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

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



Case Details (Reverse Sorted by Onset Date)

This is page 34 out of 1,535

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VAERS ID: 1228912 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Electroencephalogram, Feeling abnormal, Laboratory test abnormal, Migraine, Rash, Rhinorrhoea, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: pancreatitis
Allergies: Effexor, tramadol,
Diagnostic Lab Data: EEG CT ECG Blood work
CDC Split Type:

Write-up: pt developed a severe migraines and is still having them. He vomits every time he eats. He developed a rash on his chest, has shortness of breath, runny nose. Some confusion and brain fog. He went to ER in on 4/16/2021 for migraine headache and other symptoms. He was given a CT and a shot of Demerol and sent home to FU w/ neurologist. He continued having migraines so went back to ER on 4/18/2021. He had an EEG, ECG, and abnormal lab work. He was given another shot of Demerol, Phenergan and IV fluids. He was monitored for a few hours and released to FU w/ Neurologist.


VAERS ID: 1229186 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043AZ1A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram head, Computerised tomogram neck, Computerised tomogram normal, Confusional state, Electric shock sensation, Electrocardiogram normal, Magnetic resonance imaging head, Musculoskeletal stiffness, Neck pain, Pain in extremity, Pain of skin
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Dyazide, Depakote
Current Illness: NONE
Preexisting Conditions: History of thyroid cancer
Allergies: Zarontin, Demerol, Erythromycin, Levaquin
Diagnostic Lab Data: April 5 ER CTA Brain and Neck and CT C spine neg except for arthritis. Bloodwork including serial cardiac enzymes negative Negative chest X-ray and EKG Still trying to get insurance company to approve MRV and MRI brain
CDC Split Type:

Write-up: I had an electrical jolt run from the back of my neck into the scalp and down the left side of my neck into my left arm with pain pressure and soreness in these area and in the base of my head with some confusion and stiffness in the left side of my face followed by the right side. This lasted for six days afterward


VAERS ID: 1229391 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

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

Write-up: dizziness


VAERS ID: 1229636 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-02
Onset:2021-04-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysphagia, Headache, Neck pain, Pain in jaw, Pallor, Petechiae, Skin discolouration
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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), Osteonecrosis (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine Ozempic Metformin Lisinopril Methocarbamol Ibuprofen Proventil Advair Ezetimbe Super B vitamin Healthy Skin and Nails (costco)
Current Illness: DM2 hyperlipidemia (familiar) HTN thyroid - partial thyroidectomy in 1992, cancer still present chronic leukemia asthma chronic pain
Preexisting Conditions: DM2 hyperlipidemia (familiar) HTN thyroid - partial thyroidectomy in 1992, cancer still present chronic leukemia asthma chronic pain RA symptoms but blood work does not prove I have RA
Allergies: Latex, Morphine, bananas, eggplant, ciprofloxin
Diagnostic Lab Data: Dr. confirmed it was not uticaria as I first suspected but petechiae. She stated there was blanching. Nothing ese was done. Today I called and reported the severe headache and dysphagia issue to the clinic but I have not received a response.
CDC Split Type:

Write-up: Petechiae, bilateral, fingers to elbows was bright red on 04/12/2021 but became dark as week went on. I have photos. T his is not just a few spots but heavy and noticeable by others. Then Saturday night 04/17/2021 I dozed off on the sofa but woke to an incredible headache with jaw and neck pain. I had dysphagia. Earlier in the week I had two bad headaches but dismissed them as work.


VAERS ID: 1229791 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Headache, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro 10mg
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: vomitting, stomach pain, extreme headache, extreme body and joint pain, 102.8 fever


VAERS ID: 1229939 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Deep vein thrombosis, SARS-CoV-2 test positive, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: tesosterone cypionate 200mg/ml every 2 weeks nuvigil 200mg daily red yeast rice extract omeprazole 20mg
Current Illness: Pt developed COVID 19 five days after vaccine.
Preexisting Conditions: hypotestosteronism hypercholesterolemia GERD Attention deficit
Allergies: none
Diagnostic Lab Data: Femoral DVT on u/s.
CDC Split Type:

Write-up: DVT diagnosed 7 days after vaccine. Pt does have hx of DVT in past and was dx''d with COVID by NAAT at same time. Otherwise no risk factors.


VAERS ID: 1229949 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram normal, Headache, Injection site pain, Ultrasound scan normal, Urinary tract infection
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: patient had headache and pain at injection site , went to PCP and ER checked up they did ultra sound and cat scan on her head . The result is no head trauma. Instead patient report has Urinary tract infection


VAERS ID: 1230006 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Nausea
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Mental Health
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s husband reported that patient has been feeling nauseated since she received the vaccine and that she has started having stomach cramps. He reported that they are concerned about her having blood clots and he was informed to take her to the her primary care if that is a concern. He bought OTC aspirin and reported that he will have patient take it for the new two weeks. He was advised to take patient to the doctor is nausea and cramping persist.


VAERS ID: 1230077 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: School       Purchased by: ?
Symptoms: Loss of consciousness, Pallor, Syncope
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), Cardiomyopathy (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Nurse observed patient raising his hand in the post injection waiting area. Patient appears to be paile. He was moved from the chair to the floow with lower extremeties fully elevated. Patient lost consciousness for approximately 1-2 seconds. Regained consciousness following post vasovagal syncope. No injury occurred. Patient was coherent and aware of surroundings. BP 109/60. Pulse 68. Respirations 14. O2 sat 96%. Patient was moved via wheelchair to clinic for further observation . Hand over care to nurse.


VAERS ID: 1230097 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / N/A LA / IM

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

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

Write-up: Patient is a 16 yr-old male who was administered a Janssen & Janssen Covid vaccine. Janssen & Janssen is EAU approved for 18y.o. and older.


VAERS ID: 1230116 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Dyspnoea, Gait disturbance, Lymph node pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine, limogitrine,zoloft, seroquel for sleep, multivitamin
Current Illness:
Preexisting Conditions: alcohol abuse in the last ten years
Allergies: gabapentin did not agree with me. cant really call it an allergy. I was having balance issues with it
Diagnostic Lab Data:
CDC Split Type:

Write-up: severe weakness, muscle aches, probably every lymph node. worse was shortness of breath. could not even walk a few feet without trying to catch my breath


VAERS ID: 1230189 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Coagulopathy, Dizziness, Dysphagia, Fatigue, Headache, Heavy menstrual bleeding, Lymphadenopathy, Oropharyngeal pain, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I received the vaccine on day 5 of my period. I take no hormones of any kind and my periods are regularly 5-7 days in length. My period began on 4/6. Instead of beginning to wane, my period started to get extremely heavy and I started passing clots again about 24hr after the injection. On the night of 4/12 I passed an unusually large clot, roughly the size of a hockey puck and felt very faint and weak. I continued to bleed quite heavily until this morning (4/19), for a total of 14 days. I called my obgyn on Tuesday of last week to report the excessive bleeding and that my cervical lymph nodes had become so swollen that it was bothersome to swallow. My Dr said to go to ER if I experienced typical blood clot/PE symptoms and had received no guidance about the effects of this vaccine on menstruation. I have had mild headaches, sore throat, mild fevers and fatigue as well since the injection


VAERS ID: 1230247 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Feeling abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan
Current Illness:
Preexisting Conditions: High Blood Pressure Thyroid Removed
Allergies: Sulphur, codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported feeling dizzy and light headed the night after she received the vaccine. She reported that her head doesn''t feel right and feels like she has a brain fog. She reported she started feeling better after few days . She reported that her blood pressure remained normal.


VAERS ID: 1230269 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood creatine phosphokinase normal, Blood test, Exposure during pregnancy, Headache, Laboratory test, Malaise, Pain, Sleep disorder, Tremor, Ultrasound scan, Urine analysis, Urine ketone body present, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), 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: Diclegis Prenatal vitamins
Current Illness: Pregnancy morning sickness
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 4/13/2021 - lab work done at ER, blood and urine tests. CK was normal. High ketones. Ultrasounds
CDC Split Type:

Write-up: Severe headache, severe body aches/pain, continuous vomiting for 12+ hours, muscle tremors/shaking. Up all night getting sick 12 weeks pregnant- due October 2021


VAERS ID: 1230291 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Colitis, Computerised tomogram abnormal, Condition aggravated, Diverticulitis, Dyspnoea, Electrocardiogram normal, Heart rate increased, Medical diet, Pancreatitis acute, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Cardiomyopathy (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: At the ER (April 13th), I was given an EKG (Normal) and CT scan. The CT scan showed mild inflammation in the left upper quadrant of my colon and was diagnosed with mild diverticulitis and acute pancreatitis. I was given a prescription for antibiotics and put on a 3 day liquid diet and scheduled an immediate appointment with my GI doctor. Upon visiting Dr. (GI doctor) on Thursday April 15th, I was informed that it was a case of Diverticulitis and based on its location (upper left quadrant) he wanted to do a colonoscopy and biopsy, due to the unconventional location of the diverticulitis. I was told to continue on my medication and start easing into foods, like rice and mash potatoes. He was surprised as am healthy and have no other symptoms that may have caused the disease.
CDC Split Type:

Write-up: Monday, April 12th, around 2pm I started to develop extreme stomach pain, as well as noticed some shortness of breath or elevated heart rate. The stomach pain worsened after dinner. I assumed it was something I ate, which was the same thing I eat every day, and expected it was some type of gas that would resolve itself naturally. I went to bed in lots of pain. I didn''t sleep well due to the issues and woke up still in pain in my mid stomach, mostly on the left side. I called the nurse who did an intake and advised that I go to the ER (Tuesday, April 13th)


VAERS ID: 1230424 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Sertraline 25mg, Clonazepam 0.5mg, Ramipril 10mg, Metformin 850mg, Januvia 100mg, Amlodipine 5mg, Gabapentin 300mg, Hydrocodone/APAP 7.5/325, Ranolazine 500mg ER, Prasugrel 10mg, Omeprazole 20mg, Diclofenac Gel 1%, Vitamin D3 2000IU,
Current Illness:
Preexisting Conditions: Diabetes, Heart, Chronic Pain
Allergies: NKA
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Family member stated that pt experienced headache the afternoon she received the vaccination then complained to home health nurse that she did not feel well the next day. Patient was admitted on 04/19/2021 with diarrhea and possible pneumonia.


VAERS ID: 1230473 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous
SMQs:, Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, 50 mcg daily
Current Illness: None
Preexisting Conditions:
Allergies: Penicillin allergy, latex sensitivity
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was about 4 weeks pregnant at the time of the shot. Her due date was Dec. 13, 2021. About a week after taking the shot, her HCG levels stopped rising, and she ultimately miscarried.


VAERS ID: 1230591 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: R facial numbness x 1wk, onset 5 days after receiving vaccine. Constant. Mild.


VAERS ID: 1230708 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Dizziness, Feeling hot, Flushing, Thirst
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AUGMENTIN [AMOXICILLIN;CLAVULANIC ACID]; LISINOPRIL; MONTELUKAST; AMBIEN; MARIJUANA; BOTOX
Current Illness: Chronic migraine; Chronic rhinitis; Hypertension (Hypertension: 27 years on treatment); Pollen allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Ankle operation (Right ankle surgery- 2011); Carpal tunnel syndrome (Carpel Tunnel surgery (R)(L) 2008/2010); Liposuction; Pneumonia; Surgery (Weight loss surgery in 2015 and Chest reduction surgery 2017); Tonsillectomy; Comments: Does the patient have any allergies? :: Yes Provide details of the allergies :: Pollens- seasonal allergies Was there drug abuse or illicit drug usage? :: No Does the patient consume alcohol? :: No Does the patient smoke? :: No
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422693

Write-up: FLUSH; LIGHT HEADED, DIZZINESS; VERY THIRSTY; FEELING OVERHEATED; This spontaneous report received from a patient concerned a 46 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included carpel tunnel surgery, right ankle surgery, weight loss surgery and chest reduction surgery, pneumonia, tonsillectomy, and liposuction, and concurrent conditions included hypertension, chronic rhinitis, chronic migraine, and allergy to pollens. 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 12-APR-2021 08:30 for prophylactic vaccination. Concomitant medications included cannabis sativa for drug used for unknown indication, lisinopril for hypertension, zolpidem tartrate for sleep, amoxicillin/clavulanic acid, botulinum toxin type a, and montelukast non-company. On 12-APR-2021, the subject experienced flush. On 12-APR-2021, the subject experienced light headed, dizziness. On 12-APR-2021, the subject experienced very thirsty. On 12-APR-2021, the subject experienced feeling overheated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from flush, light headed, dizziness, very thirsty, and feeling overheated. This report was non-serious.


VAERS ID: 1230713 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422860

Write-up: BODY ACHES; SORE ARM AT INJECTION SITE; This spontaneous report received from a parent concerned a 21 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, and other 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: 205A21A, and batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 11:30 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced body aches. On 12-APR-2021, the subject experienced sore arm at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sore arm at injection site, and body aches. This report was non-serious.


VAERS ID: 1230722 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Fatigue
SMQs:, Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423086

Write-up: SEVERE FATIGUE; ANXIETY; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-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 12-APR-2021, the subject experienced severe fatigue. On 12-APR-2021, the subject experienced anxiety. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the anxiety and severe fatigue was not reported. This report was non-serious.


VAERS ID: 1230731 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Injection site nodule, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423889

Write-up: SORE BUMP ON INJECTION SITE; CHILLS; PAIN AT INJECTION SITE; HEADACHE; FATIGUE; NAUSEA; This spontaneous report received from a consumer concerned a 36 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known drug allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A expiry: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced sore bump on injection site. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced pain at injection site. On 12-APR-2021, the subject experienced headache. On 12-APR-2021, the subject experienced fatigue. On 12-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, chills, fatigue, pain at injection site, sore bump on injection site, and nausea. This report was non-serious.


VAERS ID: 1230742 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Defibrillator/pacemaker insertion
Preexisting Conditions: Medical History/Concurrent Conditions: Heart failure
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424251

Write-up: COUGH; CHILLS; FEVER; HEADACHE; BODY ACHE; COULD NOT SLEEP; This spontaneous report received from a patient concerned a 54 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included heart failure, and concurrent conditions included defibrillator implanted. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced could not sleep. On 13-APR-2021, the subject experienced body ache. On 13-APR-2021, the subject experienced cough. On 13-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced fever. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from body ache, headache, chills, fever, cough, and could not sleep. This report was non-serious.


VAERS ID: 1230775 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies. No drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424960

Write-up: FEVER; CHILLS; FATIGUE; VERY BAD HEADACHE; This spontaneous report received from a patient concerned a 19 year old female. The patient''s weight was not reported and height was 67 inches. The patient''s concurrent conditions included non alcoholic, and non-smoker, and other pre-existing medical conditions included the patient had no known allergies. no 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: 1808982, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced fatigue. On 12-APR-2021, the subject experienced very bad headache. On 13-APR-2021, the subject experienced fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 12-APR-2021, and had not recovered from fatigue, very bad headache, and fever. This report was non-serious.


VAERS ID: 1230788 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure high
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425029

Write-up: INJECTION SITE PAIN; INJECTION SITE SWELLING; INJECTION SITE REDNESS; This spontaneous report received from a patient concerned a 66 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced injection site pain. On 12-APR-2021, the subject experienced injection site swelling. On 12-APR-2021, the subject experienced injection site redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain, injection site swelling, and injection site redness. This report was non-serious.


VAERS ID: 1230848 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram normal, Feeling abnormal, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No regular prescriptions or over the counter medications taken at the time of vaccination or at the time of the incident a week later that may or may not have had anything to do with the vaccination.
Current Illness: Nothing relevant...broke my arm and had surgery on it a month prior to vaccination.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Exactly a week after receiving the J&J vaccine, I was out on my morning walk when my head became very fuzzy and my vision was altered (seeing jagged zigzags-fuzzy ones with my left eye). The vision issue persisted when I closed my eyes. The fuzzy head issue continued during a very difficult walk home and when I arrived and things didn''t clear, my husband ended up taking me to the emergency room. I got in quickly because the symptoms I described sounded to them like a stroke. But, I didn''t have a stroke. They did a CT scan. It was fine. The vision thing they thought sounded like the effect of a migraine. But, I''ve never experienced migraines. (Note: this incident occurred the day before the news of the J&J blood clots became public). Anyway, after a couple of hours in the emergency room, I was fine and went home. So, I don''t know what happened and it probably didn''t have anything to do with the vaccine. I''m not prone to being alarmist and I would only consent to go to the emergency room if I thought I were in a serious situation. The blood work indicated my platelets were in the normal range. And, I''m too old to be in the category of the six women who experienced blood clots. However, I just thought I should report this in case anyone else experiences something similar.


VAERS ID: 1230940 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Rash, Wound
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Garapentin 300 MG Diclofenac NA 50MG Meloxicam 15MG Oxybutynin Chloride 10MG Tamsulosin HCL 0.4MG
Current Illness: COPD
Preexisting Conditions: COPD
Allergies: Bee,wasp, hornet venom Flonase tetanus anti toxin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: rash near small wound site


VAERS ID: 1231323 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Discomfort, Dizziness, Fatigue, Headache, Injection site mass, Injection site pain, Injection site swelling, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Woke up the next day at 6 am felt fine and fell back asleep at 730 am until 930 am. Woke up with a pounding headache. Arm started to be really sore and a tight swollen bump at injection site. Severe nausea and dizziness immediately following by 10 am and extremely tired. Now almost 9 days later the lump at injection site is still there and sore. I find this very concerning and uncomfortable. The nausea lasted about 12 hours. The tiredness and dizziness lasted about 7 days. The bad pounding headache lasted all day followed by mild headaches throughout the week.


VAERS ID: 1231340 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN D / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)

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

Write-up: Okay this is supposed to be for the Johnson and Johnson vaccine but I didn?t see an option for it, but I am reporting hives around the injection site that has been persistent for days now


VAERS ID: 1231370 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-04
Onset:2021-04-12
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0521321H / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear pain, Inner ear inflammation, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Valsartan & hydrochlorthiazide
Current Illness: none
Preexisting Conditions: high blood pressure
Allergies: Biaxin & Codene
Diagnostic Lab Data: Urgent Care Saturday 4/17/2021 and found out I have inflammation in both ears, I was given a prescription for ear drops Hydrocortison-Acetic Acid Soln, 3 drops 4 times daily.
CDC Split Type:

Write-up: I periodically started hearing humming in my ears for a few days then on Friday 4/16/2021 at night it started again and has not gone away, my ears were also hurting me I went to the Urgent Care Saturday 4/17/2021 and found out I have inflammation in both ears, I was given a prescription for ear drops Hydrocortison-Acetic Acid Soln, 3 drops 4 times daily. I have not lost my hearing it is good so I''m assuming it is not Tinnitus.


VAERS ID: 1231396 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: Nosebleed started around 11 pm that night. Got another a week after. I have never gotten a nosebleed before.


VAERS ID: 1231406 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-19
Onset:2021-04-12
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Chest pain, Computerised tomogram thorax abnormal, Pneumonia, Pulmonary embolism
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Sinvastatin- trazodone- lorazepam-escitalopram
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: CT scan
CDC Split Type:

Write-up: About 3 weeks after the vaccine I started having severe chest and belly aches on the right side. CT scan showed a blood clot on my lungs and pneumonia


VAERS ID: 1231642 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A201A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker; Seizure
Preexisting Conditions: Medical History/Concurrent Conditions: Faint; Comments: The patient had no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422792

Write-up: FAINTED/PASSED OUT; NOT FEELING QUITE RIGHT; VERY TIRED; This spontaneous report received from a parent concerned a white and Not Hispanic or Latino female of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included faint, and concurrent conditions included seizure, non-alcohol user, and non-smoker. The patient had no history of drug abuse or illicit drug usage. The patient experienced drug allergy when treated with erythromycin, and ketamine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A201A, expiry: UNKNOWN) dose was not reported, 1 total, administered on right arm on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. It was reported by the patient'' parent that, on 12-APR-2021, within 5 minutes after vaccination the patient had fainted/passed out. On the same day, the patient was not feeling quite right and was very tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fainted/passed out, very tired, and not feeling quite right. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210422792-JANSSEN COVID-19 VACCINE Ad26.COV2.S- Fainted/Passed out. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1231657 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425427

Write-up: ITCHING; HIVES ON RIGHT HAND; This spontaneous report received from a consumer concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 15:30 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced hives on right hand. On 12-APR-2021 21:00, the subject experienced itching. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from hives on right hand, and the outcome of itching was not reported. This report was non-serious.


VAERS ID: 1231671 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Axillary pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DAILY VITAMINS; AMLODIPINE BESYLATE
Current Illness: Blood pressure high
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425914

Write-up: THROBBING PAIN UNDER ARMPIT; This spontaneous report received from a patient concerned a 59 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. Concomitant medications included vitamins nos for drug used for unknown indication. On 12-APR-2021, the subject experienced throbbing pain under armpit. Treatment medications (dates unspecified) included: amlodipine besilate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from throbbing pain under armpit. This report was non-serious.


VAERS ID: 1231722 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427150

Write-up: DIARRHEA; HEADACHE; FATIGUE; This spontaneous report received from a patient via a company representative concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced diarrhea. On 12-APR-2021, the subject experienced headache. On 12-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, diarrhea and fatigue was not reported. This report was non-serious.


VAERS ID: 1231770 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Chills, Decreased appetite, Dyspepsia, Nausea, Oropharyngeal pain, Pain, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Adjustment disorder; Alcohol dependence syndrome; Dependence on opiates; Iodine allergy; Personality disorder; Seizure
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428360

Write-up: BODY ACHES; LOSS OF APPETITE; DYSPEPSIA; UPPER CHEST DISCOMFORT; SORE THROAT; CHILLS; NAUSEA; SHAKING; This spontaneous report received from a health care professional concerned a 32 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included iodine allergy, personality disorder, alcohol dependence, opioid dependence, seizure, and adjustment disorder.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1805025 expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced shaking. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced body aches. On 13-APR-2021, the subject experienced loss of appetite. On 13-APR-2021, the subject experienced dyspepsia. On 13-APR-2021, the subject experienced upper chest discomfort. On 13-APR-2021, the subject experienced sore throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from body aches, loss of appetite, dyspepsia, nausea, chills, shaking, upper chest discomfort, and sore throat. This report was non-serious. This case, from the same reporter.


VAERS ID: 1231791 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Fatigue, Injection site pain, Muscle tightness, Pain, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Body temperature; Result Unstructured Data: 99 F
CDC Split Type: USJNJFOC20210429330

Write-up: MUSCLE TIGHTNESS AT LEFT SIDE OF NECK; SWELLING AT LEFT SIDE OF NECK; MILD BODY ACHES; FEVER 99 F; GENERAL TIREDNESS; LEFT ARM PAIN AT INJECTION SITE; This spontaneous report received from a patient concerned a 45 year old male. The patient''s weight was 168 pounds, and height was 68 inches. The patient''s pre-existing medical conditions included the patient had no known allergies there was no drug abuse or illicit drug usage, the patient was non alcoholic and non-smoker. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced left arm pain at injection site. On 12-APR-2021, the subject experienced general tiredness. On 13-APR-2021, the subject experienced mild body aches. On 13-APR-2021, the subject experienced fever 99 F. Laboratory data included: Body temperature (NR: not provided) 99 F. On 14-APR-2021, the subject experienced muscle tightness at left side of neck. On 14-APR-2021, the subject experienced swelling at left side of neck. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever 99 F, mild body aches, and general tiredness, and had not recovered from swelling at left side of neck, left arm pain at injection site, and muscle tightness at left side of neck. This report was non-serious.


VAERS ID: 1231792 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Nausea, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429347

Write-up: HEADACHE; VOMITING; NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-APR-2021 16:00 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 12-APR-2021, the subject experienced vomiting. On 12-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea, vomiting, and headache. This report was non-serious.


VAERS ID: 1231990 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 LA / IM

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

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

Write-up: Patient reported to us she developed shingles approximately 4 days after vaccine. She said she had shingles in the past. It was located on her leg. Her doctor put her on valacyclovir.


VAERS ID: 1232071 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Back pain, Fatigue, Feeling abnormal, Feeling cold, Hyperhidrosis, Immediate post-injection reaction, Paraesthesia, Spinal pain
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xyzal
Current Illness: Seasonal allergies. Been receiving allergy immunotherapy for approximately 4 years
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Sweaty immediately after shot. No big deal. Now about 10 days after shot, still very fatigued and head foggy. The main issue is back pain. Spine pain. The top half of my spine has discomfort at its best and mild/modern pain the rest of the time. It''s constant. At times my spine feels cold and tingly. Then my entire core gets cold and tingly. I''ve never had back pain or injured my back. This pain is directly related to the vaccine and my experience seems to be outside the norm of side effects subsiding after a couple days.


VAERS ID: 1232077 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-03-14
Onset:2021-04-12
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 015M20A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: MODERN 0.5 ML FOR IM LOT 015M20A EPX:07/31/2021 No known adverse events.


VAERS ID: 1232082 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-03-14
Onset:2021-04-12
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: MODERN 0.5 ML FOR IM LOT 020B21A EPX:09/23/2021 No known adverse events.


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

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dizziness, Feeling abnormal, Headache, Purpura, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control Fertibiotic fertility vitamins Other fertility vitamins Vitamin d
Current Illness: N/a
Preexisting Conditions: Pcos Interstitial cystits
Allergies: Penicillin, Bactrim, Levaquin metro and cipro were taken all together and don''t know which im allergic to.
Diagnostic Lab Data: Blood work and ct scan on Friday April 16th
CDC Split Type:

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


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

Administered by: Private       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: right lung PE


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

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood magnesium, Differential white blood cell count, Dizziness, Electrocardiogram, Full blood count, Influenza like illness, Metabolic function test, Pain, Pyrexia, Vertigo, Vertigo positional, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: O CBC WITH DIFF, O COMPREHENSIVE METABOLIC PANEL, O HCG QUAL RFLX TO QUANT IF POS, O HOLD FOR ADDITIONAL ORDERS, O MAGNESIUM, O UA CULTURE IF INDICATED, O EKG (all occurred on April 16th at the hospital)
CDC Split Type:

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


VAERS ID: 1232314 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Haematoma, Laboratory test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none (although in midst of workup for bleeding condition)
Allergies: none
Diagnostic Lab Data: lab eval in process
CDC Split Type:

Write-up: large hematoma, slowly resolving


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

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Cerebral venous sinus thrombosis, Full blood count normal, Headache, Magnetic resonance imaging head normal, Metabolic function test normal, Platelet count normal, Venogram abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Lorazepam, Pepcid, Protonix
Current Illness:
Preexisting Conditions: Myocardial infarction (x4), colorectal cancer treated in 2005, tobacco use (1/2 ppd), gastritis, migraine; back pain, herniated disc, lumbar canal stenosis, hysterectomy, obesity, anxiety
Allergies: Augmentin, Ampicillin, Erythromycin, Percocet
Diagnostic Lab Data: CT Head Venogram 4/17/21, MRI Brain 4/18/21
CDC Split Type:

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


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

Administered by: School       Purchased by: ?
Symptoms: Blood test, Chills, Computerised tomogram normal, Fibrin D dimer increased, Headache, Pain, Pyrexia
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levoxil - for lack of thyroid (romoved); Lexapro
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: Wednesday, 14th, blood tests - in the Dr office and she called me later that day and said she said my d-dimer result was elevated and she had me go to ER to get MRI done - no one was there to do it (the MRI )and and I had a CT scan instead. Results for CT scan were clear and normal.
CDC Split Type: vsafe

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


VAERS ID: 1232733 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Herpes zoster, Injection site reaction, Rash
SMQs:, Anaphylactic reaction (broad), 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline 50mg CVS brand ?spectravite? multi vitamin Vitamin D3 125mcg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Dr observed the rash and diagnosed as ?SHINGLES? and prescribed an antiviral to try to help clear the rash.
CDC Split Type:

Write-up: A few days after, a painful rash appeared near the injection site, below the site, in the elbow joint and upper left shoulder blade area.


VAERS ID: 1232755 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Erythema, Headache, Insomnia, Muscle spasms, Night sweats, Pain, Pain in extremity, Pruritus, Pyrexia, Rash, Sinus headache, Skin warm, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aloe vera topical gel (no lidocaine) for a minor sunburn on arms, neck, legs.
Current Illness: Significant reaction to a series of mosquito bites (almost 4 inch welts appeared, required topical steroid to control), but were no longer present at time of vaccination.
Preexisting Conditions: Chronic sinus drainage/clogging - unclear reason, but had been given Doxycycline ~3 months ago and didn''t seem to do much to help.
Allergies: Penicillin and family.
Diagnostic Lab Data: None offered, advice was to take Zyrtec if symptoms were unmanageable.
CDC Split Type:

Write-up: Within maybe 20-30 minutes of vaccination, I noticed a small dull pain in my right calf; I disregarded and walked back to the car. This pain has reduced over the last week, but is still vaguely present. 5-6 hours after vaccination, headache and strong sinus-headache. Laid down to rest. I woke up around 20-30 minutes later with full body tremors and muscle spasms. Muscle spasms particularly violent in my back, feeling similar to if someone was involuntarily using one of those muscle-stimulator elecrode pad systems on me; could feel each individual muscle tensing and releasing at random. Tremors and spasms persisted and then diminished over the next 4-5 hours. 99.7F fever was recorded. Chills, fever, nightsweats, and repeated sleepless rest/waking every 30-40 minutes until the next day. Headache was still strong and present at 4am, took 600mg ibuprofen and continued hydrating. Headache, general soreness, and fever persisted for ~3 days, but manageable with hydration and rest. On day 3 a rash appeared on both my knees/innerthigh just above the knee. Likely not hives, subdermal red speckles that appeared at night; close to 4mm in diameter, skin was warm to the touch and very itchy. Most of the rash was gone by morning, and the itching and warmth was completely gone. I have noticed a very similar rash appear on my front left collar/shoulder area just this morning, but no itch/warmth. Outcomes: Muscle spasms/tremors subsided within a day. Fever/headache subsided within 3 days Knee/Thigh rash gone. More similar rash just appeared on upper left shoulder/collar. Upper calf dull pain still present, but only barely "It feels a bit off" would be the best description.


VAERS ID: 1232768 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-03-31
Onset:2021-04-12
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Contusion, Full blood count abnormal, Muscle spasms, Pain in extremity, Tenderness, Thrombocytopenia, Ultrasound Doppler normal
SMQs:, Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Dystonia (broad), Accidents and injuries (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: atorvastatin, carvedilol, spironolactone, HCTZ, levothyroxine, fluticasone/salmeterol, hydrocodone/APAP
Current Illness: none
Preexisting Conditions: HTN, DM, COPD, post-laminectomy syndrome
Allergies: NKDA
Diagnostic Lab Data: CBC -$g mild thrombocytopenia 4.14.2021 Venous doppler, bilateral -$g 4.16.2021 - negative for DVT
CDC Split Type:

Write-up: bilateral calf pain bruising, calf tenderness, muscle spasm


VAERS ID: 1232779 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Facial paralysis, Hypoaesthesia, Ophthalmological examination
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

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

Write-up: I got Bells Palsy within 15 minutes of getting the vaccine. I noticed that my cheek was going numb, and my eye was drooping. I stayed at the facility for 30 minutes. On the way home I couldn?t close my eye. I have had Bell?s Palsy in 2015 and I had mostly recovered with some residual effects to my eye and my mouth was a little droopy. It effects my eyelid, my mouth and the side of my face. Today my cheek was more numb even though my eye seemed to be getting better. The new effects are on the right side of my face in the same area as they were before. It has been eight days since my vaccination.


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

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Nausea, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

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

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


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

Administered by: Other       Purchased by: ?
Symptoms: Aphasia, Blood test, Chills, Electrocardiogram, Magnetic resonance imaging, Pain, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRI, blood test, EKG, stroke tests. Everything was clear. Had to show ER Doctor that morning that the J&J vaccine was being pulled.
CDC Split Type:

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


VAERS ID: 1232956 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 LA / IM

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

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

Write-up: Patient experienced epistaxis the morning after the vaccine, and has continued to have mild-moderate headaches. To note, patient?s baseline is typically: - Roughly 1 nosebleed every ~4 years - Mild headaches 2-3 times per week


VAERS ID: 1233021 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN AA / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Fibrin D dimer increased, Headache, Injection site cellulitis, Laboratory test, Ultrasound Doppler
SMQs:, Haemorrhage laboratory terms (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CYTOMEL, SYNTHROID, LOSARTAN, ALDACTONE, VITAMIN D
Current Illness: SINUS INFECTION
Preexisting Conditions: HTN, HX OF CANCER
Allergies: LATEX, COMPAZINE SENSITIVE TO MORPHINE, DEMEROL
Diagnostic Lab Data: LABS, DOPPLER
CDC Split Type:

Write-up: HEADACHE, CELLULITIS AT INJECTION SITE, BLOOD VALUES ELEVATUED FOR D DIMER


VAERS ID: 1233164 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

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

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

Write-up: Patient received a vaccine not approved for individuals under age 18. no adverse reactions have been noted as of this date.


VAERS ID: 1233216 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

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

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

Write-up: Patient received the Janssen vaccine which is not approved for individuals under 18 years of age.


VAERS ID: 1233322 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Discomfort, Feeling hot, Headache, Influenza like illness, Injection site pain, Insomnia, Myalgia, Pain in extremity, Panic reaction, Paraesthesia, Pruritus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Iron, vitamin B, vitamin C, vitamin D, Biotin, Allegra
Current Illness: None
Preexisting Conditions: Previous history of high blood pressure.
Allergies: Allergic to Levaquin, Hemp Seed and quinoa Also allergic to cats, dogs, many animals and unspecified seasonal allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Within a half hour of injection, I experienced pain in my left leg (thigh muscle mostly). Throughout the day the pain spread to my left hip and left calf. Additionally, I felt like my muscles were ?on fire? on the left side of my body. I also felt a ?tingling? in my body, fingers and toes, leg muscles, primarily on left side. (I assumed at that time that this was ?normal?.) About 11 hours after injection, I experienced extreme muscle pain all over my body, lasting for about 12 hours. (Flu-like muscle pain and the feeling that all of my muscles were on fire.) The following day, I began to feel the feeling of pins and needles everywhere but primarily on left leg, thigh and calf. By Thursday evening (three days following injection), I felt the most severe pins and needles feeling as well as ?itching? primarily in calves and hands and feet. I was so uncomfortable and panicked, I couldn?t sleep. On Friday evening, I felt intense leg pain and ?heat? on left side in both calf and thigh muscle and couldn?t sleep. On Saturday evening and all day Sunday I had a headache which I can?t say was related but caused me great concern. Now, eight days later, most of the pins and needles feeling has subsided but the pain in my left leg (thigh muscle) is at an all time high. Extra strength Tylenol is not helping. I did have a consult with my doctor last Thursday and I called again yesterday and I?m waiting for a call back. (Last Thursday, she agreed that my symptoms were unusual and thought I might need to see a neurologist.) Additionally - my left knee has bothered me and feels like someone hit it with a bat. I?m not sure if this is joint pain? FYI - I have no apparent swelling in legs, no numbness, no trouble breathing and no significant headache today. I never had a fever or chills. The injection site burned for a few days (mild) but was never red.


VAERS ID: 1233493 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chills, Dizziness, Headache, Hot flush, Magnetic resonance imaging, Magnetic resonance imaging head, Migraine with aura, Palpitations, Photophobia, Pyrexia, Vision blurred, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral birth control
Current Illness: None
Preexisting Conditions: None
Allergies: skin rash to lavender and chamomile
Diagnostic Lab Data: Blood test on 4/15/2021 MRI scheduled for 4/29/2021
CDC Split Type:

Write-up: From 6-48 hours after: chills, headache, hot flashes, fever of 100.5 On 4/12/2021 I had to call an ambulance due to issues with vision including seeing weird color patterns and near black out along with racing heart and lightheadedness. I refused further medical care because I felt better once the ambulance arrived. I visited my primary care doctor on 4/13/2021 to follow up. He said it was likely an occular migraine. A blood test was ordered and results came back as essentially normal. I have been continuing to have dizzy spells, headaches, blurry vision and light sensitivity. An MRI of my brain and spinal cord has been ordered for 4/29 to rule out other conditions.


VAERS ID: 1233499 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Magnetic resonance imaging head normal, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: severe headache,patient had a syncopal event,went to er,headache subsided in 48 hours,mri brain negative


VAERS ID: 1233630 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-02
Onset:2021-04-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Limb discomfort, Thrombosis, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine Besylate 5mg; Benazepril HCL 20 mg; Triamterene-HCTZ 37.5-25 mg; Simvastatin 20mg; Alendronate sodium 70mg; OTC meds - multivitamin, 81mg low-dose aspirin, Vit D3 1000iu, Calcium 600mg w/Vit D3
Current Illness: none
Preexisting Conditions: High blood pressure, elevated cholesterol
Allergies: none
Diagnostic Lab Data: Ultrasound 04/15/2021; follow-up scheduled for 04/28/2021
CDC Split Type:

Write-up: In the morning I noticed a pinching feeling in my lower right leg. I called my doctor to check on this. She sent me for an ultrasound of the leg on 04/15/2021. During a follow-up visit she informed me that it was a superficial blood clot and set up a second ultrasound on 04/28/2021 for confirmation that it had cleared.


VAERS ID: 1234143 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Lethargy, Mental impairment, Muscle spasticity, Pain, Pain in extremity, Sleep disorder, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin 1,000mg , Gabapentin 800mg, Celexa 20mg, Lasinopril 20/25mg. Tylenol 1,000mg. No dietary.
Current Illness: No.
Preexisting Conditions: Diabetes type 2, depression, neuropathy due to diabetes,
Allergies: Penacylin
Diagnostic Lab Data: No.
CDC Split Type:

Write-up: Pain in right and left leg. Pain started at hip and run down to toes. Pain was not shooting pain but was a constant pain. On a pain scale of 1-10, pt reports pain was around 20. Pain woke patient up from sleep and was strong enough that patient muscles locked up. Patient began trembling from the pain. Pain lasted about about 24 hours. Pain was so strong that patient could not think. Pain caused patient to become weak and lethargic.


VAERS ID: 1234255 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Feeling abnormal, Headache, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B Complex Zinc ECGG Essential Fatty Acids Vitamin D Turmeric Evening Primrose Oil Calcium Magnesium Astaxanthin
Current Illness: None
Preexisting Conditions: None
Allergies: Dairy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever 12 hour duration Chills 24 hour duration headache 12 hour duration sore arm 5 day duration Body aches 24 hour duration Brain fog 2 day duration exhaustion 5 day duration


VAERS ID: 1234551 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Fatigue, Headache, Hypersomnia, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: First night from 11 pm to 6 am, 102 degree fever. Fever broke at 6 am. So tired i could not keep my eyes open. Slept that whole next day. 3rd day still extremly tired, pounding headache, stomach ache. By day 4 i felt better half way during the day. Pounding headache and extreme tiredness for 4 days.


VAERS ID: 1234588 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Fibrin D dimer increased, Full blood count, Headache, Platelet count
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 0.2mcg daily
Current Illness: None
Preexisting Conditions: Hypothyroid, hyperlipidemia
Allergies: Doxycycline
Diagnostic Lab Data: Cbc with elevated platelets, d dimer quantitative 569,
CDC Split Type:

Write-up: Severe headaches. Elevated d dimer. Blood pressure greater than 140/88


VAERS ID: 1234776 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Feeling hot, Hyperhidrosis, Inflammation, Skin warm
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Metroprolol, Hydroxyzine, Sertraline, & Gabapentin.
Current Illness: Allergies.
Preexisting Conditions: Degenerative Disc Disease, Hypertension, Anxiety, Depression, Fibromyalgia, Migraines, and GERD.
Allergies: Levofloxacin, Tizanidine, Wellbutrin, and Ginger.
Diagnostic Lab Data: This started to happen right when the blood clot issue was reported to the news, and when I called and made an appointment with my doctor they said it was normal so I didn?t bother going.
CDC Split Type:

Write-up: It started about four days after I got the vaccine. My right arm approximately 4-5 inches below the injection site, got very red, raised, and hot to the touch. The area was about 2 inches wide and about 6 inches long. It would go always for a few hours, then come back, go away, come back, etc. This lasted up to three days ago. Along with it I would sweat profusely, and be hot but not running a temperature above normal. The temperature of the area when it was red, would range between 99.4-101.0


VAERS ID: 1234917 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NDC: 59676-0580 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Dizziness, Fatigue, Feeling abnormal, Headache, Influenza virus test, Malaise, Motion sickness, Nausea, Pregnancy test negative, Pyrexia, SARS-CoV-2 test
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Phentermine
Current Illness: None known
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data: I''ve only been given a Covid Test - still awaiting results Flu Test - passed Pregnancy Test - non positive
CDC Split Type:

Write-up: Fever Documented from 101-99 Daily since taking vaccine. Record blood pressure reading: 158/110 - tonight (It''s been consistently 145/93) which is pretty high for me. Daily headaches - I wake up with a flu like headache everyday Feeling Fatigue - I''ve been feeling fatigue daily staying in bed resting, and I notice when I get up and move around my blood pressure spikes and my fever elevates. Nausea/Dizziness - Feeling a little sick to my stomach, similar to motion sickness. Overall I just haven''t been feeling like my self since taking it.


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

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood pressure measurement, Chills, Dizziness, Fatigue, Nausea, Pain, Pyrexia, Restlessness
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Phenteromine 37.5 mg Xyzal allergy medicine Cranberry w/ D-Mannose capsules Women?s probiotic Vitamin D Liquid collagen
Current Illness:
Preexisting Conditions: IBS
Allergies:
Diagnostic Lab Data: Trip to urgent care today (4/20) @ 6pm EST after another major dizzy spell and nausea. Doctor found No issues w/ blood pressure, ears or pupil Dilation. Referred to primary care for further tests or emergency room. Planning on contacting my physician tomorrow for apt
CDC Split Type:

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


VAERS ID: 1235475 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA Body rash covering torso and leg appeared morning of 4/12, subsided roughly 12-14 hours later. Also had mild fever first night (4/11) after injection; persisted 4/12 and had completely subsided by morning of 4/13.


VAERS ID: 1236056 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Product administration error, Underdose
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422128

Write-up: PARTIAL DOSE ADMINISTRATION; NEEDLE GOT UNSCREWED FROM THE SYRINGE; This spontaneous report received from a pharmacist 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: 207A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced partial dose administration. On 12-APR-2021, the subject experienced needle got unscrewed from the syringe. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the partial dose administration and needle got unscrewed from the syringe was not reported. This report was non-serious.


VAERS ID: 1236075 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422522

Write-up: DIARRHEA; This spontaneous report received from a parent concerned a 34 year old male. 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: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced diarrhea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from diarrhea. This report was non-serious.


VAERS ID: 1236087 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422899

Write-up: ADMINISTERED VACCINE TWICE; This spontaneous report received from a pharmacist 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, and batch number were not reported) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced administered vaccine twice. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of administered vaccine twice was not reported. This report was non-serious.


VAERS ID: 1236101 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Hypoaesthesia, Neck pain
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423788

Write-up: NECK NUMBNESS; SHOULDER PAIN; NECK PAIN; This spontaneous report received from a patient concerned a 37 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-APR-2021 to Left Arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced neck numbness. On 12-APR-2021, the subject experienced shoulder pain. On 12-APR-2021, the subject experienced neck pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from neck pain, shoulder pain, and neck numbness. This report was non-serious.


VAERS ID: 1236109 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XELJANZ; METHOTREXATE; FOLIC ACID
Current Illness: Alcohol use (Social drinker at events or occasionally at meals.); Non-smoker; Psoriatic arthritis
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting and had no known drug allergies. The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424024

Write-up: HEADACHE; INJECTION SITE PAIN; EXTREME FATIGUE; This spontaneous report received from a patient concerned a 57 year old female. The patient''s weight was 150 pounds, and height was 63 inches. The patient''s concurrent conditions included psoriatic arthritis, occasional alcohol use, and non smoker, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting and had no known drug allergies. The patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 205A21A, and expiry: 23/JUN/2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Concomitant medications included folic acid, methotrexate, and tofacitinib citrate. On 12-APR-2021, the subject experienced extreme fatigue. On 12-APR-2021, the subject experienced injection site pain. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from injection site pain, and had not recovered from extreme fatigue, and headache. This report was non-serious.


VAERS ID: 1236133 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Product storage error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: no known medical history
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425057

Write-up: VIAL LEFT IN ROOM TEMPERATURE MORE THAN 2 HOURS; This spontaneous report received from a pharmacist concerned a 73 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no known medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced vial left in room temperature more than 2 hours. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vial left in room temperature more than 2 hours was not reported. This report was non-serious.


VAERS ID: 1236151 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Kansas  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Headache, Hyperhidrosis, Influenza like illness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Clotting disorder; Ehlers-Danlos syndrome; Sjogren''s syndrome
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425513

Write-up: SWEATY AFTER FEVER BROKE; FLU FEELING; MUSCLE SORENESS; CHILLS; FRONTAL HEADACHE; This spontaneous report received from a patient concerned a 50 year old female. The patient''s weight was 173 pounds, and height was not reported. The patient''s concurrent conditions included ehlers-danlos syndrome, sjogren''s syndrome, and blood clotting disorder.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: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced frontal headache. On 13-APR-2021, the subject experienced sweaty after fever broke. On 13-APR-2021, the subject experienced flu feeling. On 13-APR-2021, the subject experienced muscle soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sweaty after fever broke, flu feeling, chills, frontal headache, and muscle soreness on 13-APR-2021. This report was non-serious.


VAERS ID: 1236167 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Fatigue, Feeling cold, Hangover, Headache, Hyperhidrosis, Nausea, Pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had no known allergies. Patient was pretty healthy.
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: Body temperature; Result Unstructured Data: 97.0degree F; Test Date: 20210413; Test Name: Body temperature; Result Unstructured Data: 101.4degree F; Test Date: 20210413; Test Name: Body temperature; Result Unstructured Data: 99.7degree F
CDC Split Type: USJNJFOC20210426973

Write-up: A MENTAL FOG ALMOST LIKE A HANGOVER; FATIGUED; FEVER UPTO 101.4 F; HEADACHE; SOAKING SWEAT OVERNIGHT; BECAME ACHY; CHILLS; SO COLD WENT TO BED ALL BUNDLED UP; MODERATE ARM PAIN; FELT A BIT NAUSEOUS; This spontaneous report This spontaneous report received from a patient concerned a 35 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no known allergies. pretty healthy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 14:00 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced soaking sweat overnight. On 12-APR-2021, the subject experienced became achy. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced so cold went to bed all bundled up. On 12-APR-2021, the subject experienced moderate arm pain. On 12-APR-2021, the subject experienced felt a bit nauseous. On 12-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 97.0 F. On 13-APR-2021, the subject experienced a mental fog almost like a hangover. On 13-APR-2021, the subject experienced fatigued. On 13-APR-2021, the subject experienced fever upto 101.4 f. Laboratory data included: Body temperature (NR: not provided) 99.7 F, and (NR: not provided) 101.4 F. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt a bit nauseous, was recovering from moderate arm pain, chills, soaking sweat overnight, headache, and became achy, had not recovered from fever upto 101.4 f, a mental fog almost like a hangover, and fatigued, and the outcome of so cold went to bed all bundled up was not reported. This report was non-serious.


VAERS ID: 1236181 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Insomnia, Pain in extremity, Skin discolouration
SMQs:, Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427374

Write-up: PURPLE SPOT ON ARM; COULD NOT SLEEP; ARM HURTS; BAD HEADACHE; This spontaneous report received from a consumer concerned an adult patient. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 12-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 12-APR-2021, the subject experienced purple spot on arm. On 12-APR-2021, the subject experienced could not sleep. On 12-APR-2021, the subject experienced arm hurts. On 12-APR-2021, the subject experienced bad headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from could not sleep on 13-APR-2021, and had not recovered from purple spot on arm, arm hurts, and bad headache. This report was non-serious.


VAERS ID: 1236217 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Utah  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Fatigue, Headache, Injection site erythema, Injection site pain, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Kirkland signature ibuprofen, acetaminophen
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428184

Write-up: LITTLE RED MARK AT INJECTION SITE; DIARRHEA; BODY ACHES; STOMACH ACHE; NAUSEA; TIREDNESS; HEADACHE; LIGHT HEADED; BURNING DURING INJECTION; 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 received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Non-company suspect drugs included: paracetamol (caplet, oral, batch number: 2GE1525C expiry: 31-JAN-2015) 500 mg, 2 times every 1 day, from 13-APR-2021 for headache; and ibuprofen (caplet, oral, batch number: 9DE2742A expiry: 31-JAN-2021) 200 mg, 2 times every 1 day, from 13-APR-2021 for body ache, and headache. No concomitant medications were reported. On 12-APR-2021, the subject experienced light headed. On 12-APR-2021, the subject experienced burning during injection. On 13-APR-2021 07:00, the subject experienced headache. On 13-APR-2021 07:00, the subject experienced tiredness. On 13-APR-2021 13:00, the subject experienced stomach ache. On 13-APR-2021 13:00, the subject experienced nausea. On 13-APR-2021 17:00, the subject experienced diarrhea. On 13-APR-2021 17:00, the subject experienced body aches. On 14-APR-2021, the subject experienced little red mark at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea, and burning during injection on APR-2021, and had not recovered from light headed, headache, nausea, stomach ache, little red mark at injection site, body aches, and tiredness. This report was non-serious.


VAERS ID: 1236241 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Malaise, Pain, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428470

Write-up: BODY ACHES; CHILLS; TIREDNESS; DIFFICULTY WITH WAKING UP; RIGHT SHOULDER PAIN; NOT FEELING WELL; This spontaneous report received from a patient concerned a 46 year old female. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A expiry: 23/JUN/2021) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced difficulty with waking up. On 12-APR-2021, the subject experienced right shoulder pain. On 12-APR-2021, the subject experienced not feeling well. On 12-APR-2021, the subject experienced tiredness. On 12-APR-2021 01:00, the subject experienced chills. On 12-APR-2021 06:30, the subject experienced body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, chills, and tiredness on 12-APR-2021, and difficulty with waking up, and not feeling well, and had not recovered from right shoulder pain. This report was non-serious.


VAERS ID: 1236242 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Chills, Diarrhoea, Dizziness, Headache, Hyperhidrosis, Injection site warmth, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions: Medical History/Concurrent Conditions: Hysterectomy; Comments: PATIENT HAD NO KNOWN ALLERGIES
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428485

Write-up: CHEST PAIN; SEVERE WATERY DIARRHEA; LIGHT HEADED; SWEATING; CHILLS; FEVER; HEADACHE; NAUSEA; DIZZY; HOT AT THE INJECTION SITE; VOMITING; This spontaneous report received from a patient concerned a 49 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included hysterectomy, and concurrent conditions included asthma, and other pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and expiry: 23/JUN/2021) .5 ml, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced hot at the injection site. On 12-APR-2021, the subject experienced vomiting. On 12-APR-2021, the subject experienced dizzy. On 12-APR-2021, the subject experienced headache. On 12-APR-2021, the subject experienced nausea. On 14-APR-2021, the subject experienced chest pain. On 14-APR-2021, the subject experienced severe watery diarrhea. On 14-APR-2021, the subject experienced light headed. On 14-APR-2021, the subject experienced sweating. On 14-APR-2021, the subject experienced chills. On 14-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from hot at the injection site, and vomiting on 13-APR-2021, and had not recovered from headache, nausea, dizzy, severe watery diarrhea, light headed, sweating, chest pain, chills, and fever. This report was non-serious.


VAERS ID: 1236249 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Pyrexia, Sluggishness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428554

Write-up: SLUGGISHNESS; TIREDNESS; FEVER; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. Batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On 12-APR-2021, the subject experienced sluggishness. On 12-APR-2021, the subject experienced tiredness. On 12-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the tiredness, sluggishness and fever was not reported. This report was non-serious.


VAERS ID: 1236253 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Dry eye, Headache, Laziness, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Vestibular disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (4 times a year); Borderline diabetes (Blood Sugar); High cholesterol; Non-smoker; Overweight; Stone in gallbladder
Preexisting Conditions: Medical History/Concurrent Conditions: Anemic; Hysterectomy; Comments: No known drug allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428580

Write-up: DIZZY; HEADACHE; DRY EYES; FEELS LAZY; SLEEPY; 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 anemic, and hysterectomy, and concurrent conditions included stones in gallbladder, high cholesterol, borderline diabetic, overweight, alcohol user, and non-smoker, and other pre-existing medical conditions included no known drug allergies. The patient experienced stomach upset when treated with paracetamol for pain. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced dry eyes. On 12-APR-2021, the subject experienced feels lazy. On 12-APR-2021, the subject experienced sleepy. On 13-APR-2021, the subject experienced dizzy. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dry eyes, feels lazy, sleepy, headache, and dizzy. This report was non-serious.


VAERS ID: 1236256 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: West Virginia  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hives; Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428601

Write-up: ITCHING; REGULAR HIVES; 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 concurrent conditions included hives. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, treatment medications included: cetirizine hydrochloride, diphenhydramine hydrochloride, omalizumab, and prednisone. On 12-APR-2021, the subject experienced itching. On 12-APR-2021, the subject experienced regular hives. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from itching, and regular hives. This report was non-serious.


VAERS ID: 1236278 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428832

Write-up: SLIGHT FEVER; FATIGUE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 12-APR-2021, the subject experienced slight fever. On 12-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the slight fever and fatigue was not reported. This report was non-serious.


VAERS ID: 1236283 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Confusional state, Energy increased, Fatigue, Headache, Hot flush, Injection site pain, Insomnia, Nausea, Rhinorrhoea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428876

Write-up: RUNNY NOSE; SLIGHT CONFUSION; HOT FLASHES; HEADACHE; NAUSEA; TIREDNESS; INSOMNIA; EXTRA ENERGY; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a 56 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced insomnia. On 12-APR-2021, the subject experienced extra energy. On 12-APR-2021, the subject experienced injection site pain. On 13-APR-2021, the subject experienced runny nose. On 13-APR-2021, the subject experienced slight confusion. On 13-APR-2021, the subject experienced hot flashes. On 13-APR-2021, the subject experienced headache. On 13-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from insomnia, slight confusion, hot flashes, and nausea on 13-APR-2021, and extra energy, headache, and tiredness on APR-2021, was recovering from injection site pain, and had not recovered from runny nose. This report was non-serious.


VAERS ID: 1236320 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Disturbance in attention, Fatigue, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: escitalopram 10 mg
Current Illness: none
Preexisting Conditions: anxiety, depression
Allergies: pollen, lanolin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Events: muscle soreness; feeling sore in muscles I''d only read about in an undergraduate human anatomy textbook, including the six muscles back of each eye; UNTESTED (as in, no thermometer applied to prove one way or another) fever/chills, unable to focus in the sense of getting some advanced tasks done like job application, though eyes were fine for actual focusing; exhaustion. Treatment: much sleep and acetaminophen. Time Course: about two days post-vaccine, was in bed almost that whole time.


VAERS ID: 1236325 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain, Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429091

Write-up: SWOLLEN UPPER LIP; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a 55 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: 201A21A, and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 09:40 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced injection site pain. On 14-APR-2021, the subject experienced swollen upper lip. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from swollen upper lip, and had not recovered from injection site pain. This report was non-serious..


VAERS ID: 1236340 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180531 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Fatigue
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429105

Write-up: STOMACHE ACHE; FEELS LIKE STOMACH IS IN A KNOT; FEELING EXTREMELY TIRED; This spontaneous report received from a patient concerned a 38 year old female. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 180531, and batch number: 180531 expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced stomache ache. On 12-APR-2021, the subject experienced feels like stomach is in a knot. On 12-APR-2021, the subject experienced feeling extremely tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from stomache ache, and feels like stomach is in a knot, and the outcome of feeling extremely tired was not reported. This report was non-serious.


VAERS ID: 1236352 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Eye contusion, Eye swelling, Headache, Influenza like illness, Injection site pain, Vision blurred
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Rarely); Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Anemia; Hypothyroidism; IgA nephropathy (Kidney disease which is Dormant, autoimmune disease); Comments: The patient did not have any drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429165

Write-up: DIZZINESS; BLURRY VISION; SLIGHTLY SWOLLEN RIGHT EYE; BLACK RIGHT EYE; FLU LIKE SYMPTOMS OF GENERAL ACHES AND CHILLS; THROBBING PAIN ON RIGHT ARM AT INJECTION SITE; HEADACHE; This spontaneous report received from a patient concerned a 53 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included iga nephropathy, hypothyroid disease, and anemia, and concurrent conditions included alcohol user, and non smoker, and other pre-existing medical conditions included the patient did not have any drug abuse or illicit drug usage. The patient was previously treated with levothyroxine sodium for hypothyroid disease, iron for anemia, and midazolam hydrochloride for iga nephropathy; and experienced severe full body rash when treated with capsaicin/menthol, and drug allergy when treated with naproxen sodium. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 203A21A, expiry: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 11:00 for prevention of covid 19. No concomitant medications were reported. On 12-APR-2021, the subject experienced throbbing pain on right arm at injection site. On 12-APR-2021, the subject experienced headache. On 13-APR-2021 21:00, the subject experienced flu like symptoms of general aches and chills. On 14-APR-2021, the subject experienced slightly swollen right eye. On 14-APR-2021, the subject experienced black right eye. On 14-APR-2021, the subject experienced dizziness. On 14-APR-2021, the subject experienced blurry vision. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu like symptoms of general aches and chills on 14-APR-2021, and had not recovered from slightly swollen right eye, throbbing pain on right arm at injection site, headache, dizziness, blurry vision, and black right eye. This report was non-serious.


VAERS ID: 1236366 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429267

Write-up: NUMBNESS IN HAND AND ARM; 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: Unk) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced numbness in hand and arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness in hand and arm. This report was non-serious.


VAERS ID: 1236374 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429320

Write-up: BODY ACHES; HEADACHE; FEVER; This spontaneous report received from a patient concerned a 26 year old female. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 203A21A expiry: 23-JUN-2021) dose was not reported, administered on 11-APR-2021 17:00 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced body aches. On 12-APR-2021, the subject experienced headache. On 12-APR-2021, the subject experienced fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 13-APR-2021, was recovering from headache, and had not recovered from body aches. This report was non-serious.


VAERS ID: 1236378 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Vermont  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429331

Write-up: HEADACHE; HAD A ROUGH NIGHT; This spontaneous report received from a patient concerned an adult male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch number. No concomitant medications were reported. On 12-APR-2021, the subject experienced had a rough night. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the had a rough night and headache was not reported. This report was non-serious.


VAERS ID: 1236382 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN X / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Flushing, Oropharyngeal pain, Paraesthesia oral, Swelling face
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LORATADINE; METOPROLOL; HYDROCHLOROTHIAZIDE;TRIAMTERENE; DULOXETINE HYDROCHLORIDE; ALLI; VIT D3; TYLENOL EXTRA-STRENGTH
Current Illness: Abstains from alcohol; Bilevel positive airway pressure; Blood pressure high; Non-smoker; Obstructive sleep apnea syndrome; Seasonal allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429360

Write-up: SORE THROAT; SWOLLEN FACE; TINGLING LIPS; FATIGUE; FLUSHED FACE; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included obstructive sleep apnea, hbp, bipap at night, non-smoker, abstains from alcohol, and seasonal allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included colecalciferol for drug used for unknown indication, duloxetine hydrochloride for drug used for unknown indication, hydrochlorothiazide/triamterene for drug used for unknown indication, loratadine for drug used for unknown indication, metoprolol for drug used for unknown indication, orlistat for drug used for unknown indication, and paracetamol. On 12-APR-2021, the subject experienced flushed face. On 12-APR-2021, the subject experienced fatigue. On 13-APR-2021, the subject experienced swollen face. On 13-APR-2021, the subject experienced tingling lips. On 14-APR-2021, the subject experienced sore throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swollen face, tingling lips, and fatigue on 13-APR-2021, was recovering from flushed face, and had not recovered from sore throat. This report was non-serious.


VAERS ID: 1236402 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 8105031 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker; Specific allergy (drug) (gets nose blead)
Preexisting Conditions: Comments: no food allergies, no drugs abuse
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429986

Write-up: CHILLS; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included Tylenol allergy, non alcohol, and non smoker, and other pre-existing medical conditions included no food allergies, no drugs abuse. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 8105031, expiry: UNKNOWN) dose was not reported, administered on 01-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills. This report was non-serious.


VAERS ID: 1236560 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-01
Onset:2021-04-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Fibrin D dimer, Full blood count, Headache, Metabolic function test, Red blood cell sedimentation rate
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 0.2mcg
Current Illness: None
Preexisting Conditions: Obeisity
Allergies: Doxycycline
Diagnostic Lab Data: BP monitoring, labs-cbc, cmp, sed rate, quantitative d dimer. Advil and increased fluid consumption daily
CDC Split Type:

Write-up: Severe headaches, fatigue.


VAERS ID: 1236568 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Computerised tomogram normal, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: they did blood cat scan and found me health.
CDC Split Type:

Write-up: Head aches, first the on 4/14 went to hospital for severe stomach and back pain which lasted about 6 Plus hours with nausea still had head ache for 2 more days. Had no insurance haven''t had any problems before injection.


VAERS ID: 1236621 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acne, Condition aggravated, Fatigue, Herpes simplex
SMQs:, Opportunistic infections (broad)

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

Write-up: all over outbreak on body and face of painful acne for over one week now, hsv1 had since birth but not active for years became painful and active on face for over one week now, extreme fatigue for 2 days following injection


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