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

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



Case Details

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VAERS ID: 1263497 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-17
Onset:2021-04-08
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? 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: Diazepam, Baclofen, Valproic Acid, Dantrolene - all compounded administered via Gtube Ciprofloxcin via pic line Doxazosin, crushed via Gtube
Current Illness: Acute prostatitis
Preexisting Conditions: Patient is a 100% disabled patient since a near-drowning in 1980 at age 2.5. He is non-verbal and NPO.
Allergies: Dilantin
Diagnostic Lab Data: Multiple in hospital tests
CDC Split Type:

Write-up: Blood clot, L arm (where pic line was located)


VAERS ID: 1263510 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 1. daily baby aspirin 81 mg 2. vitamin c : 1000 mg twice a day 3. vitamin d : 4000 mg iu daily 4. zinc : 50 daily 5. melatonin for insomnia (1-10mg)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Mucles pain, cold, headache


VAERS ID: 1263613 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-31
Onset:2021-03-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Chills, Cough, Dyspnoea, Fatigue, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient began having fever, chills, rash, and vomiting night of the vaccine (03/31). Patients symptoms have continued for almost 4 weeks (03/31-4/26)and have worsened. Unable to keep down any food other than saltine crackers and some ginger ale. Patient now has a cough, shortness of breath, and lower left abdominal pain. Patient has not been able to follow up with primary care doctor or lung specialist. Encouraged the caretaker to take patient to PCP, urgent care, or ER. Symptoms typically resolve within first week (fever, chills, and fatigue). Symptoms, especially, fever persisting with treatment of Tylenol and Motrin should be assessed ASAP. Waiting to hear back from doctor follow up and if there were any underlying causes for symptoms.


VAERS ID: 1263617 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-20
Onset:2021-03-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180502U / 1 UN / SYR

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Chest X-ray normal, Chest discomfort, Chills, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: flu; get sick after so I stopped taking the flu shot
Other Medications: IVF cycle (hormonal injection), Prenatal vitamins
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: chest xray; neg
CDC Split Type: vsafe

Write-up: 3/20 vaccination That evening of vaccination, I had really bad chills and a fever of 102.7. I took some Tylenol. 3/21 fever broke. No chills. Felt almost good as new. 3/22 I started having trouble breathing, almost like I couldn''t fully breath in and that lasted pretty much until 4/23/2021. It felt like my chest was clogged, like your nose is clogged. Very uncomfortable. I started with a ''cough'', almost like I wanted to cough but I kept it all in. 3/23, or 3/25 Urgent Care telemedicine due to being respiratory. Was prescribed an inhaler with albuterol with steroids. Neither seemed to have an affect. The following week, I took a COVID test; Neg. I went back to urgent care, said my lungs were all clear. Prescribed me ''oral medication'' and expectorant with codeine. Didn''t have affect until I took the expectorant with the codeine.


VAERS ID: 1263684 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Decreased appetite, Dehydration
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Dehydration (narrow)

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

Write-up: weak, loss of Appetite called 911 transported to Hospital 4/21-patient still having issues with eating , patient was dehydrated . went to hospital , got out now


VAERS ID: 1263703 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-08
Onset:2021-03-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dehydration, Fatigue, Headache, Pain, Pyrexia, Sleep disorder, Urine analysis, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram 20mg Zyrtec Mili birth control Flonase
Current Illness: Unknown illness (diagnosed as likely a sinus infection, tested negative twice for covid) about 2 weeks before vaccine.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood test and urinalysis preformed at the ER.
CDC Split Type:

Write-up: I received my J&J vaccine at around 3:00pm. By 10:00pm, I was feeling very tired and achey and went to bed. I woke up at 2:00am with a fever of 102.5, a terrible headache and unbearable body aches. I took some ibuprofen and tried to go to bed but began vomiting. This lasted for 3-4 hours and I was unable to sleep. The next day I began to feel better in the afternoon but by 6:00pm the fever and aches worsened again and I began vomiting uncontrollably, about every 10 minutes. I couldn?t keep anything down, even water. I had a virtual urgent care visit and the doctor ordered me to go to the emergency room. At the ER, the doctors determined I was severely dehydrated. I received 2 bags of IV fluid, nausea medicine and pain medicine. I spend about 3 hours in the ER before I was sent home. I had to keep taking nausea medicine to prevent vomiting for the next day or so.


VAERS ID: 1263742 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-01
Onset:2021-04-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Deep vein thrombosis, Pulmonary embolism, Pulmonary infarction, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin, atorvastatin, lisinopril
Current Illness: none
Preexisting Conditions: HTN, obstructive sleep apnea. Patient was found to have be heterozygous for Factor V Leiden after more testing after the event.
Allergies: wasp stings
Diagnostic Lab Data: Imaging on 4/3/21: Acute DVT of posterior tibial vein in the upper calf. 4/5/21 venous doppler CT appearance of mild to moderate pulmonary emboli bilaterally, most prominently of RIGHT lower lobe pulmonary arteries snd CT findings suggestive of mild pulmonary infarction of the posterior RIGHT lung base. 4/3/21 CT
CDC Split Type:

Write-up: AE = PE/DVT. Difficult to say if vaccine played an ancillary role (very short time course). Treatment = anticoagulation with apixaban. Outcome = patient discharged from hospital in good condition after 2 days.


VAERS ID: 1263828 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Auditory disorder, Chest pain, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dizziness, Dyspnoea, Fibrin D dimer increased, Peripheral coldness, Peripheral swelling, Pulmonary embolism, Vertigo
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Moringa Maca Beet powder Bee pollen Spirulina Elderberry concentrate Allegra-D
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Erythromycin
Diagnostic Lab Data: I was admitted to the ER on 4/12/21. Was tested for D-Dimer and high level found.
CDC Split Type:

Write-up: I was admitted to the ER on 4/12/21 with dizziness, lightheadedness, vertigo, some auditory issues, shortness of breath, swelling/puffiness of legs and feet, unusual coldness in extremities, and some minor pain in chest. CT-Scan revealed DVT in left leg and PEs in both lungs. Was given two shots of heparin over a 24-hour period and then Xarelto 15mg (oral) the following day.


VAERS ID: 1263852 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-11
Onset:2021-04-19
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Fatigue, Headache, X-ray normal
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen 200 mg every four hours from April 19-23 Meclizine 3x a day Naproxen 500mg 2x a day
Current Illness: None
Preexisting Conditions: None
Allergies: Antihistamine 1 time on April 11 nighttime
Diagnostic Lab Data: According to doctor, EKG good, blood tests good, X-ray of both heart and lungs good, CT scan good
CDC Split Type:

Write-up: Headache, dizziness, lightheadedness, tiredness it?s persistent not going away since vaccination until now, will have a follow up with the doctor this week


VAERS ID: 1263940 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-22
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood electrolytes normal, Blood fibrinogen normal, Deep vein thrombosis, Electrocardiogram normal, Fibrin D dimer increased, Full blood count, Haematocrit normal, Haemoglobin normal, Headache, Heparin-induced thrombocytopenia test positive, Immunoglobulin therapy, Immunology test, Peripheral swelling, Platelet count decreased, Pulmonary embolism, Vaccination complication, White blood cell count increased
SMQs:, Cardiac failure (broad), Angioedema (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: None reported
Diagnostic Lab Data: On admission to current facility: HIT antibody: negative Fibrinogen: 200 mg/dL D-dimer: 28,980 FEU CBC: WBC 12.3 10*9/L, hemoglobin: 14.7 g/dL, hematocrit 41.1%, platelets 54 10*9/L Electrolytes within normal ranges Vaccine-induced (VITT) HIT ELISA (detects presence of IgG antibodies to heparin-platelet factor 4 (PF4) complexes: 3.016 OD ECG: normal sinus rhythm
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA: two weeks after vaccination patient reported to an urgent care with right leg swelling and headache. Two days later patient presented an emergency department, diagnosed with left lower extremity deep vein thrombosis (DVT) and bilateral pulmonary emboli (PE). Transferred to current hosptial for management including anticoagulation with a direct thrombin inhibitor, intravenous immune globulin (IVIG), and additional laboratory testing.


VAERS ID: 1263944 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Facial pain, Headache, Hypoaesthesia, Magnetic resonance imaging, SARS-CoV-2 test negative, Trigeminal nerve disorder
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), COVID-19 (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 10 years ago; unknown origin to vaccine.
Other Medications: Claritin, vit D, women''s daily vitamin, Zoloft
Current Illness: Sinus infection (didn''t know until shown on CT scan; hx of sinus infections)
Preexisting Conditions: seasonal allergies; ''well controlled'' asthma; depression; hx migraines
Allergies: Codeine, peaches, mango, carrots, apples, hazel nuts
Diagnostic Lab Data: COVID; neg CT Scan MRI Blood work
CDC Split Type: vsafe

Write-up: 4/8 Vaccination 4/14 7:30 in the morning, I was driving my son to school. I got this really bad HA on R side of head. Went away quickly. Left side of face was left numb. I quickly did a neuro check; I could move fingers, eyes, etc. I called nurse and told to go to the ER. At the ER, Covid test; neg, CT scan, MRI, blood work; all normal. Something happened to the nerve on that side of my face, trigeminal nerve. It took a couple days for the numbness to dissipate. But I do still have some pain on the L side of my face. Told to follow up with PCM; scheduled for 429/2021


VAERS ID: 1264000 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-03-01
Onset:2021-03-22
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Hemiplegia, Mental impairment, Speech disorder, Thrombosis
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Lupus
Preexisting Conditions: Lupus
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: My sister suffered a massive stroke with blood clots. Totally paralyzed on right side and limited speech. Unable to function on her own, receiving care at a Nursing Home


VAERS ID: 1264036 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-22
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Chills, Fibrin D dimer increased, Headache, Pulmonary embolism, Ventilation/perfusion scan
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: asthma exacerbation 2-3 weeks prior
Preexisting Conditions: asthma, COPD, Osteoporosis
Allergies: Morphine, Sulfa, Penicillin, Iodine, Erythromycin
Diagnostic Lab Data: VQ scan - patient is allergic to contrast; elevated d-dimer
CDC Split Type:

Write-up: immediately following vaccine patient developed chills and headache. Headache has continue to this date. 4/22/21 developed chest pain went to the emergency room and was diagnosed with a bilateral pulmonary embolism.


VAERS ID: 1264039 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-03-17
Onset:2021-04-18
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Ataxia, Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture abnormal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omepraozole, Naproxen, Tadalafil, Atorvastatin, Aspirin
Current Illness: None
Preexisting Conditions: Hypertension, coronary artery disease, hypothyroidism
Allergies: None
Diagnostic Lab Data: MRI Lumbar Spine, MRI Brain, Lumbar Puncture
CDC Split Type:

Write-up: Patient developed ataxic gait determined to be Guillan-Barre syndrome. Was treated with course of IVIg with improvement but not resolution.


VAERS ID: 1264060 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-07
Onset:2021-04-18
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Full blood count, Metabolic function test, Muscle spasms, Platelet count decreased, Swelling, Thrombocytopenia, Ultrasound Doppler abnormal
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Thrombophlebitis (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Finasteride, albuterol inhaler
Current Illness: None
Preexisting Conditions: Exercise induced asthma
Allergies: No known allergies
Diagnostic Lab Data: All labs from 04/26/2021: CBC: Platelets 74 K/uL Smear: Giant platelets BMP, Mg: within normal limits Hypercoagulability panel pending. Negative Factor V leiden and prothrombin US lower extremity venous Doppler bilateral: Nonocculsive DVT within the right popliteal vein extending to the gastrocnemius veins. Occlusive SVT of the right lesser saphenous vein. Nonocclusive DVT of the left popliteal vein extending into the gastrocnemius veins. Occlusive DVT of the left posterior tibial veins. Occlusive SVT of the greater saphenous vein.
CDC Split Type:

Write-up: Patient evaluated in ED 04/26 for bilateral leg cramping, swelling that started just over a week prior. Reviewed records from that visit. Work up was significant for bilateral lower extremity DVTs and thrombocytopenia. Patient was started on Xarelto at that time. Patient does not have any significant risk factors for blood clots. He is not obese, denies tobacco use, recent procedures, recent travel, prolonged immobility, family history of bleeding or clotting disease, etc. He is up to date on cancer screenings based on age/family hx. He did receive the Johnson and Johnson vaccine on 04/07.


VAERS ID: 1264170 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Headache
SMQs:

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: Amitriptyline; Abilify; Iron supplement
Current Illness: migraine headaches
Preexisting Conditions: migraine headaches; genetic issue with 5th cranial nerve - limited movements of my lips - can''t wiggle - Mobius
Allergies: Tegratol
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I had mild headaches since the day after the vaccination - but on April 18 it was severe - from 1 to 10 it was a 10. I went to the hospital as I was concerned about the news reports. ER on April 18. They gave me an IV with a couple of meds in it - I got better with that. There was Benadryl in it and I don''t know the other med.


VAERS ID: 1264207 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-22
Onset:2021-03-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood potassium decreased, Blood pressure increased, Computerised tomogram, Computerised tomogram normal, Diplopia, Optic nerve disorder, Transient ischaemic attack
SMQs:, Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Hypertension (narrow), Optic nerve disorders (narrow), Ocular motility disorders (broad), Hypoglycaemia (broad), Hypokalaemia (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: Couldn''t turn head for 3 days after flu vaccine1998
Other Medications: Losartan/HCTZ Zyrtec
Current Illness:
Preexisting Conditions: Heart murmur; HTN; overweight
Allergies: Codeine Duricef
Diagnostic Lab Data: Head CT - no abnormalities noted. MRI of head ordered. Not completed as of this date.
CDC Split Type:

Write-up: BP went up to 210/111 the day after vaccine was administered. On 4/24/2021 patient went to ER for double vision. BP was 200/100''s again. Given IV BP meds, did CT scan that showed no abnormalities noted. K+ was 2.9. On Sunday, 4/25/21 back to ER for double vision again. BP 160/90''s. Observed, given more BP meds and sent home again. Went to PCP, clinic 4/26 who referred to Ophthalmologist. Opthalmology, found optic nerve damage and believes related to mini stroke possibly from Covid vaccine.


VAERS ID: 1264241 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-31
Onset:2021-03-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram head, Magnetic resonance imaging head, Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Magnetic resonance imaging thoracic, Monoplegia, Ultrasound Doppler, X-ray limb
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Seroquel, adderall, busperopone, latuda. hydroxizone,
Current Illness:
Preexisting Conditions: bipolar. anxiety
Allergies: sulfa
Diagnostic Lab Data: 4/16/2021 RIS XR CHEST WITH PORT 15 (1:05 PM) 4/16/2021 CT HEAD WO (3:40) 3/16/2021 RIS XR ALL XRAY 15 (4) 4/16/2021 RIS XR FOREARM 15 (4:10) 4/16/2021 US ARM WEINS LEFT (5:10) 4/17/2021 RIS XR ALL XRAY 15 (15 MIN) 4/17/2021 MRI CERVICAL SPINE W WO (11:05) 4/17/2021 MRI BRIAN WO0 (11:05) 4/17/2021 mri tHORACIC SPINE W WO 4/19/2021 MRI LUMBARBSPINE W WO 4/23/2021 RIS XR ALL XRAY 15
CDC Split Type:

Write-up: About a week later I woke to a paralyzed arm on mu left side. I spent about a week in the hospital and underwent just about every test imaginable and was finally released with no answer other than it was probably a side effect of the vaccine. My arm is still paralyzed.


VAERS ID: 1264332 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Dizziness, Electrocardiogram normal, Fall, Fatigue, Hypertension, Injection site hypoaesthesia, Limb discomfort, Movement disorder, Nausea, Pain, Pain in extremity, Paraesthesia, Syncope, Ultrasound scan normal, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: propanol 10mg for HTN
Current Illness:
Preexisting Conditions: hx HTN
Allergies: NKA
Diagnostic Lab Data: 04/14/21- U/S, blood work, EKG-all WNL
CDC Split Type:

Write-up: 04/10/221-post vaccination-syncopy episode, supported fall to the ground, dizziness, blurred vision, nausea, high BP 194/118, stabilized at 187/110 ( already on propanol 10mg), BS 82, Pox 97,Medics responded, tx w/ Zofran, sent home wi/ family support/supervision. Instruc to be seen by MD on Mon 4/12, as ct has hx significant HTN, if increase H/A, dizziness or blurred vision to go to ER. 04/14/2021-4 days post vaccination-ct c/o pain, tingling, heaviness L arm (arm vaccine given in)numbness L side, fatigue, achy all over, instructed to go to ER r/t high BP, ER reported-EKG, blood work, ultrasound all negative. Instructed to take Ibuprofan alternated with Tylenol x 24 hrs for arm pain, and to make appt with


VAERS ID: 1264375 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-03
Onset:2021-04-27
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Peripheral swelling, Thrombosis
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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Melatonin 3 mg QHS Vitamin D 2000 QD Ibuprofen 600 mg BID prn
Current Illness:
Preexisting Conditions: DM type 2 Spinal Cord Injury - paraplegia Venous insufficiency A Fib DDD OA Chronic pain
Allergies: Rocephin Keflex Bactrim Novocain Aleve Fludrocortisone
Diagnostic Lab Data: Sent to ED on 4/27/21
CDC Split Type:

Write-up: Headache, leg swelling Sent to ED for evaluation blood clot in leg


VAERS ID: 1264392 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Blood test, Body temperature, Chest X-ray, Chest pain, Dizziness, Electrocardiogram, Feeling abnormal, Headache, Hypoaesthesia, Mobility decreased, Nausea, Pain, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Pneumonia; Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 102-103 F; Test Date: 20210415; Test Name: Chest X-ray; Result Unstructured Data: Normal; Test Date: 20210415; Test Name: EKG; Result Unstructured Data: Normal; Test Date: 20210415; Test Name: Blood test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210436128

Write-up: FAINT; NAUSEA; RIGHT SHOULDER BACK PAIN; LEFT CHEST PAIN; DIZZINESS; RIGHT HAND NUMBNESS; COULD NOT MOVE; WEAKNESS; FEVER 102-103 F; BODY ACHES; SLIGHT HEADACHE; FELT LIKE HAVING AN ALLERGIC REACTION/FELT LIKE HIT BY TRUCK; This spontaneous report received from a patient concerned a 47 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included pneumonia. The patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, expiry: UNKNOWN) dose was not reported, 1 total, administered on left arm on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the patient had a slight headache. On 10-APR-2021, the patient got off at midnight and felt body aches and upon waking up she could not move. On the same day, she felt like hit by a truck and experienced dizziness, right hand numbness, fever of 102-103 Fahrenheit and weakness. The patient took Bayer aspirin (acetylsalicylic acid) and Tylenol (paracetamol). The patient''s headaches were excruciating and came and went and some she had all day. The patient also felt like having an allergic reaction. On 12-APR-2021, the patient had left chest pain and right side of her up shoulder back pain upon taking a breath. On 15-APR-2021, the patient had nausea and visited emergency room and had blood test, chest X-ray and electrocardiogram and everything was normal. The patient was treated with unspecified anti-inflammatory medications, Toradol (ketorolac tromethamine) as intravenous, and they advised to visit a heart doctor. On 17-APR-2021, the patient was faint. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from left chest pain, fever 102-103 F, faint, right shoulder back pain, and right hand numbness, had not recovered from slight headache, weakness, nausea, and dizziness, and the outcome of body aches, could not move and felt like having an allergic reaction/felt like hit by truck was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: :20210436128 -covid-19 vaccine ad26.cov2.s -faint, bodyaches, left chest pain, dizziness, right hand numbness, could not move, right shoulder back pain. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210436128 -covid-19 vaccine ad26.cov2.s -weakness, fever 102- 103 F, nausea, slight headache, allergic reaction. This event(s) is labeled per Agency and is therefore considered potentially related.


VAERS ID: 1264394 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Dysstasia, Fatigue, Feeling abnormal, Lethargy, Migraine, Mobility decreased, Muscle spasms, Pain, Pain in extremity, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Very healthy and Active.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436251

Write-up: FOGGY FEELING IN HEAD/ SPACED OUT; DIZZINESS; UNABLE TO GET UP; SHORTNESS OF BREATH / WINDED; UNABLE TO STAND; LEG CRAMP; LETHARGIC; GENERAL BODY PAIN; TINGLING IN NECK THAT RADIATED DOWN THE ARMS; WORST MIGRAINE IN THE BACK OF EYES AND NECK; LEG PAIN; EXTREME FATIGUE; This spontaneous report received from a patient concerned a 38 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included very healthy and active. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 08-APR-2021 11:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced shortness of breath / winded. On APR-2021, the subject experienced unable to stand. On APR-2021, the subject experienced leg cramp. On APR-2021, the subject experienced lethargic. On APR-2021, the subject experienced general body pain. On APR-2021, the subject experienced tingling in neck that radiated down the arms. On APR-2021, the subject experienced worst migraine in the back of eyes and neck. On APR-2021, the subject experienced leg pain. On APR-2021, the subject experienced extreme fatigue. On 08-APR-2021, the subject experienced unable to get up. On 08-APR-2021, the subject experienced foggy feeling in head/ spaced out. On 08-APR-2021, the subject experienced dizziness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from general body pain, and the outcome of dizziness, foggy feeling in head/ spaced out, unable to stand, leg cramp, extreme fatigue, lethargic, leg pain, shortness of breath / winded, tingling in neck that radiated down the arms, worst migraine in the back of eyes and neck and unable to get up was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious


VAERS ID: 1264400 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:0000-00-00
Onset:2021-03-20
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Asthma, Contusion, Dizziness, Fatigue, Hypersensitivity, Migraine, Miosis, Muscular weakness, Mydriasis, Nausea, Neck pain, Pain, Pain assessment, Rash macular, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PRILOSEC [OMEPRAZOLE]
Current Illness: Abdominal pain; Asthma
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210322; Test Name: Pain scale; Result Unstructured Data: 7-8
CDC Split Type: USJNJFOC20210436540

Write-up: WORSE ASTHMA; RED SPOTS ON ARMS/LEG/CHEST/CHIN/NECK; CONSTRICTING PUPILS; DILATED PUPILS; SEVERE MIGRAINE; BLACK SPOTS IN VISION; NECK PAIN; LIGHT-HEADEDNESS; NECK WEAKNESS; NAUSEOUS; LIGHT BRUISING ON LEG/ARM; FELT LIKE HIT BY MACK TRUCK; SEVERE ABDOMINAL PAIN; FATIGUE; ALLERGIC REACTION; This spontaneous report received from a patient concerned a 21 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included asthma. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and expiry: unknown) dose was not reported, 1 total administered on 20-MAR-2021 to right arm for prophylactic vaccination. Concomitant medications included omeprazole for abdominal pain. On 20-MAR-2021 two minutes after the vaccination, the patient had allergic reaction started with itching and redness on arms and upper chest. After ten minutes, the patient felt something wrong and consulted onsite EMT(emergency medical technician). Later the redness turned to hives with itchy to burning sensation. The EMT (emergency medical technician) was given intravenous Benadryl to the patient and hives got disappeared and redness remained. On the same day the patient went to the Emergency Room(ER) and stayed around seven hours. Pepcid and prednisone was given to the patient in ER (Emergency Room). The patient experienced chest tightness and warm and again Benadryl administered to the patient. The patient was also given Epipen while going home. On 21-MAR-2021, the patient experienced fatigue. On 22-MAR-2021, the patient had severe abdominal pain with 7-8 on pain scale, the abdominal pain was lasted for 24 hours and went away. The patient has been on Prilosec for the abdominal pain since a month. On 26- MAR-2021, the patient felt like hit by mack truck and fatigue. On 29-MAR-2021, the patient experienced light bruising legs far more easily than usual and had a bruise where she wore watch, but it was not deep bruising. On 05-APR-2021, the patient experienced black spot on vision in both eyes around 18:00-19:00 at night until went to bed, and lasted for 4 days. On 05-APR-2021, the patient experienced lightheaded and motion sickness when sitting or standing still; the patient also had neck pain. The patient''s neck weakness was felt like the patient''s head was going to fall off. The patient experienced neck weakness about once in a week around 15 minutes and also felt nauseous. On 09-APR-2021, the patient had severe migraine with light and sound sensitivity and had rapidly dilating pupils. The patient administered cocktail of medicine Benadryl, Toradol, and Compazine and this medicines helped the patient little bit with the pain. On 9-APR-2021, the patient experienced trouble reading for 2 days due to the dilatation of the both eyes. On an unspecified date, the patient experienced worse asthma than usual, and red spots on arms, leg, chest, chin, and neck. The spots were darker and shinier than usual. Other treatment medications (dates unspecified) included: Medrol for migraine. The patient had visited emergency room for allergic reaction. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from black spots in vision on 09-APR-2021, constricting pupils, and dilated pupils on 10-APR-2021, and severe abdominal pain on 23-MAR-2021, had not recovered from fatigue, light-headedness, nauseous, neck pain, severe migraine, light bruising on leg/arm, worse asthma, red spots on arms/leg/chest/chin/neck, and neck weakness, and the outcome of allergic reaction and felt like hit by a truck was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210436540-covid-19 vaccine ad26.cov2.s-Allergic reaction. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1264401 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Diarrhoea, Insomnia, Nausea, Oropharyngeal pain, Pain, Peripheral swelling, Rash pruritic, Swelling, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: patient had No underlying medical conditions.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436541

Write-up: SWELLING OF FACE, TONGUE, ARMS AND HANDS; VOMITING; NAUSEA; ABDOMINAL PAIN; SWELLING OF FEET; COULDN''T SLEEP; ITCHY RASH; DIARRHEA; PAIN ALL OVER; SORE THROAT; This spontaneous report received from a patient concerned a 57 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no underlying medical conditions. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the patient experienced pain all over the body, sore throat. On 12-APR-2021, the patient experienced rash. On 13-APR-2021, the patient experienced diarrhea, itching. On 14-APR-2021, the patient experienced abdominal pain, swelling of feet, could not sleep. On 15-APR-2021, the patient experienced swelling of face, tongue, arms and hands, nausea and vomiting. She went to clinic to see a doctor and doctor told the patient to go to ER. In Emergency room, they gave her intravenous fluids and medicine for the nausea and vomiting. All her symptoms were improving but she was worried that she will still have swelling and rash with the itching. She only slept for about 4 hours at night. She did not have insurance and medical bills got expensive and was worried. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, and nausea on 15-APR-2021, was recovering from abdominal pain, diarrhea, pain all over, sore throat, and couldn''t sleep, and had not recovered from swelling of face, tongue, arms and hands, swelling of feet, and itchy rash. This report was serious (Other Medically Important Condition). .; Sender''s Comments: V0;-covid-19 vaccine ad26.cov2. s-swelling of face, tongue, arms, hands and abdominal pain. This events are considered unassessable. The events had a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the events.


VAERS ID: 1264403 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Electrocardiogram, Feeling hot, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure high; Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: EKG; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210437892

Write-up: FEELING HOT; SWEATY; NAUSEA; This spontaneous report received from a patient concerned a 58 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, and severe anaphylactic to penicillin. The patient experienced rash when treated with cefalexin, and headache and vomiting when treated with erythromycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced feeling hot. On 09-APR-2021, the subject experienced sweaty. On 09-APR-2021, the subject experienced nausea. Laboratory data included: EKG (NR: not provided) Unknown. Treatment medications (dates unspecified) included: epinephrine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from feeling hot, sweaty, and nausea on 11-APR-2021. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1264408 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Computerised tomogram, Dizziness, Headache, Pain in extremity
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ANTIVERT [MECLOZINE HYDROCHLORIDE]; XANAX; IRON
Current Illness: Drug allergy (The patient was allergic to cortisone, prednisone, ibuprofen, codeine, cyclosporin, neosporin, cephalexin, and amoxicillin.); Heart disorder; Iodine allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Cerebral hemorrhage (in 2016); Shellfish allergy; Surgery
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: CAT scan; Result Unstructured Data: unknown; Comments: CAT scan found nothing unusual; Test Date: 20210415; Test Name: CAT scan; Result Unstructured Data: unknown; Comments: CAT scan found nothing unusual
CDC Split Type: USJNJFOC20210438138

Write-up: DIZZY SPELLS; SHARP PAIN IN LEFT LEG; STOMACH PAIN; HEADACHE; This spontaneous report received from a patient concerned an 87 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included brain bleed, and surgery, and concurrent conditions included iodine allergy, drug allergy, shellfish allergy, and heart problems. The patient experienced drug allergy when treated with amoxicillin, cefalexin, codeine, cortisone, ciclosporin, ibuprofen, gramicidin/neomycin sulfate/polymyxin b sulfate, and prednisone. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1805029 expiry: UNKNOWN) dose was not reported, administered on 13-MAR-2021 for prophylactic vaccination. Concomitant medications included alprazolam, iron, and meclozine hydrochloride. On 13-APR-2021, the subject experienced headache. Treatment medications included: paracetamol. On 14-APR-2021, the subject experienced stomach pain. Laboratory data included: CAT scan (NR: not provided) unknown. On 15-APR-2021, the subject experienced sharp pain in left leg. Laboratory data included: CAT scan (NR: not provided) unknown. On 19-APR-2021, the subject experienced dizzy spells. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from stomach pain on 15-APR-2021, and headache on 14-APR-2021, had not recovered from dizzy spells, and the outcome of sharp pain in left leg was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1264412 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-03-08
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Electric shock sensation, Feeling hot, Hypoaesthesia, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Magnetic resonance imaging; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20210438273

Write-up: NUMBNESS ON RIGHT SIDE INCLUDING FACE; RECURRENT FEELING OF ELECTRIC SHOCK; RECURRENT EPISODES OF ARRHYTHMIA; RECURRENT FEELING OF WAVE OF WARM LIQUID COME OVER WHOLE BODY; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and expiry: UNKNOWN) dose was not reported, administered on 08-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On 08-MAR-2021,15 minutes post-vaccination the patient experienced warm liquid feeling over whole body and happened 3 more times on same day. On 25-MAR-2021, the patient experienced electric shock feeling and arrhythmia twice on a same day. It was reported that, the patient experienced electric shock feeling and arrhythmia again on 26-MAR-2021, 27-MAR- 2021 and 30-MAR-2021 then patient was taken to hospital. She continued having symptoms and went back to emergency room with an Magnetic resonance imaging (MRI) on 13-APR-2021. She was now having numbness on right side including her face. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness on right side including face, and the outcome of warm liquid feeling over whole body, electric shock feeling and arrhythmia was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: : 20210438273-JANSSEN COVID-19 VACCINE Ad26.COV2.S- Arrhythmia This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1264415 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A22A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cough, Dizziness, Dry mouth, Fatigue, Headache, Rash, Vision blurred
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug allergy (The patient was allergic to many medications including flu vaccination.)
Preexisting Conditions: Comments: The patient was allergic to many medications including flu vaccination.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210438406

Write-up: BLURRINESS; RASH; DIZZINESS; DRY MOUTH; COUGHING; HEADACHE; TIREDNESS; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight was not reported. The patient''s concurrent conditions included allergic to many medications including flu vaccination. The patient was previously treated with influenza vaccine for prophylactic vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A22A expiry: UNKNOWN) dose was not reported, administered 1 total on 09-APR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. It was reported that few minutes after administration she started feeling dizzy, dryness in mouth, coughing, felt like there is a cotton ball in mouth, slight rash all over and blurriness. Then she was transferred to the emergency room where they used intravenous (IV) Benadryl and Epipen and they monitored her. Ever since then she still has headaches and tiredness. Treatment medications (dates unspecified) included: Benadryl (diphenhydramine hydrochloride), and Epipen (epinephrine) The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, and tiredness, and the outcome of rash, dizziness, dry mouth, coughing and blurriness was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:-Covid-19 vaccine ad26.cov2.s-Blurring, Coughing, dizziness, dryness of mouth. These events are considered unassessable. The events has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the events. V0:-Covid-19 vaccine ad26.cov2.s-Rash. This events is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1264426 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Blood pressure measurement, Cellulitis, Chest pain, Computerised tomogram, Echocardiogram, Hypertension, Palpitations, Troponin
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ESTRADIOL
Current Illness: Abstains from alcohol; Asthma; Non-smoker; White coat hypertension
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210402; Test Name: Echocardiogram; Result Unstructured Data: not functioning properly, ventricle was functioning at 40%; Test Date: 20210402; Test Name: Troponin; Result Unstructured Data: 113 or 116; Test Date: 20210402; Test Name: Blood pressure; Result Unstructured Data: 212; Test Date: 20210405; Test Name: CT scan; Result Unstructured Data: did not find any clots by that time; Test Date: 20210405; Test Name: Angiogram; Result Unstructured Data: did not find any clots by that time
CDC Split Type: USJNJFOC20210440993

Write-up: BAD CHEST PAINS, PAIN IN CENTER OF CHEST; FEELING OF HEART NOT BEATING RIGHT; BLOOD PRESSURE OF 212; CELLULITIS IN HER WRIST; This spontaneous report received from a patient concerned a 78 year old female patient. The patient''s height was 166 inches and weight was 138 pounds. The patient''s concurrent conditions included white coat hypertension, asthma, severe allergy to codeine, abstain from alcohol, and non-smoker. The patient was not pregnant. The patient received vaccination with covid-19 vaccine ad26.cov2. s (suspension for injection, intramuscular, batch number: 1805020, and expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 09:00 in left arm as prophylactic vaccination. Concomitant medications included estradiol. The patient reported that about 15-20 minutes post-vaccination on 02-APR-2021 as she was waiting in waiting area of vaccination clinic, she started to get bad chest pain which was in the center of her chest. She experienced heavy pressure in her chest. No arm pain or sensation was reported other than her chest. The patient further explained that she could feel that her heart ''wasn''t beating right'' and reported as ''heart feeling wonky''. The patient felt the top of her heart beating faster than the bottom. The vaccination paramedic took her blood pressure which was 212 (patient did not have any other information on her blood pressure). The paramedics called ambulance and after a 15 minute drive patient arrived at emergency room at 9.30. The patient had an echocardiogram or ''an ultrasound'' of her heart and was told that it was not functioning properly that her ventricle was functioning at 40% of normal. The patient was put on nitroglycerin and heparin drip. Blood test was also done which showed troponin levels at 113 or 116, ''somewhere in there''. The patient was told that ''some type of cardiac event had occurred''. The patient''s tests were reviewed same night and patient spent the night in emergency room because there were no beds. On 03-APR-2021, the patient was transferred to a hospital where she was put on nitroglycerin and heparin drip. The patient was moved again to another hospital on night of 04-APR-2021. The patient had angiogram and CT of vein and arteries. No clot was found by that time. The patient was discharged on 06-APR-2021. The patient saw a cardiologist on 15-APR-2021 who told patient that ''he thought she had some kind of clot that dissolved in the hospital''. Since patient has been home, she experienced pain and discomfort in arm and wrist with cellulitis in her wrist. The patient was taking cephalexin 500 mg three times a day for 10 days. The patient said it was due to angiogram she had because the angiogram team had hard time with her angiogram and had to go in twice. The patient had been taking percocet 5 mg tablet as needed for pain. The patient attempted to report these events online and left a message for someone to call her back but email did not work as she was unable to send. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of bad chest pains, pain in center of chest, feeling of heart not beating right and blood pressure of 212, and cellulitis in her wrist was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: This 78-year-old white (non-Hispanic/Latino) female patient was hospitalized for chest pain, palpitations, and blood pressure of 212 within the hour of receiving COVID-19 VACCINE AD26.COV2.S for the prevention of symptomatic SARS-CoV-2 virus infection. Concurrent illness included white coat hypertension, asthma, severe allergy to codeine; denies smoking and have abstained from alcohol. The patient complained of "bad chest pain" described as heavy pressure on the chest and that she could feel her "heart was not beating right/heart feeling wonky/top of her heart beating faster than the bottom". Blood pressure was 212 when it was checked, the patient was transported to the emergency room where echocardiogram showed that her ventricle was functioning at 40% of normal; Troponin was 113 (or 116). The patient was started on nitroglycerin and heparin drip. CT Angiogram of veins and arteries done 2 days after the vaccination showed no clot; by the attending cardiologist thought that some kind of clot might have been dissolved. Due to difficulty of doing the angiogram, the patient had cellulitis in her wrist with pain and discomfort in arm and wrist; the patient was taking cephalexin and percocet for the cellulitis and pain. No other details reported. The short latency and the advanced age confounded the event. The information available precludes a complete and meaningful assessment. However, considering the temporal relationship and recently evolving theories in the literature about COVID infections and vaccinations, potential vaccine contribution cannot be excluded. Additional information was requested.


VAERS ID: 1264430 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210441185

Write-up: DEATHLY ILL; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced deathly ill. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of deathly ill was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not needed as per standard procedure since case is assessed as non-serious.


VAERS ID: 1264431 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210441515

Write-up: BELLS PALSY; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, one total, 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 numbers. No concomitant medications were reported. On 15-APR-2021, the patient experienced numbness on left side of face, bells palsy diagnosed, was in emergency room it was direct effect from vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the bells palsy was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210441515- Covid-19 vaccine ad26.cov2-Bell''s palsy. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1264435 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-15
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Full blood count, Headache, SARS-CoV-2 test positive, Scan with contrast
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL; NAPROXEN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Knee operation; Menstrual migraine; Comments: No blood thinners, no clotting issues, been pregnant 13 times.
Allergies:
Diagnostic Lab Data: Test Date: 20201228; Test Name: COVID-19 virus test positive; Result Unstructured Data: POSITIVE; Test Date: 20210416; Test Name: Complete blood count; Result Unstructured Data: platelets were normal.; Test Date: 20210416; Test Name: CT scan; Result Unstructured Data: Normal, no blood clots or tumors.; Test Date: 20210416; Test Name: Scan with contrast; Result Unstructured Data: Normal, no blood clots or tumors.
CDC Split Type: USJNJFOC20210442438

Write-up: WEIRD HEADACHES/COMPLICATED MENSTRUAL HEADACHE/HEADACHE BEHIND EYES; This spontaneous report received from a patient concerned a 50 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included complicated menstrual migraine, and knee surgery, and other pre-existing medical conditions included no blood thinners, no clotting issues, been pregnant 13 times.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and batch number: 203A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Concomitant medications included ketorolac tromethamine for weird headaches/complicated menstrual headache/headache behind eyes, and naproxen for weird headaches/complicated menstrual headache/headache behind eyes. On 28-DEC-2020, Laboratory data included: COVID-19 virus test positive (NR: not provided) POSITIVE (units unspecified). On 15-APR-2021, the subject experienced weird headaches/complicated menstrual headache/headache behind eyes. On 16-APR-2021, Laboratory data included: CT scan (NR: not provided) Normal, no blood clots or tumors., Complete blood count (NR: not provided) platelets were normal. (units unspecified), and Scan with contrast (NR: not provided) Normal, no blood clots or tumors. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from weird headaches/complicated menstrual headache/headache behind eyes. This report was non-serious.; Sender''s Comments: V0: covid-19 vaccine ad26.cov2.s ,complicated menstrual headache, Medical assessment comment not required as per standard procedure as case assessed as non serious .


VAERS ID: 1264437 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Gastroenteritis viral, Heart rate, Hypersomnia, Hypertension, Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Laboratory test, Sinus tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had No known allergies. The patient was not pregnant at the time of report.
Allergies:
Diagnostic Lab Data: Test Date: 20210421; Test Name: EKG; Result Unstructured Data: EKG SINUS TACHYCARDIA, LOW VOLTAGE PERIODICAL, UNCONFIRMED DIAGNOSIS; Test Date: 20210421; Test Name: Laboratory test; Result Unstructured Data: UNKNOWN; Test Name: Blood pressure; Result Unstructured Data: 144/104 mmHg; Test Name: Heart rate; Result Unstructured Data: 119
CDC Split Type: USJNJFOC20210443030

Write-up: STOMACH FLU; CHEST PAIN UNSPECIFIED; SHORTNESS OF BREATH; EKG SINUS TACHYCARDIA, LOW VOLTAGE PERIODICAL, UNCONFIRMED DIAGNOSIS; DIZZINESS; SLEEPING 14 HOURS; LARGE NODULE AT INJECTION SITE; SWELLING AT INJECTION SITE; REDNESS AT INJECTION SITE; SORENESS/PAIN AT INJECTION SITE; HIGH BLOOD PRESSURE; This spontaneous report received from a patient concerned a 40 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. The patient was not pregnant at the time of report. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: 23-JUN-2021) dose was not reported, administered on 09-APR-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021 (following vaccination), the patient''s area around the injection site was swollen, a large nodule formed, it was red, sore and painful. These local symptoms lasted for a week then disappeared. The patient felt very fatigued, and reports sleeping 14 hours that night. On 10-APR-2021 the patient experienced headache and felt like his head was in a vise around each cheekbone. The fatigue and headache was gone on 11-APR-2021. On 19-APR-2021 the patient had vomiting and diarrhea for about 16 hours. The local symptoms swelling, redness, pain at injection site reappeared. On 19-APR-2021 the patient was very fatigued and took Pedialyte (calcium chloride/glucose/magnesium chloride/potassium chloride/sodium chloride/sodium lactate) to get rehydrated. On 21-APR-2021, the patient visited the emergency room as new symptoms appeared stomach pain, chest pain, shortness of breath and dizziness and her blood work and electrocardiogram(EKG) was done. The health care professional(HCPs) ruled out heart attack and told patient nothing in the symptoms or blood work warranted a scan for blood clots. The patient received anti-nausea intravenous (IV) medication, diagnosis of stomach flu and was sent home. The patient reports that her blood pressure readings were 144/104 and a pulse was 119. The emergency room health care professional instructed the patient to follow up with doctor and discharge diagnosis was made as chest pain unspecified. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from swelling at injection site, redness at injection site, soreness/pain at injection site, and large nodule at injection site, had not recovered from chest pain unspecified, shortness of breath, dizziness, and EKG sinus tachycardia, low voltage periodical, unconfirmed diagnosis, and the outcome of stomach flu, high blood pressure and sleeping 14 hours was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210443030-covid-19 vaccine ad26.cov2.s-Stomach flu. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1264442 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-06
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Chills, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: KLONOPIN; VIVANT
Current Illness: ADHD; Alcohol use (3 glasses of wine per week); Anxiety; Lactose intolerance; Penicillin allergy; Smoker (Patient is trying to quit and consumes 5 cigarettes per day.)
Preexisting Conditions: Medical History/Concurrent Conditions: Marijuana use (20 years ago)
Allergies:
Diagnostic Lab Data: Test Date: 20210406; Test Name: Body temperature; Result Unstructured Data: 105.9 F
CDC Split Type: USJNJFOC20210443341

Write-up: SWELLING ON HIS KNEES; JOINT PAIN; HORRIBLE CHILLS; FEVER OF 105.9 F; This spontaneous report received from a patient concerned a 46 year old male. The patient''s weight was 135 pounds, and height was 173 centimeters. The patient''s past medical history included marijuana use, and concurrent conditions included penicillin allergy, alcohol use, smoker, lactose intolerance, attention deficit hyperactivity disorder, and anxiety. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1808980 expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. Concomitant medications included clonazepam for ADHD, and anxiety, and hopantenate calcium for ADHD, and anxiety. On APR-2021, treatment medications included: ibuprofen. On 06-APR-2021, the subject experienced swelling on his knees, joint pain, horrible chills, fever of 105.9 f. Laboratory data included: Body temperature (NR: not provided) 105.9 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from horrible chills on 10-APR-2021, and fever of 105.9 f on 09-APR-2021, and was recovering from joint pain, and swelling on his knees. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure since case was assessed as non serious


VAERS ID: 1264453 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Endoscopy, Fatigue, Neuro-ophthalmological test, Pyrexia, Vertigo
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE]
Current Illness: Alcoholic; Gastrooesophageal reflux disease; Hypochondriacal personality; Penicillin allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Liposuction; Comments: Patient had allergy to all NSAIDS. Patient had No drug abuse or illicit drug usage. Patient consumed One small glass of red wine at night as a preventative for blood clots on the recommendation of a friend who is doctor and the alcohol also thins blood.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Endoscopy; Result Unstructured Data: unknown; Comments: endoscopy for GERD; Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 39.5 C; Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 38.5 C; Test Date: 20210421; Test Name: Neuro-ophthalmological test; Result Unstructured Data: Benign vertigo
CDC Split Type: USJNJFOC20210445878

Write-up: BENIGN VERTIGO/ON AND OFF LIGHTHEADEDNESS/FEELING WEIRD; TIREDNESS/FATIGUE; CHILLS; FEVER; This spontaneous report received from a patient concerned a 27 year old male. The patient''s weight was 62 kilograms, and height was 69 inches. The patient''s past medical history included fat removal from chest, and concurrent conditions included gastrooesophageal reflux disease, somewhat of a hypochondriac, penicillin allergy, and alcoholic, and other pre-existing medical conditions included patient had allergy to all NSAIDS (non-steroidal antiinflammatory drugs). patient had no drug abuse or illicit drug usage. patient consumed one small glass of red wine at night as a preventative for blood clots on the recommendation of a friend who is doctor and the alcohol also thins blood. The patient experienced drug allergy when treated with acetylsalicylic acid. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, expiry: 23-JUN-2021) dose was not reported, administered on 09-APR-2021 15:00 for prophylactic vaccination. Concomitant medications included pantoprazole sodium sesquihydrate for gerd. On APR-2021, Laboratory data included: Endoscopy (NR: not provided) unknown. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 39.5 C. On 10-APR-2021, the subject experienced tiredness/fatigue. Laboratory data included: Body temperature (NR: not provided) 38.5 C. On 16-APR-2021, the subject experienced benign vertigo/on and off lightheadedness/feeling weird. On 21-APR-2021, Laboratory data included: Neuro-ophthalmological test (NR: not provided) Benign vertigo. Treatment medications (dates unspecified) included: meclozine, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever on 11-APR-2021, and tiredness/fatigue on 12-APR-2021, and the outcome of benign vertigo/on and off lightheadedness/feeling weird was not reported. This report was non-serious.; Sender''s Comments: MAC- V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1264464 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-03-20
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Blood urine present, Computerised tomogram, Haemorrhage urinary tract, Pain, Urine analysis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210420; Test Name: Blood test; Result Unstructured Data: negative; Test Date: 20210420; Test Name: CT scan; Result Unstructured Data: negative; Test Date: 20210420; Test Name: Urinalysis; Result Unstructured Data: negative
CDC Split Type: USJNJFOC20210448625

Write-up: BLOOD CLOTS IN URINE; URINATING BLOOD; FELT ACHY; This spontaneous report received from a patient concerned a 43 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: 1805020, and expiry: 25-MAY-2021) dose was not reported, administered, 1 total, to left arm on 19-MAR-2021 around 06:00 PM for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, 12 hours after vaccination patient felt achy which had resolved in 24 hours. On 20-APR-2021, patient experienced blood clots in urine and had urinating blood lasted till evening of same day. The patient visited emergency room for same symptoms and admitted on 20-APR-2021, discharged around noon on same day. The patient was given with IV fluids and no other medications were administered. The patient had undergone blood test, urine analysis, computerized tomography (CT) scan and results were nothing urgent to consult. The patient had planned to do follow-up with urologist on 28-APR-2021. Laboratory data included: Blood test (NR: not provided) negative, computerized tomography (CT) scan (NR: not provided) negative, and Urinalysis (NR: not provided) negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood clots in urine, and urinating blood on 20-APR-2021, and felt achy on 21-MAR-2021. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: - Covid-19 vaccine .Ad26.Cov2.S- Blood clots in urine . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1264478 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hyperhidrosis, Hypoaesthesia, Muscle spasms, Pain in extremity, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies and no history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210450015

Write-up: NECK LOCKED UP; ARM DEAD; PAIN ABOVE ELBOW; HIGH FEVER; SHEETS COMPLETELY SOAKED; This spontaneous report received from a consumer concerned a 42 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included the patient had no known allergies and no history of drug abuse or illicit drug use. 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 APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced sheets completely soaked. On APR-2021, the subject experienced high fever. Treatment medications included: diazepam, and lidocaine. On 15-APR-2021, the subject experienced neck locked up. On 15-APR-2021, the subject experienced arm dead. On 15-APR-2021, the subject experienced pain above elbow. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from high fever on APR-2021, was recovering from neck locked up, had not recovered from arm dead, and pain above elbow, and the outcome of sheets completely soaked was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1264537 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-03
Onset:2021-04-19
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ophthalmological examination, Retinal artery occlusion
SMQs:, Embolic and thrombotic events, arterial (narrow), Retinal 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: aspirin 81mg, atorvastatin 80mg, metoprolol 50mg bid, hydralazine 25mg q8, amlodipine 5mg bid
Current Illness:
Preexisting Conditions: thoracic aneurysm, aortic valve regurgitation, cataract, CKD 3, HTN, hyperlipidemia, osteopenia, psoriasis,
Allergies: ciprofloxacin, iv contrast, lisinopril, penicillins, sulfonylureas, vicodin
Diagnostic Lab Data: dilated eye exam
CDC Split Type:

Write-up: left central retinal artery occlusion


VAERS ID: 1264585 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210451679

Write-up: SEVERE PERSISTENT MIGRAINE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced severe persistent migraine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of severe persistent migraine was not reported. This report was non-serious.


VAERS ID: 1264645 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-05
Onset:2021-04-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram normal, Ear pain, Fatigue, Headache, Injection site erythema, Injection site rash, Malaise, Rash macular, Vaccination site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sodium sulfacetamide/sulfur topical wash, metronidazole gel 1%, clobetasol propionate foam 0 .05%, triamcinolone acetonide cream 0.1%, one a day women?s multivitamin, lutein & zeaxanthin softgels, vitamin c, vitamin d 3, Claritin.
Current Illness: Cold/ virus
Preexisting Conditions: No
Allergies: Codeine
Diagnostic Lab Data: At the emergency room I had a non contrasting and a contrasting CT scan and not blood clots were detected. My vital signs were within a normal range. My rash site was not treated.
CDC Split Type:

Write-up: The night after my vaccination I had pain in my ears and had a headache as well as fatigue and overall not feeling well. By April 8th my symptoms we greatly reduced. My vaccination spot remained red and wam for the retainer of that week. I have had a headache since April 13, 2021. On April 24th I noticed a rash the softball size at my injection site that included lots of red dots all around. There was also warmth in the rash area. I went to unspecified pharmacy with my headaches and rash. Due to my symptoms I was referred to emergency department.


VAERS ID: 1264660 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NDC 59676-0580- / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Full blood count, Mean cell haemoglobin concentration decreased, Pruritus, Rash, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin OTC
Current Illness: none
Preexisting Conditions: pcos, migraine, eczema, brochospasm
Allergies: none
Diagnostic Lab Data: cbc with diff - normal except mchc 31.5 - 4/13
CDC Split Type:

Write-up: hives with itching starting on R elbow and spreading to R arm, left arm, shoulder. throat tightness. diarrhea x1. took Benadryl. seen in ED on 4/12/21 and noted to have rash on both arms and bilateral posterior shoulders. subsequently seen in clinic 4/13. patient reported that rash had resolved, but then returned a few hours later at lesser intensity. had resolved again by the time of visit. continued treatment with antihistamines. no further reports of rash/itching, etc.


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

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Cold sweat, Dizziness, Electrocardiogram, Hyperhidrosis, Musculoskeletal discomfort, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bio Identical Hormones, Vtms, herbal teas about 3x wk
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG, Chest X- Ray and Blood work-2 x... first blood results showed elevated enzymes? tromponin? then on second blood draw- normal.. at 7 am nurse offers aspirin... and explained Dr prescribed it at 3 am but it had not been given to me.. wow.. I was discharged @ 8:15 am
CDC Split Type:

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


VAERS ID: 1264685 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Erythema, Feeling hot, Pain in extremity, Peripheral swelling, Pruritus, Ultrasound scan
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Cancer
Preexisting Conditions: Medical History/Concurrent Conditions: Lymphadenectomy (8 lymph nodes removed from left arm)
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: everything clear; Test Name: Diagnostic ultrasound; Result Unstructured Data: everything clear
CDC Split Type: USJNJFOC20210452597

Write-up: REDNESS OF THE LEFT ARM; SWELLING OF THE LEFT ARM; ITCHINESS OF THE LEFT ARM; HOT LEFT ARM IN TOUCH; LEG PAIN; This spontaneous report received from a patient concerned a 52 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included lymph node, and concurrent conditions included cancer. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced redness of the left arm, swelling of the left arm, itchiness of the left arm, hot left arm in touch, and leg pain. Laboratory data (dates unspecified) included: Blood test (NR: not provided) everything clear, and Diagnostic ultrasound (NR: not provided) everything clear. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from redness of the left arm, swelling of the left arm, itchiness of the left arm, and leg pain, and the outcome of hot left arm in touch was not reported. This report was non-serious.


VAERS ID: 1264834 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-30
Onset:2021-04-03
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Asthenia, Chest discomfort, Dizziness, Echocardiogram, Head discomfort, Headache, Hyperhidrosis, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head, Paraesthesia, Stress echocardiogram
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zolpidem Lorazepam
Current Illness: Uti infection
Preexisting Conditions: Unable to sleep
Allergies: None
Diagnostic Lab Data: Brain MRI Echo Stress echo Multiple lab tests
CDC Split Type:

Write-up: Severe chest heaviness reaching shoulders and back, dizzy, lightheaded, tingling in pinky finger, numbness in face, severe headache (worse than any type of headache I?ve ever had (pressure at back of head). Sweating at palms of hands and bottoms of feet, unable to get words out when these ?episodes ? occur. Very weak after episodes occur. They started out not as severe, gradually started happening more often and last longer. Never felt this way in my entire life!!! Ended up in ER, and was admitted.


VAERS ID: 1264886 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Angiogram, Anosmia, Chest X-ray, Chest pain, Coagulation test abnormal, Dizziness, Dysgeusia, Dyspnoea, Electrocardiogram, Erythema, Fatigue, Full blood count, Hypoaesthesia oral, Nausea, Pallor, Pruritus
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Tdap 10/2019 - fu like symptoms for over a week ( tired, headache) . Injection site pain and swelling. 2017 & 2018 Flu Vaccine.
Other Medications: Vitamin D3 - 25mcg (1000 Ut) Capsules , Multivitamin, Vitamin C - 500mg Chewtabs, Zinc - 50mg Tablets , Black Elderberry(Berry-Flower) - 575mg Capsules
Current Illness: None
Preexisting Conditions:
Allergies: Amoxicillin, Benadryl, MSG,Nutrasweet ,Sulfa Drugs, Latex Sensitivity
Diagnostic Lab Data: 04/22 - complete blood work and chest x-ray 04/23 - CPT 71275 because of R791 Abnormal coagulation profile from 04/22 test results
CDC Split Type:

Write-up: 04/01/2021 - Vaccinated at 3:00 pm . Waited 15 mins and then returned home. Around 3:30 pm I developed a metallic taste in my mouth. Around 3:35 pm I became very itchy with no rash or hives. Itching feeling felt like it was below the skin. Approx 3:45 pm I called called Primary Care Physician and let them know what going on. Around 4:05 pm my lips, tongue and mouth felt numb ( Novocaine like ) Around 4:15 pm My Dr''s office called me back and after describing my symptoms they told me to go to to the ER. Immediately Went to Emergency Department. Was seen by doctor and others. Skin had now began going back and forth from pale to red. Itching had increased . Skin color began changing going from bright red to pale white and then back and forth. I was also now very light headed and very nauseous along with. I still had the metal taste in my mouth, was extremely itchy, and my lips and tongue were still numb. Around 5:14 pm they gave me Pepsid, Vistaril, Deltasone. We stayed there about another hours and I was released. Was give a script for Deltasone that I had filled that night. I went home and went to bed. 04/02 - Woke up and had lost all sense of taste and smell. I was still itchy, tired, nauseous, lips and tongue we still numb. I called my Dr and they said they would see me on Monday 04/05. The symptoms continued all weekend and on Sunday 04/04 i developed a burning feeling in my lungs. Monday 04/05 I went to see the Dr . The Dr prescribed hydrOXYzine . I did not do well on so it was changed to Zytec. Rested and tried to take it easy. Feeling in the lips and tongue came back. No longer nauseous . I was still light headed from time to time. My lungs were still bunring and I was very short of breath. On 04/23 went to the doctor because I still am not better. My lungs were still burning, I was tired all of the time, I and I was still light headed from time to time. They did blood work, EKG and a chest X ray. On 04/24 I had a CTA because ( abnormal coagulation profile shortness of breath. I was prescribed Albuterol in hopes it will be better. I have a follow up on 05/10 unless things get worse. 04/27 This are not worse, but they are not really improved. I am still tired all of the time. I still have shortness of breath, my lungs are still burning, and I still get light headed from time to time.


VAERS ID: 1265131 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-20
Onset:2021-04-08
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Angiogram pulmonary abnormal, Bile duct stone, Computerised tomogram thorax, Dyspnoea, Fibrin D dimer increased, Nausea, Pulmonary embolism, Pulmonary mass, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Biliary tract disorders (narrow), Gallstone related disorders (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bisoprolol, Diazepam, Lasix, Hydralazine, Protonix, Potassium and Quinapril
Current Illness: HTN CHF Anxiety GERD Osteoporosis Aortic Stenosis s/p TAVR Vitamin D deficiency HLD
Preexisting Conditions: HTN CHF Anxiety GERD Osteoporosis Aortic Stenosis s/p TAVR Vitamin D deficiency HLD Hx of PMR
Allergies: Latex, Keflex, Macrobid, Aspirin, Lemons
Diagnostic Lab Data: Elevated D dimer 4/14/21 2680 CTA lung with RLL PE
CDC Split Type:

Write-up: Pulmonary Embolism RLL Dyspnea and RUQ pain started @ 6 days prior (4/8/2021) to hospital admission on 4/14/2021. Went to hospital secondary to n/v/RUQ pain and was found to have choledocholithiasis. Due to dyspnea, CTA was performed with positive PE. PE was felt to be present on admission. Of note, patient was also found to have a lung mass on the Left upper lobe. Mass has grown from prior CT scans and is considered suspicious. Plan for pulmonology f/u and PET scan is pending.


VAERS ID: 1265163 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-03
Onset:2021-04-17
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Chest pain, Dyspnoea, Lung disorder, Pain in extremity, Thrombosis
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: Don''t have details
CDC Split Type:

Write-up: Blood clot in each lung, chest pain, labored breathing, leg pain and upper back pain.


VAERS ID: 1265409 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-11
Onset:2021-04-25
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram normal, Joint dislocation, Magnetic resonance imaging, Mental status changes, Seizure
SMQs:, Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: To date, normal CAT scan, waiting on MRI results, and is scheduled for EEG.
CDC Split Type:

Write-up: Patient reports seizures on 4/25/2021 requiring 911 call, ambulance, and hospitalization stay. Patient mental status changed to violent and resulted in a dislocated shoulder when hospitalized. Patient has no history of seizures or violent behavior.


VAERS ID: 1265459 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-11
Onset:2021-04-04
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Computerised tomogram head, Deafness neurosensory, Fibrin D dimer increased, Hypoacusis
SMQs:, Haemorrhage laboratory terms (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine Corlanor Mibelas
Current Illness: None
Preexisting Conditions: Lupus, Sjogrens, Sick Sinus Syndrome, pacemaker inserted last November
Allergies: Sulfa, bactrum, erythromyacin
Diagnostic Lab Data: CT scan, D-dimer test showed doubled levels for clotting, I was sent to ER to rule out blood clots. I was given a CT of brain and lungs which did not show clots at the time. I repeat the D-dimer test tomorrow.
CDC Split Type:

Write-up: I had sudden sensorineural hearing loss first in my left ear and then in my right. I still have distorted hearing in my left ear and my right ear is still muffled. It happened a little under 3 weeks after the vaccine. The doctor performed a hearing test in my left ear and it showed moderate sensorineural hearing loss compared to the hearing test I had last August. 2 weeks later my right ear showed decreased hearing. I was put on 60 mg of steroids for 2 weeks and given doxycycline for 2 weeks. The dr also had me do a CT scan. I also had an elevated D-dimer test for clots.


VAERS ID: 1265620 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Diarrhoea, Epistaxis, Hypoaesthesia, Paraesthesia, Tremor
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: J&J vaccine-brief bilat nare epistaxis, chills, tremor, diarrhea, numbness and tingling to all 4 extremities


VAERS ID: 1265873 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Magnetic resonance imaging, Scan, Thrombosis, Ultrasound Doppler
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), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient was healthy with no health issues.
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Doppler ultrasound; Result Unstructured Data: not reported; Test Date: 2021; Test Name: MRI; Result Unstructured Data: not reported; Test Date: 2021; Test Name: Scan; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20210441310

Write-up: STROKE; BLOOD CLOT IN LEG; This spontaneous report received from a consumer concerned a 51 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient was healthy with no health issues. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose, start therapy date were not reported, 1 total administered for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. It was reported that on an unspecified date in 2021, the patient started with symptoms after 13 days of vaccination. The patient woke with leg pain That morning, he got in the vehicle to go to work and pulled over due to heaviness in his left arm and slurred speech. An ambulance was called and they took him to the emergency room. From there he was life flighted to another hospital and was continued with laboratory tests. Laboratory data included: doppler ultrasound (NR: not provided) not reported, MRI (magnetic resonance imaging) (NR: not provided) not reported, scan (NR: not provided) not reported and other tests. It was due to the blood clot in his leg that caused him to suffer a stroke. He spent days in the hospital and had to wear a heart monitor for two weeks. He was on blood thinners until further notice to prevent this from happening again. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the blood clot in leg and stroke was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: This case concerns a 51 year-old male with no prior medical issues who was hospitalized for a stroke and blood clot in his leg 13 days after receiving the Janssen Covid-19 vaccine. Concomitant medications, family history, and social history were not reported. Thirteen days post-vaccination, the patient awoke with leg pain. While driving to work, he experienced heaviness in his left arm and slurred speech and pulled his car over. An ambulance took him to a local hospital and from there, he was air-lifted to another hospital where doppler ultrasound, MRI, and other unspecified tests were performed. He spent an unspecified number of days in the hospital and wore a heart monitor for 2 weeks. He was treated with blood thinners. Per the reporter (patient''s daughter), the blood clot caused the stroke. Outcome was not reported. Based on the available information, the relationship with Janssen Covid-19 vaccine is considered indeterminant. More information (e.g. platelet count, D-dimer, fibrinogen, anti-platelet factor 4 antibodies, medical records) is being sought.


VAERS ID: 1265874 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Nodule, Vein discolouration
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210448361

Write-up: HARD KNOT SIZE OF A PEA/NODULE IN HER LEFT ELBOW CREASE AND ON HER LEFT SHOULDER (AREA WAS SWOLLEN, WARM AND VERY SENSITIVE/PAINFUL; TIRED; DARK PURPLE VEINS IN ELBOW REGION; This spontaneous report received from a patient concerned a 51 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and batch number: 043A21A expiry: 21/JUN/2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced dark purple veins in elbow region. On 09-APR-2021, the subject experienced tired. On 14-APR-2021, the subject experienced hard knot size of a pea/nodule in her left elbow crease and on her left shoulder (area was swollen, warm and very sensitive/painful. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tired on 10-APR-2021, and was recovering from dark purple veins in elbow region, and the outcome of hard knot size of a pea/nodule in her left elbow crease and on her left shoulder (area was swollen, warm and very sensitive/painful was not reported. This report was non-serious.


VAERS ID: 1266091 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-25
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Dyspnoea, Haematocrit normal, Haemoglobin decreased, Pain in extremity, Platelet count normal, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12, levonorgestrel-ethinyl estradiol 0.1-20 mg, ketoconazole shampoo, doxycycline, diclofenac 1% gel, esomeprazole 40 mg, fluoxetine 10 mg, valacyclovir 1 g daily, metronidazole 1% gel
Current Illness:
Preexisting Conditions: Vitamin D deficiency, GERD, bariatric surgery, chronic low back pain without sciatica, chronic neck pain, ANA positive, premature ovarian insufficiency, secondary oligomenorrhea, esophagitis, ANA positive
Allergies: Ortho Evra - hives
Diagnostic Lab Data: H/H 11.9/36%, Platelets 260 cells/mm3, CTPE showing LLL small occlusive PE in subsegmental pulmonary artery
CDC Split Type:

Write-up: Patient received COVID J&J vaccine on 4/6, Presented to ED on 4/27/21 with complaint of 3 days of increasing leg pain and SOB


VAERS ID: 1266095 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Abdominal pain upper, Computerised tomogram normal, Contusion, Decreased appetite, Deep vein thrombosis, Dyspnoea, Erythema, Flank pain, Headache, Heart rate increased, Hypertension, Hypoaesthesia, Immediate post-injection reaction, Laboratory test normal, Magnetic resonance imaging normal, Migraine, Mobility decreased, Nodule, Pain, Pain in extremity, Paraesthesia, Peripheral swelling, Pyrexia, Skin warm, Tenderness, Thrombosis, Tinnitus, Vision blurred, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Whelchol, Symbicort, Vitamin C, blackseed Oil
Current Illness: Asthma, IBS
Preexisting Conditions: IBS, Asthma
Allergies: Depakote
Diagnostic Lab Data: Labs, MRI, Catscan
CDC Split Type:

Write-up: As soon as I took the vaccine shot I had an immediate headache, after taking the vaccine I took Tylenol and slept in the rest of the day. The next day I woke up and my arm was red and swollen. I was running fever, still had the headache and now blurry vision. My entire body was hurting. My left side of my body felt numb and tingling. The next two days the pain became worse. I did not really have an appetite. When I did eat I could barely hold my food down. On Wednesday morning I could barely get out of bed, I also felt extreme pain in my lower legs, stabbing pain in stomach and right lower side. I also had ringing in my ears, more in the right ear. I then notice a bruise on my left leg, that it was not originally there, and was also tender to touch. I went to the emergency room on the same day and I was admitted. I was in there for 4 days, they tested my leg and stated it was not a blood clot, although it look and felt like one. They discharge me and advise me that it was a migraine that was causing all my pain. This was on Sunday, I had a follow up with my PCP on the Friday, however to being in so much pain and shortness of breath, and arm pain I was advise to go to the ER on the Thursday and was admitted again. I was told in the ER I had a blood clot in my right arm and it was most likely from the IV from the previous visit. My blood pressure and heart rate was so high that they put me on medication. No matter the pain medication they gave me, it would not completely take the pain away. They discharge me again on Monday and after me begging them to get run any and all test, they said they found nothing. I''m still in the same amount of pain and same symptoms, still having trouble keeping my food down. The only thing that changed is my left arm is not as sore, however I still have a huge knot and its still warm to touch. I don''t know what else to do that is why im contacting the CDC for help. I''m in a extreme amount of pain and pounding headaches. Please help


VAERS ID: 1266243 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Dizziness, Heart rate, Hypoaesthesia oral, Oxygen saturation, Oxygen saturation decreased, Palpitations, Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLEGRA
Current Illness: Blood pressure fluctuation (normal to low on MAR-2021, the patient''s blood pressure was 110-115); Seasonal allergy (Patient take antihistamine (Allegra) for it)
Preexisting Conditions: Medical History/Concurrent Conditions: Appendectomy
Allergies:
Diagnostic Lab Data: Test Date: 202103; Test Name: Blood pressure; Result Unstructured Data: 110-115 normal value 75-80; Test Date: 202104; Test Name: Heart rate; Result Unstructured Data: HIGH; Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: 120-135; Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: 145-165; Test Date: 202104; Test Name: Heart rate; Result Unstructured Data: 0ver 115; Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: consistently not dropped below 145 systolic; Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: 145-165; Test Date: 20210409; Test Name: Pulse oximetry; Result Unstructured Data: oxygen level 91 normal value 95-97; Test Date: 20210409; Test Name: Heart rate; Result Unstructured Data: resting heart rate 115 normal value 75-80; Test Date: 20210410; Test Name: Blood pressure; Result Unstructured Data: 135; Test Date: 20210410; Test Name: Heart rate; Result Unstructured Data: 95; Test Date: 20210410; Test Name: Blood pressure; Result Unstructured Data: 145 systolic range
CDC Split Type: USJNJFOC20210421070

Write-up: HEART STARTED RACING; LIPS FELT NUMB; LIGHT HEADED; LIPS FELT TINGLY; BLOOD PRESSURE INCREASED TO 145-165/120-135; OXYGEN SATURATION DECREASED; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s past medical history included appendix surgery, and concurrent conditions included blood pressure fluctuation (on MAR-2021, the patient''s blood pressure (BP) was 110-115), and seasonal allergies. 09-APR-2021, patient took an antihistamine (Allegra) for seasonal allergies before vaccine shot. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, frequency 1 total, administered on 09-APR-2021 at 10:15 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included fexofenadine hydrochloride for seasonal allergies. On 09-APR-2021, within the first 15 minutes of vaccination, the patient felt numb and tingly lips and was light headed. The patient waited another 30 minutes at the vaccine center just to be sure symptoms should not progress further. The patient was light headed all day. On same day around 21:00, while laying in bed, patients heart started racing. As patient had pulse oximeter at home so used and resting heart rate was 115 and oxygen level 91. It was reported that patients normal heart rate and oxygen usually remains 75-80 and 95-97 respectively. Patients'' blood pressure (BP) had been normal to low all of life, so the sudden spike was completely uncharacteristic. Then Patient called an ambulance at that time patients BP was 145-165/120-135. On 10-APR-2021, initially patient declined to go to hospital, but as patients heart rate was so bad then went to emergency room (ER). The patient waited from 12-4 a.m, but hospital was overrun so not got admitted. So checked BP every hour and it was consistently not drop below 145 systolic and heart rate was over 115. Then patient went to home. On 10-APR-2021, all day, patients heart rate was high, so patient bought a BP cuff to test BP, and it was still 145 systolic range. On 10-APR-2021 at night the patients BP and heart rate started to come down to 135/95. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from heart started racing, and blood pressure increased to 145-165/120-135, and the outcome of lips felt numb, light headed, lips felt tingly and oxygen saturation decreased was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 :-covid-19 vaccine ad26.cov2.s -blood pressure increased to 145 -165/120-135. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: MEDICAL HISTORY, UNDERLYING DISEASE.


VAERS ID: 1266245 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-03-13
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Blood pressure measurement, Head discomfort, Headache, Joint swelling, Nausea, Pain in extremity, Peripheral swelling, SARS-CoV-2 test, Synovial cyst, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LOSARTAN; MYRBETRIQ; NAPROXEN; AMITRIPTYLLINE
Current Illness: Bladder disorder; Frozen shoulder; Hypertension
Preexisting Conditions: Medical History/Concurrent Conditions: Bladder operation
Allergies:
Diagnostic Lab Data: Test Date: 20201128; Test Name: COVID-19 PCR test; Result Unstructured Data: negative; Test Date: 20210326; Test Name: Doppler scan; Result Unstructured Data: no clots in arm or leg, had a 5 cm Baker cyst behind left leg; Test Date: 20210406; Test Name: Blood pressure; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210431416

Write-up: PRESSURE IN LEFT REAR SIDE OF HEAD; SEVERE HEADACHE; BAKER CYST; SHOULDER SWOLLEN LIKE A BALL; RIGHT ARM STARTED TO SWELL AND TIGHT; ARM PAIN AND SEVERE LEG PAIN BEHIND LEFT KNEE AND SWOLLEN; NAUSEOUS; SEVERE BACK PAIN; 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 bladder surgery, and concurrent conditions included hypertension, frozen shoulder, and bladder problem. The patient experienced drug allergy when treated with cefalexin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and expiry: UNKNOWN) dose was not reported, administered on 06-MAR-2021 15:15 for prophylactic vaccination. Concomitant medications included mirabegron for bladder problem, amitriptyline hydrochloride for frozen shoulder, naproxen for frozen shoulder, and losartan for hypertension. On 28-NOV-2020, Laboratory data included: COVID-19 PCR test (NR: not provided) negative. On 13-MAR-2021, the subject experienced severe back pain. On 13-MAR-2021, the subject experienced nauseous. On 15-MAR-2021, the subject experienced shoulder swollen like a ball. On 15-MAR-2021, the subject experienced right arm started to swell and tight. On 15-MAR-2021, the subject experienced arm pain and severe leg pain behind left knee and swollen. On 26-MAR-2021, the subject experienced baker cyst. Laboratory data included: Doppler scan (NR: not provided) no clots in arm or leg, had a 5 cm Baker cyst behind left leg. On 28-MAR-2021, treatment medications included: sulfamethoxazole/trimethoprim. On 05-APR-2021 15:00, treatment medications included: cortisone. On 06-APR-2021, the subject experienced severe headache. Laboratory data included: Blood pressure (NR: not provided) Normal. On 13-APR-2021, the subject experienced pressure in left rear side of head. Additional treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from severe back pain on 14-APR-2021, shoulder swollen like a ball, and right arm started to swell and tight on 03-APR-2021, nauseous, and severe headache on 07-APR-2021, was recovering from arm pain and severe leg pain behind left knee and swollen, and pressure in left rear side of head, and had not recovered from baker cyst. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non-serious


VAERS ID: 1266318 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-23
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Nausea, Rhinorrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Pt called Call center on 4/23/21 regarding concerns about his symptoms. Pt complains of vomiting/nausea once a week since 1 and 1/2 month ago after eating and sometimes runny nose. Pt mentioned coming back from a trip out of the country on 3/25/21 and getting Johnson and Johnson vaccine on 4/9/21 and had concerns about the symptoms. Vomiting and nausea started before getting the vaccine and frequency didn''t change afterwards. No doctor appt within 24 hrs at the time of call. Advised pt to go to ED.


VAERS ID: 1266355 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-11
Onset:2021-03-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Computerised tomogram, Contusion, Dizziness postural, Dyspnoea, Fatigue, Formication, Headache, Movement disorder, Muscle spasms, Pain in extremity, Paraesthesia, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin 81mg Garlic Vitamin D Magnesium Dulera Celexa
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Took antibiotic but does not not recall the name; takes the albuterol inhaler PRN for dyspnea. She reports the majority of her symptoms have resolved she has intermittent tingling in her upper extremity and is following with her PCP.
CDC Split Type:

Write-up: Patient stated she took the vaccine on Thursday 3/11/21 and about 3 days later she started to feel a cramp in both of her legs. On 3/27 patient stated she couldnt move and felt like a tingling sensation on the left arm (felt like ants crawling on body), felt dizzy, headache. She stated she then went to the ER on 4/15/21. CT scan (chest) and ultrasound(legs) was done and she wasnt sure of the results (the ER doctor only informed her that she wouldnt be #7). Then on 4/17 patient state she felt fine and was back to exercising and running. Then on 4/24 she stated she went to the beach to run and felt a sting/cramp on right leg, she looked and noticed a bruise and then as of 4/26 her leg is sore, it''s not red, not hot and not hurting, just sore to touch. Bruising is going away but just uncomfortable to touch. Patient states she been feeling a little more fatigued and winded out when doing things now more than before and before taking the vaccine. Been a 1.5years since her last asthma attack. Since a month ago is when she started to feel that she needs to catch her breath more often. Patient stated she saw her PCP on 4/19/21 and she was prescribed another inhaler (can''t recall the name) and antibiotic. CT scan was done when she was in the ER because pt had chest pain. No pulmonary embolism indicated on results but she states her scan came back with something on it but she wasnt able to explain what was on there. When she was in the ER the doctor didnt prescribe anything but when she went to see pcp her MD prescribed her an antibiotic (cant recall name, she picked up the rx but hasnt started taking it yet- wasnt home to obtain the name). As of 4/26 her headache, leg cramps have subsided, she just feels very fatigued. She stated that every time she has a headache she takes tylenol. The last time she took tylenol was on Sunday 4/25/21. Advised patient to start taking the antibiotic as prescribed by the pcp and to take the inhaler when she feels winded out. Also advised her that if she feels chest pain or extreme sob then to either contact her pcp again or urgent care She has no follow up scheduled with her PCP.


VAERS ID: 1266402 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-17
Onset:2021-03-25
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Appendicectomy, Blood test normal, Computerised tomogram, Hypersensitivity, Oral herpes, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lamitcal, zoloft, propranolol
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: penecillian, lactose
Diagnostic Lab Data: Blood Work and CT Scan 03/25/2021
CDC Split Type:

Write-up: 8 days after my vaccine, I had to have my appendix removed. Previous blood work (within a few months prior) showed zero issues. Also, I never had an allergic reaction to steri-strips or surgical tape and ended up breaking out in a rash from shoulders to mid-thigh. Finally, I never had cold sores and I had to treat cold sores for 8 days.


VAERS ID: 1266439 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-26
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstruation irregular
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

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

Write-up: Call center received call from pt on 4/26/21. Pt states she has her regular menstrual period from 3/31/21-4/2/21. On 4/7/21 pt got her Janssen vaccine at the vaccine site. Pt states on 4/7/21, her menstrual period started again and has been heavy, with some pieces still ongoing today. Advised pt to go to ED.


VAERS ID: 1266453 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-28
Onset:2021-04-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 04321A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Head injury, Headache, Hypotension, Loss of consciousness, Nausea, Vision blurred, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: The patient wanted to go to the restroom after getting the vaccine. He said he felt a little nauseous and had a slight headache but felt ok to walk to the bathroom. After returning from the bathroom, the patient informed he gotten a little dizzy in the bathroom and passed out. His head was bleeding. Patient informed his head was hurting at hit sit, feeling nauseous, vision a bit blurry and did throw up a bit. He was able to state his name, address, DOB, and was cognizant. There was no signs of SOB or allergic reaction. The EMS was called and it was detected his BP was a little low. Patient did feel a little better but it was advised to go to the hospital to make sure he did not have a concussion. Patient was then escorted by EMS to the hospital.


VAERS ID: 1266466 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-13
Onset:2021-03-21
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Magnetic resonance imaging, Neck pain, Pain in extremity, X-ray
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: probiotic, multi vitamin, calcium
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: xrays, ct scan, mri
CDC Split Type:

Write-up: chronic neck, shoulder and arm pain


VAERS ID: 1266545 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-04-12
Onset:2021-04-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram, Facial discomfort, Limb discomfort, Magnetic resonance imaging, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine Atorvastatin Isosorbide Mononitrate Lisinopril Metformin
Current Illness: none
Preexisting Conditions: Hypertension Anxiety Depression Schizophrenia
Allergies: none
Diagnostic Lab Data: CT head 4/27/21 - Remote left basal ganglia infarction MRI head with/without contrast 4/27/21 - 2 x 5mm subacute ischemic lacunar infarct in the left thalamus, remote left basal ganglia lacunar infarcts.
CDC Split Type:

Write-up: Right side tingling past 10 days. Reports tingling to right face and right arm feels like intermittent pins and needles. Received Janssen COVID vaccine on 4/12/21 at an outside facility. Diagnostic workup revealed Cerebral Vascular Accident (CVA).


VAERS ID: 1266576 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Decreased appetite, Headache, Nausea, Oxygen saturation decreased, Tremor, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Er visit on 4/13 completed Blood work, chest scan. Everything came back normal. Multiple vists to primary in the month of April.
CDC Split Type:

Write-up: Within 4 hours had nausea, headache. Lasted for about a day. 12 days later vertigo, nausea, headache resumed. Went to primary who detected a drop in oxygen levels, was then sent to ER where many tests were done. Included chest scan, to look for clots. None were found. Took dramamin for vertigo which helped. Symptoms of nausea, headache, vertigo continue to persist off and on. On Friday 4/23 I died my hair. Within 2 minutes an allergic reaction too place: sudden nausea, some shaking, headache. Took benedryl which help. At this point, I have continued bouts of nausea and no appetite. Its been close to a month and I''m really scared for my health. I was completely healthy before.


VAERS ID: 1266650 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-26
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Pt called call center regarding symptoms after getting J&J vaccine on 4/10. Pt was upset that she had to repeat her symptoms when she was transferred to advice nurse. Pt stated multiple times that her symptoms were only on both arms. She denied any emergency symptoms and declined to answer the rest of call center staff questions. I advised the patient that I need to ask screening questions prior to making a telephone MD appt. Pt stated again, that her symptoms were localized only to both arms and had some pain. Staff explained to the interpreter, at this time there are no urgent care appts available, pt would need to go to Urgent Care or ED to be evaluated. Translator repeated once more, and no response from pt. Pt disconnected from the call. called patient back, no answer.


VAERS ID: 1266651 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-16
Onset:2021-03-28
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Acquired diaphragmatic eventration, Activated partial thromboplastin time, Acute respiratory failure, Anticoagulant therapy, Antiphospholipid antibodies, Atelectasis, Blood creatinine, Blood electrolytes, Blood gases, Blood lactic acid, Blood magnesium, Blood potassium, Blood sodium, COVID-19, Chest X-ray abnormal, Chest pain, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis, Diarrhoea, Differential white blood cell count, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Feeling abnormal, Full blood count, Haemoglobin, Headache, Hernial eventration, Lipase, Metabolic function test, N-terminal prohormone brain natriuretic peptide, Platelet count, Pleural effusion, Pneumonia, Prothrombin time, Pulmonary embolism, Pulmonary hypertension, Rhinorrhoea, Right ventricular hypertrophy, SARS-CoV-2 test positive, Troponin, Troponin T, Urine analysis
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (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), Dementia (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, aspirin, voltaren gel, flonase, hydrocortisone cream, aquaphor cream, ondansetron, seroquel, kenalog cream
Current Illness: Unknown
Preexisting Conditions: 1. Interstitial cystitis 2. Late onset Alzheimer''s disease without behavioral disturbance (*) 3. Sleep disorder 4. Gastroesophageal reflux disease without esophagitis (*) 5. Primary osteoarthritis involving multiple joints 6. Chronic bilateral low back pain without sciatica 7. Moderate persistent asthma without complication (*) 8. Skin lesion -actinic keratosis
Allergies: No Known allergies
Diagnostic Lab Data: chest Xray x2 TTE CT abdomen and Pelvis labs APTT, CBC w/diff, potassium, sodium, creatinine, NTPROBNP, PT, CMP, lipase, lactate, blood gases, UA, troponin, hs-ctnt, COVID, platelet, hemoglobin, magnesium, electrolytes, antiphospholipid panel,-most of these were duplicated many times during hospitalization
CDC Split Type:

Write-up: Patient developed shortness of breath, chest pain ''fuzzy head,'' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21 had clinic appointment 3/30/21, diagnosed with pneumonia. XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADULT NON CONGENITAL, EKG 12-LEAD completed. given cefTRIAXone (ROCEPHIN-Equivalent) injection 1,000mg IM, and doxycycline monohydrate (MONODOX) 100 mg capsule PO. was evaluated in ED 4/5/21 CT Abdomen Pelvis with IV Contrast Final Result 1. Positive for extensive acute bilateral pulmonary emboli at the lung bases as detailed in the body of the report. DX Chest Portable 1 View Final Result Mild left ventricular prominence is noted. Small right pleural effusion is seen. Minimal discoid atelectatic changes in the left perihilar region and left lung base. Elevated right hemidiaphragm suggests eventration. Admitted to Hospital 4/5/21, per admission diagnosis: Acute pulmonary embolism (*) submassive likely secondary to covid 19 Per hospital course notes:Patient presented with acute hypoxic respiratory failure and was show to have submassive PE with severe pulmonary hypertension seen on TTE. He should be on lifelong therapy given 2nd VTE and severity. Iwould consider unprovoked (COVID in 11/20 wouldn''t count I wouldn''t think). He was started on eliquis 10 mg BID x 7 days than 5 mg bid. Given his severe pulm htn on TTE, left atrial pressure normal. We would have outpatient sleep study as well He will need VQ scan to assure no CTEPH. Will have outpatient follow up. We discontinued his aspirin on discharge as well.


VAERS ID: 1266655 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-02
Onset:2021-04-08
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Anxiety, Back pain, Brain natriuretic peptide normal, Chest pain, Computerised tomogram abnormal, Diarrhoea, Dyspepsia, Electrocardiogram normal, Fibrin D dimer, Headache, Metabolic function test, Mononucleosis heterophile test negative, Nausea, Neck pain, Pain in extremity, Pain in jaw, SARS-CoV-2 test negative, Skin discolouration, Tremor, Ultrasound Doppler, Vitamin D decreased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Osteonecrosis (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: flu; slight fever
Other Medications: Orilissa, melatonin
Current Illness:
Preexisting Conditions: endometriosis, asthma, depression, anxiety, ADHD
Allergies:
Diagnostic Lab Data: rapid COVID; neg MONO; neg d-Dimer Doppler R leg EKG CT BNP
CDC Split Type: vsafe

Write-up: 4/2 vaccination 4/8 severe HA, leg, arm, lower back pain, chest pain, diarrhea, bad anxiety with shaking 4/9 PCM (NP) appt; CT scan of abdomen and blood panel 4/10 felt worse, nauseous. Diarrhea continued 4/11 At 11PM, pain right side of neck, to jaw, and toes turned purple. 4/13 PCM; vit D prescribed as they were extremely low, extra strength Tylenol release for leg and arm pain, ordered a D-dimer for possible blood clot. Doppler for right leg. COVID; neg 4/17 chest pain was extremely severe. Radiated to L arm. Went back to ER. EKG, CT Scan, BNP. All normal. Stated probably really bad heartburn. 4/19 Prilosec. I called my dr on 4/22 to follow up. They told me to keep eye on BP as been elevated thru this whole thing. 4/22 My chest, arm and leg pain with HA are still present despite Tylenol and Prilosec. My PCM said to come back in . She prescribed Prednisone and Pantropical and did a blood test to check for inflammation which was normal. I have been taking both medications since Tuesday. *My HA still present. My right side still has pain and I still have chest pain.


VAERS ID: 1266689 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-03-05
Onset:2021-03-17
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Back pain, Blindness, Dyspnoea, Feeling cold, Hyperhidrosis, Pallor, Pulmonary embolism, Thrombosis, Vision blurred
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE DAY OF VACCINATION.
Current Illness: NONE
Preexisting Conditions: HIGH BLOOD PRESSURE
Allergies: LACTOSE
Diagnostic Lab Data: BLOOD WORK. CAT SCAN. ULTRA SOUNDS. X-RAYS. HOSPITILIZED FOR SIX (6) DAYS. ON CONSTINT OXYGEN AND WAS ON A HEART MONITOR. PLEASE REQUEST ALL MEDICAL RECORDS FROM HOSPITAL. RUSHED TO HOSPITAL BY AMBULANCE ON MARCH 18, 2021. ADMITTED THROUGH EMERGENCY ROOM. CAME HOME ON FULL ONYGEN (24 HOURS). STILL ON OXYGEN AND BLOOD THINNERS AND ADDITIONAL MEDICATIONS FOR BLOOD CLOTS IN LUNGS. STILL UNDER DOCTORS CARE.
CDC Split Type:

Write-up: BLOOD CLOTS IN BOTH LUNGS. SHORTNESS OF BREATH. UPPER BACK PAIN. WEAKNESS. SWEATING AND COLD. NO COLOR IN FACE -- GREY. LOSS OF EYE SIGHT -- STARTED WITH BLURRED VISION.


VAERS ID: 1266733 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-03-11
Onset:2021-04-06
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Docusate 100mg daily Sucralfate 1mg TID Dicyclomine 10mg BID Trazodone 100mg QHS Risperidone 2mg 3 tabs daily Vistaril 50mg daily Gabapentin 400mg TID Prazosin 2mg QHS Ferrous Sulfate 325mg BID Meclizine 25mg BID prn Cholecalciferol 2000IU
Current Illness:
Preexisting Conditions: Chronic back pain Fibromyalgia GAD PTSD MDD
Allergies: Keflex, Azithromycin, PCN
Diagnostic Lab Data: 4/6/2021-venous duplex
CDC Split Type:

Write-up: Patient reported left calf pain on 4/6/2021. She underwent lower extremity duplex which was positive for left deep vein thrombosis.


VAERS ID: 1266798 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-27
Onset:2021-04-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Mild


VAERS ID: 1266799 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-12
Onset:2021-04-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Fibrin D dimer increased, Ultrasound scan, Venous thrombosis limb
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprazole
Current Illness:
Preexisting Conditions: BMI 34
Allergies: none
Diagnostic Lab Data: Ultrasound, elevater d-dimer
CDC Split Type:

Write-up: Venous thrombosis of proximal greater saphenous vein


VAERS ID: 1266856 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-30
Onset:2021-04-23
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Deep vein thrombosis, Lymphocyte count decreased, Neutrophil count increased, Peripheral swelling, Platelet count normal, White blood cell count increased
SMQs:, Cardiac failure (broad), Angioedema (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: NA
Preexisting Conditions: NA
Allergies: NKA
Diagnostic Lab Data: 04.23.2021: Platelets 162 k/ul WBC 15.43 Abs neut 13.29; abs lymph 0.98
CDC Split Type:

Write-up: On 04.23.2021, developed leg swelling and was diagnosed with Right lower DVT. Was not admitted to the hospital. Was give RX for Eliquis


VAERS ID: 1266872 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-06
Onset:2021-04-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Condition aggravated, Fibrin D dimer normal, Immune thrombocytopenia, Immunoglobulin therapy, Immunology test, International normalised ratio normal, Magnetic resonance imaging head normal, Platelet count decreased, Prothrombin time normal, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: History of recurrent ITP -1996 -2013
Allergies:
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: ITP diagnosed 9 days following vaccination; platelet count 5000. Testing for VIPIT was negative: brain/head imaging negative for thrombosis, d-dimer and PT/PTT/INR within normal limits, heparin antibody ELISA negative. She was treated with IVIG and corticosteroids with a partial response (platelet count up to 43000), then placed on Promacta.


VAERS ID: 1266906 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-28
Onset:2021-04-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Dyskinesia, Electrocardiogram, Extremity contracture, Hypotension, Hypotonia, Laboratory test, Loss of consciousness, Pallor, Seizure, Syncope, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: other: pt reported undergoing IVF treatments
Current Illness: none reported
Preexisting Conditions: non reported
Allergies: none reported
Diagnostic Lab Data: on 4/28/21 pt Seen at ER. routine labs, ECG completed and pt given 1L N.S. bolus. VSS and pt discharged on 4/28/21 at 1230pm for syncope and instructed to f/u with neurology r/t seizure concerns
CDC Split Type:

Write-up: at 4/28/21 patient was vaccinated w/ Jessen vaccine and soon became pale and observed to became flaccid and pass out. pt''s HR was 50, sat02 99% and BP 70/40. Pt soon observed with BLUE contracting and BLLE adducting followed by urine incontinence. Pt did not fall and was sitting in her chair the entire episode that lasted for approximately 40-60sec. Pt awake and continued to have hypotension, dizziness reported. EMS contacted and pt transferred to local ER for evaluation of suspected syncope and seizure s/p vaccination.


VAERS ID: 1266953 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-16
Onset:2021-04-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Autopsy, COVID-19, Death, Delusion, Dyspnoea, Gait disturbance, Illness, Intestinal ischaemia, Loss of consciousness, Pneumonia, Respiratory arrest, Resuscitation, SARS-CoV-2 test positive
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ischaemic colitis (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-04-01
   Days after onset: 0
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: Exforge HCT
Current Illness: None Reported
Preexisting Conditions: HTN
Allergies: None
Diagnostic Lab Data: Not provide by Health system when requested.
CDC Split Type: N/A

Write-up: It was reported that patient had been experiencing difficulty breathing, walking and delusions as per his fianc? . Fiance notified Manger that they sought medical attention earlier in the morning on 1-Apr-21 at the Clinic and they refused to evaluate patient beyond performing a PCR swab test so, they went back to their apartment. An SMS notification was sent on 1-Apr-21 indicating that patient was COVID-19 positive which was not seen by patient or fiance who reported the result to Mgmt. on 6-Apr-21. He was contacted by patient''s friend and advised him the patient was sick, not able to walk, and having difficulty.


VAERS ID: 1267017 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-09
Onset:2021-04-28
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Erythema, Fibrin D dimer increased, Oedema peripheral, Peripheral swelling, Peripheral vein occlusion, Thrombophlebitis superficial, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen 200mg, Emtricitabine-Tenofovir 200mg-25mg, Dolutegravir 50mg, aspirin 325mg, dorzolamide-Timolol opthalmic drops, amlodipine 5mg, bupropion SR 150mg twice daily, tamsulosin 0.4mg, simvastatin 40mg.
Current Illness: None
Preexisting Conditions: HIV, Coronary atherosclerosis, depression, benign prostatic hyperplasia, coronary artery bypasss graft x4, hypertension, hyperlipidemia
Allergies: Robitussin
Diagnostic Lab Data: D-Dimer 1,368.00ng/ml Radiology Findings: Occlusive deep venous thrombosis is seen throughout the LEFT lower extremity extending into the LEFT common femoral vein, femoral vein, central great saphenous vein, profunda femoral vein, popliteal vein, and peroneal veins, Flow is seen in the central LEFT external iliac vein and into the inferior vena cava. The thrombus appears echogenic centrally within the LEFT femoral vein and common femoral vein, suggesting acute on chronic thrombus. Lower extremity edema noted.
CDC Split Type:

Write-up: Entire leg red, swollen, 4+ edema from hip to toes.


VAERS ID: 1267023 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Headache, Hypersensitivity, Hypoaesthesia oral, Paraesthesia oral, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Got J&J vaccine at our clinic on 4/9/21. Notes that several hours later he developed HA and hives over his abdomen. Sx got worse overnight, and by the next morning he noticed additional sx of tongue numbness/tingling, so went to the ER. ER diagnosed him with allergic reaction and discharged him with a short course of steroids and Rx for Banophen. He notes that the symptoms returned again on 4/24/21, and again this morning 4/28/21. Went back to ER on 4/24, got more steroids and sx went away. This morning bought OTC Benadryl and sx went away when he took 50-100mg.


VAERS ID: 1267069 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-02
Onset:2021-04-25
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Next day fever and chills Bell?s palsy on 4/25/2021


VAERS ID: 1267091 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-09
Onset:2021-03-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: ADAMTS13 activity abnormal, Blood bilirubin increased, Blood fibrinogen normal, Blood lactate dehydrogenase increased, Contusion, Coombs test negative, Fatigue, Haemoglobin decreased, Haptoglobin decreased, Increased tendency to bruise, Petechiae, Platelet count decreased, Schistocytosis, Speech disorder, Thrombocytopenia, Thrombotic thrombocytopenic purpura
SMQs:, Liver related investigations, signs and symptoms (narrow), Haemolytic disorders (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Psychosis and psychotic disorders (broad), Biliary system related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Renovascular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastatin 40 mg once at night; Sertraline 50 mg once a day; Dulcolax 10 mg as needed fro constipation.
Current Illness: Healthy. No other illness.
Preexisting Conditions: Has paraplegia for years due to motor vehicle accident in the past (many years ago)
Allergies: None.
Diagnostic Lab Data: ADAMTS13 activity: <5%; inhibitor present; HgB: 6.4 g/dl; platelets: 13k; LDH: 671 U/L; total bilirubin: 2.6 mg/dl; haptoglobulin: <17 mg/dl; fibrinogen: 251; negative coombs test (all initial labs drawn on 03/19/2021)
CDC Split Type:

Write-up: The patient developed thrombotic thrombocytopenic purpura (TTP), a week after the Janssen vaccine (Started having symptoms on March 15, 2021- speech difficulty, petechiae, fatigue, and easy bruising). TTP was confirmed by ADAMTS13 level < 5% and the presence of inhibitor on March 19, 2021. In addition, he had schistocytes, thrombocytopenia, and elevated lactate dehydrogenase. He was treated with PLEX, steroids, and Rituximab. He is currently closely monitored at Clinic.


VAERS ID: 1267164 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-17
Onset:2021-04-01
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Contusion, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine 10mg Omeprazole 40mg Probiotics
Current Illness: C-diff hospitalization discharged 03/05/2021
Preexisting Conditions: IBS Diverticulosis
Allergies:
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I went to the ER Three weeks after the vaccine because had a lot of bruises. I got a few bruises at first on my thighs, inner thighs and ankles. The bruises usually lasted a week and a half. I was getting different bruises at different times on my legs. They were not painful but at night when I lay down my legs were a little numb.


VAERS ID: 1267192 (history)  
Form: Version 2.0  
Age: 96.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-01
Onset:2021-04-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Cerebrovascular accident, Computerised tomogram head abnormal, Death, Dizziness, Dyspnoea, Heart rate increased, Malaise, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-28
   Days after onset: 25
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: unknown
Current Illness: no known illnesses
Preexisting Conditions: good health
Allergies: unknown
Diagnostic Lab Data: CT scan on 4/25/2025 - the CT scan showed she had a stroke. CT scan on 4/26/2021 - A follow up CT scan was administered and showed the stroke getting larger. The doctors determined patient unlikely to recover
CDC Split Type:

Write-up: Patient received her shot and felt very weak within 24 hours. The week of 4/4/2021 began to feel dizzy and stated she felt unwell. Her blood pressure and heart rate were taken and she was having an elevated heart rate. Her normal heart rate is around 50 BPM and her heart rate jumped to over 100 BPM. This continued on and off for a couple of weeks. The week of 4/18/2021, began having shortening of breath. On 4/25/2021, was found in her home unresponsive. Suffered a stroke and was taken to a hospital. She was transferred to a hospice unit on 4/26/2021. She passed away on 4/28/2021


VAERS ID: 1267368 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-07
Onset:2021-04-17
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 43A21A / N/A AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Aphasia, Cerebral artery occlusion, Cerebral infarction, Cerebrovascular accident, Computerised tomogram head abnormal, Dysarthria, Headache, International normalised ratio normal, Magnetic resonance imaging head abnormal, Motor dysfunction, Platelet count normal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Asmanex, Hydroxizine, Melatonin, Ropinirole, Disulfiram, Atorvastatin, ProAir, Lisinopril, Tramadol, Sildenafil, Metformin, Omeprazole, Tizanidine
Current Illness: Allergy symptoms, COVID exposure
Preexisting Conditions: Diabetes , HTN , Asthma, GERD, Anxiety
Allergies: Methocarbamol, Cyclobenzaprine
Diagnostic Lab Data: 4/19/2021 CT Head : Findings suspicious for a recent/acute cortical infarction involving the left posterior parietal lobe. 4/20/2021 CTA Head : Occlusion of one of the posterior branches of the M2 segment of the left middle cerebral artery. 4/21/2021 MRI Brain: Acute left posterior MCA infarct. Platelet counts: 4/20: 288 4/19 : 249 INR 4/19 1.0
CDC Split Type:

Write-up: Onset of severe headache , slurred speech on 4/17/2021. Became aphasic with motor deficits, was not a tpa candidate at hospital due to time of symptom onset. Dx with L MCA ischemic CVA


VAERS ID: 1267408 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-03
Onset:2021-04-10
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Cerebral haemorrhage, Guillain-Barre syndrome, Hypoaesthesia
SMQs:, Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

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

Write-up: 10 days after the vaccine my perfectly healthy husband began developing terrible back pain and abdominal numbness, went to the ER, had a brain bleed and was daignosed with Guillain-Barre Syndrome. He has been in the hospital for a week. He is not being released yet.


VAERS ID: 1267416 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-26
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A - / -

Administered by: Public       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Arteriosclerosis coronary artery, Bacterial test, Bilirubin urine, Blood chloride decreased, Blood creatinine increased, Blood culture negative, Blood glucose increased, Blood lactic acid, Blood potassium increased, Blood sodium decreased, Blood urea increased, Blood urine absent, COVID-19 pneumonia, Chest X-ray normal, Chromaturia, Computerised tomogram thorax, Culture urine, Culture urine positive, Decreased appetite, Electrocardiogram ST-T segment abnormal, Electrocardiogram abnormal, Fatigue, Glucose urine absent, Hepatic steatosis, Lung opacity, Monocyte count increased, Myocardial ischaemia, Nitrite urine absent, Pain, Pneumonia, Protein urine present, Red blood cells urine negative, SARS-CoV-2 test positive, Scan with contrast abnormal, Sinus tachycardia, Specific gravity urine normal, Troponin, Ultrasound Doppler normal, Urinary casts, Urine analysis abnormal, Urine ketone body present, Urine leukocyte esterase, Urobilinogen urine, White blood cells urine positive, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Pulmonary hypertension (broad), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (narrow), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Current Outpatient Medications on File Prior to Encounter Medication Sig Dispense Refill ? aspirin 325 MG tablet Take 1 tablet (325 mg) by mouth daily for 175 doses Do not start before December 27, 2020. 30 tablet 5 ? latanoprost (XALATAN)
Current Illness:
Preexisting Conditions:
Allergies: nka
Diagnostic Lab Data: Imaging Studies: EKG reviewed: Result Date: 4/26/2021 Ventricular Rate : 102 BPM Atrial Rate : 102 BPM P-R Interval : 124 ms QRS Duration : 90 ms Q-T Interval : 316 ms QTC Calculation(Bazett) : 411 ms Calculated P Axis : 73 degrees Calculated R Axis : 66 degrees T Axis : -75 degrees Diagnosis : Sinus tachycardia ST & T wave abnormality, consider inferior ischemia Electronically Signed by M.D. on 4/26/2021 12:41:33 PM No change from previous EKG CTA CHEST FOR PULMONARY EMBOLISM W CONTRAST Result Date: 4/26/2021 INDICATION: Abnormal EKG. TECHNIQUE: Intravenous contrast was administered and axial images from the thoracic inlet through the diaphragms were performed followed by 2D multiplanar reconstructions. MIPs were performed on a separate workstation and reviewed. COMPARISON: None. FINDINGS: No pulmonary embolism is seen. No lymphadenopathy or pleural or pericardial effusion is seen. Severe atherosclerotic calcification is seen in the coronary arteries. Patchy airspace disease of the lungs that is predominant in the left lower lobe is suspicious for mild to moderate bronchopneumonia. Visualized upper abdomen shows a fatty liver. No significant bone abnormality is seen. IMPRESSIONS: 1. No pulmonary embolism seen. 2. Patchy airspace disease of lungs suspicious for mild to moderately severe bronchopneumonia with changes most marked in left base. 3. Severe atherosclerotic calcification of coronary arteries, but there has been a CABG. XR CHEST PORTABLE Result Date: 4/26/2021 FINDINGS: Heart size is normal. No acute infiltrates or consolidations. No pleural effusions. US VENOUS DOPPLER LOWER EXTREMITY RIGHT Result Date: 4/26/2021 US VENOUS DOPPLER LOWER EXTREMITY RIGHT HISTORY: GENERALIZED BODY ACHES COMPARISON: NONE FINDINGS: Transverse and longitudinal grayscale and Doppler sonographic images of the right lower extremity were obtained. Spectral analysis was also obtained. There is normal flow and compressibility of the right common femoral, superficial femoral, popliteal, and calf veins. IMPRESSION: 1. Normal duplex ultrasound of the right lower extremity without evidence of DVT. Culture Result Date Value Ref Range Status 04/26/2021 NO GROWTH <24 HRS Final 04/26/2021 NO GROWTH <24 HRS Final Results for orders placed or performed during the hospital encounter of 04/26/21 CULTURE, BLOOD Status: None (Preliminary result) Collection Time: 04/26/21 2:19 PM Specimen: BLOOD, VENOUS Result Value Specimen Type BLOOD, VENOUS Special Handling NONE Culture Result NO GROWTH <24 HRS Status PENDING CULTURE, BLOOD Status: None (Preliminary result) Collection Time: 04/26/21 2:19 PM Specimen: BLOOD, VENOUS Result Value Specimen Type STERIPATH VENOUS COLLECTION Special Handling NONE Culture Result NO GROWTH <24 HRS Status PENDING No results found for this visit on 04/26/21. Results for orders placed or performed during the hospital encounter of 04/26/21 URINALYSIS WITH REFLEX TO CULTURE, IF INDICATED Status: Abnormal Collection Time: 04/26/21 1:04 PM Specimen: URINE,CLEAN CATCH Result Value Glucose UA NEGATIVE Protein UA 100 (H) Bilirubin UA NEGATIVE Urobilinogen UA <2.0 pH UA 5.5 Blood UA NEGATIVE Ketones UA 40 (A) Nitrite UA NEGATIVE Leukocyte Esterase UA NEGATIVE UR Appearance CLEAR Specific Gravity UA 1.027 Color YELLOW Site Comment, Urine Culture NOT INDICATED RBC Urine 1 WBC Urine 2 Bacteria RARE (A) Mucus SCATTERED Hyaline Casts 40 (H)
CDC Split Type:

Write-up: 73 y.o. male former smoker with PMH significant for coronary artery disease with history of CABG in 12/22/2020, hypertension, hyperlipidemia, type 2 diabetes mellitus, GERD, hypertension, non proliferative diabetic retinopathy, sleep apnea presents to emergency room complaining of generalized fatigue and body aches ongoing for 2 weeks. Patient received Johnson and Johnson COVID-19 vaccine 2 weeks ago. Patient denies any fever or chills. Denies any chest pain or shortness of breath. No nausea or vomiting. Poor appetite. Patient had is the cardiac catheterization rehab post CABG, last session was 1 week ago. Denies any sick contacts. ED vitals stable, afebrile. Patient on room air. Labs remarkable for lymphocytes 15.3, monocytes 10.9, glucose 190, BUN 21, creatinine 1.3, sodium 133, potassium 5.3, chloride 97. Lactate normal at 1.6, troponin 14, Last A1c 6.7 from 12/19/2020. EKG no acute ST wave changes EKG changes. CTA chest no pulmonary embolism seen. Patchy airspace disease of the lungs suspicious for mild to moderate bronchopneumonia. Ultrasound Dopplers of the lower extremity right negative for DVT. COVID-19 positive. Patient received Rocephin, Zithromax in ED, ER asked to admit patient the hospital for observation due to ongoing fatigue and body aches from COVID-19 pneumonia.


VAERS ID: 1267499 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head, Headache, Laboratory test
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: GERD, HA, HTN
Allergies: iodine latex and pork
Diagnostic Lab Data: CT head, labs
CDC Split Type:

Write-up: Patient reports persistent headache ever since receiving the vaccine, different from her usual HA pattern.


VAERS ID: 1267512 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-08
Onset:2021-03-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, norvasc, gabapentin, losartan, hydrochlorothiziade, metformin, omeprazole
Current Illness: none
Preexisting Conditions: Diabetes, HTN, asthma, obesity, arthritis
Allergies: lisinopril, monistat, statin
Diagnostic Lab Data: Worked up in urgent care with positive D Dimer and then hospital with CT showing bilateral pulmonary embolism
CDC Split Type:

Write-up: Patient developed shortness of breath the day after the vaccine and was diagnosed with bilateral pulmonary embolism and DVT and had to be hospitalized.


VAERS ID: 1267560 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-20
Onset:2021-04-26
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / N/A UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid abnormal, Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Hemiparesis, Hypoaesthesia, Intensive care, Muscular weakness, Perfusion brain scan abnormal, Speech disorder, Subarachnoid haemorrhage, Superior sagittal sinus thrombosis, Transverse sinus thrombosis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen 500 mg, ascorbic acid 1000 mg, tamsulosin 0.4 mg, zinc 50 mg
Current Illness:
Preexisting Conditions: Benign prostatic hyperplasia
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: This is a 59 year old male that presented to the emergency department at approximately 1447 on 04/27/2021 with sudden onset of left upper and lower extremity weakness and left-sided numbness of his face. The patient stated he may have had some weakness the previous night (04/26/2021), but mostly noticed it when he woke up around 0900 on 04/27/2021. The patient stated he may have also had some transient speech changes which he felt were improved upon emergency department presentation. The patient stated he took an 81 mg aspirin prior to hospital arrival. The patient was overall hemodynamically stable in the emergency department. Past medical history is only significant for benign prostatic hyperplasia. This patient has no history of previous CVA or TIA, no smoking history, no history of clotting disorders, no recent trauma or other injury. CT head revealed a small right frontal subarachnoid hemorrhage with no midline shift and concern for clot. CTA head and neck perfusion study was significant for ?perfusion abnormality involving the right frontal lobe in the region of known subarachnoid hemorrhage, likely related to dural venous sinus thrombosis involving the posterior aspect of the superior sagittal sinus, left greater than right transverse sinus, and left sigmoid sinus.? This patient is noted to have recently received his Johnson and Johnson vaccine on 03/20/2021. The patient was admitted to the intensive care unit. Neurology and hematology were consulted.


VAERS ID: 1267571 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-03
Onset:2021-04-19
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Full blood count normal, Lymphadenopathy, Metabolic function test, Pain in jaw
SMQs:, Osteonecrosis (broad), Arthritis (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: Vitamin D
Current Illness: none
Preexisting Conditions: Anxiety, GERD, hyperlipidemia, Irritable bowel, osteopenia, latent TB
Allergies: Codeine-- hives
Diagnostic Lab Data: Normal CBC and CMP drawn on 4/27/2021
CDC Split Type:

Write-up: Submandibular lymphadenopathy, severe bilateral temporomandibular joint pain started 4/19/2021. Patient went to urgent care and received cephalexin without improvement. Patient saw me 4/27/2021 and we are trying pain control with naproxen and hydrocodone?acetaminophen as needed for pain. Labs below were drawn.


VAERS ID: 1267665 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Death, Endotracheal intubation, Feeling abnormal, Unresponsive to stimuli
SMQs:, Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-22
   Days after onset: 14
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 1998 flu vax- pt had a reaction about 2 weeks after getting the vax. he was diagnosed transverse .myelitis.
Other Medications: enalapril maleate 20mg bds, hydrochlorothiazide 25mg qd, clonidine hcl 0.2 mg qhs, atenolol 50mg qd,
Current Illness:
Preexisting Conditions: Hypertension, Scoliosis,
Allergies: nka
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: 4/8/21 pt had brain fog like he was in a haze and felt strange being very relaxed like he had taken a tranquillizer he felt better next day. pt seemed to be fine at this point. 4/22/21 pt seemed to be fine and went to the store where he went shopping. He put shopping bags in car. He was found in his car after and hour and 20 minutes by a couple of bystanders unresponsive. 911 was called and he transported to ER. He was intubated but patient died. Unknown is any test were performed.


VAERS ID: 1267674 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-12
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Dysarthria, Electrocardiogram, Eye ulcer, Facial paralysis, Speech disorder, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT Scan Neurologist Blood, Tested for Lymnes EKG full work up.. at the Hospital
CDC Split Type:

Write-up: April 25th emergency Droopy Eye, Chin, blurred vision and speech.. Diagnosed with Bells Palsey Need script for O.T and P.T.. Speech and eye. Cat Scan, Blood Work Nuerologist, complete work up. Seeing Dr. eye ulcered, blurred vision slurred speech.. Seeing M.D. Today April 28th.


VAERS ID: 1267741 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: Pt called call center reported taken J&J on 04/08/21. C/o SOB and Palpitation. Advised pt to go to nearest ED, pt agreed and verbalized understanding.


VAERS ID: 1267756 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-03
Onset:2021-04-12
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Chest pain, Dizziness, Electrocardiogram normal, Fatigue, Fibrin D dimer normal, Headache, Laboratory test, Limb discomfort, Neck pain, Pain in extremity, Sleep disorder, Throat tightness, X-ray normal
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: whey protein
Diagnostic Lab Data: x-ray and lab results were performed on 4/12/21 at 10:15pm. All lab values were within normal limits and chest x-ray was clear. D-dimer for clotting was negative so the emergency provider didn''t feel that a CT was necessary. EKG was normal
CDC Split Type:

Write-up: Patient reports waking up in the early morning hours with pain in center of chest and between shoulder blades. She felt like her throat was closing up, unable to take a deep breath. Dizziness, feeling faint and heavy arms also reported along with headache. Her husband gave her acetaminophen and shower and ice pack and she returned to sleep. Upon waking in the morning, she felt fatigued and arms ached "like she had been doing push ups" The pain in her neck and chest heaviness persisted. She made an appointment for later in the day with her PCP and was promptly sent to the emergency room for further evaluation. X-rays and labs were drawn.


VAERS ID: 1267773 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-17
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Staff received incoming call at clinic. Patient states s/p J&J vaccination 4/12/21 at EVC. C/O continuous HA that is worsening even with Tylenol 500 mg PO PRN. HA is worst at 8/10. C/O mild intermittent lightheadedness. C/O anxiety. Denies hx of HA, dizziness, anxiety. No other complaint. Advised to go to the nearest ED.


VAERS ID: 1267819 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-10
Onset:2021-04-18
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cellulitis, Chest X-ray, Computerised tomogram, Laboratory test, Lymph gland infection, Obstructive airways disorder, Oedema, Swelling face, Throat tightness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Furosemide, Klor-Con, Levothyroxine, Omeprazole, Loratadine, Losartan. Tylenol and or Advil
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 04/21/2021 and 04/22/2021 Lab work. IV treatment. Cat Scan. Chest X-ray Facial observation, my chin was resting on my chest it was so swollen. .
CDC Split Type:

Write-up: I ended up with an infection in the glands in my neck and throat. Caused edema and cellulitis ended up in the hospital for an overnight of IV antibiotics, steroids'' and pain meds because my throat was closing. The swelling was restricting my airway. I was instructed by my MD to file this report.


VAERS ID: 1267831 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Dry throat, Dysphagia, Fatigue, Lymphadenopathy, Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Called Connections on 4/20/21. Pt c/o feeling swollen throat glands, hard to swallow, dry/sore throat, also random dizziness not constant, feeling body aches, tired, runny nose but pt denies sob, difficulty breathing, chest pain. Speech seems comfortable, AO X 3. Pt stated these sx started on 04/13/2021 after he got his Janssen(J&J) covid vaccine on 04/12/2021,he stated sx not getting better its getting more from then. This writer recommended pt to go to ED/call 911 for further evaluation and treatment. Pt took covid test yesterday awaiting for his result. Denies any past medical Hx


VAERS ID: 1267883 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-11
Onset:2021-03-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Brain injury, COVID-19, Cardiac arrest, Death, SARS-CoV-2 test positive, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-12
   Days after onset: 1
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: Nemanda
Current Illness: My mom suffered advanced Alzheimer''s disease. She was very healthy otherwise. With no other medical histories. She was in the hospital for a PEG procedure and was getting transferred to the nursing home for rehab. They gave her the J & J COVID vaccine shot right before she left the hospital where she was tested negative for COVID that morning. My mom went into cardiac arrest about an hour after the shot in the ambulance en route to the nursing home. They were able to revive her at the arrival hospital (near the nursing home); however, with severe brain damage that she remained unresponsive. Upon arrival at the second hospital, they tested her again for COVID and this time it was positive. My mom passed away the following day and her death certificate says the cause of death is COVID. This is SOOOOOO misleading and I actually feel it''s outright wrong. She didn''t die from the COVID just because she tested positive. She could be very well be tested positive for other bacteria or virus, but she didn''t die from them. The J & J vaccine needs to be reexamined. How many of such cases like my mom''s are out there? We are not following science here at all!
Preexisting Conditions: None, besides Alzheimer''s
Allergies: Usually sensitive to medications of all kind. Usually need smaller dosage; otherwise, she would get increased heartbeat and/or heavy breathing
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Cardiac Arrest about an hour after being injected.


VAERS ID: 1267891 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-16
Onset:2021-04-20
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Headache, Peripheral swelling, Throat tightness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)

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

Write-up: 63yr old female called into call center, stated she received J&J vaccine Friday 4/16 (external site; not with county), and today noticed swelling on her left calf, and 4/10pain above her left knee. Pt denied emergency symptoms at the time of call. Stated sunday night she felt her throat ""a little tight."" Drank water and felt better. Denied swelling of face, lip and throat at time of call. Pt denied SOB, pain/tenderness on calf, petechiae, new/easy bruising, abdominal cramping, backache or headache. Pt stated only other symptom she felt was on Friday 4/16 evening, a slight headache after the vaccine. did not experience any other symptoms. Pt Advised to call 911 or arrange for immediate transport to the closest ED. Pt verbalized understanding and agreed.


VAERS ID: 1267932 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-03-07
Onset:2021-03-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Aphasia, Chills, Computerised tomogram, Electroencephalogram, Fatigue, Headache, Hypoaesthesia, Influenza like illness, Memory impairment, Metamorphopsia, Mobility decreased, Muscle twitching, Muscular weakness, Nausea, Pain, Phantom limb syndrome, Pyrexia, Tinnitus, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Retinal disorders (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: xeljanz, plaquenil, bupropion, Lexapro
Current Illness: none
Preexisting Conditions: Rheumatoid Arthritis
Allergies: NA
Diagnostic Lab Data: CTs, EEG, and I have an order to get an MRI
CDC Split Type:

Write-up: Day 1 (3/7/21): sever ice-pick like headache right back toward the left front of the head. Then sever flu-like symptoms including: fever, chills, fatigue, and body aches and pains. Flu symptoms lasted 3 days. Day 6 (3/12/21): severe head pain like an ice-pick in the back right radiated to the front left, heard a loud humming inside my head, it felt like my head was gyrating, AND my vision in my right eye became distorted and I couldn''t move my legs I couldn''t feel them - I thought I was having a seizure. After the Day6 event I have had persistent tremors, muscle twitches, weakness in legs, phantom sensations on my left side hand/arm or left leg, forgetfulness, memory problems, word retrieval problems, constant ringing in ears and nausea.


VAERS ID: 1267939 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-04-28
Onset:2021-04-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hot flush, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Hypertension
Allergies: Something used in dental cleaning. Patient was unclear as to the specific name.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient passed out walking down the hall to the bathroom about 5 minutes after receiving the vaccine. When patient regained consciousness, he stated he was having a hot flash and was going to the bathroom to get something to wipe off his face.


VAERS ID: 1268008 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Burning sensation, Chest X-ray, Chills, Computerised tomogram, Dizziness, Electrocardiogram, Feeling cold, Headache, Laboratory test, Malaise, Pain, Painful respiration, Pneumothorax, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin 300 mg in am & 300 mg in the pm, Tramadol 50 mg q 6 hrs, B12 5000mcg, Fish oil pills, D3 5000 IU, Vitamin E 180mg, Vitamin C 1000mg, Lipo Flavonoid,
Current Illness: No
Preexisting Conditions: IGA
Allergies: N/A
Diagnostic Lab Data: EKG, Chest X-Ray, CT Scan, and Lab work on 4/17
CDC Split Type:

Write-up: Received Vaccine on the 4/8 that night I was very cold had 5 blankets, teeth shattering, severe headache, & knees like if they were breaking them. The following day slight headache, weakness, not feeling good. On the evening of 4/15, it hurt to breathe and I had a burning sensation on my rib cage going to my back. I thought I could handle it until Monday to see my Dr. but by the time I went to the ER it hurt to walk, talk, breathe and the burning sensation would not go away. I went to the ER on 4/17 he said I had a collapsed lung, gave me something for pain via IV. Did an EKG, Chest X-Ray, CT Scan, and Lab work. He let me go and said to take deep breaths every hour on the hour and to drink lots of water. I got in to see my regular Dr. on 4/22 and he said I had an allergic reaction to the vaccine. He gave me Gabapentin 100 mg 3 times a day and Tramadol q 6 hours for pain. I called him back because I still have the pain and now I am taking 300 mg Gabapentin in the am and 300 in the pm. It is still not working. I am constantly hurting the burning sensation on my rib cage and goes back to my back, it hurts to breathe, walk, talk, drive, I have blurred vision , dizziness and weakness. I have an appointment with Dr. again tomorrow.


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