraine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from numbness lips, injection arm hurt, felt cold air in the neck, and weakness in the left arm 08-APR-2021, and was recovering from migraine. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210419870-covid-19 vaccine ad26.cov2.s-Migraine, numbness lips, felt cold air in the neck and weakness in the left arm. 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). 20210419870-covid-19 vaccine ad26.cov2.s-injection arm hurt. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1240513 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Mississippi  
Vaccinated:0000-00-00
Onset:2021-03-17
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Influenza like illness, Panic disorder
SMQs:, 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: USJNJFOC20210420489

Write-up: PERIODIC PANIC; ANXIETY; FLU LIKE SYMPTOMS; This spontaneous report received from a patient concerned a 32 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: 1805029, and expiry: 25-MAY-2021) dose was not reported, administered on 17-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-MAR-2021, the subject experienced flu like symptoms. On 21-MAR-2021, the subject experienced periodic panic. On 21-MAR-2021, the subject experienced anxiety. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu like symptoms on 19-MAR-2021, and had not recovered from anxiety, and periodic panic. 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: 1240523 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Nausea, Oropharyngeal pain, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Mycosis fungoides; Comments: The patient had no known allergies. The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420784

Write-up: SEVERE STOMACH ACHE; BODY ACHE; VOMITING; SORE THROAT; HEADACHE; NAUSEA; FEVER; This spontaneous report received from a patient concerned a 19 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included mycosis fungoides, and concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included the patient had no known allergies. the patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure no follow up will be requested for this case. No concomitant medications were reported. On 10-APR-2021, the subject experienced severe stomach ache. On 10-APR-2021, the subject experienced body ache. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced sore throat. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced nausea. On 10-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe stomach ache, body ache, nausea, vomiting, sore throat, headache, and fever. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1240524 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fall, Loss of consciousness, Musculoskeletal pain, Pyrexia, Vital signs measurement
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (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), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Passed out (Patient had passed out when getting blood work done previously.); Comments: The patient had passed out when getting blood work done previously.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Vital signs measurement; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210420904

Write-up: FEVER; PASSED OUT/ ''FELT REALLY BAD/TERRIBLE/HORRIBLE, VITALS VERY LOW, FELT WARM, SWEAT, CHILLS, FELT WEAK, FEELING TIRED/EXHAUSTION; CRASHING TO THE FLOOR; LEFT BUTT CHEEK HURTS; This spontaneous report received from a patient concerned a 40 year old female.. The patient''s height, and weight were not reported. The patient''s past medical history included passed out, and other pre-existing medical conditions included the patient had passed out when getting blood work done previously. The patient was previously treated with influenza vaccine for prophylactic vaccination. The patient was not pregnant at the time of reporting. 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, 1 total dose administered on 09-APR-2021 13:15 in left deltoid for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: Vital signs measurement (NR: not provided) Not reported. On 10-APR-2021, the patient experienced passed out/ felt really bad/terrible/horrible, vitals very low, felt warm, sweat, chills, felt weak, feeling tired/exhaustion. On 10-APR-2021, the patient experienced crashing to the floor. On 10-APR-2021, the subject experienced left butt cheek hurts. On 11-APR-2021, the subject experienced fever. the patient woke up in the morning, and while washing her hands in the bathroom, she began to feel really bad and started to lower herself down and she passed out, then she ended up crashing to the floor, she did not hit her head, and her left butt cheek got hurt. Her husband called emergency medical services (EMS) who treated her until she regained consciousness. Patient also stated that she felt terrible and horrible. Emergency medical services recommended that she be taken to the hospital for further evaluation, but she declined. She had a history of passing out after bloodwork, but had never had this delayed of a reaction with bloodwork or any reaction to the flu shot. EMS called and her vitals were all very low. She did not go to the hospital. She felt improved and had been taking it easy at the time of this report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from crashing to the floor on 10-APR-2021, and was recovering from passed out/ felt really bad/terrible/horrible, vitals very low, felt warm, sweat, chills, felt weak, feeling tired/exhaustion, left butt cheek hurts, and fever. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210420904-covid-19 vaccine ad26.cov2.s-Passed 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: 1240527 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Feeling abnormal, Heart rate, Heart rate increased, Panic attack
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Latex allergy
Preexisting Conditions: Comments: The patient did not have any history of anxiety.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 202104; Test Name: Heart rate; Result Unstructured Data: 175 BPM
CDC Split Type: USJNJFOC20210421092

Write-up: PANIC ATTACKS(DIZZINESS, WHOLE BODY TREMBLING, RACING HEART RATE, DIFFICULTY BREATHING); HEART RATE 175 BPM; BRAIN FOG; This spontaneous report received from a patient concerned a 35 old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included latex allergy, and other pre-existing medical conditions included the patient did not have any history of anxiety. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1808980 expiry: UNKNOWN) dose was not reported, one total administered on 05-APR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On an unspecified date in APR-2021 it was stated that the patient experienced something similar to panic attacks only while driving, brain fog, lightheadedness, dizziness, whole body was trembling and racing heart of 175 BPM, patient took about 2 hours to get heart rate down. On same day the friend drove her to hospital because she was lightheaded and needed to get help getting in car. Patient received vitals and fluids in hospital and her blood report was normal. ON 11-Apr-2021, after 10 -15 minutes into driving patient felt lightheadedness and dizziness again and felt like she couldn''t breathe. It was stated by the patient that motion seems to trigger because it happens while driving. Patient had to take deep breaths for 1.5 hours to get her heart rate down. Laboratory data included: Blood test (NR: not provided) Normal, and Heart rate (NR: not provided) 175 BPM. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from panic attacks (dizziness, whole body trembling, racing heart rate, difficulty breathing), brain fog, and heart rate 175 bpm. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210421092-JANSSEN COVID-19 VACCINE Ad26.COV2.S- Panic attacks, Heart rate 175 BPM, Brain fog. 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: 1240528 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, COVID-19, Chills, Coagulation test, Headache, Nausea, Pharyngeal swelling, Platelet count, Pyrexia, Throat irritation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: EPIPEN
Current Illness: Asthma; Food allergy (Patient take epipen)
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Comments: No allergic reaction to any other vaccinations or injections.
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: COVID-19; Result Unstructured Data: positive; Test Date: 20210413; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210413; Test Name: Platelet count; Result Unstructured Data: Normal; Test Date: 20210413; Test Name: Coagulation test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210421214

Write-up: STOMACH PAIN; NAUSEA; CHILLS; HEADACHE; FELT FEVERISH; SWOLLEN THROAT/COULD NOT MOVE WATER; ITCHY THROAT; This spontaneous report received from a physician concerned a 22 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included covid-19 infection, concurrent conditions included severe allergy to food, and mild asthma, and the patient had no allergic reaction to any other vaccinations or injections. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included epinephrine for severe allergy to food. On APR-2021, after 3-4 hours post vaccination the patient experienced mild headache. About 8 hours post vaccination, the patient''s headache became severe (reported as severity 10/10 by patient) and patient felt feverish and chill but no temperature was measured. The patient took 2 tablet of Tylenol and 1 tablet of Advil before went to the emergency room (ER) around 10 hours post vaccination. The patient received unspecified drug intravenously (IV) and oral Benadryl. Around 11 hours post vaccination, patient discharged from the ER. On the way home, the patient felt his throat itch and swollen and could not move water down to throat. The patients symptoms of swollen throat significantly relieved when he got home (10 minute walk from ER to the front door and a short car ride by his friend) and he went to bed without using his epipen. Next day, patient felt mild headache after waking up and no other symptoms. At day three, APR-2021, he only felt very mild headache in the back of his head and severity was about 1% of that degree of the most severe time of day one. On 13-APR-2021, the patient felt stomach pain, nausea and headache. Severity was mild for all events. On same day, he went to ER for blood tests. All tests (including platelet count and clotting) were normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, felt feverish, swollen throat, and itchy throat on APR-2021, and headache, stomach pain, and nausea on 13-APR-2021. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0- 20210421214-covid-19 vaccine ad26.cov2.s-Chills, Headache, Felt feverish. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1240533 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Bradycardia, Chest X-ray, Computerised tomogram, Electrocardiogram, Heart rate, Hyperhidrosis, Loss of consciousness, Muscular weakness, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient did not have any known allergies. Patient did not have any reaction to vaccine before.
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: EKG; Result Unstructured Data: bradycardia; Test Date: 20210409; Test Name: Chest X-ray; Result Unstructured Data: Normal; Test Date: 20210409; Test Name: Heart rate; Result Unstructured Data: 30 bpm; Test Date: 20210409; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210409; Test Name: Computerised tomogram; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210422272

Write-up: LOSS OF CONSCIOUSNESS(PATIENT WAS COMING IN AND OUT OF CONSCIOUSNESS); BRADYCARDIA; SEIZURE (EYES ROLLED BACK, HEAD WENT BACK); ARM WEAKNESS; PROFUSELY SWEATING; This spontaneous report received from a consumer concerned a 44-year-old male. The patient''s height and weight were not reported. The patient''s pre-existing medical conditions included patient did not have any known allergies. The patient did not have any reaction to vaccine before. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, 1 total administered on 09-APR-2021 at right arm for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, five minutes after vaccination, patient started profusely sweating and he had a seizure (eyes rolled back, head went back) and lost consciousness. Paramedics were on site came and they did a Electrocardiogram. He had bradycardia (heartrate was very low : 30 bpm). During all this time, he kept on coming in and out of consciousness. Patient also had arm weakness. Paramedics took him by ambulance to the emergency room; they administered some kind of medication because of his heart rate. Reporter thought it was atropine and took him to the hospital. In emergency room, they did a chest x-ray, Computerised tomogram scan and blood work, they did not see anything abnormal that would have caused the seizure. Emergency room Doctor determined that, it was the vaccine or a component of the vaccine that caused the reaction. Laboratory data included Blood test (NR: not provided) Normal, Computerised tomogram scan (NR: not provided) Normal, Chest X-ray (NR: not provided) Normal, and EKG (NR: not provided) 30 bpm. Treatment medications included atropine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from seizure (eyes rolled back, head went back) on 09-APR-2021, and bradycardia on 10-APR-2021, and the outcome of arm weakness, loss of consciousness (patient was coming in and out of consciousness) and profusely sweating was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210422272- covid-19 vaccine ad26.cov2.s-loss of consciousness (patient was coming in and out of consciousness), bradycardia, seizure (eyes rolled back, head went back) . 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: 1240550 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-03-25
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USJNJFOC20210424130

Write-up: PAIN IN BOTH LEGS; This spontaneous report received from a patient concerned a 61 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 and batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 06-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the subject experienced pain in both legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in both legs. This report was non-serious.


VAERS ID: 1240586 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Diarrhoea, Dyspnoea, Ear discomfort, Headache, Mastication disorder, Spinal pain, Toothache, Trismus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Dystonia (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: ADHD; Anxiety; Aphasia; Asthma; Central auditory processing disorder; Depression; Drug allergy; Learning disorder; Obsessive-compulsive disorder; Penicillin allergy; Reading disorder; Seafood allergy; Speech disorder
Preexisting Conditions: Medical History/Concurrent Conditions: Anemia; Insomnia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424689

Write-up: VOMITING; "EXPLOSIVE DIARRHEA"; DIFFICULTY BREATHING; UNABLE TO CHEW; WATER IN EARS FEELING; PAIN IN ELBOWS AND KNEES; HEADACHE; PAIN IN SPINE FROM "NECK TO BONES"; "FELT LIKE SKELETON WAS ON FIRE"; ALL TEETH ACHY; LOCKJAW; This spontaneous report received from a patient concerned a 22 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included insomnia, and anemia, and concurrent conditions included penicillin allergy, asthma, adhd, ocd, memory aphasia, auditory processing dyslexia, speech and language difficulties, reading disorder, difficulty learning math, anxiety, depression, aspirin allergy, and allergic to seafood. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, 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 pain in spine from "neck to bones". On 10-APR-2021, the subject experienced "felt like skeleton was on fire". On 10-APR-2021, the subject experienced all teeth achy. On 10-APR-2021, the subject experienced lockjaw. On 10-APR-2021, the subject experienced unable to chew. On 10-APR-2021, the subject experienced water in ears feeling. On 10-APR-2021, the subject experienced pain in elbows and knees. On 10-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced vomiting. On 11-APR-2021, the subject experienced "explosive diarrhea". On 11-APR-2021, the subject experienced difficulty breathing. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting on 11-APR-2021, had not recovered from pain in elbows and knees, pain in spine from "neck to bones", "felt like skeleton was on fire", lockjaw, and water in ears feeling, and the outcome of all teeth achy, "explosive diarrhea", difficulty breathing, headache and unable to chew was not reported. This report was non-serious.


VAERS ID: 1240594 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Body temperature, Peripheral swelling, Pyrexia, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Test Date: 20210412; Test Name: Body temperature; Result Unstructured Data: 99.5 F
CDC Split Type: USJNJFOC20210424873

Write-up: UPSET STOMACH; SLIGHT FEVER; LEFT ARM SWOLLEN ALL THE WAY DOWN TO HIS FOREARM; VOMITED 2 TIMES; This spontaneous report received from a consumer concerned a 34 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: 203A21A, and batch number: 203A21A) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced upset stomach. On 12-APR-2021, the subject experienced slight fever. On 12-APR-2021, the subject experienced left arm swollen all the way down to his forearm. On 12-APR-2021, the subject experienced vomited 2 times. Laboratory data included: Body temperature (NR: not provided) 99.5 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from upset stomach, slight fever, and vomited 2 times, and had not recovered from left arm swollen all the way down to his forearm. This report was non-serious.


VAERS ID: 1240619 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-03-25
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Fatigue, Pain in extremity
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425277

Write-up: ABDOMINAL PAIN; LEG PAIN; TIREDNESS AND FATIGUED; This spontaneous report received from a patient concerned a female of unspecified age. 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: 1808609, and expiry: UNKNOWN) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the subject experienced tiredness and fatigued. On 11-APR-2021, the subject experienced abdominal pain. On 11-APR-2021, the subject experienced leg pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tiredness and fatigued on 27-MAR-2021, and had not recovered from abdominal pain, and leg pain. This report was non-serious.


VAERS ID: 1240651 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-03-21
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Lumbar puncture
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin
Current Illness: Diabetes (Only takes insulin.)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210320; Test Name: Spinal tap; Result Unstructured Data: Guillain barre syndrome; Comments: Guillain Barre Syndrome.
CDC Split Type: USJNJFOC20210426677

Write-up: GUILLAIN BARRE SYNDROME; This spontaneous report received from a consumer concerned a 62 year old male. The patient''s height, and weight were not reported. The patient''s concurrent medical history included diabetes. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, and expiry: 25-MAY-2021) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. Concomitant medications included insulin for diabetes. The patient was in Critical Care unit. On Saturday, the next day after the vaccine, the patient was not felling well in afternoon and had laid down for few hours. They had a trip scheduled for Sunday. The patient was feeling well when he left home on Sunday. By Friday, 19-MAR-2021 (a week from the day he got his vaccine), he started with leg and knee pain. On 20-MAR-2021, the pain moved up to his back and then into his shoulders. The patient arrived home on Friday, 19-MAR-2021 and at 9:30 pm that night the patient woke up and could not handle the severe pain. On 20-MAR-2021, the patient was admitted to emergency room to ensure it was not heart related. The patient had a spinal trap on Saturday and by Sunday/Monday the patient found out it was Guillain barre syndrome. The patient was not able to walk and had also lost feeling from the neck down and could not move. The reporter had stated, the patient''s right side was worse then left so doctors had investigated occurrence of stroke but nothing was found. The patient had episodes where he was unable to speak but was feeling better. He could talk and communicate better, but was limited and could not write. The doctors were working on getting the patient strong enough for rehab. The patient wife had stated that the recovery expected to be a long process. The patient wife also stated that patient was not on ventilator. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from Guillain barre syndrome. This report was serious (Hospitalization Caused / Prolonged, Life Threatening, and Disability Or Permanent Damage).; Sender''s Comments: V0: A 62-year-old white male experienced Guillain-Barre Syndrome (GBS) 8 or 9 days after vaccine. Medical history included diabetes, for which he took insulin. On day 7 after vaccine, he started with leg and knee pain. On day 8, the pain moved up to his back and then into his shoulders, that night the patient was troubled by worsening pain and presented to emergency room. The patient had a spinal tap that day and within 1-2 days the patient found out it was GBS. The patient was not able to walk and had also lost feeling from the neck down and could not move. The patient''s right side was worse than left so doctors had investigated occurrence of stroke but nothing was found. The patient had episodes where he was unable to speak but was feeling better. He could talk and communicate better but was limited and could not write. The doctors were working on getting the patient strong enough for rehab. The patient was not on a ventilator and a long recovery was anticipated. No laboratory results were reported, including those of campylobacter, viral infections, or cerebrospinal fluid analysis. Although there is a close temporal relationship, there is insufficient information to make a meaningful medical assessment. Additional information has been requested, including consent to contact the treating physicians to obtain additional details of clinical care and diagnostics.


VAERS ID: 1240681 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: South Dakota  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Arthritis (Patient received injection for her arthritis in her back last month); Chest tightness (using tylenol with codeine); Cigarette smoker (1 pack every 3 to 4 days)
Preexisting Conditions: Medical History/Concurrent Conditions: Breast cancer; Chemotherapy; Mastectomy; Radiation therapy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427259

Write-up: SORE KNEE; SORE THUMB; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included breast cancer, mastectomy, chemotherapy, and radiation, and concurrent conditions included arthritis, cigarette smoker, abstains from alcohol, and chest tightness, and other pre-existing medical conditions included patient received injection for her arthritis in her back last month. The patient experienced drug allergy when treated with codeine, and paracetamol for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-APR-2021 18:30 for an unspecified indication. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced sore knee, and sore thumb. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sore knee, and sore thumb. This report was non-serious.


VAERS ID: 1240729 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Hyperhidrosis, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (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: USJNJFOC20210427828

Write-up: PROFUSE SWEATING; CYCLES OF SHAKING; SEVERE HIP AND JOINT PAIN; CYCLES OF CHILLS; This spontaneous report received from a patient via a company representative concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and it has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced profuse sweating. On 10-APR-2021, the subject experienced cycles of shaking. On 10-APR-2021, the subject experienced severe hip and joint pain. On 10-APR-2021, the subject experienced cycles of chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from profuse sweating on 12-APR-2021, and cycles of shaking, and cycles of chills on 11-APR-2021, and had not recovered from severe hip and joint pain. This report was non-serious.


VAERS ID: 1240740 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-03-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Diarrhoea, Ear pain, Hypertension, Nodule, Oropharyngeal pain, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure high; Gastrooesophageal reflux disease
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: CAT scan; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210427947

Write-up: BUMP ON BUTT; PAIN BEHIND RIGHT EAR; HIGH BLOOD PRESSURE; SORE THROAT; BUMP BEHIND RIGHT EAR; DIARRHEA; This spontaneous report received from a patient. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, and acid reflux. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-MAR-2021, the subject experienced diarrhea. On 26-MAR-2021, the subject experienced bump behind right ear. On 26-MAR-2021, the subject experienced sore throat. On APR-2021, Laboratory data included: CAT scan (NR: not provided) Unknown. On 05-APR-2021, the subject experienced pain behind right ear. On 05-APR-2021, the subject experienced high blood pressure. On 14-APR-2021, the subject experienced bump on butt. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from high blood pressure on 06-APR-2021, and had not recovered from pain behind right ear, diarrhea, bump behind right ear, bump on butt, and sore throat. This report was non-serious.


VAERS ID: 1240858 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Headache, Injection site pain, Mobility decreased, Nausea, Pain in extremity, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Asthma; Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies. The patient had no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423842

Write-up: SWELLING BEHIND HER KNEE, CALF AND THIGH; PAIN BEHIND HER KNEE, CALF AND THIGH; CHILLS; NAUSEA; FEVER; INJECTION SITE PAIN; DIZZINESS; DIFFICULT TIME GETTING UP AND MOVING; HEADACHE/COULD NOT MOVE OR TALK; This spontaneous report received from a parent concerned a 20 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included asthma, non smoker, and non-alcoholic, and other pre-existing medical conditions included the patient had no known allergies. the patient had 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: UNKNOWN) dose was not reported, administered on 01-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced difficult time getting up and moving. On APR-2021, the subject experienced headache/could not move or talk. On 01-APR-2021, the subject experienced dizziness. On 01-APR-2021, the subject experienced chills. On 01-APR-2021, the subject experienced nausea. On 01-APR-2021, the subject experienced fever. On 01-APR-2021, the subject experienced injection site pain. On 11-APR-2021, the subject experienced swelling behind her knee, calf and thigh. On 11-APR-2021, the subject experienced pain behind her knee, calf and thigh. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever on 04-APR-2021, injection site pain on 03-APR-2021, and headache/could not move or talk on APR-2021, was recovering from nausea, and dizziness, had not recovered from pain behind her knee, calf and thigh, and swelling behind her knee, calf and thigh, and the outcome of difficult time getting up and moving was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1240861 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Insomnia
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424006

Write-up: SEVERE HEADACHE; INABILITY TO SLEEP; This spontaneous report received from a patient concerned a 27 year old. 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: 1808978, expiry: UNKNWON) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced inability to sleep. On 02-APR-2021, the subject experienced severe headache. Treatment medications (dates unspecified) included: acetylsalicylic acid/caffeine/paracetamol/salicylamide, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe headache, and the outcome of inability to sleep was not reported. This report was non-serious.; Sender''s Comments: V0: MAC comment is not required for nonserious case as per standard protocol.


VAERS ID: 1240865 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Head discomfort, Headache, Hypoaesthesia, Muscular weakness, Nausea, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (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: Fibromyalgia; High cholesterol
Preexisting Conditions: Comments: not obese or overweight, Not taking medication for high cholesterol or fibromyalgia.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424222

Write-up: FELT NUMBNESS RIGHT ON TOP OF BUTTOCKS AND ALL THROUGH THE BACK OF HER LEGS; HEAD PRESSURE; DIZZINESS; CHILLS; PAIN IN LEGS; LEGS WERE NOT STRONG ENOUGH FOR HER TO GET UP; HEADACHE; NAUSEA; This spontaneous report received from a patient concerned a 43 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high cholesterol, and fibromyalgia, and other pre-existing medical conditions included not obese or overweight, not taking medication for high cholesterol or fibromyalgia. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 15:30 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced felt numbness right on top of buttocks and all through the back of her legs. On 12-APR-2021, the subject experienced head pressure. On 12-APR-2021, the subject experienced headache. On 12-APR-2021, the subject experienced dizziness. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced pain in legs. On 12-APR-2021, the subject experienced legs were not strong enough for her to get up. On 12-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 13-APR-2021, and had not recovered from headache, head pressure, dizziness, nausea, felt numbness right on top of buttocks and all through the back of her legs, legs were not strong enough for her to get up, and pain in legs. 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: 1240879 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-03-18
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Coccydynia, Discomfort, Dysstasia, Furuncle, Headache, Hypoaesthesia, Injection site pain, Muscular weakness, Myalgia, Paraesthesia, Pyrexia, Rash pruritic, Sensory disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Preexisting Conditions: Comments: no known drug allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210318; Test Name: Body temperature; Result Unstructured Data: 103 F
CDC Split Type: USJNJFOC20210425141

Write-up: FELT LIKE THERE WAS NO CIRCULATION IN THE ARMS; ARMS WERE WEAK; ARM NUMBNESS; CONSTANT TINGLING IN THE ARMS; PAIN TO TAIL BONE; FEELS LIKE PRESSURE TO THE AREA; NUMBNESS IN THIGHS; DIFFICULTY IN STANDING FOR LONG PERIODS OF TIME; TINGLING IN THIGHS; BOILS THAT WITH PUS ON STOMACH AND UNDER THE STOMACH; ITCHY RASH ON THE STOMACH, LEGS, AND BUTTOCK; MUSCLE ACHES; FEVER; MILD HEADACHE; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a 47 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the subject experienced muscle aches. On 18-MAR-2021, the subject experienced fever. On 18-MAR-2021, the subject experienced mild headache. On 18-MAR-2021, the subject experienced injection site pain. Laboratory data included: Body temperature (NR: not provided) 103 F. On 21-MAR-2021, the subject experienced boils that with pus on stomach and under the stomach. On 21-MAR-2021, the subject experienced itchy rash on the stomach, legs, and buttock. On 01-APR-2021, the subject experienced numbness in thighs. On 01-APR-2021, the subject experienced difficulty in standing for long periods of time. On 01-APR-2021, the subject experienced tingling in thighs. On 06-APR-2021, the subject experienced pain to tail bone. On 06-APR-2021, the subject experienced feels like pressure to the area. On 10-APR-2021, the subject experienced arm numbness. On 10-APR-2021, the subject experienced constant tingling in the arms. On 12-APR-2021, the subject experienced felt like there was no circulation in the arms. On 12-APR-2021, the subject experienced arms were weak. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from boils that with pus on stomach and under the stomach, and itchy rash on the stomach, legs, and buttock on 21-MAR-2021, muscle aches, and mild headache on MAR-2021, fever on 20-MAR-2021, and injection site pain on 23-MAR-2021, had not recovered from numbness in thighs, difficulty in standing for long periods of time, tingling in thighs, pain to tail bone, arm numbness, and constant tingling in the arms, and the outcome of felt like there was no circulation in the arms, arms were weak and feels like pressure to the area was not reported. 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: 1240904 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-03-31
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 038A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Burning sensation, Chest discomfort, Dyspnoea, Facial pain, Fatigue, Headache, Limb discomfort, Nausea, Pain, Pain in extremity, Pain in jaw
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Osteonecrosis (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427140

Write-up: ABDOMINAL PAIN; JAW PAIN; FACIAL PAIN; PRESSURE IN LEG; LEG PAIN; BURNING FROM BRA STRAP TO BRAIN; CHEST PRESSURE AND PAIN; NAUSEA; SEVERE HEADACHE; ACHE; SHORTNESS OF BREATH; FATIGUE; This spontaneous report received from a patient concerned a 46 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: 038A21A expiry: 21-JUN-2021) dose was not reported, administered on 31-MAR-2021 16:00 for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the subject experienced ache. On 31-MAR-2021, the subject experienced shortness of breath. On 31-MAR-2021, the subject experienced fatigue. Treatment medications included: paracetamol. On 31-MAR-2021 21:00, the subject experienced severe headache. On 04-APR-2021, the subject experienced burning from bra strap to brain. On 04-APR-2021, the subject experienced chest pressure and pain. On 04-APR-2021, the subject experienced pressure in leg. On 04-APR-2021, the subject experienced leg pain. On 04-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced abdominal pain. On 13-APR-2021, the subject experienced jaw pain. On 13-APR-2021, the subject experienced facial pain. 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 leg pain, and the outcome of severe headache, fatigue, ache, shortness of breath, burning from bra strap to brain, chest pressure and pain, pressure in leg, nausea, abdominal pain, jaw pain and facial pain was not reported. This report was non-serious.


VAERS ID: 1240910 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Abnormal faeces, Breast discomfort, Chest discomfort, Chills, Defaecation urgency, Diarrhoea, Dyspnoea, Erythema, Heart rate increased, Injection site pain, Migraine, Nasal congestion, Pain, Pain in jaw, Palpitations
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Osteonecrosis (broad), Hypersensitivity (broad), Noninfectious diarrhoea (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: Abstains from alcohol; Allergic reaction to antibiotics; Contrast media reaction; Drug allergy; Fibromyalgia; Lymphedema; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Back surgery; Comments: The patient had allergy to an unspecified pain medication. The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428050

Write-up: STUFFY NOSE; DIARRHEA; FAECES HAS REALLY BAD ODOUR; MIGRAINE-LIKE HEADACHE; CHILLS; INJECTION SITE PAIN; PRESSURE IN THE CHEST; RIGHT BREAST (FROM CENTER OF CHEST) UNDER THE ARMPIT STILL FEEL DISCOMFORT; HEART BEATING FASTER; FELT LIKE HEART WAS JUMPING OUT OF THE CHEST; STOMACH PAIN/SHARP PAIN; FELT THE URGE TO GO TO THE BATHROOM; REDNESS OF THE FACE; PAIN IN THE JAWS (BOTH SIDE); FELT LIKE HAVING A HEART ATTACK; PAIN SHOT UP TO RIGHT SIDE OF NECK TO SHOULDER AREA, THEN ELEVATED TO THE EARS; HARD TO BREATHE; This spontaneous report received from a patient concerned a 68 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included back surgery, and concurrent conditions included x-ray dye allergy, prednisone allergy, amoxicillin allergy, non alcoholic, non smoker, fibromyalgia, and lymphedema in the legs, and other pre-existing medical conditions included the patient had allergy to an unspecified pain medication. the patient had no 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: 1808980, and batch number: 1808980 expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 11:15 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced pressure in the chest. On 10-APR-2021, the subject experienced right breast (from center of chest) under the armpit still feel discomfort. On 10-APR-2021, the subject experienced heart beating faster. On 10-APR-2021, the subject experienced felt like heart was jumping out of the chest. On 10-APR-2021, the subject experienced stomach pain/sharp pain. On 10-APR-2021, the subject experienced felt the urge to go to the bathroom. On 10-APR-2021, the subject experienced redness of the face. On 10-APR-2021, the subject experienced pain in the jaws (both side). On 10-APR-2021, the subject experienced felt like having a heart attack. On 10-APR-2021, the subject experienced pain shot up to right side of neck to shoulder area, then elevated to the ears. On 10-APR-2021, the subject experienced hard to breathe. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced injection site pain. On 10-APR-2021 13:00:00, the subject experienced migraine-like headache. On 13-APR-2021, the subject experienced stuffy nose. On 13-APR-2021, the subject experienced diarrhea. On 13-APR-2021, the subject experienced faeces has really bad odour. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heart beating faster, and chills on APR-2021, redness of the face on 12-APR-2021, and pain in the jaws (both side) on 11-APR-2021, was recovering from migraine-like headache, pressure in the chest, and hard to breathe, had not recovered from stuffy nose, and diarrhea, and the outcome of stomach pain/sharp pain, injection site pain, felt like heart was jumping out of the chest, felt the urge to go to the bathroom, faeces has really bad odour, pain shot up to right side of neck to shoulder area, then elevated to the ears, felt like having a heart attack and right breast (from center of chest) under the armpit still feel discomfort was not reported. This report was non-serious.; Sender''s Comments: V.0 Medical assessment comment not required as per standard procedure as case was assessed as non-serious.


VAERS ID: 1240923 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Epistaxis, Hypertension, Presyncope
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), 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:
Current Illness:
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429100

Write-up: PRE-SYNCOPE; 3 NOSE BLEEDS; HIGH BLOOD PRESSURE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 13-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 2021, the subject experienced pre-syncope. On 2021, the subject experienced 3 nose bleeds. On 2021, the subject experienced high blood pressure. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from pre-syncope, and the outcome of 3 nose bleeds and high blood pressure was not reported. This report was non-serious.; Sender''s Comments: V0 : Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1240924 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-07
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PLAVIX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arterial operation NOS
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429103

Write-up: BLOODY NOSE; BELL''S PALSY; This spontaneous report received from a patient concerned a 73 year old female patient. The patient''s height, and weight were not reported. The patient''s past medical history included carotid surgery on 12-MAR-2021. The patient received vaccination with JANSSEN COVID-19 VACCINE (covid-19 vaccine ad26.cov2.s) (suspension for injection, route of admin intramuscular, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered to left arm on 02-APR-2021 for prophylactic vaccination. Concomitant medications included clopidogrel bisulfate for blood thinner. The patient reported no other symptoms or side effects after the vaccine. Around 07-APR-2021, patient started getting Bell''s palsy and went to the Emergency Room (ER) because she thought she was having a stroke. The patient was diagnosed with Bell''s palsy. The patient followed up with primary care provided on 12-APR-2021. Patient''s Bell''s palsy was not recovered completely but was almost gone. The patient had bloody nose on 13-APR-2021 and went to urgent care. The patient was told not to worry about it and ''it will probably never happen again''. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from bleeding from nose, and was recovering from bell''s palsy. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: This 73-year-old female patient experienced medically important Bell''s palsy 5 days after receiving JANSSEN COVID-19 VACCINE (covid-19 vaccine ad26.cov2.s) intramuscularly to left arm for prophylactic vaccination. The patient''s had carotid surgery 21 days prior to the vaccination. Concomitant medications included clopidogrel bisulphate. The patient reported no other symptoms after the vaccination. She started to get Bell''s palsy symptoms 5 days post vaccination and visited emergency room. She was diagnosed with Bell''s palsy. Details of symptoms, diagnosis, treatment were not reported. She followed up with primary care provider 10 days post vaccination and was seen with Bell''s palsy "almost gone". She was recovering from Bell''s palsy. The patient experienced non-serious bloody nose the next day and had recovered. Although information is limited, as there is no confirmatory epidemiologic/biologic evidence that vaccinations cause/contribute to the development of Bell''s palsy, and the most common causes include viral infection and diabetes, the event is assessed to have an indeterminate causal association to immunization, per WHO causality classification for adverse events following immunization. Company causality for Bell''s Palsy is considered not related to JANSSEN COVID-19 VACCINE. Additional information has been requested for further assessment.


VAERS ID: 1240925 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Computerised tomogram, Dyspnoea, Epistaxis, Fibrin D dimer increased, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Non-smoker; Social alcohol drinker
Preexisting Conditions: Comments: The patient had no known drug allergies and no history of drug abuse or illicit drug use. The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: CT scan; Result Unstructured Data: Negative; Test Date: 20210413; Test Name: Fibrin D dimer high; Result Unstructured Data: Elevated
CDC Split Type: USJNJFOC20210429189

Write-up: ELEVATED D-DIMER; SHORTNESS OF BREATH; NOSE BLEED; BODY ACHES; CHILLS; FEVER; HEADACHE; This spontaneous report received from a patient concerned a 44 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included social alcohol drinker, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies and no history of drug abuse or illicit drug use. the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced nose bleed. On 12-APR-2021, the subject experienced shortness of breath. On 13-APR-2021, the subject experienced elevated d-dimer. Laboratory data included: CT scan (NR: not provided) Negative, and Fibrin D dimer high (NR: not provided) Elevated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, nose bleed, chills, and fever on 12-APR-2021, and had not recovered from headache, shortness of breath, and elevated d-dimer. This report was non-serious.


VAERS ID: 1240935 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1A05031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Migraine, Nasopharyngitis
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429812

Write-up: COLD/MUCUS CONGESTION/COUGHING GREEN MUCUS/FEELING SICK/TIRED/NO ENERGY/SLUGGISH; MIGRAINE/SEVERE POUNDING HEADACHE; This spontaneous report received from a parent concerned a 24 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: 1A05031 expiry: UNKNOWN) dose was not reported, administered on 29-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced cold/mucus congestion/coughing green mucus/feeling sick/tired/no energy/sluggish. On 10-APR-2021, the subject experienced migraine/severe pounding headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the cold/mucus congestion/coughing green mucus/feeling sick/tired/no energy/sluggish and migraine/severe pounding headache was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.


VAERS ID: 1240985 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Fatigue, Headache, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (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: 20210412; Test Name: CT scan; Result Unstructured Data: normal
CDC Split Type: USJNJFOC20210430861

Write-up: ELEVATED BLOOD PRESSURE; SEVERE HEADACHE; FATIGUE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced severe headache. On 10-APR-2021, the subject experienced fatigue. On 12-APR-2021, the subject experienced elevated blood pressure. Laboratory data included: On 12/Apr/2021, computerized tomography scan was done to rule out blood clots. computerized tomography scan (CT scan) (NR: not provided) normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe headache, elevated blood pressure, and fatigue. This report was non-serious.


VAERS ID: 1241000 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort
SMQs:, Anaphylactic reaction (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: USJNJFOC20210430978

Write-up: FEELING A HEART ATTACK COMING ON; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. 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, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced feeling a heart attack coming on. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of feeling a heart attack coming on was not reported. This report was non-serious.


VAERS ID: 1241011 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blister, Body temperature, Cough, Diarrhoea, Headache, Pain, Pyrexia, Rash, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics; Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 100.7 F
CDC Split Type: USJNJFOC20210431083

Write-up: SKIN PEELING; SKIN BLISTER; RASH UNDER BREAST; HEADACHE; STOMACH PAIN; DIARRHEA; COUGH; BODY ACHES; FEVER; This spontaneous report received from a patient concerned a 52 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included sulfa allergy, and penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: 21-JUN-2021) dose was not reported, administered on 10-APR-2021 12:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced cough. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced fever. Laboratory data included: Fever (NR: not provided) 100.7 F. Treatment medications included: guaifenesin, and paracetamol. On 11-APR-2021, the subject experienced stomach pain. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced headache. On 14-APR-2021, the subject experienced skin peeling. On 14-APR-2021, the subject experienced skin blister. On 14-APR-2021, the subject experienced rash under breast. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, cough, body aches, headache, stomach pain, and diarrhea, and had not recovered from rash under breast, skin peeling, and skin blister. This report was non-serious.


VAERS ID: 1241019 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity, Ultrasound scan
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Sonogram; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210431209

Write-up: SEVERE LEG PAIN; This spontaneous report received from a patient via a company representative 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: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow up to request batch number/Lot number. No concomitant medications were reported. On an unspecified date, the subject experienced severe leg pain. Laboratory data (dates unspecified) included: Sonogram (NR: not provided) Negative. Treatment medications (dates unspecified) included: acetylsalicylic acid. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of severe leg pain was not reported. This report was non-serious.


VAERS ID: 1241072 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Eye swelling, Pain, Peripheral swelling, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431959

Write-up: ITCHY SCALP; EYES SWELL; FEET SWELL; RASH; GENERAL ACHE; CHILLS; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced general ache. On APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced itchy scalp. On 13-APR-2021, the subject experienced eyes swell. On 13-APR-2021, the subject experienced feet swell. On 13-APR-2021, the subject experienced rash. Treatment medications (dates unspecified) included: prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the itchy scalp, rash, eyes swell, feet swell, chills and general ache was not reported. This report was non-serious.


VAERS ID: 1241158 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-08
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Hot flush, Muscle spasms, Renal pain
SMQs:, Retroperitoneal fibrosis (broad), Dystonia (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: Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435760

Write-up: PAIN ON RIGHT KIDNEY AREA; MUSCLE CRAMPS ON RIGHT FOOT AND LEFT UPPER THIGH; HOT FLASHES; BACK PAIN; This spontaneous report received from a patient concerned a 60 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced hot flashes. On 08-APR-2021, the subject experienced back pain. On 09-APR-2021, the subject experienced pain on right kidney area. On 09-APR-2021, the subject experienced muscle cramps on right foot and left upper thigh. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from back pain on 09-APR-2021, and had not recovered from hot flashes, pain on right kidney area, and muscle cramps on right foot and left upper thigh. This report was non-serious.


VAERS ID: 1241190 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Peripheral swelling, Platelet count, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Endometrial cancer; Fibromyalgia; Focal seizures; Penicillin allergy; Shellfish allergy; Supraventricular tachycardia
Preexisting Conditions: Medical History/Concurrent Conditions: Brain injury; Comments: The patient was allergic to floxin based drug and zicor.
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Doppler scan; Result Unstructured Data: No blood clot found; Test Date: 20210414; Test Name: Platelet count; Result Unstructured Data: Platelet count is normal
CDC Split Type: USJNJFOC20210430143

Write-up: This spontaneous report received from a patient concerned a 63 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included brain injury, and concurrent conditions included endometrial cancer, fibromyalgia, superventricular tachycardia, focal seizure, penicillin allergy, and shellfish allergy, and other pre-existing medical conditions included the patient was allergic to floxin based drug and zicor. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 01-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced left leg swelling. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from left leg swelling. This report was non-serious.


VAERS ID: 1241246 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Mississippi  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Death, Hemiplegia
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-16
   Days after onset: 15
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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436462

Write-up: PARALYZED LEFT SIDE OF THE BODY; DEATH; This spontaneous report received from a health care professional concerned a 29 year old female. Initial information received on 16-APR-2021, processed along with information received via telephone communication on 20-APR-2021. The patient''s weight was estimated about 200 pounds (reported as overweight but healthy). The patient''s height and medical history were not reported. The patient had a baby in JAN-2021 and had a epidural at the time of birth. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose, start therapy date were not reported, 1 total for prophylactic vaccination. The vaccination site was not reported. No concomitant medications were reported. The reporter, which is a health care professional, reported that the patient''s (the reporter''s cousin) death cause could be JANSSEN COVID-19 vaccine. The reporter said that the patient was fine without symptoms for one week after her scheduled vaccine. As per the reporter, the patient received the JANSSEN COVID-19 vaccine approximately 2 weeks ago (the patient was scheduled and her family assumed she went and received the vaccine). The reporter said that one week after the vaccine date the patient went to get her hair done, and when the patient sat on the chair, she suddenly could not move her left side. Ambulance/emergency room was called and the patient was taken to the hospital. The patient was in the hospital about a week and then passed away. An autopsy was performed but results were pending. The reporter had no details regarding imaging studies or laboratory values (platelet counts, D-dimer or fibrinogen), and does not know anything about the hospital course. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient died on 16-APR-2021, and the outcome of paralyzed left side of the body was not reported. This report was serious (Death, and Hospitalization Caused / Prolonged).; Sender''s Comments: V0: This is a spontaneous report of a 29-year-old female who developed sudden hemiplegia approximately one week after receiving the Janssen COVID-19 vaccine, was hospitalized and died one week later. The patient had a history of being overweight, and was approximately 3 months post-partum. No medical history or concomitant medications were reported. The hospital details and cause of death were not provided. There are insufficient details to make a meaningful medical assessment at this time. Additional information has been requested. The case will be assessed further when additional information is received.; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH


VAERS ID: 1241317 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-16
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Gait disturbance, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210437994

Write-up: DIFFICULTY IN WALKING; INCREASING PAIN ON LEFT FOOT; This spontaneous report received from a parent concerned a 30 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: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-APR-2021, the subject experienced difficulty in walking. On 16-APR-2021, the subject experienced increasing pain on left foot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from increasing pain on left foot, and the outcome of difficulty in walking was not reported. This report was non-serious.


VAERS ID: 1241351 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Angiogram cerebral normal, Blood pressure increased, Computerised tomogram head normal, Fluid retention, Headache, Hypoaesthesia, Limb mass, Magnetic resonance imaging head normal
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: crestor, odefsey, norvasc, zebeta, bupropion,lamotrigine,cilostazol,plavix, imdur,
Current Illness: nonw
Preexisting Conditions: HIV cardiovascular disease, triple, bypass heart. carotid endarectomary both side (forgive spelling)
Allergies: no
Diagnostic Lab Data: 04/01/21 ct scan mra all blood test you can imagive, i dont know how to name them.
CDC Split Type:

Write-up: 10 days after the shot, my blood pressure rose to 198/112 and my pulse went to 161. and i called 911 and went to hospital. i had a severe headache for 3 days leading up to calling 911. finally on the April 1st, i went to hospital. i had a lump on my right shoulder never there before and i felt like the lump was causing my right side of my face to be numb. The hospital refused to believe me that i had some blood clot, they downplay the incident and instead gave me a brain CT SACN and brain MRA which was negative, they kept me for observation overnight and let me go noon the next day. since i have had follow ups with my regular doctor, a cardiologist and my nephrologist. I know that reaction was due to medication, either way glad i got the shot. BUT Since this time, I am retaining water, i know this because my rings do not fit anymore, rings i had for 20 years, never ever once had a hard time to put on or remove. I know my body, thats not the worse of it. i test my blood pressure every day at requesting of my kidney doctor, since the incudent of my pressure 198/112 my diastolic on average is raised 20 points. I log this daily. here are some examples from before the medication 111/67 , 109/63 , 129/64 , 105/62 120/81. now my pressure is totally different for example, 155/88 150/91 157/90 , 134/88. nothing else changed in my life, I am exactly the same as before only now i have covid shot.. yesterday i saw the 4th doctor since i am shot up and she gave me a new pill olmesartan medoxomil, only on it one day but my diastolic pressure is still much higher than before. i dont want to die, i dont want a stroke, or a heart attach, i have a lot to live for still. nobody is helping me, doctors are just throwing pills at me and not treating root cause which i feel strongly to beleive it is from covid shot.


VAERS ID: 1241358 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness: Uterine fibroids
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210438253

Write-up: WEIRD FEELING ON EATING NUTS; NUMB ARM; PAINFUL ARM; This spontaneous report received from a patient via a company representative concerned a 49 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included menorrhagia due to fibroids in uterus. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported,) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included cetirizine hydrochloride for seasonal allergy. On APR-2021, the subject experienced painful arm. On APR-2021, the subject experienced weird feeling on eating nuts. On APR-2021, the subject experienced numb arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the weird feeling on eating nuts, painful arm and numb arm was not reported. This report was non-serious.


VAERS ID: 1241614 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Dizziness, Fatigue, Headache, Muscle spasms, Myalgia, Nausea, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (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: None
Current Illness: None
Preexisting Conditions: Benign brain cyst
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bad headache, neck pain, back pain, muscle spasms, muscle aches, nausea, dizziness, leg pain, fatigue


VAERS ID: 1241634 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-10
Onset:2021-04-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Blood disorder, Central venous catheterisation
SMQs:, Haematopoietic cytopenias affecting more than one type of blood cell (broad), Embolic and thrombotic events, venous (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Systemic: Blood Disorder (diagnosed by MD)-Severe, Additional Details: Patient had PICC line placed on 4/13/21 and received IV antibiotics for prior infection.


VAERS ID: 1241752 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Dehydration (broad), Hypokalaemia (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: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient experienced dizziness, and hypotension post vaccination, transported to hospital via ambulance


VAERS ID: 1241772 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-26
Onset:2021-03-31
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Blister rupture, Peripheral swelling, Pruritus, Thrombosis, Ultrasound scan, Urticaria
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), 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), 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: Actos 45 mg ,Basaglar pen, Glipizide/Metformin 5-500mg, Losartan Pot/Hydrochlorothiazide 100-25 tab. Amlodipine Besylate Tab 10mg Atorvastatin Calcium Tab 20mg, Montelukast Sodium Tab 10mg, Xyzal 5mg
Current Illness:
Preexisting Conditions: Diabetes , high blood pressure
Allergies: sulfur drugs
Diagnostic Lab Data: Have had an ultra sound done on my legs
CDC Split Type:

Write-up: I have severe swelling in both legs from knee to my feet, severe itching and hives, legs have blistered and burst open. I also have a Blood clot in my lower left leg. Have tried 2 kinds of antibiotics, I am on Xarelto 10 mg tab for the blood clot


VAERS ID: 1241780 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Chest discomfort, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (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: Lisinopril Valcyclovir OTCIron pill Triamtrene/hctz
Current Illness: High Blood Pressure
Preexisting Conditions: Good
Allergies: Tree nuts/Spinach
Diagnostic Lab Data:
CDC Split Type:

Write-up: On April 16th, I started having heart palpitations. Racing of the heart. It?s bothersome when I eat. Pain in the upper back. Discomfort in the chest.


VAERS ID: 1241781 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest discomfort, Dyspnoea, Electrocardiogram, Pain in extremity, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac 40mg Qsymia 11.25mg Iron Supplement Flonase Zyrtec Wellbutrin
Current Illness:
Preexisting Conditions: Depression
Allergies: Seasonal Allergies
Diagnostic Lab Data: EKG Chest X-Ray Blood Tests
CDC Split Type: vsafe

Write-up: Three days after the vaccine I started to get a feeling of pressure on my chest. I woke up during the night because it was hard to breath. I had leg pain in both my sides. The leg pain lasted three days. I took it easy for the next two days. I called the doctor and she advised me to go to the ER. I was given an EKG and Chest X-Ray and blood work. I still have the feeling of pressure on your chest after two and a half weeks. It is a similar feeling to when I had the Covid-19 in October of 2020. It is not any better or worse than when it started.


VAERS ID: 1241804 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-12
Onset:2021-04-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Burning sensation, Chills, Hypersensitivity, Immediate post-injection reaction, Miliaria, Muscular weakness, Paraesthesia, Peripheral swelling, Pruritus, Pyrexia, Rash macular, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: biotin
Current Illness: sinus congestion 3 weeks prior, fully recovered at the time of
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Blood work.
CDC Split Type:

Write-up: Immediately felt weakness in arm/hand of injection with tingling in hand. Minutes later tingling in left foot. Tingling continues to occur but less frequently. Early morning the next day (4/13) had chills and fever. Fever continued through early afternoon. On 4/19 both feet felt like they were on fire and the soles itched like crazy. Went away after an hour. Around 5:30 am red spots appeared on the bottoms of feet which were very warm. This went away. Throughout the day I had red spots on my feet and legs that would be red, warm, and some itchy that would come and go. My thighs had spots that appeared to be heat rash. At 7:30 pm areas on feet were bright red, warm and slightly swollen.Diagnosed with allergic


VAERS ID: 1241814 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test, Chest X-ray, Chest pain, Computerised tomogram, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Headache, Heart rate, Heart rate increased, Nausea, Pain, Pyrexia, SARS-CoV-2 test, Urine analysis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Norethinedrone, Flonase
Current Illness: None
Preexisting Conditions: Asthma with hospitalization (as a child)
Allergies: Seasonal allergies, cats
Diagnostic Lab Data: Ct with contrast (4/18), chest X Ray (4/17), several blood tests (4/17 and 4/18), urine samples (4/17, 4/18 & 4/19), several Covid tests (4/17), electrocardiogram (4/18), echocardiogram (scheduled for 4/23), heart monitor (4/18-4/20)
CDC Split Type:

Write-up: Pain in one side of body, fever for 12 days, shortness of breath, elevated heart rate, dizziness, nausea, chest pain, head aches, back pain. Doctor has diagnosed as delayed immune response to the vaccine.


VAERS ID: 1241867 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Resuscitation, Syncope, Thrombosis
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Received the vaccine approximately 12:22 PM on Saturday, April 10, 2021. At approximately 6:55 pm that same day (Saturday, April 10, 2021) my husband collapsed in our living room. I called 911 and the operator talked me through how to do chest compression CPR on my husband until the paramedics arrived. My husband was then taken by ambulance to hospital where doctor performed an emergency procedure wherein he removed the blood clot in one of my husband''s stints (he has three) that he had put in in 2017. Doctor was able to eventually stabilize my husband''s heart. My husband spent 5 days in the hospital as a result of this.


VAERS ID: 1241954 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Feeling abnormal, Headache, Hypoaesthesia, Magnetic resonance imaging, Neck pain, Paraesthesia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad), Hypoglycaemia (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vyvanse Topamax citalopram
Current Illness: none
Preexisting Conditions: occasional migraines
Allergies: metocloprimide,
Diagnostic Lab Data: ct, mri, a whole gammot while they thought I was having a stroke on 4/15-4/16
CDC Split Type:

Write-up: severe headache, neck pain, numbness and tingliness on right side , foggybrain, tremors


VAERS ID: 1241983 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-07
Onset:2021-04-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chills, Dyspnoea, Headache, Heart rate increased, Pyrexia, Sinus tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
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: None
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient called to report her reaction today to the county vaccination effort and ask for a copy of her consent. Patient stated that 4 hours after vaccine administration, she experienced headache, fever, chills, rapid heart rate, and shortness of breath. After 30 minutes of symptom onset, she presented at local emergency room and was admitted with sinus tachycardia. Patient was discharged the following morning. She states she followed up yesterday with her PCP, states she has some lingering hip and back pain, but original symptoms have resolved.


VAERS ID: 1241986 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-15
Onset:2021-03-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Adverse reaction, Blood test, Hypoaesthesia, Peripheral swelling, Thrombosis, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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? 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: -Baclofen 10mg (3x daily) -budesonide 180 mcg (as needed) -dextroamphetamine 24 hr-cr 15 mg (2x daily) -dextroamphetamine 10 mg (2x daily) -hydrocodone/acetaminophen 10mg/325mg (4x daily) -lorazepam 2mg (as needed) -morphine 12hr-cr 60mg (2
Current Illness: none
Preexisting Conditions: -Schizoaffective disorder -bipolar -OCD -chronic pain -asthma -chronic anxiety -ADD
Allergies: -Sulfa Antibiotics -Buspirone hcl -Tramdol hcl -Toradol -Promethazine hcl -iodinated diagnostic agents through IV -latex -hydromorphone
Diagnostic Lab Data: AE #2: 4/13/2021 Leg Ultrasound and bloodwork
CDC Split Type:

Write-up: I had 2 adverse reactions to the Janssen Covid-19 Vaccine EUA: AE #1) Roughly 15 minutes after receiving the vaccination, the lower half of my face went numb for approximately 3 hours. The people who administered the vaccine made me stay at the site for about an hour and a half to make sure that the reaction did not get worse. AE #2) 10 days after receiving the vaccination, the lower part of my left leg began to swell significantly. I went to the emergency room on 4/13/2021. When I was there, they did tests and confirmed that I have a blood clot behind my knee. To treat the blood clot, the emergency room doctor gave me lovenox 110mg and warfarin 5mg. Since then, I have followed up with my primary doctor who has me taking warfarin 10mg ( 1x daily) and lovenox (as needed).


VAERS ID: 1242035 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-13
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle spasms, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dystonia (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: Prilosec, hydroclorithia, percocet, morphine
Current Illness: None
Preexisting Conditions: Fibromyalgia
Allergies: Cipro, bactrim, cortisone
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash, hives all over from head to toe, very itchy, went to ER told to take Benadryl, did not help, went back to ER next night I was given pepcid and Atarax wich did help relieve somewhat. Symptoms lasted for 4days. Now I getting severe muscle cramps in hands, legs, feet and between shoulder blades about 10 times at night and consistently during the day.


VAERS ID: 1242060 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-11
Onset:2021-04-02
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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: Pantoprozal, prevastatin, Invokana, Levothyroxine Sodium, Losartan Potassium Cozaar, vitamin E, Vitamin D3, Tums, Multivitamin, Metoprolol, Ester C, Jentadueto
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: Aspirin, CT dye, Penicillin, Levaquin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: April 2, 2021 Friday morning I had a severe nose bleed. I had my son drive me to the ER. They packed my nose and sent me home. That evening around 4:00 pm it was still seeping so I went back to the ER. They didn?t want to do anything with it because they had it almost stopped. It stopped the next day. Packing stayed in all weekend until Monday morning when I returned to the ER to have it removed as per instruction. I followed up with Dr. that Thursday and he cauterized two spots in my nostril.


VAERS ID: 1242078 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Blood test normal, Headache, Lethargy, Nausea, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Ultrasound scan normal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: asthma inhalers: pro air, wixela (2x day), Montelukast multivitamin and calcium supplement flonase
Current Illness: none
Preexisting Conditions: asthma
Allergies: nsaids/tylenol/tramadol
Diagnostic Lab Data: at doctor''s advice, went to ER - ultrasound on legs clear, blood tests clear, covid test negative
CDC Split Type:

Write-up: first 24 hours: fever, headache, lethargy, abdominal pain, nausea, constant leg pain symptoms continued for five days, then largely subsided all returned except fever on 8th day, still continue


VAERS ID: 1242119 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-16
Onset:2021-04-15
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cerebellar infarction, Ischaemic stroke, Magnetic resonance imaging head
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine Besylate 10 mg; Atenolol 25 mg Baby Aspirin Gemfibrozil 600 mg Hydroxychloroquine 200mg Paroxetine 20 mg Simvastatin 20 mg Triamterene HCTZ 37.5-25mg Leflunomide 10mg Lorazepam .5mg Ropinirole 1 mg
Current Illness: none
Preexisting Conditions: Hypertension; Sjrogrens syndrome; COPD
Allergies: none known
Diagnostic Lab Data: MRI of brain
CDC Split Type:

Write-up: Ischemic Stroke on 4/15/2021; Extensive and closely adjoining foci of acute infarction in left, extending from parietal operculum through insula and external capsule to eat ependymal margin of left lateral ventricle;


VAERS ID: 1242148 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Back pain, Blood test normal, Chest pain, Chills, Confusional state, Culture urine negative, Dehydration, Depression, Dizziness, Electrocardiogram normal, Fatigue, Feeling abnormal, Fibrin D dimer normal, Full blood count normal, Heart rate increased, Human chorionic gonadotropin negative, Hyperhidrosis, Insomnia, Metabolic function test, Myalgia, Nausea, Neck pain, Pain, Pain in extremity, Pyrexia, Syncope, Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: spironolactone
Current Illness:
Preexisting Conditions: scoliosis
Allergies:
Diagnostic Lab Data: From ER visit on 4/18: EKG 12 lead, covid-19 test, Urine culture, CBC and differential , Comprehensive metabolic panel, D-dimer quantitative, Urinalysis, hCG serum qualitative *None had abnormalities
CDC Split Type:

Write-up: 4/8-4/9: arm pain, chills, chattering teeth, fever, sweating, dehydration, insomnia 4/9: fatigue, brain fog/confusion 4/8-4/22: random muscle pains mostly in legs, ankles, feet 4/17: insomnia, sweating, neck pain, nausea, dizziness, fainting, muscle pains, dehydration, anxiety/elevated heart rate -$g went to ER at 4am on 4/18, tests found no abnormalities 4/17-4/22: neck pain and upper back, fatigue, muscle pains, anxiety/elevated heart rate (intermittent chest pain/sensitivity), insomnia, general discomfort overall and thus depression from not feeling normal for so long


VAERS ID: 1242177 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Tongue disorder, Vital signs measurement
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Shellfish, latex and flu vaccine
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Client received the vaccine and post vaccination wait-period of 30 minutes she reported having a "thickness of the tongue." Client reports having no other symptom. Client''s BP was 139/91 p84 and O2 sat 98. EMS was called and Medic assessed client and was determined that client was having a mild allergic reaction and she was transported to hospital.


VAERS ID: 1242187 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-03-06
Onset:2021-03-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Adnexa uteri pain, Back pain, Condition aggravated, Contusion, Diarrhoea, Dyspepsia, Dyspnoea, Fatigue, Feeling abnormal, General symptom, Headache, Heavy menstrual bleeding, Nausea, Ovarian cyst ruptured, Ultrasound uterus normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)

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

Write-up: On March 6, 2021, I received the Johnson and Johnson Vaccination at about 8:15 am. Around 7:00 pm that evening I started to experience the normal symptoms that they had advertised. Yes, I felt like I COVID again for about 48 hours, but nothing alarming. On March 12, 2021, I went to an appointment with doctor due to extreme abdominal cramping and very heavy period. This is not totally out of the norm due to my infertility, but I felt like something was off. I had random abdominal bruising and ruptured cyst pain; which I am still experiencing. She ordered an ultrasound to rule out a mass in my uterus due to the extreme pain and bruising. On March 22, 2021, I woke up at 3:00 am with extreme stomach pain and extreme diarrhea. As the morning went on I began to feel worse and worse. Other symptoms I experienced were; severe headache, shortness of breath, heartburn (I felt like I was having a heart attack), nausea, back pain, and extremely tired. At 6:30 am took me to the ER due to my worsening symptoms. Everything checked out fine and they thought I could have an ulcer, but I wanted to make you aware of these symptoms that I experienced. I still have days that I experience some of these symptoms, but they have been under control and monitored closely.


VAERS ID: 1242233 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-11
Onset:2021-03-26
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Pulmonary embolism, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
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: To many to count, medical record available upon request.
CDC Split Type:

Write-up: Blood clots in the Liver and Kidney also Pulmonary Embolism. went to ER was admitted and spent 6 days there. was put on Heparin as well as antibiotics. currently on Warfarin to maintain proper blood INR numbers.


VAERS ID: 1242425 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-03-20
Onset:2021-03-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abnormal behaviour, Confusional state, Hallucination, Loss of consciousness, Memory impairment, Migraine, Neurological symptom, Paraesthesia, Peripheral swelling, Seizure, Sensory loss
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions: congenital heart condition, multiple heart surgeries, pacemaker
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient does not remember most of the adverse event. Patient''s partner reports that patient started feeling a tingling sensation on his left arm about 10 minutes after vaccination. Partner also reports that patient was hallucinating and sending her confusing text messages during his 15 minute observation period. The patient did not report feeling any adverse symptoms at the checkout station after his 15 minute observation period and before leaving the vaccination clinic. After patient returned home, his partner reports considerable swelling on his left arm, continued hallucinations and trying to dismiss her concerns. Subsequently, that same day, partner reports the patient had a severe migrane and began to lose feeling on his left arm and leg, at which point the patient also lost consciousness. Also at this point, the partner calls 911. After arrival of emergency personnel, the patient regains consciousness, but does not remember name and complains of continued pain on his arm. He is transported to hospital where he spends 3 nights and receives treatment and care for stroke symptoms. Patient reports that he does not remember much of anything 1.5 days after vaccination. After returning home from hospital, patient complains of memory lapses and begins seeing neurologist for minor seizures during his sleep. Wife reports that patient now lashes out and easily loses temper due to the fact that his memory is foggy.


VAERS ID: 1242429 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-27
Onset:2021-04-03
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Axillary vein thrombosis, Pain in extremity, Peripheral swelling, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), 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: testosterone gel, fluticasone propionate NS, omeprazole, zolpidem prn
Current Illness: none
Preexisting Conditions: male hypogonadism/ low testosterone, seasonal allergic rhinitis, GERD w Barrett''s, insomnia
Allergies: aspirin, shellfish, iodine products,,beesting
Diagnostic Lab Data: as above, venous ultrasound left upper extremity 4/16/2021
CDC Split Type:

Write-up: developed swelling and pain left arm within 1 week of administration Janssen Covid -19 vaccine IM left arm on 3/27/2021, on 4/16/21 left upper extremity venous sonogram demonstrated left axillary vein thrombosis


VAERS ID: 1242450 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-15
Onset:2021-04-20
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase decreased, Basophil count normal, Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide normal, Chest X-ray abnormal, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Eosinophil count normal, Fibrin D dimer, Haematocrit normal, Haemoglobin decreased, Immature granulocyte percentage increased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test abnormal, Monocyte count normal, Neutrophil percentage increased, Nucleated red cells, Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width increased, Troponin I normal, White blood cell count normal
SMQs:, Liver related investigations, signs and symptoms (broad), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Myelodysplastic syndrome (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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 Outpatient Medications: ? albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulizer solution, Take 2.5 mg by nebulization 4 times daily., Disp: , Rfl: ? albuterol (PROVENTIL, VENTOLIN) 90 MCG/ACT inhaler, Inhale 1 Puff by mouth every
Current Illness:
Preexisting Conditions:
Allergies: Allergen Reactions ? Morphine Hallucinations and Headache ? Codeine Rash ? Lovenox Other/Unknown (See Comments) Abdominal wall hematoma
Diagnostic Lab Data: CTA Chest For Pulmonary Embolism w Contrast [245811813] Collected: 04/20/21 1327 Order Status: Completed Updated: 04/20/21 1348 Narrative: EXAMINATION: CTA Chest with Intravenous Contrast, Axial Imaging with Coronal and Sagittal 2-D imaging as well as 3-D MIP reconstructions. 80 mL Omnipaque 300 was administered intravenously. was administered intravenously for the post-contrast images. INDICATION: Elevated d-dimer 1330. History of pulmonary emboli. COMPARISON: PA and lateral chest x-ray 4/20/2021 and CT chest, abdomen and pelvis without contrast 7/6/2017. CTA CHEST FINDINGS: There is submaximal contrast opacification of the pulmonary arteries related to timing of imaging with regards to the phase of contrast, which may lower the sensitivity and specificity in evaluation of pulmonary emboli, especially in the distal subsegmental branches. Allowing for the limitations, no gross evidence of pulmonary emboli in the adequately opacified pulmonary arteries. Main pulmonary artery measures 3.2 cm in diameter. Aorta is age-appropriate without aneurysm. Direct origin of the left vertebral artery from the aortic arch proximal to the origin of the left subclavian artery, a normal variant. Mild atherosclerotic calcifications in the aortic arch and in the proximal left anterior descending coronary artery. Heart size is normal with no pericardial effusion. No pathologic adenopathy is seen in the chest. Nonspecific hypodense lesions in the included lower left lobe of thyroid measuring up to 1 cm, with the thyroid incompletely included on this exam. Minimal scarring in the lung apices. Minimal atelectasis or scarring in the anterior lingula or possibly artifact due to volume averaging with pericardial fat pad. No acute infiltrate, consolidation, pleural effusion or pneumothorax. No suspicious pulmonary nodule is visualized. Partially included upper abdominal organs are unremarkable. Stable chronic compression deformity approximately T5 and T8 vertebral bodies since chest x-ray of 9/30/2019, with suspected slight progression of compression fracture of T5 vertebral body since chest x-ray of 9/12/2018, with the compression deformity of T5 vertebral body new since CT chest exam of 7/6/2017. No acute osseous abnormality. IMPRESSION: 1. Limited evaluation for pulmonary emboli due to submaximal contrast opacification of the pulmonary arteries. Allowing for the limitations, no pulmonary emboli in the relatively adequately opacified central pulmonary arteries with limited evaluation of the distal subsegmental branches. 2. Nonspecific hypodense lesions in the partially included inferior left lobe of thyroid measuring up to 1 cm, which appear new since 2017. Suggest thyroid ultrasound exam for further evaluation. 3. Chronic compression deformities of T5 and T8 vertebral bodies, stable since at least 9/30/2019, with T5 compression fracture new since 7/6/2017. 4. Incidental direct origin of the left vertebral artery from the aortic arch, a developmental variant. Coronary artery calcifications. This CT exam was performed using one or more of the following dose reduction techniques: automated exposure control, adjustment of the mA and/or kV according to patient size, and/or use of iterative reconstruction technique. Radiation Dose: 607.8 mGy*cm total DLP Electronically signed by: Doctor 4/20/2021 1:47 PM CDT Workstation: 109-01249NK APTT [245811811] Collected: 04/20/21 1231 Order Status: Completed Specimen: Blood Updated: 04/20/21 1312 APTT 27.5 25.4 - 38.4 SEC Protime (Prothrombin Time) [245811810] Collected: 04/20/21 1231 Order Status: Completed Specimen: Blood Updated: 04/20/21 1312 PROTIME 11.3 10.3 - 12.6 SEC INR 0.9 0.9 - 1.1 Comment: Recommended therapeutic ranges or oral anticoagulant is and INR of 2.0 to 3.0. An INR of 2.5 to 3.5 is recommended to prevent recurrent MI. Protime (Prothrombin Time) [245811798] Collected: 04/20/21 1218 Order Status: Completed Specimen: Blood Updated: 04/20/21 1312 PROTIME 11.2 10.3 - 12.6 SEC INR 0.9 0.9 - 1.1 Comment: Recommended therapeutic ranges or oral anticoagulant is and INR of 2.0 to 3.0. An INR of 2.5 to 3.5 is recommended to prevent recurrent MI. Brain Natriuretic Peptide (BNP) [245811799] Collected: 04/20/21 1218 Order Status: Completed Specimen: Blood Updated: 04/20/21 1301 B-Type Natriuretic Peptide 22 0 - 100 PG/ML D-dimer, quantitative [245811805] (Abnormal) Collected: 04/20/21 1218 Order Status: Completed Specimen: Blood Updated: 04/20/21 1259 D-Dimer 1,330High Panic 0 - 400 NG/ML FEU Comprehensive metabolic panel [245811797] (Abnormal) Collected: 04/20/21 1218 Order Status: Completed Specimen: Blood Updated: 04/20/21 1246 Glucose 108High 65 - 100 MG/DL Blood Urea Nitrogen 16 7 - 18 MG/DL Creatinine 0.9 0.5 - 1.0 MG/DL Sodium 141 136 - 145 MMOL/L Potassium 4.0 3.5 - 5.1 MMOL/L Chloride 107 98 - 107 MMOL/L Co2 25 21 - 32 MMOL/L Calcium 8.9 8.5 - 10.1 MG/DL Protein Total 7.4 6.4 - 8.2 G/DL Albumin 3.5 3.4 - 5.0 G/DL A/G Ratio 0.9 0.8 - 2.0 Alkaline Phosphatase 131High 46 - 116 U/L Alt (SGPT) 24 14 - 59 U/L AST(SGOT) 14Low 15 - 37 U/L Bilirubin, Total 0.3 0.2 - 1.0 MG/DL GFR Comment IF PATIENT IS AFRICAN AMERICAN, MULTIPLY RESULT BY 1.16 Est GFR 66Low $g90 ML/MIN/1.73sq.m Troponin Series [245811800] Collected: 04/20/21 1218 Order Status: Completed Specimen: Blood Updated: 04/20/21 1246 Troponin I 0.00 0.00 - 0.06 ng/mL Comment: 0.1 to 0.5 ng/mL shows an increased risk of AMI. 0.6 to 1.5 or greater is suggestive of AMI. XR Chest 2 View [245811802] Collected: 04/20/21 1229 Order Status: Completed Updated: 04/20/21 1246 Narrative: EXAMINATION: AP and lateral radiograph(s) of the chest CLINICAL HISTORY: 67 years Female,Shortness of breath COMPARISON: There is no prior similar study available for correlation. FINDINGS: The cardiomediastinal size and contour are normal. There is mild to moderate atherosclerotic disease The lungs are clear with no pneumothorax, pleural effusion or focal airspace consolidation. There is 20% compression deformity of a single mid thoracic vertebral body of uncertain age. IMPRESSION: No acute cardiopulmonary process Mild to moderate atherosclerotic disease 20% compression deformity of a single mid thoracic vertebral body of uncertain age Electronically signed by: Doctor 4/20/2021 12:45 PM CDT Workstation: 109-0082SB8 CBC w Auto Diff [245811796] (Abnormal) Collected: 04/20/21 1218 Order Status: Completed Specimen: Blood Updated: 04/20/21 1228 White Blood Cell Count 9.3 4.3 - 10.5 THOUS/uL Red Blood Cell Count 4.27 3.93 - 5.07 MIL/uL Hemoglobin 11.9 11.8 - 14.8 GM/DL Hematocrit 38.2 35.6 - 45.0 % Mean Corpuscular Volume 89.5 83.5 - 95.9 FL Mean Corpuscular Hemoglobin 27.9 27.4 - 32.0 PG Mean Corpuscular Hemoglobin Conc 31.2Low 31.5 - 34.7 G/DL Rdwcv 17.0High 11.8 - 14.2 % Rdwsd 55.8High 37.2 - 47.8 FL Platelet Count 213 167 - 402 THOUS/uL Mean Platelet Volume 9.2 8.8 - 12.0 FL Nucleated Red Blood Cells 0.0 0.0 /100 WBC''S Abs NRBC 0.0 0.0 THOUS/uL Differential Type AUTO Neutrophils 71.0High 34.0 - 67.9 % Lymphs 18.4Low 20.4 - 48.6 % Monocytes 7.2 5.0 - 11.5 % Eos 1.8 1.0 - 5.4 % Basos 0.5 0.2 - 1.3 % Neutrophils Absolute Count 6.6 2.1 - 6.6 THOUS/uL Lymphocytes Absolute Count 1.7 1.2 - 3.9 THOUS/uL Monocytes Absolute Count 0.7 0.3 - 0.8 THOUS/uL Eosinophils Absolute Count 0.2 0.1 - 0.4 THOUS/uL Basophils Absolute Count 0.1 0.0 - 0.1 THOUS/uL Imm Gran 1.1High 0.1 - 0.7 % Abs Imm Gran 0.10 0.0 - 0.1 THOUS/uL
CDC Split Type:

Write-up: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front. Patient says shortness of breath is worse with lying down and with activity. Patient also complained of cough that is nonproductive. No fever or chills, no nausea vomiting and no abdominal pain. Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain. Patient said the the shortness of breath is similar to the last time she had blood clot.


VAERS ID: 1242480 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Chest pain, Computerised tomogram head, Computerised tomogram thorax, Headache, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control
Current Illness:
Preexisting Conditions:
Allergies: Bactrim, macrobid, azythromycin, Victodin
Diagnostic Lab Data: Chest and head CT
CDC Split Type:

Write-up: Severe headache, fever, chest pain, back pain, rash


VAERS ID: 1242493 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-03-13
Onset:2021-03-16
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Dyspnoea, Irregular breathing, Pain, Pulmonary embolism, Pyrexia, Thrombosis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (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: One-a-Day multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: CT test on March 16, 2021 at County Health Center
CDC Split Type:

Write-up: On March 13, I received the Johnson & Johnson vaccine at the clinic The pharmacist monitored me for symptoms but there were none right away. I did have a fever and some body aches in the two or three days that followed but those were short-lived. While driving on March 16, I started experiencing some irregular breathing and periods of shortness of breath about three hours after leaving home. I stopped at the emergency room at the Health Center where Dr diagnosed me with an acute pulmonary embolism after discovering a small blood clot in one of my lungs. He prescribed me with Eliquis, which I am still taking today. Their phone number is provided if you have questions. I haven''t had too many shortness of breath episodes lately but do not know if the blood clot is still there. I am scheduled to see my hematologist on April 27 to get further updates on this. My hematologist Dr is located in clinic number provided While it has not yet been proven that the vaccine caused the blood clot in my lung, I feel the need to report this in the wake of recent news about the Johnson & Johnson vaccine. My hematologist and primary care physician are both aware that I have received the vaccine but I have not received any further communication from them.


VAERS ID: 1242541 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Chills, Dry mouth, Fatigue, Fibrin D dimer, Pain in extremity, Pain in jaw, Pyrexia, Throat irritation
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Emergen-C, meclizine, valtrex
Current Illness:
Preexisting Conditions: GERD, hyperlipidemia, low back pain, TMK disorder
Allergies: Chocolate, iodinated contrast media, shellfish, sulfa, trimethoprim, azithromycin, penicillin G potassium, codeine
Diagnostic Lab Data: D-dimer <0.27 on 4/15 at 1344.
CDC Split Type:

Write-up: About 20 minutes after getting vaccine pt. had sharp pain in jaw, dry mouth, scratchy throat. In the following days she developed severe leg pain and burning, fatigue, chills, and fever as high as 99.4. As of 4/22 patient has just started feeling better, no more leg pain, fever has resolved.


VAERS ID: 1242564 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Client received Jansen Covid Vaccine and was getting ready to walk to his vehicle when he felt "weak" and fainted. Client was supported by his wife along a worker and he was slided to the ground, client did not sustained any visible injuries. BP was 89/44 p 52. Ambulance was called, client was evaluated and transported by Medic.


VAERS ID: 1242613 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-22
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: vitamin and paroxetine
Current Illness: None
Preexisting Conditions: asthma
Allergies: Theophylline. blue cheese, and cinnamon
Diagnostic Lab Data: Urgent Care
CDC Split Type:

Write-up: shingles


VAERS ID: 1242635 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes zoster, Pain in extremity, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: on-off leg cramping
Preexisting Conditions: DM, HTN, Hypercholesterolemia, Obesity
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: leg pain, used ice pack x $g12 hours, when removed had rash, patient, went to ED on 4/12/2021 and diagnosed with shingles


VAERS ID: 1242694 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-08
Onset:2021-04-19
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Gait disturbance, Hypoaesthesia, Impaired driving ability, Lacunar infarction, Magnetic resonance imaging head abnormal, Scan with contrast, Thrombosis, Ultrasound scan
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Lisinapril 10mg daily Montelukast 10mg daily Timolol Maleate 1 drop both eyes 2 times per day Venlafaxine 75mg daily Vitamin D3 25mcg daily Biotin 10,000mcg
Current Illness: UVitis - Retasert Implant Colon Rectal Cancer - Surgically removed no treatment or prescription required
Preexisting Conditions: Hypertension - no issues with daily Medication
Allergies: MRI dye
Diagnostic Lab Data: Chest Xray 03/20/21 CT scan with and without contrast 03/20/21 MRI with and without contrast 03/20/21 Echo with and without Bubble test 03/21/21 Cholesterol panel 03/21/21 Misc Blood work-specific test unknown
CDC Split Type:

Write-up: 03/19/21 woke up with numbness on whole right side of body (head to toe). Referred to ER by Family Physician on 03/20/21. admitted to hospital for testing. MRI confirmed a blood clot caused a Lacuna Infarcts Event (type of mini stroke) The patient continues to have numbness and difficulty walking, driving and has affected her normal daily activities. The patient will be required to start Plavix and baby aspirin. Waiting for requirement for Prolong numbness which affects her daily activity.


VAERS ID: 1242697 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-09
Onset:2021-03-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Flushing, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received J&J vaccine at another facility (Health Department) on 3/9. Patient was in route back home and developed facial flushing and increased heart rate. patient presented to this reporters ED. Pateint treated with Diphenhydramine 25mg IV, Lorazepam 0.5m po, ondansetron 8mg po and IV fluids. Symptoms resolved. further workup unremarkable. patient discharged to home


VAERS ID: 1242719 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-25
Onset:2021-03-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Dyspnoea, Headache, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache, bilateral lower extremity edema, stomach pain, shortness of breath


VAERS ID: 1242735 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-04-10
Onset:2021-04-20
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Electronic cigarette user, Eye pain, Fibrin D dimer, Full blood count, International normalised ratio increased, Magnetic resonance imaging head abnormal, Metabolic function test, Migraine, Platelet count decreased, Scan with contrast, Thrombocytopenia, Venogram abnormal, Vision blurred, Vomiting, White matter lesion
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OTC: Multiviatmin tablet by mouth daily, fish oil capsule by mouth daily, creatine poweder - frequency unknown Precription: None
Current Illness: None reported.
Preexisting Conditions: None reported
Allergies: NO known drug allergies
Diagnostic Lab Data: 4/21/2021 @ 1659 Platelets 66 D-Dimer Qunantatative $g 12,800 INR 1.2 CT of head without contrast: 1. Fairly abnormal CT of the head with patchy areas of abnormal attenuation throughout the white matter, which may represent edema. 2. Dense-appearing superior sagittal sinus, potentially representing venous thrombosis. 3. Recommend a contrast-enhanced MRI of the brain, as well as an MRV of the brain. 4. The findings were called at 6:15 PM MRI Brain with and without Contrast: 1. The findings are most consistent with venous thrombosis with involvement of the right jugular, right transverse sinus and superior sagittal sinus. 2. There is patchy edematous change within the subcortical white matter areas bilaterally and symmetrically. No CVA. 3. The findings are called at 8:15 PM. MRI Angiogram Heat without Contrast: 1. The findings are most consistent with venous thrombosis with involvement of the right jugular, right transverse sinus and superior sagittal sinus. 2. There is patchy edematous change within the subcortical white matter areas bilaterally and symmetrically. No CVA. 3. The findings are called at 8:15 PM.
CDC Split Type:

Write-up: ED NOTE is as follows...from 4/21/21 @ 21:47 a 28 y.o. male who to the emergency room with reports of a headache for the last 48 hours. He reports this as being one of the worst headaches he has ever had. He was seen at urgent care and given Toradol, Zofran and Benadryl and still rates his pain an 8 out of 10. He does feel pressure behind his eyes. And reports vomiting in the parking lot at urgent care. He denies abdominal pain back pain, neck pain, shortness of breath, chest pain, numbness or tingling or any other worsening concerns. Reports that he did receive a recent Johnson & Johnson vaccination. Patient states he does vape. He occasionally drinks alcohol he denies any illicit drugs. Patient denies any head trauma. Diagnosis management comments: This is a 28-year-old male arrives to the emergency room with reported migraine headache for the last 48 hours. He did report that he was go to urgent care in which he received a migraine cocktail of Zofran, Benadryl and Toradol. Patient reported that his headache was not resolved so urgent care sent him on for further evaluation. Patient upon arrival had a negative neurological exam however he did report that he had pressure behind his eyes. Was unable to see any papilledema on funduscopic exam. Check patient''s pressures bilaterally and they were 21 and 18. Patient did report to me that this was the worst headache of his life. I did administer IV fluids here as well as Tylenol and morphine. Patient did report some improvement. Patient did report in his past medical history had a recent Johnson & Johnson vaccination. A CBC and CMP was obtained. Did have thrombocytopenia with a count of 66. Since my exam was PERRL with normal extraocular movements. He had no eye redness or eye pain. Of low concerns for any iritis or uveitis. Patient''s patient CT of his head did show a abnormal CT that had a dense appearing superior sagittal sinus that was representing a venous thrombosis. Radiologist did recommend a MRI MRV. An MRI and MRV was ordered. Patient MRI MRv did show findings are consistent with a venous thrombosis involving the right jugular right transverse sinus and superior sagittal sinus there is also a patchy edematous change within the subcortical white matter areas bilaterally and symmetrically. There was no CVA. With patient''s reported migraine headache. Reported blurred vision, low platelets, recent vaccination I do believe patient has vaccine induced thrombotic thrombocytopenia. With this finding I did converse with my overseeing physician Calls were made out to neurology and then a call out did prefer to have patient started on IVIG at 1 g/kg daily for 2 days and blood thinner Xarelto 15 mg p.o. twice daily. These orders were initiated. Internal med services was consulted and with conversations of family, internal med services out possible transfer that an interventionalists could be available if patient needed it. Report was given at 2100 upon my end of shift.


VAERS ID: 1242755 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-04-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 2024214 / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Dyspnoea, Pain in extremity, Peripheral swelling, Ultrasound scan
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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), 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: none
Preexisting Conditions: otherwise healthy
Allergies: none
Diagnostic Lab Data: Anticoagulation and CT to rule out PE have not been performed as of yet.
CDC Split Type:

Write-up: Developed transient SOB on 4/16 that resolved on 4/18. Developed left leg pain and swelling on 4/19. LE ultrasound revealed extensive DVT. Does report a 4 hour plane ride 4 weeks ago.


VAERS ID: 1242758 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-05
Onset:2021-04-21
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Cough, Diarrhoea, Dyspnoea, Myalgia, Pyrexia, SARS-CoV-2 test positive, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: None known
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received first and only dose of Janssen J&J COVID vaccine on 4/5/2021. 2 weeks later, patient would have been considered to reach full immunity. On 4/21/2021, pt went to the ED with symptoms of COVID and tested positive via SARS-CoV-2 PCR. Pt was not ill enough to be admitted. "Symptoms include nonproductive cough, pleuritic chest pain, shortness of breath, arthralgias, myalgias, fever, vomiting, diarrhea."


VAERS ID: 1242793 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-09
Onset:2021-04-21
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood glucose increased, COVID-19, Decreased appetite, Nausea, SARS-CoV-2 test positive
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM 2, HTN, UTIs, hyperlipidemia
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR from specimen collected 4/21/2021
CDC Split Type:

Write-up: Admitted with high blood glucose, intermittent nausea, decreased appetite. Subsequently found to be COVID1-9 positive. $g14 days post vaccine completion.


VAERS ID: 1242807 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / N/A LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Blood test normal, Chest pain, Chills, Electrocardiogram normal, Heart rate increased, Hypertension, Impaired work ability, Migraine, Pain, Palpitations, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram; Valacyclovir; Vit D; Women''s Multi-Vitamin
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: on the 9th (ER) - bloodwork; EKG for chest pains - elevated blood pressure and heart rate but otherwise tests were normal.
CDC Split Type: vsafe

Write-up: I woke up at 04:00 am with severe migraine; fever and chills. Migraine left 01:00 or 02:00 that afternoon. The fever and chills lasted through the next day - body ache and soreness throughout both of those days. For those two days I did not work. (Ended the 8th when it was time for me to go to bed.) I did have heart palpitations the night of the 9th that I did go get ER -they gave me a dose of Ativan and they sent me home. That took care of the heart palpitation symptoms. I followed up with my provider the following week.


VAERS ID: 1242977 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-01
Onset:2021-04-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Headache, Hepatic enzyme abnormal, Purpura, Rash, Rash papular, Red blood cell sedimentation rate increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (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: Prescriptions - ASA, Calcium, Ferrous Sulfate, Multivitamin, Niaspan, Potassium, Timolol, Xalatan.
Current Illness: None
Preexisting Conditions: Tobacco Abuse, PID, Hyperlipidemia, Glaucoma, Anxiety, Neuroma Digital Nerve
Allergies: Bactracin, Benzakonium, Codeine, Gramicidin D, Hydrocortisone, Polymyxin B, Bismuth Subsalicylate
Diagnostic Lab Data: Labs on 4/13 and 4/21/21. Seen by provider at Urgent care on 4/7/21 and by this provider 4/13 and 4/21/21
CDC Split Type:

Write-up: Rash - Papular purpuric lesions to arms and legs, some surrounded with erythemia. Some noted raised with vesicle appearance. Sed Rate and liver enzymes elevated, Heachache


VAERS ID: 1242985 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-17
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pharyngeal swelling, Pruritus, Rash, Rash erythematous, Swelling, Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (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: Lisinopril 10mg, glucosamine/chondriton, calcium citrate, fish oil, turmeric
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I have an appointment with the allergy clinic scheduled for 5/6/21.
CDC Split Type:

Write-up: No events immediately following injection. Six days later I started to experience an allergic reaction for some unknown reason with red welts over body, swelling. and itching. On the 7th day, my tongue and throat started swelling and I went to Urgent Care. I was treated with prednisone and epinephrine on 4/18/21 and released. Prescription given for 5 days of prednisone. No further symptoms after 4/18/21. Physician recommended I file a report with VAERS.


VAERS ID: 1242992 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-17
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Chest X-ray, Dyspnoea, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (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: Lithium carbonate 300mg Prozac 40mg
Current Illness:
Preexisting Conditions:
Allergies: sulfa antibiotics
Diagnostic Lab Data: chest xray
CDC Split Type:

Write-up: shortness of breath, body pain, fever


VAERS ID: 1243207 (history)  
Form: Version 2.0  
Age: 105.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Senior Living       Purchased by: ?
Symptoms: Anticoagulant therapy, COVID-19, Malaise, Pulmonary thrombosis, SARS-CoV-2 test positive
SMQs:, Embolic and thrombotic events, venous (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, atenolol, hydroxyurea, latanoprost, paroxetine, furosemide, betaxolol, brimonidine, multivitamin, vitamin C, D,
Current Illness:
Preexisting Conditions: Leukemia, Undiagnosed Stomach Ulcers/Cancer, Asthma
Allergies: nka
Diagnostic Lab Data: positive Covid Test
CDC Split Type:

Write-up: pts granddaughter says she was not feeling well and a couple of weeks after taking the vax and had to call 911 on 4/16/2021. Paramedics took her to Hospital ER, in same city and state as patient, where she was admitted. She called her granddaughter 4/18/2021 and told her she had tested positive for Covid Virus while at the hospital and that she had a blood clot on her lung. She is being treated w/ a blood thinner.


VAERS ID: 1243276 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Laboratory test normal, Sexually transmitted disease test, Vaginal ulceration
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (narrow)

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: Multivitamin, collagen peptides, calcium, vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Tested for SDIs and saw medical professionals - all tests came back negative. Tested on 4/14 and 4/19.
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine Symptom: vaginal ulcers appeared approximately two days after dosage. Chills one day after vaccine.


VAERS ID: 1243300 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death, Fatigue, Feeling abnormal, Impaired work ability, Unresponsive to stimuli, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-21
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None known
Current Illness: None known
Preexisting Conditions: Smoker
Allergies: None Known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started feeling bad two=three days after shot, became fatigued, lost 15 pounds and could not go to work. On morning of 4/21 was found unresponsive and rushed to hospital where he died 2 hours later


VAERS ID: 1243319 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Computerised tomogram normal, Diarrhoea, Dizziness, Dysstasia, Electrocardiogram normal, Fall, Feeling abnormal, Full blood count normal, Injury, Loss of consciousness, Loss of personal independence in daily activities, Malaise, Mobility decreased, Nausea
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), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), 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: no
Current Illness: diarreah
Preexisting Conditions: Cynkipi, Ruptured Aneruysm, TIAs
Allergies: Depacko, Clinminicine, SSRI drugs, latex
Diagnostic Lab Data: CT Scan-normal EKG-normal CBC-normal
CDC Split Type: vsafe

Write-up: A few hours after the vaccine I felt really bad. I had severe diarreah and abdominal pains which caused me to go to the ER d/t abdominal pain. I was so severly sick, in bed and couldnt hardly move. On Sat I was being transported to the hospital when I got super nauseaed so my husband pulled over and I passed out and went unconscious and fell out the car onto the ground. EMT was called and transported me to the hospital when a CT Scan and EKG was performed. I was given IV fluids, monitored and released after some time. Over the next few days I felt absolutely awful. On 4/15 I had a phone F/U visit with my PCP. I still havent felt to myself to date and had to go back to the ER last night because I was so nauseaed and dizzy I couldnt stand or do anything and I am still having the diarreah also


VAERS ID: 1243531 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, alprazolam, Benadryl, Breo Ellipta
Current Illness:
Preexisting Conditions: COPD
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of breath that began Wednesday night (date of vaccine). Hx of COPD. Albuterol inhaler given and chest xray obtained. Pt d/c''d to home in stable condition


VAERS ID: 1243533 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-11
Onset:2021-04-11
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Fibrin D dimer increased, Ultrasound scan abnormal
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad)

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

Write-up: 4 weeks following vaccine - DVT of the left lower leg.


VAERS ID: 1243555 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity, Sleep disorder
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

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

Write-up: 4-5 DAYS AFTER VACCINATION, LEFT ARM PAIN DISTAL TO SITE OF INJECTION, NUMBNESS OF LEFT HAND. PAIN IS INTERMITTENT, WORSENING, WAKING PT UP FROM SLEEP LAST NIGHT. PT WAS SENT TO THE ED FOR FULL EVALUATION.


VAERS ID: 1243563 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Blood creatine phosphokinase normal, Chest X-ray normal, Chest discomfort, Computerised tomogram head normal, Electrocardiogram normal, Headache, Muscle twitching, Paraesthesia, Troponin, White blood cell count decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: Hypertension, alcoholism, prostatitis
Allergies: Bactrim DS, Cipro
Diagnostic Lab Data: ekg-normal sinus rythym chest xray-unremarkable Abdominal series-fecal filled colon. ct head-no acute hemorrhage CK-110 troponin-<0.01 wbc-4.9
CDC Split Type:

Write-up: pins & needles sensation and "twitching" in muscles of bilateral lower extremeties, chest discomfort, abdominal pain, headache


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