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

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



Case Details (Reverse Sorted by Onset Date)

This is page 33 out of 1,889

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VAERS ID: 1222357 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Blood glucose, Blood test, Computerised tomogram abdomen, Diarrhoea, Hyperhidrosis, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 1) 20 mg Pantoprazole. 2) 25mcg Levothyroxin. 3) 60 mg Isosorbide Mononitrate. 4) 75 mg Plavix. 5) 10 mg Ramipril. 6. OTC probiotic 7) 50mg Hydralazine. 8) 100mg Metoprolol ER.. 9) over 50 male multivitamin. 10) 40 mg Atorvastatin. 11) P
Current Illness: none
Preexisting Conditions: heart stents, diabetes, high blood pressure, high lipids, hypothyroid, BPH, .
Allergies: NA
Diagnostic Lab Data: Abdominal CT, Comprehensive blood draw,glucose finger blood sticks, vital sign checks.
CDC Split Type:

Write-up: 4 days after vaccination, beginning at 3AM on Wed 04-15-21, began uncontrolled and unending concurrent watery diarrhea and vomiting and abdominal pain, and sweating. Taken to hospital by ambulance and admitted for 2 days. I was Administered IV fluids, IV zofran, oral vancoymcin, etc. Upon discharge, I was directed to continue oral Zofran and Vancomycin for 9 more days during which I continued to experience watery diarrhea, nausea, and abdominal cramps.


VAERS ID: 1222625 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-01
Onset:2021-04-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Heart rate increased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: 102F fever from 9pm to 5am. Crushing headache top of head. Elevated heartrate of 120 bpm when resting heartrate is normally 60 bpm. These symptoms l lasted until 5am next morning (about 7.5 hrs total). Then fever broke, heartrate decreased slowly back to normal, headache went away. Next day just tired, but didnt feel like I toyed eat anything until late afternoon.


VAERS ID: 1222721 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-11
Onset:2021-04-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site rash, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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

Write-up: Patient experienced a rash, bruising, and swelling several days after the injection. She reported it to her doctor.


VAERS ID: 1222886 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Aneurysm, Computerised tomogram, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ODEFSEY 25 MG
Current Illness:
Preexisting Conditions: HIV
Allergies: N/A
Diagnostic Lab Data: CT Scan 04-15-2021
CDC Split Type:

Write-up: Massive aneurysm - deceased 04-15-2021


VAERS ID: 1222897 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal and sometimes medicine for seasonal allergies
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: I had blood work and a CT scan
CDC Split Type:

Write-up: Got my vaccine on Monday in my right arm. On Thursday morning I had blurry spots in my eyes that lasted a couple of hours. It almost felt like i had something in my eyes. I kept rubbing and checking them. I called my primary care doctor and the office told me he would call me back. An hour later the blurs went away but the right side of my face down my neck had a numbing sensation. My right ear also felt like it need to be ?popped? like when on a plane that wouldn?t go away. Wasn?t completely numb but felt numb. When my doctor called me back i told him my symptoms and he told me to go to the emergency room. They ran blood work and did a CT and saw nothing abnormal beside my iron was a little low but I?m pregnant so that wasn?t surprising. I left not really knowing why I?m feeling this in my face. It still has that numbing feeling. And Friday i had a 10 minute nose bleed on my right side where I?m feeling the numbness.


VAERS ID: 1222988 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-02
Onset:2021-04-15
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Injection site haemorrhage, Pain in extremity, Ultrasound Doppler
SMQs:, Haemorrhage terms (excl laboratory terms) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension, Hypothyroidism, Hyperlipidemia
Allergies: doxycycline, levothyroxine and penicillin
Diagnostic Lab Data: As per venous ultrasound ordered on 04/15/2021, DVT to left lower extremity. Results received on 04/16/2021. Patient has been prescribed xarelto 15mg to be taken twice a day
CDC Split Type:

Write-up: patient came in to office on 04/15/2021 for severe left lower extremity pain and ecchymosis affecting gait. STAT venous ultrasound ordered.


VAERS ID: 1223109 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Dysarthria, Facial paralysis, Headache
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril 10 mg PO daily
Current Illness: None
Preexisting Conditions: Hypertension and history of Discoid Lupus (not SLE)
Allergies: Amoxicillin
Diagnostic Lab Data: CT head which shows acute/subacute CVA as outlined above.
CDC Split Type:

Write-up: The patient had her Janssen vaccine on 4/7/21. On 4/15/21 she began having a very severe headache (10/10). This was followed by dysarthria and facial droop. The symptoms persisted until the following day at which point she went to urgent care and then here to our ER. We did a head CT which showed she has and acute/subacute stroke in the right posterior MCA territory. I am the Hospitalist physician that admitted her yesterday. I have and MRI of the brain as well as an MRA and MRV ordered though not performed yet. Her symptoms are improving.


VAERS ID: 1223173 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Peripheral swelling, Pruritus, Swelling, Urticaria
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to shellfish
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Itching started around 8:30pm on 4/15, Hives started on inner thighs at 11:30pm on 4/15, took Loratidine at. midnight, hives were gone at 4am on 4/16. Hives and swelling itching returned on 4/16 worse and spreading on legs armpits and neck-other patches spread all overs, took Benadryl at 5:00pm no 4/16, worsening and went to a local urgent care for treatment around 7:00pm on 4/16, told it may be related to the vaccine as it did look like a medication allergy. Given liquid oral steroids at urgent care and prescription called in for prednisone and hydroxyzine to be started the next day on 4/17. Hives did not go away at all, able to sleep until about 5:30am 4/17 and woke to worse itching and hives spread even worse, all over legs, hips, arms stomach back and neck. Pharmacy not open until 10am 4/17, to pick up new prescriptions, so was not able to take the hydroxyzine and prednisone until 11:15am today, 4/17, which was 1 hour ago, still extremely red, itchy, swollen hives all over as of right now. Will give the medicine more time to work before going to emergency room, since my breathing has been fine.


VAERS ID: 1223323 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Chest X-ray, Computerised tomogram head, Fall, Laboratory test, Swelling, Syncope, Throat tightness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), 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: Synthroid 112 mcg over the counter yeast kill pill (a yeast infection started on 4/15/21)
Current Illness: None
Preexisting Conditions: Hypothyroidism Bradycardia Mobitz Type 1 hear block
Allergies: Restasis eye drops
Diagnostic Lab Data: On 4/15 ER None On 4/16 CT scan of head, Blood work and chest X-ray
CDC Split Type:

Write-up: ON 4/15 had an anaphylactic reaction and went to the ER at medical center (throat closing and body swelling) saw MD, no admittance sent home, provided bendadryl, steroids and Pepcid . No blood work or scans. On 4/16 had collapsed/fainted at home. Went to ER at different medical center. Saw MD Just gave fluids, CT scan and chest X-ray and blood work. sent home.


VAERS ID: 1223359 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 281A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine normal, Chromaturia, Headache, Myalgia, Pain in extremity, Platelet count normal, Rhabdomyolysis
SMQs:, Rhabdomyolysis/myopathy (narrow), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: methadone 180mg daily PO; quetiapine 200mg QHS PO, lithium carbonate 900mg QHS, gabapentin 600mg tid, nicotine vape
Current Illness: none
Preexisting Conditions: bipolar disorder, opioid use disorder
Allergies: demerol
Diagnostic Lab Data: 4/16/2021: CPK peak 95,694; AST peak 779, ALT peak 282, Cr 1.0, Plt 279,
CDC Split Type:

Write-up: Sore arm, headache x 2 days. Severe myalgias and Rhabdomyolysis developed after 5-6 days. Briefly, 30 yo gentleman h/o bipolar disorder, opioid use disrder (on methadone), nicotine use disorder (vaping), recent Janssen COVID vaccination (about 1 week ago) who was admitted with a few hours of myalgias and dark urine, notable recent moderate exercise and over-ingestion of gabapentin. For Rhabdomyolysis: 4/16/2021: CPK peak 95,694; AST peak 779, ALT peak 282, Cr 1.0, Plt 279 Treated with aggressive IV hydration with improvement.


VAERS ID: 1223390 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-30
Onset:2021-04-15
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Injection site pain, Joint range of motion decreased, Muscular weakness, Nausea, SARS-CoV-2 test negative, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprazole Glipizide Metformin Simvastatin
Current Illness:
Preexisting Conditions: Type 2 Diabetes Hyperlipidemia Anemia
Allergies: No known allergies
Diagnostic Lab Data: COVID PCR on 4/15/2021 - Negative
CDC Split Type:

Write-up: Patient presented to the clinic c/o right arm soreness, pain, and weakness after Janssen vaccine, decreased RUE ROM, headaches, fatigue, weakness, nausea, vomiting x 1 episode, dizziness. Pt was recommended to have a COVID test on 04/15/2021 and resulted negative


VAERS ID: 1223408 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-02
Onset:2021-04-15
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Headache, Influenza like illness, Nausea, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion HCL XL 150mg - Low Dose Naltrexone LDN 4.5mg - Tirosint 100mcg - Multivitimin - Amoxicillin 500mg 3X/day
Current Illness: Oral surgery 3/31/21 (2 days prior)
Preexisting Conditions: Hypothyroid, IBS, Depression
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Sudden onset extreme dizziness/vertigo. So severe and sudden I called 911 because I felt I might lose consciousness. Followed by nausea and violent vomiting. (EMT Vitals were all normal and they didn''t think it was an allergic reaction this long after vaccine so I declined hospital ER visit.) After several hours of severe dizziness I developed violent chills with heavy breathing that lasted 20 minutes then stopped. Much improved after 24 hours but two days later I still have considerable dizziness. Headaches occurred Earlier in the week but none with onset of dizziness. Otherwise I experienced the typical fatique and flulike vaccine side effects with no pain at injection site about 2 days after vaccination that lasted several days.


VAERS ID: 1223525 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Computerised tomogram, Dizziness, Electrocardiogram, Headache, Heart rate decreased, Hypoacusis, Injection site pain, Laboratory test, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: IBS
Allergies: penicillin
Diagnostic Lab Data: CT, EKG, Blood work 4/15/21
CDC Split Type:

Write-up: I got the vaccine on 4/7/21 at approx. 10am. Soreness at injection site started about an hour later. At approx. 3pm that day I began to have body aches and chills and had a low grade fever and a very bad and continuous headache. Those symptoms lasted approx. 24-36 hours. By Friday 4/9, I was feeling better and fever was gone. Starting approx. Sun 4/11 I began to have a dull headache wrapping around the back of my head/neck and began having muffled hearing (bilateral, but more prominent in left ear). On 4/15 at approx. 1:15pm I was sitting at my desk and suddenly my heart rate went from resting heart rate to 150. I could feel the pounding in my head and ear and also placing my hand over my heart. I tried to stand up to walk around thinking that might help my heart rate, but I felt faint, so I immediately drove myself to urgent care. My heart rate came down and was back to normal approx. 5-10 min from onset. EKG and CT were done in the ER. I was released approx. 5-6 hours after arrival and told to treat headache with Tylenol or Ibuprofen (which I have not done so far because I normally try not to take medications), and follow up with my primary doctor in a week. Headache and muffled hearing are still present today (4/17), predominately affecting left ear.


VAERS ID: 1223597 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Pruritus, Rash, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Melxoicam, Atenolol,Metformin,Amlodipine,Glimepride,Fenofibrate,Citalopram,Hydrochlorothizide,Levothyrodine
Current Illness: NA
Preexisting Conditions: High Blood pressure, Diabetes,hypothyroid,High Cholesteral,Anxiety,
Allergies: NA
Diagnostic Lab Data: spoke with occupational Dr. at the hospital I worked on 4/16
CDC Split Type:

Write-up: Had shot on 4/10 ,4/15 woke up with rash/hives/itching all over upper body and head. 4/16 spread to my legs and feet. also have upset stomach since 4/13 with vomiting only on that day. Johnson and Johnson vaccine


VAERS ID: 1223729 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram normal, Blood test, Chest pain, Computerised tomogram, Electrocardiogram normal, Headache, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: diverticulitis
Allergies: none
Diagnostic Lab Data: bloodwork 4/15, EKG and Angiogram 4/16, cat scan of lungs 4/17
CDC Split Type:

Write-up: On Thursday around noon, pt. had a headache, chest pains, numbness in left arm, the ER checked his heart rate and it was 215, they did blood work which came back normal & took more blood 4 hours later to check for heart damage, They admitted him to the hospital and did an EKG the next day that did not show any negative results (you''d have to get that from the hospital) They completed an Angiogram and found no blockage. Today, April 17th, I believe they did a cat scan of his lungs to check for blood clots and I am not sure of the results.


VAERS ID: 1223767 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN EW0169 / 1 LA / SYR

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

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

Write-up: Low grade fever, chills, nausea, coughing, fatigue, full body soreness


VAERS ID: 1225343 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: No AE, but patient was given at age 17, and EUA is 18+.


VAERS ID: 1225582 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: shingles c5/6 lue, same side as vaccination


VAERS ID: 1225796 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A2IA / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Rash papular, Sleep disorder, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Not life straitening but strong reaction to both doses of shingles vax administered at age 51 (June 2020) and 52 (October 2020)
Other Medications: Atorvastatin 20 mg
Current Illness: None at the time
Preexisting Conditions: High cholesterol managed by statins
Allergies: Allergic to avocados. Allergic to lidocaine
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12:00 a.m. Thursday going into 5th day after vaccine, whole body very itchy - enough to wake up from sleep several times. Thursday and into Friday, on and off itchiness and raised bumps around elbows, behind knees, at wrists. Friday afternoon hives appeared (large welts pea sized/dime sized ) at bikini line, upper legs front/back, and sporadically on torso. No shortness of breath, no fever (remained 97.6) no racing heart rate. Benadryl tablet helped. On and off contunued reaction all weekend culminating in another outbreak on Sunday - Benadryl again helped- same symptoms. Called Urgent Care. No different food or drink consumed, using same detergents, not wearing any new, unwashed clothes, no new contact with animals. Only change in lifestyle was getting vaccine.


VAERS ID: 1226770 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Autoscopy, Headache, Mental disorder, Palpitations, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR 10 MG HS FOR ASTHMA
Current Illness: FIBROMYALGIA/ASTHMA
Preexisting Conditions: ASTHMA
Allergies: NKA
Diagnostic Lab Data: None yet.
CDC Split Type:

Write-up: After about 7 days post vaccine I am experiencing headaches, tremors throughout my body. However, the worst symptom was on Thursday till present---I had an out of body experience and feel like I am having a nervous break-down and palpitations. This is now day four with these symptoms.


VAERS ID: 1227444 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: California  
Vaccinated:2021-02-22
Onset:2021-04-15
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Trigger finger
SMQs:, Supraventricular tachyarrhythmias (narrow), Tendinopathies and ligament disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Past history of PMR fully recovered one year prior
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Developed trigger finger right thumb and transient AFIB. Never had any heart iriblem before. I felt it was post inflammatory. reaction. Treated myself with oralInoroohen. . Afib resolved after one hour, trigger thumb improved after 3 hours.


VAERS ID: 1227469 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Itching, allergic reaction


VAERS ID: 1228658 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0381321A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Injection site erythema, Injection site pruritus, Injection site warmth, Lymphadenopathy, Mobility decreased
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: On April 15, I noticed a pain in my right armpit. It was an achey sore pain, but also a more sharp, prominent pain at certain times. So I think it was a swollen lymph node. But by April 18 and 19, it only hurts when I raise my arm. And also on April 15, my right arm was little itchy at the injection site, but I didn?t think anything of it. But by April 17, my whole upper right arm was very itchy, red, and warm to the touch. This has continued for the past few days. It?s not all the time, but a few times throughout the day and it lasts for probably a half hour to an hour.


VAERS ID: 1228660 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-02-19
Onset:2021-04-15
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? 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: Not an adverse event. Pt has tested positive for Covid after being fully immunized. Pt has dry cough and feels a little run down but otherwise feels well overall. No fevers, no dyspnea. Exposure to daughter and son in law who are Covid positive. Is not hospitalized. Seems to be recovering well.


VAERS ID: 1228680 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-14
Onset:2021-04-15
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Skin discolouration
SMQs:, Hypotonic-hyporesponsive episode (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: Purple spots on left leg


VAERS ID: 1228687 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Ear congestion, Hyperacusis, Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: After my first dose, I felt an occasional fullness in my right ear. After the second dose, on the date above, I began hearing my heartbeat pulsing in the same ear. It has continued periodically for brief amounts of time. I am more sensitive to high-pitched sounds and feeling of fullness continues. Doctor said ears looked perfect the day after onset. Prescribed Claritin D and made a referral to ENT.


VAERS ID: 1228693 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036821A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Mobility decreased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wixela Asthma Maintenance Medicine.
Current Illness: none
Preexisting Conditions: Asthma
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: I had a fever and chills and was very weak and dizzy from late evening of the day I received the vaccination and then for two complete days after that - basically bed bond. On the third day the fever broke but I was still very weak and dizzy and at least could get out of bed and walk around somewhat.


VAERS ID: 1228697 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

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

Write-up: The next day after I received vaccine, I noticed bruise on my left thigh (about 1 inch). I did not hit or do anything else to have a bruise, so, I think it is a blood clot.


VAERS ID: 1228936 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-18
Onset:2021-04-15
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180525 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, Anticoagulant therapy, Chest pain, Coagulation test, Computerised tomogram abdomen, Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea, Echocardiogram, Full blood count, Metabolic function test, Pulmonary embolism, Pulmonary infarction, Ultrasound Doppler
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, losartan?hydrochlorothiazide, mesalamine, multivitamin, niacin, pravastatin, vitamin E
Current Illness: None
Preexisting Conditions: Hypertension, ulcerative colitis well-controlled
Allergies: No known allergies
Diagnostic Lab Data: CT angiogram of chest/abdomen/pelvis 4/17/2021 Bilateral lower extremity venous Doppler ultrasound 4/17/2021 Echocardiogram 4/18/2021 Daily CBC, metabolic panel, coagulation panel 4/17?4/20/2021
CDC Split Type:

Write-up: Patient developed chest pain and shortness of breath 4/15 Presented to hospital emergency department 4/17 found to have a pulmonary embolism without heart strain, however with pulmonary infarction of left lower lobe with associated right lower extremity DVT Patient admitted to the hospital, initiated on therapeutic anticoagulation with Lovenox, started on oxygen therapy for acute hypoxic respiratory failure Discharged home 4/20 on therapeutic anticoagulation with Xarelto and home oxygen as needed


VAERS ID: 1228937 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster, Laboratory test, 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: acetaminophen, amlodipine, aspirin, atorvastatin, famotidine, HCTZ, losartan, doclofenac
Current Illness:
Preexisting Conditions: HTN, CAD, hyperlipidemia
Allergies:
Diagnostic Lab Data: Labs, and Valtrex therapy initiated
CDC Split Type:

Write-up: Patient recived Janssen COVID vaccine at alternate site, came to ED with complaints of pain and rash starting in same arm and spreading. Diagnosed with Shingles


VAERS ID: 1229013 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Dizziness, Laboratory test, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: etodolac
Current Illness: none
Preexisting Conditions: Asthma and SVT chronic with cardiac ablation 1 year ago
Allergies: aspirin and penicillin
Diagnostic Lab Data: Labs and CT
CDC Split Type:

Write-up: Patient arrived to ED with C/O vision changes and dizziness after vaccine on Saturday (unknown) patient was transferred to Main campus for Occipital Stroke at neuro facility., This facility did not give the vaccine


VAERS ID: 1229547 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-05
Onset:2021-04-15
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Angina pectoris, Arteriogram coronary abnormal, Atrial fibrillation, Cardiac arrest, Cardioversion, Catheterisation cardiac abnormal, Condition aggravated, Coronary angioplasty, Coronary artery occlusion, Coronary artery thrombosis, Electrocardiogram ST segment elevation, Endotracheal intubation, Intensive care, Platelet count decreased, Resuscitation, Thrombectomy, Ventricular assist device insertion, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NSTEMI in March with patent cardiac stents
Preexisting Conditions: CAD with cardiomyopathy, LifeVest, afib, HTN, DM, Stage III CKD
Allergies: None
Diagnostic Lab Data: PLT 76 on 4/19/21, 272 on 4/15
CDC Split Type:

Write-up: Came to ED on 4/15 with c/o anginal symptoms, found to be in rapid afib. EKG showed ST elevation in later precordial leads, went for emergent left heart catheterization. Went into V-fib arrest requiring defibrillation (x2) in addition to CPR in cath lab. Angio showed acute thrombotic occlusions of LM, LAD and RI, underwent mechanical thrombectomy of LM and LAD with balloon angio of RI (recent cardiac cath in March 2020 showed clearly patent stents). Placed on Impella bypass. Currently in CVICU care, intubated with Impella.


VAERS ID: 1229972 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: School       Purchased by: ?
Symptoms: Pruritus, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Rash developed 4/15/21 or 4/16/21. Left side of neck. Very itchy. Worse at night. Rash is red, rlat and splotchy in appearance per patient. Reviewed other possible causes but only thing new was vaccine. Applied hydrocortison cream and use of antihistamines 4/17/21 and 4/18/21.


VAERS ID: 1230771 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Duloxetine 60mg Pantoprazole 40mg Bupropion HCL XL 300mg Zolpidem 10mg Docusate Calcium 240mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ultrasound
CDC Split Type:

Write-up: Deep Vein Thrombosis in lower right leg


VAERS ID: 1230930 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

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

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

Write-up: 6 days after vaccine, I developed Shingles.


VAERS ID: 1231076 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Dermatochalasis, Hypoaesthesia, Hypoaesthesia oral, Sinonasal obstruction, Viral infection
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine, Lisinopril, Hydrochlorthiazide, Trazadone, Simvastatin, Zinc, Vitamin D-3, Krill Oil, multivitamin, Brain awake, testosterone red, loratadine
Current Illness: None
Preexisting Conditions: Blood pressure
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Numbness on right side of face , numb tongue, water build up in ears, right nostril closed up right side of face sags and eye will not close can?t blink. Diagnosis Bell?s palsy nad viral infection


VAERS ID: 1231142 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-05
Onset:2021-04-15
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Lung opacity, Respiratory failure, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lantus, Humalog, Propanolol, Abilify, Vitamin D, Trulicity, Cymbalta, Flovent, Humira, Levothyroxine, Omeprazole, Mirtazapine, Rifaximin
Current Illness: None
Preexisting Conditions: Type II Diabetes Mellitus, Rheumatoid Arthritis, Hepatitis C Virus, Cirrhosis, NASH, Hypothyroidism, Sleep Apnea, Obesity, Esophageal Varices without bleeding, Psoriasis, Depression, Bipolar Disorder, Asthma
Allergies: Tramadol
Diagnostic Lab Data: 4/19 COVID-19 testing positive Oxygen saturation readings on room air <92% Chest CT scan with mild pulmonary opacities bilaterally
CDC Split Type:

Write-up: COVID-19 infection confirmed 4/19/2020 with hospital admission for acute hypoxic respiratory failure


VAERS ID: 1231206 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D vitamin C zinc
Current Illness: none
Preexisting Conditions: BPH - enlarged prostate
Allergies: none
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: MILD MUSCULAR PAIN IN CHEST AND BACK AREA AFTER 3 OR 4 DAYS. ACUTE MUSCULAR PAIN THROUGH DAY 10 WHEN CERTAIN MOVEMENTS ARE MADE. I CANNOT ATTRIBUTE PAIN TO ANY ACTIVITY. NO HEADACHE OR ARM PAIN.


VAERS ID: 1231354 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Body temperature increased, Chills, Culture urine, Groin pain, Kidney infection, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Osteonecrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I had the shivers for 4 hours, from 4am to 8am. Took Tylenol to get rid of fever & chills (100.9) On 4/15 evening had fever (100.9) & chills at 7PM for an hour. took Tylenol again. Friday 4/16 had chills with fever (100.9) that lasted for over an hour each time at 3AM ,1PM, & 8PM. On Saturday 4/17 I started to feel pain on my right side of my body under my ribcage, by my groin and in my lower right back. Had 2 more episodes of shivers with fever(100.9) on 4/17 evening and 4/18 in the morning. On Sunday 4/18 went to minute clinic because I do not have insurance and cannot afford to go to ER. Was told that I have a kidney infection. I am now on antibiotics for only 2 days but , symptoms have still not gone away. I would like someone to contact me and let me know if I do have to go to ER, who covers that expense, since I do not have health care insurance.


VAERS ID: 1231388 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-31
Onset:2021-04-15
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Alopecia
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Eliquis RA Medication
Current Illness: Patient on Hospice Care COPD RA
Preexisting Conditions: Under Hospice Care Son reports "Covid-19 Long Hauler" syndrome Covid isolation ended 12/31/2020
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Complaint of hair loss


VAERS ID: 1231408 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging, Paraesthesia, Ultrasound scan normal, X-ray
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aviane birth control pills; multivitamins; elderberry
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRI, Cat scan, X-rays, vein sonograms were performed to find a cause, such a blood cloth, but nothing was found.
CDC Split Type:

Write-up: Right side arm, hand, leg and feet were numb. Tingling pins and needles, that did not go away for over 24 hours.


VAERS ID: 1231419 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Chest X-ray normal, Computerised tomogram normal, Confusional state, Dizziness, Eye pain, Fatigue, Headache, Hypoaesthesia, Pain
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hypertension (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Biotin, Advair 250 inhailer
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: Ct scan Chest X-ray No issues
CDC Split Type:

Write-up: Blood pressure readings of 240/187 . Severe headaches, eye pain, numbness, dizziness, confusion, stinging pain on left side of body. Extreme fatigue. Went to urgent care sent via ambulance to hospital.on 4/15/21 Released. Back in hospital on 4/19/21. Same symptoms. Ct scan done no issues. Still have severe high bp.


VAERS ID: 1231440 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Dizziness, Vertigo
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (narrow)

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

Write-up: Dizziness, imbalance, vertigo like symptoms - when changing position from sitting to standing or bending. Symptoms were intense on 4/15/2021 - one week after receiving the vaccination. Since then the symptoms have become milder and infrequent.


VAERS ID: 1231444 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthropod bite, Herpes simplex, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium supplements, Melotonin
Current Illness: None
Preexisting Conditions: Herpes Simplex Virus 2
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: On about 4/14/2021 I noticed what initially looked like a bug bite on my left hip. I came to the conclusion it is a case of Shingles. I additionally broke out with a Herpes 2 outbreak on 4/19/2020. I have had Herpes Simplex Virus 2 since November 2017. However, this is the first case of Shingles I have ever had.


VAERS ID: 1231687 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Groin pain, Headache, Pain, Pain in extremity, Peripheral swelling, Pyrexia, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Osteonecrosis (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: gabapentin, amlodipine, cephalexin, vitamin D, Calcium, preservisin, ibuprofin, vitamin B12
Current Illness: lupus, hypertension, macular degeneration, osteoporosis , Sjogren''s
Preexisting Conditions: lupus
Allergies: sulfa, codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: body aches, headache, fever, pain in underarm area and groin area, rash and swelling on arm, fatigue


VAERS ID: 1232054 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dyspnoea, Dyspnoea exertional
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None disclosed
Preexisting Conditions: None disclosed
Allergies: NKA
Diagnostic Lab Data: Unknown
CDC Split Type: 755039

Write-up: Reported "feels like unable to get enough oxygen while breathing normally and labored breathing upon exertion," onset 4/15/21.


VAERS ID: 1232058 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-06
Onset:2021-04-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

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

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

Write-up: My right instep and toes continues to show numbness since 4/15/2021 till now.


VAERS ID: 1232153 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-01
Onset:2021-04-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Fatigue, Headache, Nausea, Pain, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Potassium Blood Thinners Eliquist Toprol 150 mg
Current Illness: N/A
Preexisting Conditions: COPD Stage 2
Allergies: Contrast Dye Demerol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Headache, Nauseous, Severe Pain All Over, Extreme Tiredness, Shortness Of Breath. Swelling Of Both Feet. Onset - 9 Days Out. Still Ongoing 12 Days Out.


VAERS ID: 1232743 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-30
Onset:2021-04-15
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 1805020 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin without iron.
Current Illness: None.
Preexisting Conditions: None.
Allergies: Egg yolks and bananas.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Gastrointestinal tract issues and diarrhea. Varying degrees of sickness since 4-15-21. Can''t eat solid food without digestive issues and diarrhea.


VAERS ID: 1232839 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: History of being treated for Blood clots x 5 years ago
Allergies:
Diagnostic Lab Data: The test performed during the hospital stay are unknown. The patient received the vaccine at her place of employment by a team of nurses from the Department of Health. It is unknown if the hospital contacted the DOH to report these symptoms or if the hospital reported the symptoms for evaluation.
CDC Split Type:

Write-up: Numbness/pain on the left side of the upper body


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

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

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

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


VAERS ID: 1233417 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dysmenorrhoea, Intermenstrual bleeding, Menstrual disorder
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: Spotting menstruatal cycle - 2 weeks early than normal. Light but dark in color and severe cramping


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

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

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

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


VAERS ID: 1234132 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-04-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Laboratory test, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Thursday , April 15th 2021, patient had lab test and found out about the clot.
CDC Split Type:

Write-up: Blood clot in left leg , Found out on April 15 2021


VAERS ID: 1234907 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Computerised tomogram thorax abnormal, Echocardiogram, Erythema, Fatigue, Gait disturbance, Impaired work ability, Pain in extremity, Pallor, Peripheral swelling, Pulmonary thrombosis, Skin warm, Thrombosis, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Complete blood work Ultrasound Cat Scan Echo Cardiogram
CDC Split Type:

Write-up: On April 16 patient came home fatigue, pale and legs hurting. The next day complained of right knee pain, Fatigue and looked pale. He woke up in the middle of the night complaining of right calf tightness and pain. On Sunday 18th he started to limp and when we looked at his calf it was double in size, warm to touch, and redness. We then went to the ER and had an ultrasound and CT scan . We were told he has multiple blood clots in the right leg and clots in both lungs. He was then transported to a hospital and given blood thinner shots in stomach. He was released from the hospital 4/20 and given blood thinners and assigned a hematologist. He?ll be on blood thinners 6-12 months, out of work a month and tested regularly to check platelets.


VAERS ID: 1235395 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430503

Write-up: BRUISE ON LEFT ARM; This spontaneous report received from a patient concerned a 49 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: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 15-APR-2021, the subject experienced bruise on left arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bruise on left arm. This report was non-serious.


VAERS ID: 1235607 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysgeusia, Injection site erythema, Injection site swelling, Pain in extremity
SMQs:, Taste and smell disorders (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra, Q-Var, Vitamin D spray, Pre- and Probiotics, Ritual Womens Multivitamin, Melatonin
Current Illness:
Preexisting Conditions: Hashimoto''s thyroiditis, asthma, eczema, obesety
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: metallic taste in the mouth, arm soreness, redness around the injection site, swelling


VAERS ID: 1235621 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Headache, body aches, fever, chills


VAERS ID: 1235622 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hydroxyurea, lisinopril, rivaroxaban (all present for months/years)
Current Illness: none
Preexisting Conditions: sickle cell disease (HbSS), history of DVT
Allergies: quinine (itching)
Diagnostic Lab Data: none
CDC Split Type:

Write-up: tinnitus bilaterally, persistent x 5 days to date.


VAERS ID: 1235689 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic shock, Asthenia, Blood glucose decreased, Chest discomfort, Dizziness, Dyspnoea, Hyperhidrosis, Hypopnoea, Muscle twitching, Paraesthesia oral, Throat tightness, Tremor
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Hypoglycaemia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Fruit allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Feeling dizzy and bad; Thought her blood sugar was dropping; Lips started tingling; Started sweating; Felt weak; Felt pressure on chest; Muscles started twitching/legs started twitching; Had difficulty breathing; Anaphylaxis Shock; When the Benadryl wears off I start shaking; When the Benadryl wears off I have shallow breathing; When the Benadryl wears off throat starts tightening; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Feeling dizzy and bad), BLOOD GLUCOSE DECREASED (Thought her blood sugar was dropping), PARAESTHESIA ORAL (Lips started tingling), HYPERHIDROSIS (Started sweating), ASTHENIA (Felt weak), CHEST DISCOMFORT (Felt pressure on chest), MUSCLE TWITCHING (Muscles started twitching/legs started twitching), DYSPNOEA (Had difficulty breathing) and ANAPHYLACTIC SHOCK (Anaphylaxis Shock) in a 40-year-old female patient who received mRNA-1273 (batch no. 027B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Fruit allergy. On 15-Apr-2021, the patient received first dose of mRNA-1273 (Intramuscular) 1 dosage form. On 15-Apr-2021, the patient experienced DIZZINESS (Feeling dizzy and bad) (seriousness criteria hospitalization and life threatening), BLOOD GLUCOSE DECREASED (Thought her blood sugar was dropping) (seriousness criteria hospitalization and life threatening), PARAESTHESIA ORAL (Lips started tingling) (seriousness criteria hospitalization and life threatening), HYPERHIDROSIS (Started sweating) (seriousness criteria hospitalization and life threatening), ASTHENIA (Felt weak) (seriousness criteria hospitalization and life threatening), CHEST DISCOMFORT (Felt pressure on chest) (seriousness criteria hospitalization and life threatening), MUSCLE TWITCHING (Muscles started twitching/legs started twitching) (seriousness criteria hospitalization and life threatening), DYSPNOEA (Had difficulty breathing) (seriousness criteria hospitalization and life threatening), ANAPHYLACTIC SHOCK (Anaphylaxis Shock) (seriousness criteria hospitalization, medically significant and life threatening), TREMOR (When the Benadryl wears off I start shaking), HYPOPNOEA (When the Benadryl wears off I have shallow breathing) and THROAT TIGHTNESS (When the Benadryl wears off throat starts tightening). The patient was hospitalized from 15-Apr-2021 to 15-Apr-2021 due to ANAPHYLACTIC SHOCK, ASTHENIA, BLOOD GLUCOSE DECREASED, CHEST DISCOMFORT, DIZZINESS, DYSPNOEA, HYPERHIDROSIS, MUSCLE TWITCHING and PARAESTHESIA ORAL. On 15-Apr-2021, DIZZINESS (Feeling dizzy and bad), BLOOD GLUCOSE DECREASED (Thought her blood sugar was dropping), HYPERHIDROSIS (Started sweating), ASTHENIA (Felt weak), CHEST DISCOMFORT (Felt pressure on chest), DYSPNOEA (Had difficulty breathing) and ANAPHYLACTIC SHOCK (Anaphylaxis Shock) had resolved, MUSCLE TWITCHING (Muscles started twitching/legs started twitching) had not resolved. At the time of the report, PARAESTHESIA ORAL (Lips started tingling) had not resolved and TREMOR (When the Benadryl wears off I start shaking), HYPOPNOEA (When the Benadryl wears off I have shallow breathing) and THROAT TIGHTNESS (When the Benadryl wears off throat starts tightening) outcome was unknown. Not Provided The action taken with mRNA-1273 (Intramuscular) was unknown. The patient was treated at the closest hospital with epinephrine (epi pen), IV diphenhydramine, and IV Famotidine. The patient was having anaphylaxis shock (confirmed by Emergency Department). She stated epinephrine made her heart beat so fast that it was going to collapse. She was discharged 3 hours later from the hospital with epi pen (emergency use), diphenhydramine(as needed), Famotidine (as needed). Consumer stated that when the Benadryl weaned off she felt tingling of lips, starts shaking, muscles start twitching, throat tightening, and has shallow breathing. Company comment: Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, excluding other etiologies causal relationship cannot be excluded. Anaphylaxis is consistent with the product known safety profile.; Sender''s Comments: Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, excluding other etiologies causal relationship cannot be excluded. Anaphylaxis is consistent with the product known safety profile.


VAERS ID: 1235720 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood urine present, Dyspnoea, Eye pain, Headache, Nausea, Renal pain, Urine analysis abnormal, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad)

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

Write-up: headache in my eyes so bad i couldn?t open them. terrible nausea that resulted in vomiting at 6:30 A.M. the next morning. Internal bleeding in kidneys that resulted in blood and foam in urine - blood cleared in 4 days; foam cleared in 4 days. Back pain where kidneys are located. Shortness of breath when lying down for 3 nights; had to sleep propped up.


VAERS ID: 1235851 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Induration, Pruritus, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Big red hive on arm. Hot to touch and itches. And is firm to the touch.


VAERS ID: 1236120 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / IM

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

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

Write-up: Client c/o tingling and numbness of L arm. Client seen by EMT (no v/s taken). Client observed to be stable, no distress noted at the moment. Client cleared to go home by EMT.


VAERS ID: 1236323 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 RA / IM

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

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

Write-up: Pt. describes headache starting immediately after vaccine. Describes as pressure 7/10. After evaluation by EMS, pt. has no change in condition. Pt. cleared by EMS to return home @ 10:25am. Pt. denies any other complaints. Driven by companion home. Will follow up with PCP prior to 2nd dose.


VAERS ID: 1236339 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-23
Onset:2021-04-15
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008821A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Uterine dilation and curettage
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, vitamin d3
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: LMP 2/10/2021. Estimated due date 11/17/2021. Received vaccine on 3/23/2021. During initial prenatal visit 4/1/2021 there was no reported heartbeat and baby was measuring later than calculated based on LMP. On next appointment 4/8/2021 heartbeat was found and baby was estimated to be due on 11/21/2021. On follow up appointment 4/15/2021 baby no longer had heartbeat based on measurement was due 11/21/2021. Doctor noted a missed miscarriage on 4/15/2021. On appointment 4/19/2021 still no heartbeat and no growth. D&C took place 4/21/2021.


VAERS ID: 1236400 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Skin mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429960

Write-up: HARD LUMP ON HAND; This spontaneous report received from a consumer concerned a 39 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-APR-2021, the subject experienced hard lump on hand. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from hard lump on hand. This report was non-serious.


VAERS ID: 1236629 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Severe depression disorder, generalized anxiety disorder, post traumatic stress disorder.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine was taken around 8:40 AM. Side effects started around 12:30 PM. On the day of vaccine nausea was experienced in the afternoon. Vomiting happened twice in the afternoon few hours after the shot was given. Nausea was severe that I could not eat anything because body was not holding it down. In addition, fever, chills, body aches, headache were experienced on the day of vaccine. I took a tylenol around 9 PM (12 hours after vaccine shot - Thursday). On Friday, nausea and vomiting had ceased, but fever, chills, body aches and headache continued. On Friday I took a tylenol in the morning, and again at bedtime. On Saturday side effects were still present but in much less intensity (lack of energy was still present so I spent another full day just lying down). Fever, chills and body aches had ceased by Saturday and only headache remained. I took tylenol twice that day. On Sunday I considered myself recovered from the side effects of the second shot of the Moderna vaccine, however, I felt some dizziness and headache in the afternoon and took tylenol again. I assume dizziness was experienced because I had little to eat during the prior 3 days due to the side effects.


VAERS ID: 1236737 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

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

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

Write-up: Started feeling like I was getting a cold 12 hours after getting vaccine. Symptom cleared up within 18 hours of receiving vaccine. Felt tired for 24 hours after getting vaccine. Noticed swollen lymph node above collarbone on same side of body as vaccination site 5 day after receiving vaccine.


VAERS ID: 1237113 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
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 - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Headache, Heavy menstrual bleeding, Hypertension, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, Losartan, vitamin D, multi-vitamin
Current Illness: none
Preexisting Conditions: high-blood pressure, but under control with Losartan
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have not had a period or any period related symptoms for 13 months and had considered myself, by definition to be in Menopause. 13 days after the vaccine I started having lower back pain, cramps and headaches. I didn''t know what it was as I hadn''t considered it to be PMS. The next day, day 14 post vaccine, I got my period and ended up in bed with lower back pain, heavier than previous bleeding and headaches. Today, is day five of the menstrual bleeding. While the bleeding is lessening, the cramps and headaches are not. This is not typical for me based on my recollection of PMS/MS. I am concerned that the cramping and headaches have not subsided and I am concerned as to why I am having a period after 13 consecutive months of nothing.


VAERS ID: 1237797 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-05
Onset:2021-04-15
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol, vit B12, vit D, fluticasone, rosuvastatin, plavix, aspirin, nitroglycerin, risperisdone, trazodone, and escitalopram
Current Illness: none other then chronic conditions listed
Preexisting Conditions: hamartoma of lung, fibromyalgia, knee pain, onchimcosis, spinal stenosis, anxiety, hyperlipidemia, htn, gerd, insomnia, mitrl vavle prolapse, copd, lung nodule, cataracts, vit B deficiency retina disorder, psychotic disorder
Allergies: codeine, flexeril, alprazolam
Diagnostic Lab Data: labs platelets 190
CDC Split Type:

Write-up: low platelet count . Patieint had no previous history of low platelets until 4/15/21. No current symptoms


VAERS ID: 1237876 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-04-15
Onset:2021-04-15
   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: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: lightheaded with injections, got vaccine in recliner BP 100/80 P 70 responded well to fluids


VAERS ID: 1238408 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Washington  
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 - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Facial paralysis, Headache, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), 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: None
Current Illness: None
Preexisting Conditions: Have taken atorvastatin for blood pressure/cholesterol
Allergies: Ceclor
Diagnostic Lab Data: CT Scan and blood work concluding no tumor or clotting issues on 4/19/2021. Final diagnosis - Bell''s Palsy.
CDC Split Type:

Write-up: Bell''s Palsy diagnosis. Paralysis on left side of face. Severe headache behind left ear. Numbness in feet/toes.


VAERS ID: 1238785 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-07
Onset:2021-04-15
   Days after vaccination:8
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: Activated partial thromboplastin time shortened, Anion gap, Arthralgia, Blood calcium normal, Blood chloride increased, Blood creatinine normal, Blood fibrinogen, Blood glucose increased, Blood magnesium normal, Blood phosphorus, Blood potassium normal, Blood sodium decreased, Blood urea decreased, Blood urea nitrogen/creatinine ratio, Carbon dioxide decreased, Chills, Contusion, Ecchymosis, Fibrin D dimer normal, Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin normal, Headache, International normalised ratio normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased, Monocyte percentage, Myalgia, Neutrophil percentage increased, Peripheral swelling, Platelet count decreased, Prothrombin time normal, Pyrexia, Red blood cell count normal, Red cell distribution width normal, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Angioedema (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Arthritis (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin C, Vitamin D, Oral phytonadione
Current Illness:
Preexisting Conditions: Hypothyroid
Allergies: NKDA
Diagnostic Lab Data: 04/21/21: Hematology-CBC Coag 04/21/21 General Chemistry 04/21/21 WBC:14.7 (H) D-Dimer, Quant.: <150 Sodium: 135 RBC: 4.35 Fibrinogen: 294 Potassium: 4 Hgb: 12.8 INR: 1 Chloride: 111 Hct: 38.8 PT: 11.2 CO2: 19 MCV: 89.2 PTT: 34.9 Anion Gap: 5 MCH: 29.5 Glucose Level:116 (H) MCHC: 33.0 BUN: 9 RDW: 13.8 Creatinine: .77 Plt:7 (!) BUN/Cr Ratio: 11.7 MPV:11.4 (H) eGFR Afr/Am: $g60 Neut%:84.4 (H) eGFR NonAfr/Am: $g60 Lymph%:10.2 (L) Calcium: 9.1 Mono%: 5.2 Phosphorus: 3.8 Eos%: 0.1 Mg: 1.9
CDC Split Type:

Write-up: The patient received the vaccine on April 7, 2021. Almost immediately after the vaccine, the patient developed some nonspecific complaints of headache, myalgias, arthralgias, fever and chills. The symptoms lasted for several days and then seemed to resolve. She was then at her baseline until approximately April 15, 2021 when she noted that she was becoming bruised. She had multiple ecchymoses on her lower extremities and this has never happened to her before. She apparently began taking aspirin at that time. According to the patient, she took 325 mg of aspirin on April 15th, 16th, and 17th. She did not take any aspirin on April 18th but then on April 19th, she took 650 mg of aspirin. On April 19, she had a telehealth visit. They recommended that she go to an urgent care. She went to an urgent care on the afternoon of April 19. They told her that they were ill equipped to take care of her and then sent her to the emergency department. On arrival in the ED on 04/20/21 she was afebrile. O2 saturation was 99% on room air. Her other vital signs were unremarkable. Her initial laboratory studies were notable for white count of 6.6 with a hemoglobin 15.2. Her initial platelet count was 5,000. Initial chemistry panel was completely unremarkable. She was not having any headache, dizziness, nausea, vomiting, blurred vision or any neurologic symptoms. She thinks that her lower extremities are swollen. She was not having any myalgias or arthralgias. Not having any abdominal pain, nausea vomiting, diarrhea, dysuria, urgency, frequency. . The patient has no other specific complaints.The patient was admitted on 04/20/21.


VAERS ID: 1238925 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-16
Onset:2021-04-15
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Muscle spasms, Pain in extremity, Scan, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Celebrex, allopurinol, tylenol
Current Illness: high blood pressure, gout (occasional flare up),
Preexisting Conditions: Blood clot
Allergies: NKA
Diagnostic Lab Data: Scan performed to verify blood clot
CDC Split Type:

Write-up: Pt experienced pain/cramping in his right leg on or about 4-15-21. Thought this was due to new work shoes. Pain continued through the weekend and on Monday 19th visited his PCP where a scan was preformed confirming a clot in his right leg between his thigh and ankle. Pt started on therapy and has a follow up with his physician on Friday 23rd. Pt doing well and in good spirits.


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: 1240224 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta, Levothyroxine, Zyrtec, Lisinopril, Premarin
Current Illness: None
Preexisting Conditions: hypercholesterolemia, hypothyroidism, hypertension, depression
Allergies: Seasonal allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Reactivation of shingles.


VAERS ID: 1241049 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-15
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: 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431614

Write-up: SHORTNESS OF BREATH AND LABOURED BREATHING; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 15-APR-2021, the subject experienced shortness of breath and laboured breathing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of shortness of breath and laboured breathing was not reported. This report was non-serious.


VAERS ID: 1241109 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Body temperature increased, Headache, Injection site pain, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Moderate arm pain (on arm of injection) through the night (Starting approx. 12 hours post injection). Arm pain less severe compared to first Pfizer Injection (22 days prior). Arm pain lasted approx. 48 hours. 0800 (18 hours post injection) - Elevated temperature of 37.2 C 1000 (20 hours post injection) - Elevated temperature of 37.9 C, severe headache (worst I''ve ever felt), and general aching - both lasting approx. 6 hours (400mg Ibuprofen was taken at 1500 - approx. 25 hours post injection - and 1 hours prior to relief of headache, fever, and aches)


VAERS ID: 1241161 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Insomnia, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no medical problems and took no medications.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435774

Write-up: PAIN ALL OVER THE BODY; TINGLING ALL OVER THE BODY; COULDN''T SLEEP; This spontaneous report received from a patient concerned a 76 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included caller states she has no medical problems and takes no medications., and other pre-existing medical conditions included the patient had no medical problems and took no medications. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-APR-2021, the subject experienced pain all over the body. On 15-APR-2021, the subject experienced tingling all over the body. On 15-APR-2021, the subject experienced couldn''t sleep. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain all over the body, and tingling all over the body, and the outcome of couldn''t sleep was not reported. This report was non-serious.


VAERS ID: 1241162 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-15
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: Burning sensation, Polymerase chain reaction
SMQs:, Peripheral neuropathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN
Current Illness: Abstains from alcohol; Blood pressure high; Diabetes mellitus; Gastritis; Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210108; Test Name: PCR; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210435781

Write-up: BURNING ON THE SOLES OF FEET; This spontaneous report received from a patient concerned a 54 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, non alcoholic user, diabeties, high blood pressure, and gastritis, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Concomitant medications included metformin for diabetes. On 08-JAN-2021, Laboratory data included: PCR (NR: not provided) Positive. On 15-APR-2021, the subject experienced burning on the soles of feet. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from burning on the soles of feet. This report was non-serious.


VAERS ID: 1241563 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphonia, Insomnia
SMQs:, Parkinson-like events (broad)

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

Write-up: THE PATIENT BECAME SEVERLY HOARSEAND HIS VOICE WAS VERY UNCLEAR. HE ALSO WAS UNABLE TO SLEEP SINCE HE WAS VACCINATED. HE WAS NOT MANIC OR AGITATED. HE HAD NO PANIC ATTACKS AND HE HAD NO ANXIETY..


VAERS ID: 1241721 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Dizziness, Heart rate, Syncope, Vital signs measurement
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5:24pm Pt called staff over and sad he felt faint and then fainted. Parent in car, layed pt back in car, talking to him to help orient him. Vitals obtained, temp, 96.2 temporal, 62HR, 100 %spo2, 116/60 Bp. 116/60. 5:32 Pt awake enough, stable to be observed for another 10 minutes. Pt stated he is fasting ad thats probably why i fainted/ 5:47 pt awake and stable enough to leave. Mother is ok with Pts condition.


VAERS ID: 1241819 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 8734ER / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysgeusia, Nasopharyngitis, Oropharyngeal pain, Pain in extremity, Rhinorrhoea, Taste disorder
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine, Levothyroxine Vit D, Vit C, Super B Complex, calcium-magnesium-zinc, selenium, cranberry, quercetin, nitric oxide
Current Illness: None
Preexisting Conditions: Hypothyroid, HTN, thrombocytopenia, diverticulosis
Allergies: Sulfa
Diagnostic Lab Data: None I am going to mark unknown below because I still have the sore throat. I have no idea if it''s related to the vaccination. But I am sure the metal taste was.
CDC Split Type:

Write-up: Bitter, metal, tinny taste in mouth within one hour or less of vaccination. I am not sure of exact time because we ate directly after the fifteen minute waiting period. I didn''t notice the sensation until right after we ate. It lasted about three days and then was gone. It was strong enough for me to notice immediately and think how weird, and it was strong enough for me to notice it off and on the next three days-gradually lessening. I have also had a sore throat the whole week since the vaccination-it started the day after. It hasn''t turned into a cold-maybe a little drippy nose occasionally so not sure if sinuses etc, but the sore throat is persistent. Occasionally I feel it up higher in the nasal-pharynx also. I didn''t report to my doctor or treat in any way. And for statistics, my arm was sore for about two days. The worst was that evening and pretty mild after that.


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: 1242179 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart rate irregular, Hypoaesthesia, Influenza like illness, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Cardiac arrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cosyntex, lotrel 5/10, prednisone 4mg
Current Illness: none
Preexisting Conditions: Psoriatic arthritis
Allergies: none
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On top of flu like symtoms that didn''t concern me I started experiencing numbness and tingling on the right side of my face. I also had irregular heart beat for 16-18 hours. I have had neurological issues with 2 other medications in the past which calmed my concerns. I had my arms lock up on me while on Humira and I had the exact facial numbness and tingling with Enbrel. Both of those drugs work through TNF cells. I do not know the mechanism with J&J vaccine but wanted you to know that.


VAERS ID: 1242688 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-09
Onset:2021-04-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topical clindamycin, 75mg/daily spironolactone
Current Illness: no known
Preexisting Conditions: asthma, pmdd, autism, adhd
Allergies: environmental allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Full-body hives that began on the thighs and spread beginning 5 p.m. April 15 and ending approximately 10 a.m April 18. Did not seek a doctor but instead self-medicated with OTC Benadryl, hydrocortisone cream, and oatmeal baths.


VAERS ID: 1242952 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-03-22
Onset:2021-04-15
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

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

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

Write-up: Patient had no symptoms for 3 weeks. Then he developed an abscess at the injection site. It was red and swollen with a hard nodule under the skin. Pus came out from abscess at home with no intervention; patient sought follow up with PCP a few days later. Area was still swollen with a visible scab at injection site. Patient is spanish-speaking only.


VAERS ID: 1243015 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-04-06
Onset:2021-04-15
   Days after vaccination:9
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: Blood thyroid stimulating hormone, Fibrin D dimer, Full blood count, Leukocytosis, Liver function test increased, Metabolic function test, Pain in extremity, Ultrasound scan
SMQs:, Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC Tylenol
Current Illness: None
Preexisting Conditions: chronic back pain, elevated LFTs, former smoker (quit 2017), h/o L superficial venous thrombosis involving the great saphenous vein from midthigh extending up to the ankle (8/22/2017 s/p L leg injury after being struck in the distal left medial calf by a baseball in August)
Allergies: no known allergies
Diagnostic Lab Data: US LLE done 4/16/2021 showed acute superficial vein thrombus arising within the greater saphenous vein from the ankle to the thigh region, no evidence of LLE DVT. Labs done 4/16/2021- CMP elevated but stable LFTs, ddimer negative, CBC with leukocytosis of 13.1 without clinical signs of cellulitis, TSH normal
CDC Split Type:

Write-up: L leg pain starting 4/15/2021, symptoms similar to superficial thrombus he has in the same leg in 2017 . No recent injury. J and J COVID 19 vaccine on 4/6/2021. Started on Eliquis on 4/16/2021. Improved but still having significant L medial thigh pain during follow up appt on 4/20/2021. Scheduled to be seen by PCP next on 5/10/2021.


VAERS ID: 1244000 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-03-09
Onset:2021-04-15
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Peripheral swelling, Thrombosis, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), 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)

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: allegra, fluticasone, protonix, Toprol XL, amlodipine, metformin, insulin-lantus, actos, Lipitor, biotin, aspirin, vitamin D3, fish oil, nitroglycerin as needed.
Current Illness: None
Preexisting Conditions: Coronary arteriosclerosis, hypertension, Type II Diabetes mellitis with hyperglycemia.
Allergies: jardiance, trulicity
Diagnostic Lab Data: Ultrasound to rule out clots. Diagnosis: superficial clots.
CDC Split Type:

Write-up: Swelling in ankle, then in right leg.


VAERS ID: 1245095 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-15
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, Cough, Fatigue, Injection site pain, Pain
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435932

Write-up: COUGH; CHILLS; INJECTION SITE PAIN; FATIGUE; GENERAL BODY ACHES; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included unknown. 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 has been requested. No concomitant medications were reported. On 15-APR-2021, the subject experienced general body aches. On an unspecified date, the subject experienced cough, chills, injection site pain, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the injection site pain, general body aches, fatigue, chills and cough was not reported. This report was non-serious.


VAERS ID: 1245131 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Rhode Island  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: INFLUENZA VACCINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Dizziness; Drop in blood pressure; Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436919

Write-up: NOT FEELING WELL; FEVER; NAUSEA; VERY TIRED/FATIGUE; 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 past medical history included light headed /dizzy after flu shot, drop in blood pressure after flu shot, and active covid-19 infection, and other pre-existing medical conditions included the patient had no known drug allergies. 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 15-APR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow up to request batch/lot number. Concomitant medications included influenza vaccine for prophylactic vaccination. On 15-APR-2021, the subject experienced not feeling well. On 15-APR-2021, the subject experienced fever. On 15-APR-2021, the subject experienced nausea. On 15-APR-2021, the subject experienced very tired/fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, nausea, and very tired/fatigue, and the outcome of not feeling well was not reported. This report was non-serious.


VAERS ID: 1245153 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043121A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Neck pain, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Iodine allergy; Shellfish allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210438186

Write-up: NEEDLE-LIKE PAIN ON SIDES OF NECK; NEEDLE-LIKE PAIN IN CALF AREA OF FRONT AND BACK OF BOTH LEGS; 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 past medical history included hypertension, and concurrent conditions included iodine allergy, and shellfish allergy.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043121A, and batch number: 043121A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-APR-2021, the subject experienced needle-like pain in calf area of front and back of both legs. On 18-APR-2021, the subject experienced needle-like pain on sides of neck. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from needle-like pain in calf area of front and back of both legs, and needle-like pain on sides of neck. This report was non-serious.


VAERS ID: 1245249 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-04-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None at this time.
CDC Split Type:

Write-up: The morning after receiving the vaccine, patient woke up with with numbness and weakness on right side of body. The numbness and weakness has persisted to the present day (4-22-21).


VAERS ID: 1245312 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Headache, Swelling, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: TB Test, age 17 false positive and hives
Other Medications: Lexapro, Flonase, Benadryl
Current Illness: Just allergies
Preexisting Conditions: Anxiety
Allergies: Oranges, TB test, dust, hay, pollen, bees, insect stings and bites
Diagnostic Lab Data: Blood Tests, ER visit
CDC Split Type:

Write-up: Hives starting around 6pm on Thursday evening Saturday evening horrible headache and head started swelling Sunday morning back started swelling Monday morning neck and face started swelling Tuesday went to ER was prescribed Prednisone to start taking on Wednesday been taking for 2 of 4 days and swelling is still present, but starting to lessen.


VAERS ID: 1245411 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-15
Onset:2021-04-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Swelling face, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy (Not sure about the allergy)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Difficulty in breathing; Swelling of face; Swelling of face and tongue; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of DYSPNOEA (Difficulty in breathing), SWELLING FACE (Swelling of face) and SWOLLEN TONGUE (Swelling of face and tongue) in a 47-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031A21A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy (Not sure about the allergy). On 15-Apr-2021 at 1:52 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-2021 at 2:22 PM, the patient experienced DYSPNOEA (Difficulty in breathing) (seriousness criteria medically significant and intervention required), SWELLING FACE (Swelling of face) (seriousness criteria medically significant and intervention required) and SWOLLEN TONGUE (Swelling of face and tongue) (seriousness criteria medically significant and intervention required). At the time of the report, DYSPNOEA (Difficulty in breathing), SWELLING FACE (Swelling of face) and SWOLLEN TONGUE (Swelling of face and tongue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. EpiPen and 50 mg of Benadryl were given intramuscularly as a treatment for the events. 9-1-1 was called for further evaluation. No information on concomitant medications. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1245448 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-03-17
Onset:2021-04-15
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045A21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Haematochezia, Headache
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METOPROLOL; LOSARTAN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No reported adverse event.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Blood in the stool; Diarrhoea; Stomach cramping; Head ache; Little dizzy; This spontaneous case was reported by a consumer and describes the occurrence of HAEMATOCHEZIA (Blood in the stool) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038B21A and 045A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No reported adverse event.). Concomitant products included METOPROLOL and LOSARTAN for Blood pressure. On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced DIZZINESS (Little dizzy). On 16-Apr-2021, the patient experienced HAEMATOCHEZIA (Blood in the stool) (seriousness criterion medically significant), DIARRHOEA (Diarrhoea), ABDOMINAL PAIN UPPER (Stomach cramping) and HEADACHE (Head ache). At the time of the report, HAEMATOCHEZIA (Blood in the stool), DIZZINESS (Little dizzy), DIARRHOEA (Diarrhoea), ABDOMINAL PAIN UPPER (Stomach cramping) and HEADACHE (Head ache) outcome was unknown. Patient stated that he has discharged blood 3 or 4 times more but said it is just a splatter on top of the water and on the paper when clean itself. The patient has no history of gastrointestinal issues or bleeding. Patient had taken 2 Aleve. This case concerns a 56-year-old male with a serious unexpected event of hematochezia, and nonserious unexpected abdominal pain upper, dizziness, diarrhea, and expected headache. Event onset 2 days after second dose mRNA-1273. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: This case concerns a 56-year-old male with a serious unexpected event of hematochezia, and nonserious unexpected abdominal pain upper, dizziness, diarrhea, and expected headache. Event onset 2 days after second dose mRNA-1273. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1245458 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Chills, Feeling abnormal, Feeling cold, Feeling hot, Head injury, Joint injury, Loss of consciousness, Myalgia, Nausea, Pain, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No relevant medical history provided)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Patient passed out and hit head on the ground; Felt horrible when she got up; Shake; Keep getting cold and had chills; Get hot; Hit head on the ground; Patient scrapped knee and knee is burning; Move was excruciating/didn''t even roll over and hurt to move; Patient scrapped knee and knee is burning; Felt like she was going to throw up; Hurt real bad, body was very very sore; Keep getting cold and had chills; Joint Sore; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Patient passed out and hit head on the ground) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No relevant medical history provided). On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Patient passed out and hit head on the ground) (seriousness criterion medically significant), FEELING ABNORMAL (Felt horrible when she got up), TREMOR (Shake), FEELING COLD (Keep getting cold and had chills), FEELING HOT (Get hot), HEAD INJURY (Hit head on the ground), BURNING SENSATION (Patient scrapped knee and knee is burning), PAIN (Move was excruciating/didn''t even roll over and hurt to move), JOINT INJURY (Patient scrapped knee and knee is burning), NAUSEA (Felt like she was going to throw up), MYALGIA (Hurt real bad, body was very very sore), CHILLS (Keep getting cold and had chills) and ARTHRALGIA (Joint Sore). At the time of the report, LOSS OF CONSCIOUSNESS (Patient passed out and hit head on the ground), FEELING ABNORMAL (Felt horrible when she got up), TREMOR (Shake), FEELING COLD (Keep getting cold and had chills), FEELING HOT (Get hot), HEAD INJURY (Hit head on the ground), BURNING SENSATION (Patient scrapped knee and knee is burning), PAIN (Move was excruciating/didn''t even roll over and hurt to move), JOINT INJURY (Patient scrapped knee and knee is burning), NAUSEA (Felt like she was going to throw up), MYALGIA (Hurt real bad, body was very very sore), CHILLS (Keep getting cold and had chills) and ARTHRALGIA (Joint Sore) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient got extremely hot when using the bathroom. Felt like she was going to throw up. Patient passed out and hit head on the ground. Patient didn''t remember doing this. Patient scrapped knee and knee is burning. Patient feels concerned. Happened within a 24 hour period. Starting to feel better. The concomitant medications and treatment details were not provided. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. This case was linked to MOD21-075794 (E2B Linked Report).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded MOD21-075794:


VAERS ID: 1245465 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-25
Onset:2021-04-15
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Myalgia, Nasopharyngitis, Pulmonary congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (no historical condition reported.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: COMMON COLD; body aches; chest congestion; This spontaneous case was reported by a consumer and describes the occurrence of PULMONARY CONGESTION (chest congestion) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (no historical condition reported.). On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-1021, the patient experienced PULMONARY CONGESTION (chest congestion) (seriousness criterion medically significant). On 15-Apr-2021, the patient experienced NASOPHARYNGITIS (COMMON COLD) and MYALGIA (body aches). At the time of the report, PULMONARY CONGESTION (chest congestion), NASOPHARYNGITIS (COMMON COLD) and MYALGIA (body aches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact


VAERS ID: 1246549 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041AZ1A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Hives all over body, itching


VAERS ID: 1247921 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-11
Onset:2021-04-15
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Aphasia, Bruxism, Cerebrovascular accident, Dysphagia, Eye movement disorder, Facial paralysis, Gaze palsy, Laboratory test, Magnetic resonance imaging head abnormal, Mental status changes, Thrombosis, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: probenecid/colchicine
Current Illness: hip fracture 2/15/2021
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: complete medical workup including labs and MRI for stroke-like symptoms
CDC Split Type:

Write-up: 4/15/2021 approximately 1030 am client found to be AMS, non-responsive, aphasic, aphagic, left-sided facial droop, teeth clenched, left eye closes, right eye with deviated gaze. 911 called, client to hospital ER, work up/evaluation, admission for stroke related to blood clots found left frontal and right temporal lobes, per spouse. Client discharged 4 days later to home s/p CVA, bed-bound, remains aphasic, aphagic, non-communicative, no response to verbal stimuli. PLEASE NOTE: hospital admission. Unable to complete section 21. Admit for 4 days.


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