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

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



Case Details

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VAERS ID: 1273634 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Gastrooesophageal reflux disease, Pain, Peripheral swelling, Pruritus, Pyrexia, Sensation of foreign body, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Antihistamines (Loratidine, Cetirizine) Standard Multivitamins Culturelle Probiotic Supplement
Current Illness: N/A
Preexisting Conditions: Allergies
Allergies: N/A
Diagnostic Lab Data: Apr 15th - GP Phone Consultation Apr 23rd - GP Urgent Care Appointment, Visual Inspection Apr 30th - Allergist Phone Consulation
CDC Split Type:

Write-up: Apr 8th: 10:30AM - Vaccination -Mild Fatigue, Body Aches Apr 9th: Vaccine Symptoms -Fatigue, Body Ache, Mild Fever Apr 10th-12th: No Issues Apr 13: Urticaria all over body, started from morning Apr 14-15th: Full Body Urticaria, Acidity, Uncomfortable feeling, Feels like lump in throat Prednisone Medrol Dosepak 5mg/Triamcinolone Acetonide No symptoms during prednisone dosage, itchiness started to appear at 10mg/5mg dosage Apr 20th-23rd: Symptoms Recurred, now including small swelling in fingers and toes Apr 24th-29th: 2nd medrol dosepak prednisone, all symptoms subside. Itchniness appeared in 10mg/5mg dose Apr 30th: Hives Returned, Acidity, Lump in Throat


VAERS ID: 1273648 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-03-26
Onset:2021-04-11
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Fatigue, Fibrin D dimer, Headache, Lethargy, Pain, Pain in extremity, Paraesthesia, Rash, Thirst
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: lisinopril 20mg -Htcz 12.5 mg once daily, Claritin, Vitamin D 10,000 BU a day, Cotreat Pro-biotic daily
Current Illness: Cold, in Mid- February
Preexisting Conditions: High Blood Pressure since Oct. 2019 started medication
Allergies: Medication allergy Pela Cillian, Almecillin, and Keflex
Diagnostic Lab Data: 04/16/2021 chest xray and blood work De diamer test
CDC Split Type: vsafe

Write-up: 03/26/2021 PM Slightly fatigue and lethargic, arm hurt and tingly and was thrusty after the vaccination after the vaccination, next day a head ache, and have aches and pains. 04/16/2021 chest ex De diamer test, primary care doctor Ultra sound of the gallbladder Stomach and nausish gallbladder and chest exray and blood work on 04/20/21 Rash developed Currently, still have the rash today 04/26/2021 ER Chest pain, Chest CT, De diamer, EKG


VAERS ID: 1273657 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Blood test, Chest X-ray, Chest discomfort, Confusional state, Disorientation, Dizziness, Dyspnoea, Electrocardiogram, Feeling abnormal, Hypotension, Loss of personal independence in daily activities, Muscle twitching, Pathology test, Pulmonary oedema, Ultrasound scan, Vertigo
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Topamax Armor Thyroid
Current Illness:
Preexisting Conditions: Hypothyroid-controlled
Allergies:
Diagnostic Lab Data: Emergency Room 4/14/2021 EKG Pathology Ultrasound Right arm Chest X-Ray Blood Work
CDC Split Type: vsafe

Write-up: Three days the vaccine I got very short of breath with confusion, dizziness and light headed and disoriented. I felt like there was pressure in my chest and I had some brain fog. I felt like I had water in my lungs. My right arm bicep was contracting and twitching. I had Vertigo which made it very hard to sit down without feeling off balance. I was unable to drive. I tried to hope it would pass but I went to the ER on 4/14/2021. The dizziness was getting worse after five days and the pressure on my chest was unbearable. I was advised to drink some water and take Tylenol. My blood pressure was lower than normal. I finally felt better on 4/21/2021. I could finally get out of bed and not feel like I was going to fall down. I could not drive for about two and a half weeks. I still feel a little out of breath and my brain is a little foggy but it has gotten a little better.


VAERS ID: 1273691 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-03-11
Onset:2021-03-24
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Death, Multiple organ dysfunction syndrome, SARS-CoV-2 test positive, Shock haemorrhagic
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-19
   Days after onset: 26
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient tested positive for COVID 19 on 03/21 after a symptom onset of 03/19/21. She was admitted to the hospital on 03/24 and passed away 04/19. Cause of death is listed as multi-organ dysfunction secondary to hemorrhagic shock, other contributing factors: COVID-19 pneumonia.


VAERS ID: 1273722 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-28
Onset:2021-03-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Chills, Paraesthesia, Paraesthesia oral, Pyrexia, Skin warm, Swollen tongue, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient began having symptoms of chest tightness and throat tightness 4 hours after receiving her first dose of the Janssen vaccination. Patient went to the ER were she presented with fever, chills, lip tingling, finger tingling and feeling like her tongue was swelling 10 hours after getting the vaccine. Patient received antipyretics and Benadryl and began to feel better. On re-exam patient was still hot to the touch and tachycardic. Patient was diagnosed with a vigorous immune response to the vaccination.


VAERS ID: 1273780 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-27
Onset:2021-03-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient had vasovagal episode followed by vomiting. Went to hospital s/p vaccination and help there overnight for observation. Released 3/28/2021- in AM


VAERS ID: 1273829 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-03-12
Onset:2021-04-08
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cardiac monitoring, Computerised tomogram, Electrocardiogram ambulatory, Electroencephalogram, Magnetic resonance imaging, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ambien 10 mg , prevacid 10 mg
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: MRI, CST scan, EEG, halter monitor, loop heart test. Blood panel
CDC Split Type:

Write-up: Transient Ischemic Attic T.I.A.


VAERS ID: 1273875 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Fibrin D dimer normal, Pain, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No Known Allergy
Diagnostic Lab Data: D-Dimer< 270
CDC Split Type:

Write-up: Patient received Johnson & Johnson COVID -19 vaccine on 4/12/21. On 4/16/21, patient presented with elevated blood pressure and some tingling in her arm. Patient reported fever and body aches for about 2 days after received the vaccine. Per ED visit, provider documented this was a reaction related to COVID vaccine. File this incident for record keeping.


VAERS ID: 1273909 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Ear discomfort, Fall, Feeling abnormal, Loss of consciousness, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: escitalopram 20 mg
Current Illness:
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was given vaccine and was told to wait in the monitoring area for 15 minutes post vaccination. Shortly after, the patient reported "feeling pale" and was told to remain seated. The patient then fell over from the chair and lost consciousness. We immediately called 911 and went to the patient''s side with epinephrine. However, he recovered within seconds and was able to sit up and drink water. He reported feeling "pale [...], weird [...]" and said he felt like his "ears are sweating." He did not want epinephine and remained seated and responsive. When asked, he said he had never received any adverse reactions to any vaccines in the past. A pharmacist then cleaned and disinfected his right temple that was bleeding, which he seemed to have hit when he fell. He later reported feeling chest pain and slight difficulty breathing but did not want epinephrine at that time. Emergency services arrived about 20 minutes after and assessed the patient and removed him in a gurney.


VAERS ID: 1273918 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-15
Onset:2021-04-09
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/a
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Ultrasound April 10 2021, negative result
CDC Split Type:

Write-up: Leg swelling started on April 9th, had ultrasound to check for blood clot. Negative for blood clot. Still swollen doctor told me to report it to vaccine page


VAERS ID: 1273940 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death, Intensive care, Myocardial infarction, Resuscitation, Stent placement
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-11
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CCU, Stent Inserted,
CDC Split Type:

Write-up: Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm


VAERS ID: 1273974 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Loss of consciousness, Secretion discharge, Seizure, Vital signs measurement
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Smoker
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Dr. checked blood pressure. Pharmacy was not disclosed results.
CDC Split Type:

Write-up: Patient fell to floor unconscious with seizure. Mucous was coming out of mouth. Patient was placed on side with cold gel packs place on neck and forehead. Patient regained consciousness in about 2 minutes. 911 was called. Dr. overheard page and came to assist. Patient refused ambulance when they arrived. Her boyfriend was going to take her to the ER to have the bump on head be looked at.


VAERS ID: 1273999 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Hyperhidrosis, Loss of consciousness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: nauseated, sweating, passed out while driving, sharp pain in abdomen


VAERS ID: 1274025 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Confusional state, Dizziness, Dyschromatopsia, Flushing, Hyperhidrosis, Hypoaesthesia, Loss of consciousness, Pallor, Paraesthesia, Peripheral coldness, Seizure like phenomena, Syncope, Tinnitus, Tremor, Unresponsive to stimuli, Vision blurred, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: 5 minutes after vaccine pt felt lightheaded and blurred vision. then passed out. patient advised to sit down then passed out again and started to shake head (seizure like symptoms) for a few seconds. patient was pale, confused and started sweating, fingers were cold to touch. Then her fingers started to get numb and tingly. she was having a hard time seeing colors and she started having ringing in ears. Ambulance was called and they took over.


VAERS ID: 1274148 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-07
Onset:2021-04-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram head, Computerised tomogram normal, Electrocardiogram normal, Fibrin D dimer normal, Headache, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Troponin normal, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Ibuprofen, Amitriptyline, Cetirizine, Cromolyn Nasal, Fluticasone nasal, Lisinopril, oxymetazoline nasal, prazosin, psyllium, venlafaxine, witch hazel pads, hydrocortisone topical cream, benzoyl peroxide topical
Current Illness: None
Preexisting Conditions: Asthma, elevated blood pressure
Allergies: NKDA, tomatoes
Diagnostic Lab Data: In the ER: Chest xray - negative CT head - normal Labs - normal EKG normal D-dimer normal Troponin normal
CDC Split Type:

Write-up: Pt reported a headache since the day after getting the vaccine but did not report until 4.22.21. Pt was seen on unspecified date and found to have elevated blood pressure which was already being monitored. Lisinopril was started per MD. Headache improved and patient was using Ibuprofen and Tylenol which also helped. Headache worsened with vomiting episodes and MD changed med to Excedrin Migraine. Pt was tested for COVID-19 - negative antigen test but positive PCR NP swab. - Pt sent to ER due to continued vomiting/headache. Pt was also COVID-19 positive in October 2020 and had tested negative with nasal swabs (not NP) until completed on unspecified date


VAERS ID: 1274169 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / N/A RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Chills, Fatigue, Headache, Magnetic resonance imaging, Neuralgia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: TDaP-two weeks after vaccine arm swelling.
Other Medications: Multivitamins Vitamin D
Current Illness:
Preexisting Conditions:
Allergies: Penicillin Cipro Topical Neosporin Egg Whites Red Leaf Lettuce
Diagnostic Lab Data: MRI Blood Tests
CDC Split Type: vsafe

Write-up: As I drove away after getting the vaccine, I had some very sharp pain in my stomach. It came back the next day but not since then. I woke up during the night with chills and a severe headache which lasted 36 hours. Ten to twelve days after the shot I had extreme fatigue and head pain. It was above my right ear almost to my temple and goes toward the top of my head which was a very sharp pain that lingered. These head pains last hours at a time and feels like the veins in my head are aching. They were daily all day for two weeks but now they are more intermittent. Nothing I took helped with the pain. They are not like headaches. On 04/17/2021 I woke up during the night with a sharp pain in my head. I went to the ER and they did a MRI but they did not find anything. The sharp pains lasted the next two days. My doctor said that the shot had triggered Cranial Neuralgia. I may have to take some medication to calm the nerves down. I still had the pain in my head today which is four weeks after the vaccine. I am also worried about the extreme fatigue which makes me feel like falling asleep at my desk. Some days it is worse than others. I had Covid-19 in April of 2020 and had fatigue for six months.


VAERS ID: 1274294 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Seizure, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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:
CDC Split Type:

Write-up: Patient fainted within 5 minutes after receiving the Janssen vaccine. He then appeared to be experiencing a seizure lasting no more than a minute. No history of fainting or seizure. EMS was called and arrived within about 10 minutes, and patient appeared to experience another seizure and he vomited. EMS then transported the patient to the hospital.


VAERS ID: 1274344 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Chest pain, Culture urine, Dysuria, Myalgia, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin calcium 40mg, Provera 5mg, toprol xi 50mg, hydrochlorothiazide 25mg, metformin hydrochloride 1,000mg, Farmiga 10mg, lotrel 10/40mg, doxazosin message 1mg, iron 65mg, coq 10 100mg, d3 50mcg, Kirkland triple action joint health
Current Illness: N/A
Preexisting Conditions: Kidney damage, heart disease, PCOS, high blood pressure, asthma and aainmia
Allergies: Codine and mushrooms
Diagnostic Lab Data: Up dipstick visual w/o micro, urine culture,
CDC Split Type:

Write-up: Urinary/stomach pain, muscle/back pain, joint pain, chest pain


VAERS ID: 1274347 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-10
Onset:2021-04-28
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Skin reaction, Skin warm, 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), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sulcrafate, pantraprazoale, ativan, armour thyroid, digestize enzyme, neem plus, berberine complex, doterra LLV vitamins & supplements
Current Illness:
Preexisting Conditions: Lupus, Hashimotos thyroiditis, IBS, GERD, SIBO, Chronic Migraine
Allergies: latex
Diagnostic Lab Data: Ultrasound on right leg, found DVT blood clot.
CDC Split Type:

Write-up: On the 28th of April, 18 days from the shot, I went for a walk and came home around 6:30 p.m. to the outside of my right calf bright red and hot. I went to the ER where an ultrasound was performed and they found a DVT blood clot. I am now on an anticoagulant, Xarelto and have an appointment with my doctor on the 5th to schedule more imaging and blood work.


VAERS ID: 1274409 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / UN

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Anal incontinence, Asthenia, Back pain, Blood test, Computerised tomogram, Nausea, Sleep disorder
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Tylenol
Current Illness: None
Preexisting Conditions: Back pain
Allergies: Avacados
Diagnostic Lab Data: 2 sets of blood work see above answer. 2 ct scan with and without contrast. No results given.
CDC Split Type:

Write-up: Sunday April 11 at about 11pm I started feeling extremely drained of energy and was experiencing some mild abdominal pain. I went to bed shortly after. Was woken at approximately 5am with severe abdominal pain, and extreme back pain in my left kidney. Kidney area was worse than abdominal pain but both were severe. I have had kidney stones in the past, the pain of this was way worse. Was unable to take a bowel movement. Suffered thru with pain increasing until unspecified date at around 2 am I drove myself to unspecified hospital. Was admitted to emergency room and given an in mild pain meds and anti nausea meds. Was given a ct scan of kidney, then a second ct scan with contrast, as well as blood test. After awhile they came back to re draw blood because they said my blood had clotted and they were unable to use it. I was released after 5 hours with no prescriptions or knowing what or why I was in so much pain. Pain lasted until unspecified date


VAERS ID: 1274411 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest X-ray abnormal, Dyspnoea, Fibrin D dimer increased, Full blood count abnormal, Headache, Metabolic function test abnormal, Pain, Pneumonia, Pyrexia, Reaction to previous exposure to any vaccine, SARS-CoV-2 test negative, Scan with contrast abnormal, Sepsis, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Baclofen, hydrocodone, gabapentin, xanax, Levequin, steroids, crestor, seriquel,
Current Illness: Sinus infection, osteoarthritis, bulging disk in lower disk.
Preexisting Conditions: Goodpasture''s syndrome Lung disease Osteoarthritis Degenerative disk disease Heart palpitations/enlarged heart High blood pressure History of pre cancerous colon polyps.
Allergies: Flu vaccines, all nsaids that contain ibuprofen and aspirin, milk products, oxycodone, certain antibiotics like amoxocillen, latex.
Diagnostic Lab Data: CAT scan, x-ray of chest= pneumonia see above, cbc, metabolic blood work= horrible results for someonethat is normallyhealthy, see above, covid testing 3-4 times= negative on each one
CDC Split Type:

Write-up: Started with a fever, on day 3 fever was higher and I was short of breath as well as wheezing. On Thursday the 15th I went to the dr. The x-ray didn''t show anything however my cbc was of concern and she also did a d timer. It came back elevated, so she sent me over for a CAT scan with contrast. It showed pneumonia in my upper and lower right lung and also my lower left lung. She sent me home to try and treat it there. Over the weekend I felt worse and my husband took me to the ER. Upon arrival my blood pressure was 160 over 120 and heart rate was 140. They admitted me to the hospital for treatment of sepsis and pneumonia and pain management. I was there for 4 days. I was released on the 22nd of April and I am still feeling all of these effects on my body. Headache that I have not been able to get rid of even with the help of prescription medication.


VAERS ID: 1274508 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-11
Onset:2021-04-08
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram abdomen, Fatigue, Hypertension, Muscle spasms, Tachycardia, Troponin
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Hypertension (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Took regular regime medications for her heart
Current Illness:
Preexisting Conditions: Coronary microvascular disease (small vessel disease), coronary spasms
Allergies: Codeine, Sulfa drugs, narcotics such as Demerol, prednisone and morphine causes rapid heart rate
Diagnostic Lab Data: CT scan of the abdomen, x-ray of the chest, triponents
CDC Split Type: vsafe

Write-up: I experienced at 12am after my vaccine, got a spasms, took sublingual medication. Three days after I felt really tired and fatigued. On 04-08-2021, I started to have tachycardia and high blood pressure. I went to the ER where they performed triponents, did a CT scan of my abdomen and a chest x-ray. I still continue with tachycardia to this day.


VAERS ID: 1274597 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-03-26
Onset:2021-03-29
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated protein C resistance test, Anticoagulant therapy, Antithrombin III, Beta-2 glycoprotein antibody negative, Cardiolipin antibody, Cardiolipin antibody negative, Cerebral venous sinus thrombosis, Dizziness, Eye pain, Gene mutation identification test negative, Headache, Nausea, Pain, Paraesthesia, Platelet count decreased, Protein S, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Thrombocytopenia, Vaccination complication, Vomiting
SMQs:, Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, bupropion, clonazepam, empaqlifozin, glucosamine, glyburide, hydrochlorothiazide, lisinopril, loratidine, metformin, metoprolol, omega 3 fatty acid supplement, pantoprazole, pioglitazone, sildenafil, simvastatin
Current Illness: None
Preexisting Conditions: Type II diabetes, hypertension, hyperlipidemia, CAD, GERD, depression
Allergies: None
Diagnostic Lab Data: Platelets: 4/28- 149, 4/29- 156, 4/30 (0549) 115, 4/30 (1032)- 120. SARS CoV-2 necleocapsid antibody - negative (4/30) Sars CoV-2 PCR= negative (4/28) 4/29: Cardio IgG <1.6, IgA 0.8, IgM 2.2, B2 Glyco IgG <1.4, B2 Glyco IgA 0.9, B2 Glyco IgM 2, Leiden mutation = not detected. 4/29: AT III 93, Prot C act 144, Prot S act 164, PT 20210 mutant allele not detected
CDC Split Type:

Write-up: Three days after receiving the vaccine, he developed a headache which was intermittent with pain score of 5-8 out of 10. Headache became consistent around 4/11/21. Pain is in the occipital region and occasionally radiates behind the eyes. Also complains of dizziness, nausea, vomiting, and tingling in his hands bilaterally - worse in the mornings and goes away after waking up. He presented to Medical Center on 4/28/21 and transferred to Medical Center for treatment of vaccine induced thrombocytopenia and nonocclusive straight sinus thrombus. He was started on bivalirudin infusion 4/29 @ 0142 via continuous infusion. Still receiving treatment at the time of this report.


VAERS ID: 1274658 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-03-20
Onset:2021-03-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Diarrhoea, Fibrin D dimer increased, Headache, Immediate post-injection reaction, Liver function test increased, Lymphocyte count increased, Night sweats, Pain, Paraesthesia, Pyrexia, Ultrasound scan
SMQs:, Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: HRT
Current Illness: None
Preexisting Conditions: None
Allergies: Shell fish, contrast dye, tetracycline , erythromycin , papaya, mango
Diagnostic Lab Data: Several blood tests 4/6/21, 4/9/21, 4/16/21, 419/21, 4/26/21. Results include high D-dimer, high lymphocytes, higher LFT?s. Bilateral ultrasound of the lower extremities to rule out DVT on 4/21/21
CDC Split Type:

Write-up: Immediately post injection severe stinging occurred. Three days later night sweats bodyaches low-grade fever diarrhea intense headache which lasted three weeks. Headache and bodyaches continued with night sweats for an additional two weeks.


VAERS ID: 1274681 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, hydroxizine Neither were taken within 24 hours of the vaccine.
Current Illness: None
Preexisting Conditions: No diagnosed chronic illness
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fainted and fell onto ground 5 min after receiving vaccine. 911 was called, I turned down the ambulance and had family take me to the hospital.


VAERS ID: 1274682 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nausea, Oral discomfort, Pharyngeal swelling, Swollen tongue, Thirst, Throat irritation, Tongue pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: None
Allergies: Watermelon (throat/tongue itching ,burning), Morphine, Doxycycline
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Patient received vaccine at 1:23pm 4/30/21. He came back to the pharmacy at 4:45pm 4/30/21 reporting that his throat and tongue were burning, itchy, and felt swollen. He had excessive thirst and nausea. His symptoms were getting worse during the 10 minutes he were talking with him. The patient refused Benadryl and Epipen at the pharmacy as he wasn''t sure he needed it. An ambulance was called and he was transported to the hospital.


VAERS ID: 1274697 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest pain, Computerised tomogram normal, Headache, Laboratory test
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tresiba, Novolog, Wellbutrin, Diltiazem, Lisinopril, Hydrochlorothiazide, Aspirin, Genova, Lovastatin, Cetirizine, Vit D, Fish Oil, Omeprazole, Inhaler as needed, Flonase as needed,
Current Illness: no
Preexisting Conditions: back problems, HTN, Diabetic
Allergies: only airborne allergies
Diagnostic Lab Data: ER did labs and blood work came back normal, nothing found CT of brain for clots or bleeding and nothing found
CDC Split Type:

Write-up: Received vaccine 4/5 and a week later I started having headaches, and feeling like I was hit with a baseball in the center of my chest. I went to the doctor and the ER and nothing was found.


VAERS ID: 1274796 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-03-20
Onset:2021-03-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / N/A - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Cardiac stress test, Central nervous system immune reconstitution inflammatory response, Chest discomfort, Chest pain, Chills, Computerised tomogram, Dizziness, Dyspnoea, Echocardiogram, Fibrin D dimer increased, Impaired work ability, Pain, Palpitations, Platelet count, Pyrexia, SARS-CoV-2 test, Tinnitus, Troponin
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hearing impairment (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Cillin, Mycin antibiotics Sulfa drugs
Diagnostic Lab Data: CT Scan Covid-19 D-Dimer Troponin Stress Test Echo Cardiogram Heart Scan
CDC Split Type: vsafe

Write-up: Eleven Hours after the vaccine I got a fever body aches, chills and chest pain. The fever and flu symptoms went away after 24 hours but the stabbing chest pain lasted for 37 days. The pain was in the center of my chest in different places and it felt like tightening and clenching. The D-Dimer was elevated and other tests were normal. My Platelets were tested later and were normal. Doctors indicated it was an inflammatory immune response. I went to a Cardiologist for a Stress test which showed ST depression. The chest pain stopped after 37 days. I did have shortness of breath which came and went over the course of four weeks. I am normally in good shape and I run, dance and work out two to four times a week. I have been unable to work out since this began. I also had lightheadedness, chest pain and palpitations seemed to go together. I still have lower back pain and Tinnitus which started two and a half weeks after the shot. It has been five weeks.


VAERS ID: 1274941 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Chills, Dizziness, Feeling abnormal, Feeling cold, Heart rate increased, Hypertension, Injection site pain, Nervousness, Stress
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Hypertension (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Patient exhibited stress and anxiety about receiving vaccination. After administration, she said that the site hurt more than expected and said she was feeling dizzy. Cold wet paper towels were offered to her to place on her face. Next, reported feeling strange, shaky. Leaned forward with head low. Instant cold pack was placed on back of neck. Over next five to ten minutes patient''s anxiety increased, as did shakiness. Blood pressure readings were taken and elevated, as was heartrate, but not at hypertensive crisis. Patient could breathe and speak. She contacted someone to assist her with leaving, but when the ETA seemed too long, she agreed to have us contact EMS. Her condition seemed to improve and decline several times before assistance arrived. She expressed concern about the elevated BP readings. A second cool pack was administered until she next reported feeling cold and chilly, with shakiness. She mentioned that her abdomen also felt cold, which was strange. EMS arrived and transported patient approximately 30 minutes post administration.


VAERS ID: 1274974 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Hypotension, Incontinence, Loss of consciousness, Seizure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: history of fainting with needles
Other Medications: unknown
Current Illness: miscarriage 3 weeks prior, 6 weeks gestation
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data: None yet.
CDC Split Type:

Write-up: History of fainting, showed signs of fainting, then had multiple seizures, LOC, incontinence, hypotensive, normal HR. Taken by ambulance to hospital. Unknown results or whether admitted patient was admitted.


VAERS ID: 1274983 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-17
Onset:2021-04-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Condition aggravated, Dizziness, Dyspnoea, Electrocardiogram abnormal, Headache, Impaired work ability, Influenza like illness, Mania, Palpitations, Urine analysis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Vestibular 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: Risperidone
Current Illness: Bipolar
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: I had two EKGs (one during ER visit and one during urgent care visit) showing I had premature atrial contractions (PAC), have had blood work twice checking for blood clots (no blood clots present) (One blood sample on one doctor''s visit and one during urgent care), urine analysis (During ER visit), and chest x ray (during ER visit)
CDC Split Type:

Write-up: At 3 am the night of the vaccine, I woke up with flu like symptoms, including a headache and shortness of breath. Two days later, I had a severe manic episode that lasted for three days (bipolar was well managed with medication at this point and I had not had a manic episode in months). Along with the manic episode, I developed chest pressure and shortness of breath, along with dizziness and a pounding sensation in my chest. Any physical activity or even a sip of coffee sets my heart off. I am still experiencing these symptoms to this day and caused me to lose my job because I am not able to perform the required tasks. I had a premature atrial contraction prior to the COVID vaccine, but it had cleared up and I had been off of the medication for months with no problems. I have been to the doctor''s office (primary care physician-4/15/21 and 4/20/21) twice, the emergency room once (4/26/21), urgent care (4/14/21), and now am seeing a cardiologist for this condition (first visit 4/29/21).


VAERS ID: 1275007 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-20
Onset:2021-03-27
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cerebral thrombosis, Dizziness, Magnetic resonance imaging head abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: patient was fine until a week later when started getting dizzy and throwing up. taken to ER, but didn''t tell them had been vaccinated. Couldn''t find anything wrong and was sent home after a few days. Went to ER again and this time wife told them he had been vaccinated week before symptoms started. Did brain MRI and found a blood clot. Pt currently in rehab.


VAERS ID: 1275232 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-02
Onset:2021-04-16
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0424214 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood pressure increased, Chest pain, Feeling abnormal, Hypoaesthesia, Migraine, Muscle spasms, Neck pain, Paraesthesia, Platelet count normal
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Arthritis (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitams Slow release iron
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood work to count platelets for clotting. Result negative
CDC Split Type:

Write-up: Migraine - Toradol - Received injection Back, neck, chest pain Elevated blood pressure Numbness/ pin needles in injected arm - prescribed Tizanidine for muscle spasms Brain fog


VAERS ID: 1275233 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-23
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Write-up: Pt had headache for the last week. J&J vaccine on 4/10, dxed with cerebral venous thrombosis. Pt''s age is 47, not 46. Form would not allow me to put in pt''s age and cited an error with pt''s DOB.


VAERS ID: 1275244 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-29
Onset:2021-04-27
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Turmeric, melatonin, magnesium, probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: Pcn
Diagnostic Lab Data: Ultrasound on 4/30/21 revealed DVT in right calf.
CDC Split Type:

Write-up: Experienced severe leg pain for several days. Ultrasound in ER revealed right calf DVT. Prescribed 21 day regimen of Xarelto starting yesterday.


VAERS ID: 1275498 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-03-27
Onset:2021-04-23
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Blood test, Chest X-ray, Chills, Decreased appetite, Dizziness, Fatigue, Gastrointestinal haemorrhage, Haematochezia, Headache, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Insomnia, Nausea, Pain, Rectal examination abnormal, SARS-CoV-2 test negative, Scan abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Vestibular disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Kyleena IUD
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 4/25 (12:00am - 4:30am): In Emergency room I was tested for flu and covid, both negative. I had a rectal exam which confirmed acute GI bleeding. I had a chest x ray and ct scan of the abdomen with intravenous dye. The CT scan showed inflammation in the GI tract. 4/29: I had blood taken for testing and results are not back yet.
CDC Split Type:

Write-up: On Friday 4/23 I began experiencing a severe headache, chills, and body aches. I had trouble falling asleep because of these symptoms. I had bloody stool. On Saturday 4/24 I was still experiencing body and head pains and continued having bloody stool and by around midnight I had abdominal pains and went to the ER. My appetite was poor the prior week, and since this incident I have hardly been able to eat. I am constantly nauseous and dizzy. After days of not being able to eat, I ate some soup and vomited it back up. I still have abdominal pain, nausea, and am fatigued with a less intense headache.


VAERS ID: 1275515 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-13
Onset:2021-04-25
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood potassium decreased, Blood test, Chest X-ray, Echocardiogram, Electrocardiogram, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: shellfish erythromycin
Diagnostic Lab Data: EKG 04/25/2021 Blood levels 04/25/2021 Chest xray 04/25/2021 EKG 04/28/2021 ECHOCARDIOGRAM and holter monitor scheduled for 05/17/2021
CDC Split Type:

Write-up: heart palpitations. Rapid pulse rate. Went to the ER and had an EKG/ Chest xray and blood draw. Low potassium and was referred to the cardiologist. The cardiologist did an EKG and noticed that I had an issue in my QRS complex on V1. I have an echocardiogram on March 17th and a Holter monitor for 48 hours. I am still having the palpations and was advised to eat foods high in potassium.


VAERS ID: 1275837 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-04-08
Onset:2021-04-27
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Computerised tomogram thorax, Condition aggravated, Pulmonary embolism, Respiratory distress, Small cell lung cancer
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Non-haematological malignant tumours (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Gabapentin, Tamsulosin, Albuterol, Folic Acid, methylprednisolone
Current Illness: small cell lung cancer, peripheral neuropathy
Preexisting Conditions: benign prostatic hypertrophy, small cell lung cancer, peripheral neuropathy
Allergies: None
Diagnostic Lab Data: Chest CTA 4/30/21
CDC Split Type:

Write-up: Patient found to have pulmonary embolism 22 days after receiving vaccine. Onset of symptoms occurred 18-19 days after receiving vaccination, however, very likely PE related to patient hx of small cell lung cancer. He is currently hospitalized for respiratory distress as of 4/30/21


VAERS ID: 1275930 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-17
Onset:2021-04-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest pain, Headache, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Sexual dysfunction (broad)

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

Write-up: My arm went totally numb five days after the shot and stayed numb for a week, chest pain, tingling headaches.


VAERS ID: 1276389 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ventricular extrasystoles, Vertigo
SMQs:, Ventricular tachyarrhythmias (narrow), Vestibular disorders (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210438218

Write-up: LOSS OF BALANCE, POSSIBLE VERTIGO; POSSIBLE PREMATURE VENTRICULAR CONTRACTIONS, FLUTTERING IN CHEST; This spontaneous report received from a consumer (company representative) concerned a 56 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 2021, the subject experienced possible premature ventricular contractions, fluttering in chest. On MAR-2021, the subject experienced loss of balance, possible vertigo. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the possible premature ventricular contractions, fluttering in chest and loss of balance, possible vertigo was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1276393 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Dizziness, Dry mouth, Electrocardiogram, Fatigue, Fibrin D dimer increased, Heart rate increased, Loss of consciousness, Pulmonary embolism, Tachycardia, Ultrasound Doppler, Ultrasound pelvis
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYALURONIC ACID; LOESTRIN; BIOTIN; COLLAGEN; AMINO ACIDS NOS; CANNABIDIOL
Current Illness: Drug allergy; Gluten intolerance; Osteoarthritis
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Heart rate high; Result Unstructured Data: 140; Test Date: 202104; Test Name: EKG; Result Unstructured Data: tachycardia with ST depression; Test Date: 202104; Test Name: Fibrin D dimer high; Result Unstructured Data: Positive; Test Date: 202104; Test Name: Ultrasound pelvis; Result Unstructured Data: Normal; Test Date: 202104; Test Name: Doppler studies; Result Unstructured Data: Negative; Test Date: 202104; Test Name: CT angiography; Result Unstructured Data: Normal; Test Date: 202104; Test Name: CT angiography; Result Unstructured Data: pulmonary embolism
CDC Split Type: USJNJFOC20210440211

Write-up: TACHYCARDIA; DRY MOUTH; DIZZINESS WITH STANDING AND INTERMITTENTLY WITH SITTING; PULMONARY EMBOLISM; FEELING OF DOOM/ FEELING OF PASSED OUT; FATIGUE; This spontaneous report received from a patient via a company representative via the VAERS (Vaccine Adverse Event Reporting System) concerned a 50 year old female unknown ethnicity . The patient''s height, and weight were not reported. The patient''s concurrent conditions included osteoarthritis, gluten intolarance, and diflucan allergy. The patient was previously treated with fluconazole. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805029, expiry: UNKNOWN) with unspecified dose on left arm, on 27-MAR-2021 11:00 for prophylactic vaccination. Concomitant medications included amino acids NOS, biotin, cannabidiol, collagen, ethinylestradiol/norethisterone acetate, and hyaluronic acid. On 07-APR-2021, the patient experienced dizziness with standing and intermittently with sitting, tachycardia, dry mouth, chest pressure, shortness of breath, and feeling of extreme doom. On an unspecified date, the patient was transported to the clinic. In the clinic the patient had heart rate of about 140 with irregular beats. The patient had undergone Electrocardiography test which showed ST Depression. The patient''s symptoms were improved by taking nitroglycerin. As the clinic did not have the technology to provide care so the patient was emergently transported to the hospital. In the hospital the patient''s D-dimer level was positive. Later the patient undergone Computerized Angiogram for lungs which showed pulmonary embolism. The patient undergone Dopplers studies of both legs which showed as negative. The patient had received Heparin treatment for several hours and then later switched to Eliquis. After 6 hours being on Eliquis treatment the patient had same original symptoms and for that again nitroglycerin was administered. The patient was placed back on heparin for a longer period of time. Later on the patient got switched to Eliquis 10 mg twice daily for 7 days and further to 5 mg twice daily for 6 to 9 months. The patient had undergone Angiogram of head and neck which was normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tachycardia, feeling of doom/ feeling of passed out and dry mouth on APR-2021, had not recovered from fatigue, dizziness with standing and intermittently with sitting and pulmonary embolism. This report was serious (Hospitalization Caused / Prolonged, Other Medically Important Condition, and Life Threatening). Sender''s Comments: V0 -covid-19 vaccine ad26.cov2.s-Pulmonary embolism , Feeling doom, Tachycardia, Dry mouth, Dizziness with standing, Fatigue This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276394 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-03-22
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070CCHD / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Back pain, Haemorrhage, Headache, Hypokinesia, Loss of personal independence in daily activities, Thrombosis, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (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: Fibroids
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210440392

Write-up: LOSS OF BLOOD; VOMITING; BACK PAIN; ABDOMINAL PAIN; FEELING WEAK; HEADACHE; BLOOD CLOTTING; COULD NOT MOVE; ONLY COULD DO 5 MINUTES OF WORK; This spontaneous report received from a patient concerned a 45 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included fibroids. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802070CCHD,expiry: UNKNOWN) dose was not reported,1 total administered on 20-MAR-2021 for prophylactic vaccination to left arm. No concomitant medications were reported. On 22-MAR-2021, the patient experienced blood clotting which lasted for three weeks and resolved as per physician on same day the patient experienced headache which got resolved on 22-Apr-2021. On 18-APR-2021, the patient experienced loss of blood, vomiting, back pain, abdominal pain and patient felt weak. On an unspecified date in 2021, the patient went to hospital, it was also reported that patient was not able to move and could do only 5 minutes of work. Patient got confused between clotting with menstruation. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood clotting on 12-APR-2021, and headache on 22-MAR-2021, was recovering from loss of blood, feeling weak, vomiting, back pain, and abdominal pain, and the outcome of could not move and only could do 5 minutes of work was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: In narrative of source document vaccination date is 20-Mar-2021 and in the structured field of source document vaccination date is 20-Apr-2021. So as per conservative approach, date given in narrative 20-Mar-2021 is taken as vaccination date. V0 20210440392-COVID-19 VACCINE AD26.COV2.S-Blood clotting and loss of blood. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY.


VAERS ID: 1276395 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-03-31
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Angina pectoris, Blood glucose, Body temperature, Breast swelling, Chest X-ray, Chills, Electrocardiogram, Full blood count, Headache, Heart rate, Lymphocyte count, Nausea, Neck pain, Neutrophil count, Pruritus, Pyrexia, Swelling, Tinnitus, Troponin I
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Other ischaemic heart disease (narrow), Hearing impairment (narrow), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Fever; Inflammation; Neck swelling; Pain in arm; Comments: The Patient has no history of drug abuse or drug illicit use.
Allergies:
Diagnostic Lab Data: Test Date: 20210401; Test Name: Body temperature; Result Unstructured Data: 100.6 F; Test Date: 20210401; Test Name: EKG; Result Unstructured Data: NORMAL; Test Date: 20210401; Test Name: Chest X-ray; Result Unstructured Data: NORMAL; Test Date: 20210401; Test Name: Troponin I; Result Unstructured Data: NORMAL; Test Date: 20210401; Test Name: Heart rate; Result Unstructured Data: Rapid; Test Date: 20210401; Test Name: Blood glucose; Result Unstructured Data: 106 mg/dL; Test Date: 20210401; Test Name: Lymphocyte count; Result Unstructured Data: 11 %, Low; Test Date: 20210401; Test Name: Absolute lymphocyte count; Result Unstructured Data: 0.7; Comments: Low; Test Date: 20210401; Test Name: Neutrophils; Result Unstructured Data: 81 %, High; Test Date: 20210401; Test Name: Complete blood count; Result Unstructured Data: NORMAL
CDC Split Type: USJNJFOC20210440593

Write-up: CHILLS; BLOATING; ITCHING TO LEFT LOWER ARM/LEFT UPPER; SWOLLEN AND TENDERNESS TO LEFT AXILLA TOWARDS BREAST; ACHING IN NECK; NECK SWELLING; MASSIVE HEART ACHE; NAUSEA; FEVER 100.6 F; MASSIVE HEADACHE TO FRONTAL AND TEMPORAL LOBES; RINGING TO LEFT EAR/RIGHT EAR; This spontaneous report received from a patient concerned a 66 year old female. The patient''s weight was 117 pounds, and height was 61 inches. The patient''s past medical history included pain to arm, inflammation, swollen neck, and fever 102 f, and concurrent conditions included non-smoker, and non-alcohol user, and other pre-existing medical conditions included the patient has no history of drug abuse or drug illicit use. She had a history of severe immune reaction to the Pneumovax (pneumococcal vaccine polysacch 23V) in 2019 which caused excruciating pain to arm and inflammation with swollen neck with 102 F and had to call 911. Paramedics stated stable and not taken to the hospital. The patient also experienced drug allergy when ibuprofen, neomycin, and magnesium sulfate/potassium sulfate/sodium sulfate. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and expiry: UNKNOWN) dose was not reported, administered to the left arm, on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the patient experienced ringing to left ear and right ear. On 01-APR-2021, the patient experienced massive heart ache, massive headache to frontal and temporal lobes, rapid heart rate, pain near sternum that radiated downward, sensation of pressure at breast level, neck swelling, aching in neck, gastrointestinal upset, solar plexus, nausea and fever 100.6 F. On the same day, the patient went to urgent care and was given Zofran 4 mg sublingual. They took the lab at the urgent care. On 01-APR-2021, the patient''s laboratory data included: Absolute lymphocyte count (NR: not provided) 0.7 (units not provided), Blood glucose (NR: not provided) 106 mg/dL, Body temperature (NR: not provided) 100.6 F, Chest X-ray (NR: not provided) normal, Complete blood count (NR: not provided) normal, Electrocardiogram (NR: not provided) normal, Heart rate (NR: not provided) Rapid, Lymphocyte count (NR: not provided) 11 % (low), Neutrophils (NR: not provided) 81 % (high), and Troponin I (NR: not provided) normal. On 02-APR-2021, the patient experienced swollen and tenderness to left axilla towards breast. On 05-APR-2021, the patient experienced itching to left lower and upper arm. On 08-APR-2021, the patient experienced bloating, pain from gas and increased changing of bowel habits. On 18-APR-2021, the patient''s headache reappeared. On 19-APR-2021, the patient experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from ringing to left ear/right ear on 06-APR-2021, aching in neck, neck swelling, and nausea on 01-APR-2021, swollen and tenderness to left axilla towards breast, and itching to left lower arm/left upper on 05-APR-2021, chills on 20-APR-2021, and fever 100.6 f on 02-APR-2021, was recovering from massive headache to frontal and temporal lobes, had not recovered from bloating, and the outcome of massive heart ache was not reported. This report was serious (Other Medically Important Condition). Initial information was received on 20-APR-2021, with additional information obtained via telephone follow up from a patient on 21-APR-2021, the following information was updated and incorporated into the case: events added (Ringing to left ear and right ear).; Sender''s Comments: V0 : -covid-19 vaccine ad26.cov2.s -Massive heart ache. 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: 1276398 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Arkansas  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Blood pressure measurement, Chest discomfort, Chills, Computerised tomogram, Fibrin D dimer, Headache, Heart rate, Heart rate increased, Hypertension, Neck pain, Pain in extremity, Thrombosis, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Blood pressure high; Fibromyalgia; Non-smoker; Osteoarthritis
Preexisting Conditions: Comments: Patient is allergic to Benadryl.
Allergies:
Diagnostic Lab Data: Test Date: 20210315; Test Name: Heart rate; Result Unstructured Data: 156 pm; Test Date: 20210315; Test Name: Blood pressure; Result Unstructured Data: Increased; Test Date: 20210315; Test Name: Fibrin D dimer; Result Unstructured Data: 780; Test Date: 20210317; Test Name: Fibrin D dimer; Result Unstructured Data: 650; Test Date: 20210330; Test Name: CAT scan; Result Unstructured Data: normal
CDC Split Type: USJNJFOC20210440781

Write-up: POSSIBLE BLOOD CLOT; INCREASED HEART RATE; CHEST TIGHTNESS; HIGH BLOOD PRESSURE; NECK PAIN; ARM PAIN; HEAD PAIN; BODY SHAKING; CHILLS; HIP JOINT PAIN; BACK PAIN; This spontaneous report received from a patient concerned a 48 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, osteoarthritis, fibromyalgia, non smoker, and non alcohol user. The patient experienced drug allergy when treated with diphenhydramine hydrochloride. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805022) dose was not reported, 1 total, administered on right arm on 14-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14- MAR-2021, around 9 pm the patient experienced body shaking, and chills for which she took Theraflu. On 15-MAR-2021, morning the patient experienced high blood pressure, chest tightness and increased heart rate of 156 BPM for which she went to the ER. She also experienced neck pain, arm pain and head pain. lung and chest examination was normal. Laboratory data included: Blood pressure (NR: not provided) increased, Fibrin D dimer (NR: not provided) 780, and Heart rate (NR: not provided) 156 pm. As the- d dimer test result was high, the doctor said she has a blood clot. She was given a shot of Toradol at the ER. On 17-MAR-2021, Laboratory data included: Fibrin D dimer (NR: not provided) 650. On 30-MAR-2021, She had another episode, she was in a lot of pain. She went back to ER. Laboratory data included: CAT scan (NR: not provided) normal. They sent her home and prescribed her Meloxicam. The patient went to see her Cardiologist after that, She stated that her cardiologist didn''t do any blood work or mention anything regarding a blood clot. Treatment medications (dates unspecified) included: ketorolac tromethamine, acetylsalicylic acid, meloxicam, and dextromethorphan. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from high blood pressure, chest tightness, increased heart rate, body shaking, chills, and head and neck pain and arm pain on MAR-2021, had not recovered from hip joint pain, back pain, and the outcome of blood clot was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:-covid-19 vaccine ad26.cov2.s-possible blood clot. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276401 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-03-20
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blindness, Retinal artery occlusion, Visual acuity reduced
SMQs:, Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210441155

Write-up: BLINDNESS; RETINAL ARTERY OCCLUSION; VISUAL ACUITY REDUCED; This spontaneous report received from a healthcare professional via VAERS (Vaccine Adverse Event Reporting System, VAERS ID 1201402-1) concerned an 82 year old female. Initial information was processed with additional information received from VAERS on 23-APR-2021. 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 and anatomical vaccination site was not reported, administered on 06-MAR-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 20-MAR-2021, the subject experienced blindness in both eyes, retinal artery occlusion and visual acuity reduced (no light perception in the right and counting fingers in the left). She went to the emergency room and was hospitalized. Work up for other causes (not further specified) was reported as negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from blindness in both eyes, retinal artery occlusion and visual acuity reduced. This report was serious (Hospitalization Caused / Prolonged, Disability Or Permanent Damage).; Sender''s Comments: V0: This 82-year-old female patient of unspecified ethnicity was hospitalized for blindness in both eyes, retinal artery occlusion and visual acuity reduced (no light perception in the right and counting fingers in the left) 14 days after receiving COVID-19 VACCINE AD26.COV2.S for the prevention of symptomatic SARS-CoV-2 virus infection. No other details reported. The information available precludes a complete and meaningful assessment. However, considering the temporal relationship and recently evolving theories in the literature about COVID infections and vaccinations, potential vaccine contribution cannot be excluded. Additional information was requested.


VAERS ID: 1276404 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-03-24
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood triglycerides, Coronary artery occlusion, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: VASCEPA
Current Illness: Triglyceride increased
Preexisting Conditions: Medical History/Concurrent Conditions: Fever; Left anterior descending coronary artery occlusion; Sinus infection
Allergies:
Diagnostic Lab Data: Test Name: Triglycerides; Result Unstructured Data: Increased; Comments: Triglyceride increased
CDC Split Type: USJNJFOC20210441777

Write-up: MYOCARDIAL INFARCTION; CORONARY ARTERY OCCLUSION; This spontaneous report received from a patient concerned a 50 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included sinus infection, fever, and left anterior descending artery blockage, and concurrent conditions included increased triglyceride. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 08-MAR-2021 at 13:00 to left arm for prophylactic vaccination. The batch number was not reported. The company was unable to perform follow-up to request batch/lot numbers. Concomitant medications included eicosapentaenoic acid ethyl ester used for unknown indication. On 24-MAR-2021 19:10, the patient experienced myocardial infarction, and was hospitalized (date unspecified). On 24-MAR-2021 19:10, the patient experienced coronary artery occlusion. It was reported that on 11-MAR-2021 at 17:00, the patient played basketball for 50 minutes and he had no medical issues. On 25-MAR-2021 at 19:10 the patient played basketball for 30 minutes and he had heart attack with a coronary artery LAD 100% blockage and was treated with a stent procedure right after a visit to the emergency room. Laboratory data (dates unspecified) included: Triglycerides (NR: not provided) Increased (units unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from myocardial infarction, and coronary artery occlusion. This report was serious (Hospitalization Caused / Prolonged, Other Medically Important Condition, and Disability Or Permanent Damage).; Sender''s Comments: V0- covid-19 vaccine ad26.cov2.s-Myocardial infarction, coronary artery occlusion. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY, UNDERLYING DISEASE


VAERS ID: 1276410 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-03-31
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic shock, Blood pressure measurement, Blood test, Dizziness, Electrocardiogram, Fatigue, Feeling abnormal, Hypertension, Monoplegia
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pre-diabetic
Preexisting Conditions: Comments: The patient had no known drug or non-drug allergies. The patient had no illness 30 days prior to vaccination.
Allergies:
Diagnostic Lab Data: Test Date: 20210302; Test Name: Blood pressure; Result Unstructured Data: high; Test Date: 20210331; Test Name: Blood test; Result Unstructured Data: normal; Test Date: 20210331; Test Name: EKG; Result Unstructured Data: normal
CDC Split Type: USJNJFOC20210443005

Write-up: HIGH BLOOD PRESSURE; BRAIN FOG; FATIGUE; ANAPHYLACTIC SHOCK; PARALYSIS IN LEFT HAND; LIGHTHEADED; This spontaneous report received from a patient concerned a 46 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included pre-diabetic, and other pre-existing medical conditions included the patient had no known drug or non-drug allergies. The patient had no illness 30 days prior to vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609 expiry: UNKNOWN) 1 total dose was administered at left arm on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021 at 14:35, the patient immediately felt tingling in left arm (like ben gay) after vaccination, 10 minutes later he felt tingling in neck and cheek. His left hand turned purple. He became unconscious (he did not remember anything). He had cardiac arrest (patient remembers yelling code). He was taken to emergency room. He thought people in emergency room said anaphylactic shock and gave him epinephrine (patient was not sure). He had paralysis in left hand when he woke up for a few minutes. His blood test and Electrocardiogram were normal. He went home in couple of hours (on 31-MAR-2021). On 02-APR-2021 (two days later) he was light-headed, he went to his doctor. His blood pressure was high, he felt little bit of fatigue and brain fog. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from lightheaded, anaphylactic shock, paralysis in left hand, high Blood pressure, fatigue, and brain fog. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210443005-covid-19 vaccine ad26.cov2.s- anaphylactic shock, paralysis in left hand. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276414 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210444019

Write-up: UNSPECIFIED ADVERSE EVENT; This spontaneous report received from a patient via a company representative . 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 03-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 an unspecified date, the subject experienced unspecified adverse event. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of unspecified adverse event was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276415 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Cough, Diarrhoea, Dizziness, Dyspnoea, Malaise, Multiple allergies, Nausea, Neck pain, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: she had no history of allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210444480

Write-up: TROUBLE BREATHING; NECK PAIN; BLURRY VISION; DIARRHEA; DIZZINESS; COUGH; FEEL SICK; WEAKNESS; NAUSEA; ALLERGIES; This spontaneous report received from a patient concerned a 32 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included she had no history of allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: 13/JUN/2021) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced allergies. On 11-APR-2021, the subject experienced cough. On 11-APR-2021, the subject experienced feel sick. On 11-APR-2021, the subject experienced weakness. On 11-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced diarrhea. On 13-APR-2021, the subject experienced dizziness. On 15-APR-2021, the subject experienced neck pain. On 15-APR-2021, the subject experienced blurry vision. On 17-APR-2021, the subject experienced trouble breathing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from weakness, dizziness, neck pain, blurry vision, trouble breathing, cough, allergies, nausea, diarrhea, and feel sick. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276420 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cough, Haemoptysis, Oropharyngeal pain
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: No known allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210444761

Write-up: PHLEGM WITH BLOOD; COUGH; SORE THROAT; This spontaneous report received from a patient concerned a 23 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced sore throat. On 17-APR-2021, the subject experienced phlegm with blood. On 17-APR-2021, the subject experienced cough. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore throat on 15-APR-2021, and had not recovered from cough, and phlegm with blood. This report was non-serious.; Sender''s Comments: MAC Comment: V0: Medical assessment comment is not needed as per standard procedure since case is assessed as non-serious.


VAERS ID: 1276422 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiopathy, Asthenia, Chills, Fatigue, Feeling cold, Postmenopausal haemorrhage, Unresponsive to stimuli
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Menopause (for 6 months)
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210445606

Write-up: COMPLETELY UNRESPONSIVE; PROMINENT VEINS IN HANDS; WEAK; TIRED; COLD; SHIVERING; BEGAN A PERIOD THE DAY SHE GOT THE INJECTION, THEN IT STOPPED AD BEGAN AGAIN; This spontaneous report received from a consumer concerned a 48 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included menopause, 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, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021 about 10 hours after receiving the vaccine, the patient was cold and shivering (cold on the inside) and later became completely unresponsive, began a period the day she got the injection, then it stopped ad began again. At 1: 15 a.m. (date unspecified) she was sent to hospital. She received lab testing and imaging and she woke up within 5-6 hours. The results were inconclusive. On 11-APR-2021, the patient experienced feeling weak and tired, her veins were prominent in hands. She received unknown medication while in the hospital. She has not followed up with primary care physician nor has she been back to the hospital since. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from completely unresponsive, and cold and shivering on 11-APR-2021, and began a period the day she got the injection, then it stopped ad began again on 14-APR-2021, was recovering from weak and tired, and the outcome of prominent veins in hands was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0:-covid-19 vaccine ad26.cov2.s -completely unresponsive, began a period the day she got the injection, then it stopped ad began again. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276425 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1605018 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Body temperature decreased, Computerised tomogram, Dyspnoea, Erythema, Feeling abnormal, Fibrin D dimer, Fibrin D dimer increased, Mobility decreased, Oxygen saturation, Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fibromyalgia
Preexisting Conditions: Medical History/Concurrent Conditions: Anaphylactic reaction; Comments: The patient did not had previous history of allergy to vaccine.
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Fibrin D dimer; Result Unstructured Data: Elevated; Test Date: 2021; Test Name: Oxygen saturation; Result Unstructured Data: low; Test Date: 202103; Test Name: CT scan; Result Unstructured Data: no evidence of blood clots; Test Date: 20210329; Test Name: Body temperature; Result Unstructured Data: 94 F
CDC Split Type: USJNJFOC20210446229

Write-up: DIFFICULTY BREATHING(LOW OXYGEN); ELEVATED D-DIMER; INABILITY TO MOVE; LOW BODY TEMPERATURE; TINGLY FACE; RED FACE; FELT BAD AND AWFUL; This spontaneous report received from a patient concerned a 35 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included anaphylaxis reaction, and concurrent conditions included fibromyalgia. The patient did not had previous history of allergy to vaccine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1605018,expiry: unknown) dose was not reported,1 total administered on 20-MAR-2021 to the right arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, 20 minutes after vaccination, the patient''s felt her face red and tingly and it went away. On 29-APR-2021, nine days after receiving the vaccine, the patient woke up not able to breathe or move and had a temperature of 94 degree F. The patient went to hospital and had low oxygen, an elevated d-dimer and had no evidence of blood clots in CT (computed tomography) scan. The patient was treated in ER (emergency room) with epinephrine, steroids, diphenhydramine (Benadryl) and a unspecified nebulizer and then she could breathe. The patient''s physician tested her d-dimer for second time following the patient''s visit to the hospital and it was elevated, but not as high. The patient had history of fibromyalgia and mysterious health condition but it was reported that she did not have anything like what she experienced after vaccination and she felt really bad and super awful. The patient was not feeling great, but better and can breathe again at the time of this report; her oxygen level also was normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from difficulty breathing(low oxygen) on 2021, and red face, was recovering from felt bad and awful, had not recovered from elevated d-dimer, and the outcome of tingly face, inability to move and low body temperature was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210446229- covid-19 vaccine ad26.cov2.s -Difficulty breathing(Oxygen). This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276427 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Asthenia, Decreased appetite, Dehydration, Dyspnoea, Fatigue, Headache, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210446278

Write-up: DEHYDRATION; UPPER GASTROINTESTINAL PAIN, STOMACH ISSUE; LOSS OF APPETITE; WEAKNESS; NAUSEOUS; HEADACHE/ MIGRAINE LIKE HEADACHE; MUSCLE ACHES; FATIGUE; VOMITING; SHORTNESS OF BREATH; 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: 042A21A, and expiry: UNKNOWN) dose was not reported, 1 total, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, immediately after vaccination the patient experienced headache, muscle aches, fatigue. On 12-APR-2021, the patient went to urgent care which the patient was determined to have dehydration. The patient had been given 2 bags of IVs and nausea medication. Patient was having constant headaches and was feeling weak, nauseous, also had upper gastrointestinal pain, loss of appetite and migraine-like headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, shortness of breath, weakness, fatigue, and muscle aches on APR-2021, was recovering from loss of appetite, had not recovered from nauseous, and upper gastrointestinal pain, stomach issue, and the outcome of dehydration and headache was not reported. This report was serious (Other Medically Important Condition). Sender''s Comments: V0:-covid-19 vaccine ad26.cov2.s-Dehydration. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276440 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Headache
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Heart enlarged; Lung function decreased
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210448619

Write-up: DIFFICULTY BREATHING; DIZZINESS; SEVERE HEADACHES; This spontaneous report received from a consumer concerned a 63 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included enlarged heart, and poor lung function. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced difficulty breathing. On APR-2021, the subject experienced dizziness. On APR-2021, the subject experienced severe headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe headaches, dizziness and difficulty breathing was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure since case is assessed as non-serious.


VAERS ID: 1276442 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-03-31
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Dehydration, Feeling of body temperature change, Hypoaesthesia, Injection site pain, Nausea, Neuralgia, Pain in extremity, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Allergic to cats; Cleft palate; Non-smoker; Pollen allergy
Preexisting Conditions: Comments: the patient had no history of drug abuse or illicit drug use
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210449075

Write-up: FEELING COLD/HOT SENSATIONS IN LEFT ARM; RASH ON ARM; NAUSEA; REALLY BAD STOMACH ACHE; DEHYDRATION; NERVE PAIN; FELT COLD RUSH DOWN HER LEFT ARM/ FEEL NUMB FOR A MINUTE/ NUMBNESS FIZZLED OUT; EXTREME ARM PAIN/ BURNING ARM PAIN/ FELT LIKE A REALLY BAD SUNBURN/ ARM SORENESS / ARM BEGAN TO SHAKE/ INNER ARM AND ARMPITS SORE/ FEELING WARM, FUZZY PAIN IN LEFT ARM; INJECTION SITE SORENESS; CHILLS; HIGH FEVER; This spontaneous report received from a patient concerned a 20 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included born with cleft palate, non alcohol user, non smoker, pollen allergy, and mild cat allergy, and other pre-existing medical conditions included the patient had no history of drug abuse or illicit drug use.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the subject experienced felt cold rush down her left arm/ feel numb for a minute/ numbness fizzled out. On 31-MAR-2021, the subject experienced extreme arm pain/ burning arm pain/ felt like a really bad sunburn/ arm soreness / arm began to shake/ inner arm and armpits sore/ feeling warm, fuzzy pain in left arm. On 31-MAR-2021, the subject experienced chills. On 31-MAR-2021, the subject experienced high fever. On 31-MAR-2021, the subject experienced injection site soreness. On 01-APR-2021, the subject experienced nerve pain. On 07-APR-2021, the subject experienced dehydration. On 10-APR-2021, the subject experienced really bad stomach ache. On 10-APR-2021, the subject experienced nausea. On an unspecified date, the subject experienced feeling cold/hot sensations in left arm, and rash on arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt cold rush down her left arm/ feel numb for a minute/ numbness fizzled out on 31-MAR-2021, rash on arm, chills on 01-APR-2021, and high fever on 02-APR-2021, was recovering from injection site soreness, had not recovered from nerve pain, and extreme arm pain/ burning arm pain/ felt like a really bad sunburn/ arm soreness / arm began to shake/ inner arm and armpits sore/ feeling warm, fuzzy pain in left arm, and the outcome of dehydration, really bad stomach ache, nausea and feeling cold/hot sensations in left arm was not reported. This report was non-serious.; Sender''s Comments: V0 Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276443 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Flatulence, Influenza like illness, Mucous stools, Nausea, SARS-CoV-2 test, Urine analysis
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Lactose intolerant (allergic to wheat and milk); Non-smoker; Sulfonamide allergy
Preexisting Conditions: Comments: No pertinent medical history. No drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data: Test Date: 20210424; Test Name: Urine analysis; Result Unstructured Data: Negative; Test Date: 20210424; Test Name: COVID-19 virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210449222

Write-up: DIARRHEA; MUCOUS STOOLS; STOMACH TURNING; STOMACH GAS; STOMACH ACHE; FLU LIKE SYMPTOMS EXCEPT FEVER; This spontaneous report received from a patient concerned a 68 year old female. The patient''s weight was 169 pounds, and height was 172 centimeters. The patient''s concurrent conditions included lactose intolerant, sulfonamide allergy, abstains from alcohol, and non smoker, and other pre-existing medical conditions included no pertinent medical history. no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805018, expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced flu like symptoms except fever. On 17-APR-2021, the subject experienced stomach gas. On 17-APR-2021, the subject experienced stomach ache. On 17-APR-2021, the subject experienced stomach turning. On 17-APR-2021 12:00, the subject experienced diarrhea. On 17-APR-2021 12:00, the subject experienced mucous stools. On 24-APR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative, and Urine analysis (NR: not provided) Negative. Treatment medications (dates unspecified) included: omeprazole. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from diarrhea, flu like symptoms except fever, stomach ache, stomach gas, and mucous stools, and the outcome of stomach turning was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276448 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210449393

Write-up: ITCHY RASH ON CHEST, NIPPLES AND GRADUALLY SPREAD TO LEFT LEG; LEFT SIDED HEADACHE; 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 07-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced left sided headache. On 11-APR-2021, the subject experienced itchy rash on chest, nipples and gradually spread to left leg. On 13-APR-2021, treatment medications included: diphenhydramine hydrochloride, and prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from left sided headache, and had not recovered from itchy rash on chest, nipples and gradually spread to left leg. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not needed as per standard procedure since case is assessed as non-serious.


VAERS ID: 1276451 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Fatigue, Feeling abnormal, Feeling hot, Headache, Heart rate increased, Hypoaesthesia, Insomnia, Magnetic resonance imaging, Myalgia, Nausea, Pain, Pain in extremity, Palpitations, Ultrasound scan, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Headache; Result Unstructured Data: 6-7/10 pain level; Test Date: 202104; Test Name: MRI; Result Unstructured Data: NORMAL; Test Date: 202104; Test Name: Leg pain; Result Unstructured Data: 7-8/10 pain level; Test Date: 202104; Test Name: Diagnostic ultrasound; Result Unstructured Data: Negative; Test Date: 202104; Test Name: Leg pain; Result Unstructured Data: 9/10 pain level; Test Date: 202104; Test Name: Diagnostic ultrasound; Result Unstructured Data: Not reported; Test Date: 20210413; Test Name: ECG; Result Unstructured Data: NORMAL; Test Date: 20210413; Test Name: CT scan; Result Unstructured Data: NORMAL; Test Date: 20210413; Test Name: Blood test; Result Unstructured Data: NORMAL
CDC Split Type: USJNJFOC20210449511

Write-up: BRAIN FOG; CANT FOCUS; COULD NOT SLEEP; NUMBNESS AT THE BASE OF THE SKULL; SEVERE HEADACHE; BODY GETTING HOT; BODY ACHES; LEG PAIN; BODY FATIGUE; MUSCLE PAIN; NAUSEA; PALPITATIONS; FAST HEART RATE; This spontaneous report received from a patient concerned a 33 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 05-APR-2021 for prophylactic vaccination.The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced fast heart rate. On APR-2021, the subject experienced palpitations. On APR-2021, the subject experienced body aches. On APR-2021, the subject experienced leg pain. On APR-2021, the subject experienced body fatigue. On APR-2021, the subject experienced muscle pain. On APR-2021, the subject experienced nausea. Laboratory data included: Diagnostic ultrasound (NR: not provided) Negative, Not reported, Headache (NR: not provided) 6-7/10 pain level, Leg pain (NR: not provided) 9/10 pain level, 7-8/10 pain level, and MRI (NR: not provided) NORMAL. On 06-APR-2021, the subject experienced body getting hot. On 08-APR-2021, the subject experienced brain fog. On 08-APR-2021, the subject experienced cant focus. On 08-APR-2021, the subject experienced could not sleep. On 08-APR-2021, the subject experienced numbness at the base of the skull. On 08-APR-2021, the subject experienced severe headache. On 13-APR-2021, Laboratory data included: Blood test (NR: not provided) NORMAL, CT scan (NR: not provided) NORMAL, and ECG (NR: not provided) NORMAL. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body getting hot on 08-APR-2021, and fast heart rate, had not recovered from severe headache, brain fog, cant focus, nausea, body aches, leg pain, muscle pain, body fatigue, numbness at the base of the skull, and could not sleep, and the outcome of palpitations was not reported. This report was non-serious.


VAERS ID: 1276466 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Blood pressure increased, Cardiovascular disorder, Computerised tomogram, Facial discomfort, Headache, Hypoaesthesia, Injection site pain, Laboratory test, Muscular weakness, Neck pain, Peripheral coldness, Urine abnormality, Vasodilatation, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Arthritis (broad), Proteinuria (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Raynauds (For which she uses Blood pressure medication.)
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210419; Test Name: Laboratory test; Result Unstructured Data: No thrombosis finding; Test Date: 20210419; Test Name: CT scan; Result Unstructured Data: No thrombosis findings
CDC Split Type: USJNJFOC20210449661

Write-up: WEAK AND HEAVY FEELING ON THE FACE; FEELS LIKE THE CIRCULATION IS LOW; WEAKNESS ON THE RIGHT LEG RIGHT ARM AND LEFT FOOT; NUMBNESS ON THE RIGHT LEG RIGHT ARM AND LEFT FOOT; COLD LIMBS; ABDOMINAL PAIN; SORE INJECTION SITE; HEADACHE; NECK PAIN; CLOUDY CLEAR URINE; SWOLLEN VEIN ON RIGHT FOOT; HIGHER BP THAN NORMAL; WEIGHT LOSS; 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 raynaud, 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: 1808980, expiry: UNKNOWN) dose was not reported, administered on 03-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced abdominal pain. On APR-2021, the subject experienced neck pain. On APR-2021, the subject experienced cloudy clear urine. On APR-2021, the subject experienced swollen vein on right foot. On APR-2021, the subject experienced higher bp than normal. On APR-2021, the subject experienced weight loss. On APR-2021, the subject experienced sore injection site. On APR-2021, the subject experienced headache. On 14-APR-2021, the subject experienced numbness on the right leg right arm and left foot. On 14-APR-2021, the subject experienced cold limbs. On 14-APR-2021, the subject experienced weak and heavy feeling on the face. On 14-APR-2021, the subject experienced feels like the circulation is low. On 14-APR-2021, the subject experienced weakness on the right leg right arm and left foot. On 19-APR-2021, Laboratory data included: CT scan (NR: not provided) No thrombosis findings, and Laboratory test (NR: not provided) No thrombosis finding. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, neck pain, sore injection site, numbness on the right leg right arm and left foot, cold limbs, cloudy clear urine, swollen vein on right foot, abdominal pain, weak and heavy feeling on the face, higher bp than normal, weight loss, weakness on the right leg right arm and left foot, and feels like the circulation is low. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276475 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abnormal sensation in eye, Asthenopia, Chest discomfort, Chest pain, Contusion, Cough, Dyspnoea, Fatigue, Headache, Limb injury, Myalgia, Neck pain, Pain in extremity, Platelet count, Skin discolouration, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (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: VITAMIN B12 [MECOBALAMIN]
Current Illness: Migraine; Sinus disorder
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Platelet count; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210450189

Write-up: BLACK TOE; STUBBED HER RIGHT SMALL TOE; SEVERE HEADACHE; CHEST PRESSURE; CHEST PAIN; SORE ARM; NECK PAIN; MUSCLE ACHES; EXTREME TIREDNESS; SHORTNESS OF BREATH; HEAVY AND TIRED EYE; MULTIPLE BRUISE; BLURRED VISION IN LEFT EYE; FUNNY EYES; COUGHING; This spontaneous report received from a patient concerned a 70 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included covid-19 in march 2020, and concurrent conditions included migraine on the right or left side of her head, and sinus problem. he patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: 21/JUN/2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. Concomitant medications included mecobalamin. On APR-2021, the subject experienced shortness of breath. On APR-2021, the subject experienced heavy and tired eye. On APR-2021, the subject experienced multiple bruise. On APR-2021, the subject experienced blurred vision in left eye. On APR-2021, the subject experienced funny eyes. On APR-2021, the subject experienced coughing. On APR-2021, the subject experienced neck pain. On APR-2021, the subject experienced muscle aches. On APR-2021, the subject experienced extreme tiredness. Laboratory data included: Platelet count (NR: not provided) Normal. On 08-APR-2021, the subject experienced sore arm. On 10-APR-2021, the subject experienced chest pressure. On 10-APR-2021, the subject experienced chest pain. On 14-APR-2021, the subject experienced stubbed her right small toe. On 14-APR-2021, the subject experienced severe headache. On 15-APR-2021, the subject experienced black toe. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chest pressure, and chest pain on 11-APR-2021, and heavy and tired eye, blurred vision in left eye, funny eyes, coughing, black toe, stubbed her right small toe, sore arm, severe headache, muscle aches, and extreme tiredness on APR-2021, had not recovered from multiple bruise, and the outcome of shortness of breath and neck pain was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.


VAERS ID: 1276483 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Headache, Heart rate, Lymphadenopathy, Muscle twitching, Pyrexia, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Heart rate; Result Unstructured Data: 120-130 heart rate when resting
CDC Split Type: USJNJFOC20210450643

Write-up: LYMPH NODE SWELLING; MUSCLE TWITCHING; TACHYCARDIA; CHILLS; FEVER; HEADACHE; This spontaneous report received from a consumer concerned a 49 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: 1808609 and expiry: UNKNOWN) dose was not reported, administered on 01-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: Heart rate (NR: not provided) 120-130 heart rate when resting. On 01-APR-2021, the subject experienced chills. On 01-APR-2021, the subject experienced fever. On 01-APR-2021, the subject experienced headache. On 07-APR-2021, the subject experienced tachycardia. On 18-APR-2021, the subject experienced lymph node swelling. On 18-APR-2021, the subject experienced muscle twitching. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 03-APR-2021, and fever, and headache on 06-APR-2021, and was recovering from tachycardia, lymph node swelling, and muscle twitching. This report was non-serious.


VAERS ID: 1276486 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-03-11
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Hypertension, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcoholic; Allergic reaction to bee sting; Non-smoker
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210451523

Write-up: CONVULSING; ELEVATED BLOOD PRESSURE 190; FELT BAD; This spontaneous report received from a patient concerned a 61 year old male. The patient''s height, and weight were not reported. The patient''s concurrent condition included bee stings allergy, and concurrent conditions included occasionally drinks beer, and non-smoker. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, and expiry: 25/MAY/2021) dose was not reported, 1 total dose administered on 11-MAR-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. After vaccination on March 11th 2021 after 30 minutes later Blood Pressure went up (190) and then convulsion started ,so they called ambulance.They took to the emergency room. after that patient underwent lab test. they gave him (Alban) Intravenous. The patient was in the hospital for few hours and then it calm down. He felt pretty bad for few days after 4to 5 days he feel normal. Currently, patient was back to normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from elevated blood pressure 190, and convulsing on 11-MAR-2021, and felt bad on 16-MAR-2021. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:-COVID-19 VACCINE AD26.COV2.S-convulsion, blood pressure high. These event(s) are considered unassessable. The event(s) have compatible/suggestive temporal relationship, are unlabeled, and have unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276490 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-16
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206AZ14 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Joint swelling, Lymphadenopathy, Myalgia, Pleural effusion, Tendon pain, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had No history of allergies or autoimmune disease.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210451762

Write-up: SWOLLEN LYMPH NODES (FOUND IT HARD TO SWALLOW); SORE TENDONS; JOINT SWELLING IN KNEES, ANKLES, AND KNUCKLES IN HANDS; PLEURAL EFFUSION (HAD A HARD TIME BREATHING AND TAKING SHALLOW BREATHS); HIVES; SORE MUSCLES; This spontaneous report received from a health care professional (parent) concerned a 34 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no history of allergies or autoimmune disease. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206AZ14, expiry: UNKNOWN) frequency 1 total, dose was not reported, administered on 10-APR-2021 to Left arm for prophylactic vaccination. No concomitant medications were reported. Patient started experiencing significant side effects about 6 days after receiving the vaccine. On 16-APR-2021 patient developed hives, swollen lymph nodes (found it hard to swallow), sore muscles, sore tendons, and joint swelling in her knees, ankles, and knuckles in her hands. All of these symptoms appeared within 1 day of each other.She went to the Emergency Department, and was subsequently hospitalized (date unspecified) for 3 days.There, she was diagnosed with pleural effusion, where she had fluid on the outside of her lungs, had a hard time breathing and was taking shallow breaths.Patient was treated with prednisone for hives in the hospital, which improved her hives. All other symptoms were still ongoing at the time of reporting. Caller also reported that the patient had an appointment with the allergist on 29-APR-2021 (this Thursday). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from hives, had not recovered from swollen lymph nodes (found it hard to swallow), sore muscles, sore tendons, and joint swelling in knees, ankles, and knuckles in hands, and the outcome of pleural effusion (had a hard time breathing and taking shallow breaths) was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: 20210451762-covid-19 vaccine ad26.cov2.s- pleural effusion. This event(s) is considered not related. The event(s) is deemed to be scientifically implausible, i.e., there is scientific evidence against a drug/event relationship; AND there is no known class effect.


VAERS ID: 1276499 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Antibody test, Nausea, Platelet count, Platelet count decreased, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Antibody test; Result Unstructured Data: Negative; Test Date: 20210420; Test Name: Platelet count; Result Unstructured Data: Low
CDC Split Type: USJNJFOC20210452143

Write-up: LOW PLATELET COUNT; RASH ON LEGS AND FEET WHICH SPREAD TO GROIN AND ABDOMEN; NAUSEA; This spontaneous report received from a consumer (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, Expiry Date: UNKNOWN) dose was not reported, 1 total, administered on 10-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 19-APR-2021, the patient developed rash on legs and feet. On 20-APR-2021, the rash spread to groin and abdomen. The patient visited the Emergency Room. The patient''s platelet counts were low. There was no thrombosis reported. Patient was admitted to ICU on 20-APR-2021 to investigate about the low platelet counts. On an unspecified date in APR-2021, the patient undergone an antibody test which was found to be negative. IVIG treatment was administered in ICU. The patient got discharged on the 23-APR-2021. The patient was fine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from low platelet count, rash on legs and feet which spread to groin and abdomen, and nausea on APR-2021. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210452143-Covid-19 vaccine ad26.cov2.s-Low platelet count. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276500 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-03-25
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210327; Test Name: Fever; Result Unstructured Data: 100 F, low grade fever; Test Date: 20210402; Test Name: CT scan; Result Unstructured Data: Normal; Test Date: 20210402; Test Name: PET scan; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210452159

Write-up: UNBEARABLE HEAD POUNDING; NAUSEA; VOMITING; LOW FEVER; FATIGUE; This spontaneous report received from a patient concerned a 61 year old adult 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: 1805022 expiry: unknown) dose was not reported, administered on 23-MAR-2021 14:37:00 for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the subject experienced fatigue. On 27-MAR-2021, the subject experienced low fever. 100 F. On 02-APR-2021, the patient woke up at 3am with unbearable head pounding for which the patient took 2 acetaminophen even after 15 min there was no relief so she took small amount of codeine around (1/3 of a 15mg tab) after 5-10 min the patient threw both meds and experienced nausea for which she took anti-nausea tab under her tongue but that did not released her nausea. The Patient could not take her medication due to nausea and vomiting. At 10:30 am one of her family member took her to Hospital in and performed CT (computerized tomography) scan and PET (positron emission tomography) scan which are normal The Patient was hospitalized for 5 hours and received IV of a steroid (unspecified), Benadryl, anti-nausea (unspecified) and (unspecified) pain medication as a treatment CT scan and PET scan was normal based on which Doctor concluded that the side effects are due to J and J vaccine. Treatment medications included: codeine, diphenhydramine hydrochloride, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from unbearable head pounding, nausea, and vomiting on 02-APR-2021, fatigue on 26-MAR-2021, and low fever on 27-MAR-2021. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210452159-COVID-19 VACCINE AD26.COV2.S-headache. This event(s) is labeled per RSI and is therefore considered potentially related. 20210452159-COVID-19 VACCINE AD26.COV2.S-vomiting. This event(s) is considered not related. The event(s) has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: CONMEDS-OTHER SUSPECT DRUGS


VAERS ID: 1276502 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-19
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 2U6A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had No known allergies.
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210452169

Write-up: SHORTNESS OF BREATH; HEADACHE; This spontaneous report received from a health care professional concerned a 19 year old female. The patient''s height, and weight were not reported. The patient''s 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: 2U6A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-APR-2021, the subject experienced shortness of breath. On 19-APR-2021, the subject experienced headache. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the shortness of breath and headache was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276509 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bronchitis, Nausea, Pain, Pain in extremity, Urinary tract infection, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hidradenitis suppurativa; Latex allergy; Overweight; Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210452430

Write-up: BRONCHITIS; VOMITING; NAUSEA; SORE LEFT ARM; BODY ACHES; POSSIBLE UTI; This spontaneous report received from a patient concerned a 31 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hidradenitis suppurativa, penicillin allergy, latex allergy, and overweight. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: Unknown) dose was not reported, 1 total was 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 13-APR-2021, the patient experienced body aches, chest pain, intermittent dyspnea, and sore left arm, which resulted in hospitalization. Patient was hospitalized on 13-APR-2021. The patient was discharged on an unspecified date. Patient went to another hospital as patient''s symptoms did not subside. On APR-2021, the patient was diagnosed with bronchitis. Patient was not able to provide admission and discharge date. On 25-APR-2021, the patient experienced vomiting and nausea. Patient was additionally in contact with her health care professional regarding a possible urinary tract infection and/or yeast infection. Patient was not having any problem before the vaccine, even though patient can''t say the Janssen Covid-19 vaccine caused her issues. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, and sore left arm on APR-2021, and vomiting, and nausea on 26-APR-2021, had not recovered from intermittent dyspnea, and the outcome of bronchitis was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20210413562- covid-19 vaccine ad26.cov2.s-Bronchitis,bodyaches. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276516 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Computerised tomogram, Oedema peripheral, Pain in extremity, Ultrasound scan, X-ray
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRAZOSIN; METHOTREXATE; PRAMIPEXOLE; BUPROPION; NORCO
Current Illness: Anxiety; Fibromyalgia; Headache; Insomnia; Nightmares; Psoriatic arthritis; Restless leg syndrome
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Diagnostic ultrasound; Result Unstructured Data: ruled out infection and blood clot.; Test Date: 202104; Test Name: CT scan; Result Unstructured Data: ruled out infection and blood clot.; Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: good; Test Date: 202104; Test Name: Diagnostic ultrasound; Result Unstructured Data: Ruled out blood clots; Test Date: 202104; Test Name: X-ray; Result Unstructured Data: ruled out infection and blood clot.
CDC Split Type: USJNJFOC20210452933

Write-up: SWOLLEN ANKLE WITH RED STREAKS; PAIN IN LEG; This spontaneous report received from a patient concerned a 51 year old female. The patient''s weight was 160 pounds and height was 67.2 inches. The patient''s concurrent conditions included psoriatic arthritis, fibromyalgia, insomnia, restless leg syndrome, anxiety, nightmares and headache. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025 and expiry: unknown) dose was not reported, administered at left arm on 26-MAR-2021 for prophylactic vaccination. Concomitant medications included Prazosin for nightmares, Methotrexate for psoriatic arthritis, Norco (hydrocodone bitartrate/paracetamol) for psoriatic arthritis pain, Pramipexole for restless leg syndrome, Bupropion for smoking cessation, sleeping pills, anxiety medication as needed and headache medication. On APR-2021, the patient experienced swollen ankle with red streaks (her leg was huge and going over her shoe) and pain in leg. She went to hospital and did several tests like an ultrasound which ruled out blood clots and was also prescribed a 7 day course of antibiotics. On 22-APR-2021, she was admitted to hospital due to events and was prescribed IV antibiotics. On an unspecified date in APR-2021, Blood pressure result was good, Diagnostic ultrasound ruled out infection and blood clot and X-ray ruled out infection and blood clot. On 26-APR-2021, she was discharged and another 7 day course of antibiotics was given. Treatment medications included: fentanyl and IV pain medication. She had purchased compression hose for the swelling and had been wearing these. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swollen ankle with red streaks and pain in leg. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0- 20210452933-Covid vaccine-swollen ankle. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY V0- 20210452933-Covid vaccine-pain in leg. This event(s) is labeled by standard procedures. The event(s) is considered not related.


VAERS ID: 1276519 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-04-23
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram thorax, Platelet count, Pulmonary embolism, SARS-CoV-2 test
SMQs:, Embolic and thrombotic events, venous (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: MESALAMINE; AZATHIOPRINE; DICYCLOMINE [DICYCLOVERINE]; MULTIVITAMINS [VITAMINS NOS]
Current Illness: Crohn''s disease; Drug allergy (Remicade allergy)
Preexisting Conditions: Comments: The patent was on multi vitamins
Allergies:
Diagnostic Lab Data: Test Date: 20210423; Test Name: CT pulmonary angiogram; Result Unstructured Data: Central and peripheral pulmonary emboli in the right lower lobe; Test Date: 20210423; Test Name: COVID-19 virus test; Result Unstructured Data: negative; Test Date: 20210423; Test Name: Platelet count; Result Unstructured Data: 252 k/mcL
CDC Split Type: USJNJFOC20210453021

Write-up: PULMONARY EMBOLISM/RIGHT SIDED MID BACK PAIN; This spontaneous report received from a health care professional concerned a 64 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included Crohn''s disease. The patient was previously treated with infliximab for Crohn''s disease. The patient experienced drug allergy when treated with infliximab (Remicade). The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, expiry: unknown) dose was not reported, 1 total administered on 31-MAR-2021 to left arm for prophylactic vaccination. Concomitant medications included vitamins nos, azathioprine, dicycloverine, and mesalazine for drug used for unknown indication. On 22-APR-2021 by evening, the patient experienced right-sided mid-back pain and shortness of breath and was presented to ED (emergency department) on 23-APR-2021. The patient''s pain was sharp and worsened with coughing and deep inspiration; she felt that she was taking shallow breaths. Upon ED (emergency department) presentation, there was no shortness of breath, chest pain, dizziness, fevers, dysuria, or abdominal pain. The patient had reproducible pain on her right mid-back area. There was some mild diffuse tenderness in her abdomen, but it was reported that she always had a tender abdomen due to Crohn''s disease. The patient had no peritoneal signs and had no recent travel history. On 23-APR-2021, the CTA (Computed tomography angiography) of chest was done with and without contrast and found out central and peripheral pulmonary emboli in the right lower lobe. The patient had no CT (computerized tomography) evidence of right heart strain. The patient''s ground glass opacities within the right lower lobe was somewhat band like in appearance and concerned for early pulmonary infarcts. It was reported that this might also relate to sub segmental atelectasis or less likely an inflammatory/infectious process. The patient had also small right pleural effusion; no acute inflammatory process in the abdomen or pelvis. On 23-APR-2021, the patient''s platelet count was 252 k/mcL and was tested negative for covid test. The patient was diagnosed with pulmonary embolism; she consulted hematology/oncology specialist and recommended with initiation of argatroban for treatment of pulmonary embolism. The patient was admitted to inpatient on 23-APR-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of pulmonary embolism/right sided mid back pain was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0;-covid-19 vaccine ad26.cov2.s-Pulmonary Embolism. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276521 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042142114 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiogram normal, Blood pressure measurement, Computerised tomogram, Electrocardiogram, Feeling abnormal, Laboratory test, Magnetic resonance imaging, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE
Current Illness: Blood pressure; Numbness
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: 172/111; Test Date: 20210417; Test Name: CT scan; Result Unstructured Data: unknown; Test Date: 20210417; Test Name: Angiogram NOS normal; Result Unstructured Data: unknown; Test Date: 20210417; Test Name: EKG; Result Unstructured Data: unknown; Test Date: 20210417; Test Name: MRI; Result Unstructured Data: unknown; Test Date: 20210417; Test Name: MRI; Result Unstructured Data: UNKNOWN; Test Date: 20210417; Test Name: Laboratory test; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210453183

Write-up: TRANSIENT ISCHEMIC ATTACK (TIA)/STROKE; FELT LIKE GOING TO DIE; This spontaneous report received from a patient concerned a 57-year-old Asian and not Hispanic or Latino female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included blood pressure, and numbness. The patient received covid-19 vaccine ad26.cov2. s (suspension for injection, route of admin not reported, batch number: 042142114, and expiry: UNKNOWN) dose was not reported, 1 total administered on 12-APR-2021 to left arm for prophylactic vaccination. On 15-APR-2021 the patient called paramedics due to right side felt numb. Paramedics diagnosed her wrong as having a panic attack. On 17-apr-2021, the patient started feeling numb and disoriented and close to midnight she felt like going to pass out. She also felt right side was not working and she called paramedics again and was taken to emergency room. Her blood pressure was at 172/111 and she was shaking a little. She underwent the laboratory test magnetic resonance imaging (MRI), computed tomography scan, magnetic resonance angiogram and blood work was performed. On 18-Apr-2021, At 17:00, the patient was informed that she was moved to another hospital since she was diagnosed with and she was diagnosed with transient ischemic attack (TIA)/Stroke. The patient described that her side was still numb so they performed magnetic resonance angiogram (MRA). No Damage was found hence she was discharged from the hospital on 20-Apr-2021. The patient was hospitalized for 4 days. The patient was prescribed with amlodipine for blood pressure and clopidogrel bisulfate for a blood thinner. Patient reports continuing to "feel a little numb" intermittently. She describes the initial symptoms as "feeling like I was going to die". She stresses that she "has never been to an emergency room in her life". The action taken with covid-19 vaccine ad26.cov2. s was not applicable. The patient had not recovered from transient ischemic attack (tia)/stroke, and the outcome of felt like going to die was not reported. This report was serious (Hospitalization Caused / Prolonged); Sender''s Comments: V0: 20210453183-COVID-19 VACCINE AD26.COV2.S-transient ischemic attack (tia)/stroke. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY


VAERS ID: 1276525 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A OR Z0ZA / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Blood test, Contusion, Dizziness, Fatigue, Haematochezia, Haematuria, Headache, Heavy menstrual bleeding, Hypertension, Melaena, Myalgia, Peripheral swelling, Polymenorrhoea, Vaginal haemorrhage
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210427; Test Name: Blood test; Result Unstructured Data: platelet count found to be 345
CDC Split Type: USJNJFOC20210453653

Write-up: MELENA; BLOOD IN STOOL; BRUISING ON THE LOWER HALF OF HER BODY; HEAVY VAGINAL BLEEDING; HEMATURIA; ABDOMINAL PAIN; DIZZINESS; HYPERTENSION; ARM SWELLING; EARLY MENSES; HEAVY MENSTRUAL FLOW; MUSCLE ACHES; FATIGUE; HEADACHE; 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 administration not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, one total, administered to the left arm on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the patient got the vaccine and had arm swelling, fatigue, muscle aches, and abdominal pain. The following Monday on 12-APR-2021, the patient experienced heavy vaginal bleeding which was not related to menses. Tuesday on 13-APR-2021, the patient had bruising on the lower half of her body. On Wednesday 14-APR-2021, the patient noticed a large bruise on her thigh and experienced hematuria which was not consistent every time she uses the restroom. On the following Friday 16-APR-2021, the patient experienced blood in the stool. Additionally, following Saturday and Sunday, the patient noticed she had more bruises. On 27-APR-2021, she went to urgent care and then followed by the emergency room (ER), and got her bloodwork taken and her platelets were 345. The patient was experiencing menses early and going through 1 ultra tampon every hour. She was also having headache, dizziness, melena, and hypertension. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arm swelling, and muscle aches on APR-2021, had not recovered from abdominal pain, heavy vaginal bleeding, hematuria, bruising on the lower half of her body, hypertension, and melena, and the outcome of fatigue, early menses, heavy menstrual flow, headache, dizziness and blood in stool was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210453653-covid-19 vaccine ad26.cov2.s-malena, blood in stool. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276526 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Thrombosis, Ultrasound scan, X-ray
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OXYCODONE; LORAZEPAM; CITALOPRAM; BABY ASPIRIN
Current Illness: Abstains from alcohol; Anxiety; Back pain; Blood pressure high; Cyst of kidney; High cholesterol; Non-smoker; Spinal disorder
Preexisting Conditions: Comments: It was unknown that patient had drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210326; Test Name: X-ray; Result Unstructured Data: blood clot between right shoulder and neck; Test Date: 20210326; Test Name: Blood test; Result Unstructured Data: blood clot between right shoulder and neck; Test Date: 20210326; Test Name: Diagnostic ultrasound; Result Unstructured Data: blood clot between right shoulder and neck
CDC Split Type: USJNJFOC20210453704

Write-up: BLOOD CLOT WITH DYING PAIN IN RIGHT SHOULDER; This spontaneous report received from a patient concerned a 72 year old female. The patient''s weight was 141 pounds, and height was 164 centimeters. The patient''s concurrent conditions included back pain, two cysts on kidney, high blood pressure, anxiety, high cholesterol, non smoker, non alcoholic, and spine issue, and other pre-existing medical conditions included it was unknown that patient had drug abuse or illicit drug usage. she was health healthy and always doing exercises, she lifts 3kg dumbbells and walked and use indoor bicycle for exercise. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, frequency one total administered on 15-MAR-2021 for prophylactic vaccination. Concomitant medications included citalopram for anxiety, lorazepam for anxiety, oxycodone for back pain, and spine issue, and acetylsalicylic acid for drug used for unknown indication. Patient received vaccine on March 15, 2021 at a local vaccination center. she woke up with pain and had this for several days before. somebody suggested going to the Emergency room. Patient proceeded to ER on 26-March-2021 and was seen by Doctor. Doctor suspected a blood clot and told the if its blood clot it could moved to lung and cause stroke. The patient reports the following tests were performed X-ray, ultrasound and blood tests. Test results all showed blood clot that the patient describes as deep vein in the right shoulder between shoulder and neck. Patient reported that she was given a blood thinner in her tummy and then a prescription for 30 days of Eliquis 5mg. Patient reported that the pain was killing her and stated she was dying of pain. The pain was in the area of the blood clot (right shoulder). Patient was also seen by a specialist who prescribed Eliquis prescription for 1 year. she was taking baby aspirin which told to continued. she finished her 30 days prescription ,she planning to visit ER as pain had not go away. She has been told not to stop the blood thinner as it is dangerous. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from blood clot, and dying of pain s in the area of the blood clot (right shoulder). This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210453704-COVID-19 VACCINE AD26.COV2.S - BLOOD CLOT WITH DYING PAIN IN RIGHT SHOULDER. 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: 1276527 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Palpitations, Ventricular extrasystoles
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypokalaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210453747

Write-up: HEART PALPITATIONS; NUMBNESS IN THE FACE; PREMATURE VENTRICULAR CONTRACTIONS; 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, and batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced premature ventricular contractions. On 10-APR-2021, the subject experienced heart palpitations. On 10-APR-2021, the subject experienced numbness in the face. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the heart palpitations, numbness in the face and premature ventricular contractions was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1276538 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-08
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Burning sensation, Chest X-ray, Chills, Computerised tomogram, Dizziness, Electrocardiogram, Gait disturbance, Headache, Hypersensitivity, Laboratory test, Loss of personal independence in daily activities, Musculoskeletal chest pain, Oropharyngeal pain, Pain in extremity, Painful respiration, Pneumothorax, Rash erythematous, Somnolence, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: CT scan; Result Unstructured Data: No blood clots; Test Name: Lab test; Result Unstructured Data: No blood clots; Test Name: Chest X-ray; Result Unstructured Data: No blood clots; Test Name: EKG; Result Unstructured Data: No blood clots
CDC Split Type: USJNJFOC20210454114

Write-up: COLLAPSED LUNG; PAIN IN RIBS; PAIN IN BACK; PAINFUL BREATHING; COULDN''T FUNCTION; MASSIVE ALLERGIC REACTIONS; BUMPS; SORE ARM; SLEEPY; DIZZY; SHAKY; HURTS TO WALK; HURTS TO TALK; BURNING SENSATION ON RIB CAGE TO THE BACK; MASSIVE CHILLS AND TEETH CHATTERING; JOINT PAIN; MASSIVE HEADACHE; This spontaneous report received from a patient concerned a 55 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: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On the night of 08-APR-2021, after her vaccination, patient had massive chills, teeth chattering, a massive headache, and her knees felt like they were going to break. The next day of the vaccination, 09-APR-2021, patient had a slight headache and felt really weak and not good at all. On 10-APR-2021, patient felt just fine but her arm was sore for like a week but thought that was normal. On 15-APR-2021, patient felt hurt to breath, walk and talk and patient had a burning sensation on her rib cage that went all the way to her back. The patient went to the Emergency Room(ER) and at the ER, they said she had a collapsed lung. At the ER, patient underwent computerized tomogram scan, Electrocardiogram, chest X-ray and lab work. No blood clots found in test reports. The patient was recommended to take deep breaths and drink lots of water by doctor at the ER, which she did. On the 22-APR-2021 patient saw her regular doctor who told her that she had a massive allergic reaction to the shot. The patient''s doctor gave her gabapentin 100mg three times daily, along with tramadol. The patient had no relief hence the medication dose was increased to 300 mg of gabapentin in the morning and 300 mg at night. Patient took 300 mg at night and 300 mg morning of the reporting but by 11:00 on the day of reporting she was sleepy, shaky and dizzy, she couldn''t function. Patient lay down for a while and got back up at 2:30pm. After waking up the pain was worse. It was hard to breathe while she was deep breathing. Every time she breathes there was a sharp pain between her lungs and chest. Patient was not able to drive because of the bumps. Laboratory data (dates unspecified) included: CT scan (NR: not provided) No blood clots, Chest X-ray (NR: not provided) No blood clots, EKG (NR: not provided) No blood clots, and Lab test (NR: not provided) No blood clots. Treatment medications (dates unspecified) included: tramadol, and gabapentin. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from massive chills and teeth chattering, massive headache, joint pain, and sore arm, had not recovered from collapsed lung, pain in ribs, painful breathing, and pain in back, and the outcome of burning sensation on rib cage to the back, massive allergic reactions, sleepy, dizzy, couldn''t function, bumps, shaky, hurts to walk and hurts to talk was not reported. This report was serious (Hospitalization Caused / Prolonged, and Life Threatening).; Sender''s Comments: V0.-covid-19 vaccine ad26.cov2.s -Pneumothorax, Musculoskeletal chest pain,Back pain,Painful respiration . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).-covid-19 vaccine ad26.cov2.s -Hypersensitivity ,rash erythematous. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1276541 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-03
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Aphasia, Blood pressure measurement, Chest X-ray, Chest discomfort, Dizziness, Echocardiogram, Electrocardiogram, Fatigue, Fibrin D dimer, Fibrin D dimer increased, Headache, Hyperhidrosis, Hypertension, Magnetic resonance imaging head, Pallor, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Migraine
Preexisting Conditions: Medical History/Concurrent Conditions: Urinary tract infection (Treated with unspecified antibiotics.); Comments: The patient was not pregnant at the time of event. The patient had family history of heart problems and was doing exercise three times per week.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Echocardiogram; Result Unstructured Data: unknown; Test Date: 20210406; Test Name: Chest X-ray; Result Unstructured Data: Clear; Test Date: 20210406; Test Name: Electrocardiogram; Result Unstructured Data: Abnormal line, but nothing major; Test Date: 20210406; Test Name: Blood pressure; Result Unstructured Data: Elevated; Test Date: 20210412; Test Name: MRI brain; Result Unstructured Data: clear with no clots and bleeding; Test Date: 20210412; Test Name: Fibrin D dimer; Result Unstructured Data: slightly elevated
CDC Split Type: USJNJFOC20210454164

Write-up: FACE WENT SOLID WHITE; UNABLE TO GET WORDS OUT; SWEATING OF THE PALMS AND FEET AND FACE; DIZZY/ VERY LIGHTHEADED; FATIGUE/FELT DRAINED/VERY TIRED/EXHAUSTED; ELEVATED D-DIMER; ELEVATED BLOOD PRESSURE; HEAVINESS IN THE CHEST; PINKY FINGER FELT TINGLE-Y AND NUMB; HEADACHE; This spontaneous report received from a patient concerned a 48 year old white, Not Hispanic or Latino female. The patient''s height, and weight were not reported. The patient''s past medical history included urinary tract infection, and concurrent conditions included occasional migraines. The patient was not pregnant at the time of this report. The patient had family history of heart problems and was doing exercise three times per week. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031,expiry: 26-MAY-2021) dose was not reported, 1 total administered on 30-MAR-2021 around 13:15 to the left arm for prophylactic vaccination. No concomitant medications were reported. On 03-APR-2021, she felt dizzy, had a headache which was a different kind of headache from her migraines and was very lightheaded. The patient was out riding motorcycles when the symptoms occurred, but she was drained so she had to leave early. On 04-APR-2021, on her way home from visiting her grandmother she felt the same type of headache. Her chest started feeling heavy, her pinky finger felt tingly and numb, and her palms and feet were sweaty. On 05-APR-2021, all of her symptoms kept magnifying and worsened, but she was not able to get in to see her physician. On 06-APR-2021, the patient went to the gym and had to get off the elliptical because she was so fatigued and had chest heaviness. She went to the MD later that day where they did an EKG (electrocardiogram) which showed an abnormal line, but nothing major and her CXR (chest X-ray) was clear, although her BP (blood pressure) was elevated. They wanted to do a stress echo at a later date. On 07-APR-2021, the patient symptoms got even worsened when she was at work. The patient''s face turned solid white, her face, palms, and feet were sweaty, and she was dizzy. After the end of the episode, she was not able to get words to come out, like she was having a mini stroke, which had lasted 30 minutes. The patient then became very tired and exhausted. The patient''s coworkers drove her to the Emergency Room around 13.00. The patient was administered with heparin and also took an echocardiogram. They wanted her to do more tests including nuclear stress echo as an outpatient with her physician. The patient was discharged on 08-APR-2021. The episodes continued after her hospital visit. She went back to work on 12-APR-2021 and it happened again, so the patient was taken back to her doctor. The patient underwent a d-dimer test and it was slightly elevated. The patient also took an MRI (magnetic resonance imaging) and it was clear with no clots or bleeding, but the episodes were still happening. The patient was feeling better at the time of this report and would be going to meet her neurologist. The action taken with covid-19 vaccine ad26.cov2.s was not applicable The patient recovered from unable to get words out on 07-APR-2021, and elevated blood pressure on APR-2021, had not recovered from dizzy/ very lightheaded, headache, fatigue/felt drained/very tired/exhausted, heaviness in the chest, and sweating of the palms and feet and face, and the outcome of pinky finger felt tingle-y and numb, face went solid white and elevated d-dimer was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210454164-COVID-19 VACCINE AD26.COV2.Sweating of the palms and feet and face, face went solid white, Dizzy/very lightheaded. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210454164-COVID-19 VACCINE AD26.COV2.S-fatigue/felt drained/very tired/exhausted. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1276543 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Unknown  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-17
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Pulmonary thrombosis
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210454248

Write-up: BLOOD CLOTS IN THE LUNGS; CHEST PAIN; SHORTNESS OF BREATH; This spontaneous report received from a patient concerned a 52 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination in the left arm. The batch number was not reported and has been requested. No concomitant medications were reported. On 17-APR-2021, the subject experienced chest pain and shortness of breath and was taken to the Emergency Room. The patient was hospitalized and a diagnosis of blood clots in the lungs was made. The patient was hospitalized for 4 days. Corrective treatment included blood thinners ( to be taken for 6 months) and a follow-up appointment with the pulmonologist was scheduled. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the blood clots in the lungs, chest pain and shortness of breath was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210454248-Covid-19 vaccine ad26.cov2.s-Blood clots in the lungs, chest pain and shortness of breath. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276545 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-03-16
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210454256

Write-up: DEHYDRATION; PASSED OUT TWICE; COULDN''T SLEEP; VERY UNCOMFORTABLE; SUPER BAD CHILLS; REALLY, REALLY TIREDNESS; This spontaneous report received from a patient concerned a 29 year old white and not hispanic or latino 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: 1805022, and expiry: UNKNOWN) dose was not reported, administered on 16-MAR-2021, 1 total at left arm for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, patient experienced super bad chills for 7 to 8 hours after the vaccine for 10 minutes, subsided and got again 24 hours later, but not as bad as night before, could not sleep it was very uncomfortable. On 16-MAR-2021, patient also felt really tired. On 17-MAR-2021, the patient experienced passed out twice back to back in about 10 minutes of each other and on same day patient went to emergency room. On 19-MAR-2021, the patient experienced dehydration. Patient had never tested for COVID-19. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from passed out twice on 18-MAR-2021, couldn''t sleep, and super bad chills on 17-MAR-2021, dehydration on 2021, and really, really tiredness on 20-MAR-2021, and the outcome of very uncomfortable was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210454256-Covid-19 vaccine ad26.cov2.s-PASSED OUT TWICE. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276557 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-20
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Disseminated varicella zoster virus infection, Headache
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Sepsis (broad), Opportunistic infections (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: Medical History/Concurrent Conditions: Chickenpox (as a child)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210454708

Write-up: HERPES ZOSTER DISSEMINATED; STOMACH/ABDOMINAL PAIN; HEADACHE; This spontaneous report received from a patient concerned a 39 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included chicken pox as a child. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, and expiry: unknown) dose was not reported,1 total administered on 06-APR-2021 to left deltoid for prophylactic vaccination. No concomitant medications were reported. On 20-APR-2021, the patient experienced headache. On 21-APR-2021,the patient experienced stomach/abdominal pain and it was for two days. On 23-APR-2021, the patient broke out in a rash/shingles/herpes zoster/chickenpox all over legs, inner and outer thighs and in front part of stomach and arms. The patient visited the emergency room was diagnosed with herpes Zoster disseminated. The patient was prescribed with Valaciclovir for the rash and the rash was improving. The patient was waiting for the appointment with the rheumatologist. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from stomach/abdominal pain, and headache on 22-APR-2021, and was recovering from herpes zoster disseminated. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210454708-covid-19 vaccine ad26.cov2.s-herpes zoster disseminated . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276559 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-26
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Erythema, Feeling hot, Hypoaesthesia, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210454964

Write-up: LEG NUMBNESS; ITCHING ON LEGS AND RIGHT ARM; REDNESS ON LEGS; LEGS(FEET TO ABOVE KNEE AREA) HOT TO TOUCH; BURNING SENSATION; RASH ON RIGHT ARM AND BOTH LEGS; 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: 1808980, expiry: UNKNOWN) dose was not reported, administered on 26-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 26-APR-2021, the subject experienced leg numbness. On 26-APR-2021, the subject experienced itching on legs and right arm. On 26-APR-2021, the subject experienced redness on legs. On 26-APR-2021, the subject experienced legs (feet to above knee area) hot to touch. On 26-APR-2021, the subject experienced burning sensation. On 26-APR-2021, the subject experienced rash on right arm and both legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from leg numbness, itching on legs and right arm, redness on legs, burning sensation, and rash on right arm and both legs, and the outcome of legs(feet to above knee area) hot to touch was not reported. This report was non-serious.


VAERS ID: 1276560 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-08
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JJ1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Bursitis, Electrocardiogram, Fatigue, Hypertension, Hypoaesthesia, Mouth swelling, Nausea, Psychomotor hyperactivity, Ultrasound scan, Vision blurred, X-ray
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Hypertension (narrow), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy multiple; Migraine
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210425; Test Name: X-ray; Result Unstructured Data: diagnosed with a severe case of bursitis; Test Date: 20210425; Test Name: EKG; Result Unstructured Data: diagnosed with a severe case of bursitis; Test Date: 20210425; Test Name: Diagnostic ultrasound; Result Unstructured Data: diagnosed with a severe case of bursitis
CDC Split Type: USJNJFOC20210454983

Write-up: INCREASED BLOOD PRESSURE; SEVERE BURSITIS; TIREDNESS; BLURRY VISION; NUMBNESS ON LEFT SIDE OF FACE AND NECK; SWELLING ON INSIDE OF MOUTH; ANXIETY; FEELING WIRED; NAUSEA; This spontaneous report received from a patient concerned a 77 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included allergies, and migraine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: JJ1805029, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced blurry vision. On 08-APR-2021, the subject experienced numbness on left side of face and neck. On 08-APR-2021, the subject experienced swelling on inside of mouth. On 08-APR-2021, the subject experienced anxiety. On 08-APR-2021, the subject experienced feeling wired. On 08-APR-2021, the subject experienced nausea. On 09-APR-2021, the subject experienced tiredness. On 25-APR-2021, the subject experienced increased blood pressure. On 25-APR-2021, the subject experienced severe bursitis (arm felt as bugs biting the arm). Laboratory data included: Diagnostic ultrasound (NR: not provided) diagnosed with a severe case of bursitis (units unspecified), EKG (NR: not provided) diagnosed with a severe case of bursitis (units unspecified), and X-ray (NR: not provided) diagnosed with a severe case of bursitis (units unspecified). Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blurry vision, increased blood pressure, and nausea on APR-2021, and tiredness on 11-APR-2021, had not recovered from numbness on left side of face and neck, and swelling on inside of mouth, and the outcome of severe bursitis (arm felt as bugs biting the arm), anxiety and feeling wired was not reported. This report was non-serious.; Sender''s Comments: Medical assessment comment not required as per standard operating procedure as the case is assessed as Non-serious


VAERS ID: 1276588 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808607 OR 1808 / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Laboratory test, Magnetic resonance imaging, X-ray
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use; Cigarette smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Back injury; Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Laboratory test; Result Unstructured Data: Guillain-Barre Syndrome; Test Date: 20210419; Test Name: X-ray; Result Unstructured Data: Abnormality in neck area; Test Date: 20210421; Test Name: MRI; Result Unstructured Data: No abnormality on neck, old back injury
CDC Split Type: USJNJFOC20210456333

Write-up: GUILLAIN-BARRE SYNDROME; This spontaneous report received from a consumer concerned a 57 year old male of unspecified race and ethnicity. The patient''s height and weight were not reported. The patient''s past medical history included previous back injury, and concurrent conditions included alcohol intake 2-3 beers a day, and smoking 1-2 cigarettes per month, and no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration, dose and vaccination site not reported, batch number: 1808607 or 1808609, expiry: UNKNOWN) administered on 01-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, patient experienced pain and tingling sensation on his back but he still went to work. On 16-APR-2021, he did not go to work, tingling sensation started going on his hands. On 17-APR-2021, patient went to the emergency clinic, and was told the symptoms might be cause by herniated disc. On 19-APR- 2021, he went to fill out worker''s compensation and was seen by his worker''s comp doctor. X-ray was taken and showed some abnormality in the neck area. On 20-APR-2021, symptoms worsened and patient was paralyzed from the shoulder down. On 21-APR-2021, patient went to the hospital and was admitted. Magnetic resonance imaging (MRI) found nothing on patient''s neck and showed old back injury, but per patient''s doctor it should not cause the paralysis. Unspecified additional tests were done, and Guillain-Barre Syndrome was diagnosed. On 25-APR-2021, hospital physician ruled out other causes and confirmed that Guillain-Barre Syndrome (GBS) was caused by Janssen COVID vaccine. At the time of report, the patient was intubated at the hospital. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from Guillain-Barre Syndrome. This report was serious (Life Threatening).; Sender''s Comments: V0: 20210456333-covid-19 vaccine ad26.cov2.s-Guillain-Barre Syndrome . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276590 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Computerised tomogram, Dyspnoea, Hepatic artery thrombosis, Hyperhidrosis, Laboratory test, Splenic thrombosis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: Laboratory test; Result Unstructured Data: clot in splenic and celiac artery; Test Date: 20210414; Test Name: CAT scan; Result Unstructured Data: clot in splenic and celiac artery
CDC Split Type: USJNJFOC20210456348

Write-up: CLOT IN SPLENIC ARTERY; CELIAC ARTERY THROMBOSIS; BODY SWEATING; SHORTNESS OF BREATH; CHILLS; This spontaneous report received from a patient concerned a 45 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: 043A21A) dose was not reported, administered to left arm (left deltoid) around 15:00 to 16:00 on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, after 5 days of vaccination, in the morning, while driving patient had very severe abdominal pain, very hard time breathing, had to get out of the car because of that, patient thought he was going to die, after 5-10 minutes he felt chills and body was sweating. His wife took him to the hospital on same day. At the hospital unspecified tests and CAT scans were done, and found clot in splenic and celiac artery. Patient was hospitalized on 14-APR-2021 for 1 day and was discharged around 3pm the next day on 15-APR-2021. Patient had another visit with a hematologist on 28-APR-2021 in morning, he found nothing wrong with the body. Patient now had to take Eliquis for 6 months. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, body sweating, shortness of breath, on APR-2021, and had not recovered from clot in splenic artery, and celiac artery thrombosis. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0- 20210456348 - Covid-19 vaccine ad26.cov2.s-clot in splenic artery, and celiac artery thrombosis. These events are considered unassessable. The events have a compatible/suggestive temporal relationship, are unlabeled, and have unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1276594 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-08
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Gait disturbance, Headache, Oropharyngeal pain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Abstains from alcohol; Non-smoker; Comments: The patient had No known drug allergies and no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210456397

Write-up: HARDLY ABLE TO WALK; LEGS HURT- NUMBNESS TO BOTH LEGS; ''FEELING VERY TIRED'' WORSE WITH WALKING; SORE THROAT; HEADACHE -ALL THE TIME; 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 concurrent conditions included non alcoholic, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies and no drug abuse or illicit drug usage.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, and batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced headache -all the time. On 09-APR-2021, the subject experienced sore throat. On 12-APR-2021, the subject experienced hardly able to walk. On 12-APR-2021, the subject experienced legs hurt- numbness to both legs. On 12-APR-2021, the subject experienced ''feeling very tired'' worse with walking. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from sore throat, and had not recovered from headache -all the time, legs hurt- numbness to both legs, hardly able to walk, and ''feeling very tired'' worse with walking. This report was non-serious.


VAERS ID: 1276617 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210456869

Write-up: SEVERE ANXIETY ABOUT THE POTENTIAL FOR BLOOD CLOTS; This spontaneous report received from a consumer concerned a 23 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, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced severe anxiety about the potential for blood clots. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of severe anxiety about the potential for blood clots was not reported. This report was non-serious.; Sender''s Comments: V0:20210456869 covid-19 vaccine ad26.cov2.s- Medical Assessment comment not required as per standard procedure as case assessed as Non serious


VAERS ID: 1276626 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-19
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Body mass index, Body temperature, Deep vein thrombosis, Heart rate, Oxygen saturation, Physical examination, Respiratory rate, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALLEGRA; PRILOSEC [OMEPRAZOLE]; XARELTO
Current Illness: Abstains from alcohol; Marijuana abuse; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Back surgery; Deep vein thrombosis postoperative (More than 30 years ago); Depression; Heart murmur; Comments: The patient had history of no known allergies. The patient''s mother had a history of aneurysm.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Ultrasound Doppler; Result Unstructured Data: subocclusive thrombus within the left common superficial femoral vein; Test Date: 20210421; Test Name: Physical examination; Result Unstructured Data: Abnormal; Test Date: 202104211625; Test Name: Respiratory rate; Result Unstructured Data: 16 /min; Test Date: 202104211625; Test Name: Body temperature; Result Unstructured Data: 98.8 F; Comments: oral temperature; Test Date: 202104211625; Test Name: Pulse rate; Result Unstructured Data: 88; Test Date: 202104211625; Test Name: Oxygen saturation; Result Unstructured Data: 100 %; Test Date: 202104211625; Test Name: Body mass index; Result Unstructured Data: 24; Test Date: 202104211625; Test Name: Blood pressure; Result Unstructured Data: 148/66 mmHg; Test Date: 202104211632; Test Name: Oxygen saturation; Result Unstructured Data: 100 %; Test Date: 202104211632; Test Name: Respiratory rate; Result Unstructured Data: 15; Test Date: 202104211632; Test Name: Body temperature; Result Unstructured Data: 97.8 F; Comments: oral temperature; Test Date: 202104211632; Test Name: Pulse rate; Result Unstructured Data: 91; Test Date: 202104211632; Test Name: Blood pressure; Result Unstructured Data: 148/66 mmHg
CDC Split Type: USJNJFOC20210457179

Write-up: DEEP VEIN THROMBOSIS; This spontaneous report received from a consumer concerned a 49 year old male. The patient''s weight was 80.3 kilograms, and height was 182.9 centimeters. The patient''s past medical history included post-operative deep vein thrombosis (more than 30 years ago), depression, heart murmur, and back surgery, and his concurrent conditions included non-smoker, no alcohol use, and marijuana abuse. The patient had no history of known allergies. The patient''s mother had a history of aneurysm. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown, and expiry date: unknown) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included fexofenadine hydrochloride (Allegra) for allergy, rivaroxaban (Xarelto) for venous thromboembolism, and omeprazole (Prilosec) for unknown indication. About one and half weeks after vaccination, on 21-APR-2021, the patient was taken to the emergency department and was admitted with the complaints of leg pain since 2 days with suspected blood clot in leg. Over the last days, patient''s left leg looked swollen compared to the right leg. The patient also had pain, initially started in groin area and radiated down across the anterior portion of the leg, then to posterior leg, and into toes. The patient also had some intermittent tingling in toes. The patient denied of weakness, numbness or persistent paresthesia. The patient was concerned regarding the pain as it felt similar to the post-operative deep vein thrombosis he had in the past. The patient had been anxious since vaccination when hearing about the development of blood clots. The patient also denied of fevers, chills, chest pain, shortness of breath abdominal pain, nausea, vomiting, diarrhea, and difficulty walking. On 21-APR-2021 16:25, the patient''s laboratory data included: Blood pressure (148/66 mmHg), Body mass index (24), Body temperature (98.8 F), Oxygen saturation (100 %) Pulse rate (88), and Respiratory rate (16). On 21-APR-2021 16:32, laboratory data included: Blood pressure (148/66 mmHg), Body temperature (97.8 F), Oxygen saturation (100 %), Pulse rate (91), and Respiratory rate (15). Other general physical examinations included: General: Well-developed well-nourished in no acute distress. HEENT (Head, Eye, Ear, Nose, Throat) examination: normocephalic atraumatic extra ocular motions are intact. Neck examination: Supple without jugular vein distention or meningismus. Lung examination: Clear auscultation bilaterally without wheezes rales or rhonchi. Heart examination: Regular rate and rhythm without murmurs rubs or gallops. Abdomen examination: Soft no tender non-distended without rebound or guarding. Extremities: Without clubbing cyanosis edema, no lacerations or abrasions or ecchymosis noted, no appreciable size difference in the left leg compared to the right, the patient had some tenderness throughout palpation of the medial thigh on the left with radiation up into the left inguinal region, no calf tenderness or swelling, no erythema, palpable posterior tibialis pulse. Skin examination: Warm and dry and well perfused. Psych examination: Appropriate mood and affect. Neuro examination: Cranial nerves 2-12 are grossly intact, strength is 5/5 in upper and lower extremities, full distal sensation in the left lower extremity, full plantar and dorsiflexion of the left foot including the left great toe, sensation is grossly intact, awake, alert and oriented x3. On ultrasound Doppler venous lower extremity test, identified sub occlusive thrombus in the left superficial femoral veins, likely related to organizing/chronic thrombus, however no prior imaging was available at the institution for comparison, no evidence of occlusive deep vein thrombosis. The final diagnosis was made as Deep Vein Thrombosis (DVT). At no time the patient had ever endorsed any chest pain/pleuritic pain, shortness of breath or exertional dyspnea. Due to the nature of this clot, a course of anticoagulation was planned. Patient was prescribed with Xarelto at twice daily starting doses, with transition to 20 mg doses. During the initiation of treatment, the patient should be followed up by his primary care physician for further evaluation. The patient stated that he would call the primary care physician in the following morning for follow-up appointment. The patient was discharged from the hospital on APR-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of deep vein thrombosis was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20210457179-Covid-19 vaccine ad26.cov2.s-deep vein thrombosis. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: MEDICAL HISTORY


VAERS ID: 1276627 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Contusion, Platelet count decreased, Polymerase chain reaction, Respiratory viral panel, SARS-CoV-2 antibody test, SARS-CoV-2 test
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210424; Test Name: Blood test; Result Unstructured Data: Unknown; Test Date: 20210426; Test Name: Blood test; Result Unstructured Data: Platelet count very low 20k; Test Name: COVID-19 antigen test; Result Unstructured Data: Negative; Test Name: PCR; Result Unstructured Data: Negative; Test Name: COVID-19 antibody test; Result Unstructured Data: Has antibodies for covid; Test Name: Respiratory viral panel; Result Unstructured Data: Covid positive
CDC Split Type: USJNJFOC20210457211

Write-up: PLATELET COUNT WAS VERY LOW 20K; BRUISES; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total administered on 25-MAR-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 APR-2021, 3 weeks after the vaccine the patient experienced bruises. On 26-APR-2021, the patient experienced platelet count was very low 20k and was immediately advised to go to the hospital emergency room . She was given steroids at first and was tested covid positive in respiratory panel test so steroids were stopped. The patient had no other symptom. On 24-APR-2021, Laboratory data included: Blood test (NR: not provided) Unknown. Laboratory data included: Blood test (NR: not provided) Platelet count very low 20k. Laboratory data (dates unspecified) included: COVID-19 antibody test (NR: not provided) Has antibodies for covid, COVID-19 antigen test (NR: not provided) Negative, PCR (NR: not provided) Negative, and Respiratory viral panel (NR: not provided) Covid positive. Hematologist sent the patient home with low dose steroids. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the bruises and platelet count was very low 20k was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210457211-COVID-19 VACCINE AD26.COV2.S -platelet count very low. This event(s) is considered un assessable. The event(s) has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276640 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-28
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Heart rate increased, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug allergy; Mercury sensitivity; Non-smoker
Preexisting Conditions: Comments: The patient had no drug abuse or illicit drug usage. The patient had no medical history.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210457685

Write-up: RAPID HEART RATE; HEADACHE; MUSCLE ACHE; FEVER; This spontaneous report received from a patient concerned a 55 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, allergy to polyethylene glycol (peg), and thermerisol allergy, and other pre-existing medical conditions included the patient had no drug abuse or illicit drug usage. the patient had no medical history.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and batch number: 206A21A expiry: 06-JUN-2021) dose was not reported, administered on 27-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 28-APR-2021, the subject experienced rapid heart rate. On 28-APR-2021, the subject experienced headache. On 28-APR-2021, the subject experienced muscle ache. On 28-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rapid heart rate, headache, muscle ache, and fever. This report was non-serious.


VAERS ID: 1276679 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Herpes zoster, Lymphadenopathy, Pain, Pain in extremity, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210459584

Write-up: PAIN; BODY ACHES; SORE ARM; FEVER; TIREDNESS; SHINGLES; RASH; SWOLLEN LYMPH NODES AT HIP; This spontaneous report received from a patient concerned a 47 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient was not pregnant at the time of reporting.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced shingles. On MAR-2021, the subject experienced swollen lymph nodes at hip. On MAR-2021, the subject experienced rash. On 26-MAR-2021, the subject experienced pain. On 26-MAR-2021, the subject experienced body aches. On 26-MAR-2021, the subject experienced sore arm. On 26-MAR-2021, the subject experienced fever. On 26-MAR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pain, body aches, sore arm, fever, and tiredness on 27-MAR-2021, had not recovered from shingles, and the outcome of swollen lymph nodes at hip and rash was not reported. This report was non-serious.


VAERS ID: 1277146 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-04
Onset:2021-04-29
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Chest pain, Computerised tomogram thorax, Pleuritic pain, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Microgestin FE 1mg-20mcg Lexapro
Current Illness: none
Preexisting Conditions: depression
Allergies: none
Diagnostic Lab Data: CT angiogram with pulmonary embolism
CDC Split Type:

Write-up: Patient presented to the emergency department with right-sided pleuritic chest pain-she has a pulmonary embolism on CT angiogram. She was started on heparin and admitted to the medical center. She received her Johnson and Johnson vaccine on 03/04/2021.


VAERS ID: 1277400 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Erythema, Eye swelling, Feeling hot, Flushing, Hyperhidrosis, Hypoaesthesia, Lip swelling, Mouth swelling, Nausea, Pruritus, Rash, Swelling face, Swollen tongue, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

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

Write-up: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: she felt numb in her left side of face, face was hot red itchy felt some swelling in lips, itching on face and body dizzy and nauseaous-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tachycardia-Mild


VAERS ID: 1277403 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypotension, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Medium


VAERS ID: 1277506 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic reaction, Dyspnoea, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)

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

Write-up: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Additional Details: Patient received the injection. After a couple of minutes, patients breathing became rapid. I tried to calm her down. A couple of minutes the patient said her throat was closing. She made some gasping sounds. I gave her an injection of epinephrine 0.3mg. i called 911. EMS took her to unspecified hospital after treating her.


VAERS ID: 1277525 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-30
Onset:2021-04-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 240A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure abnormal, Dehydration, Dizziness, Fall, Flushing, Hyperhidrosis, Loss of consciousness, Pallor, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (narrow)

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

Write-up: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient was sitting on the bench waiting for his 15 minute interval. A few minutes after sitting there, he passed out & fell on the floor. Said he got dizzy & didn''t remember falling: was able to talk & answer questions within a few seconds. He was exremely pale, sweaty but remained responsive & stayed on floor until EMS arrived. Unsure if he hit his head or injured during fall. EMS assessed as syncope & possible dehydration. BP didn''t stabilize so he went to ER for fluids & was released.


VAERS ID: 1277531 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-27
Onset:2021-04-29
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Chest X-ray, Oropharyngeal pain, Pneumococcal infection
SMQs:, Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, propafenone, levothyroxine, amlodipine, hydralazine, metoprolol, fenofibrate, xarelto, simvastatin, potassium, magnesium
Current Illness: none
Preexisting Conditions: afib, diabetes, high blood pressure, hashimotos thyroiditis
Allergies: ace inhibitor cough
Diagnostic Lab Data: chest xray at ER
CDC Split Type:

Write-up: thurs apr 29, double pneumonia, sore throat, afib episode


VAERS ID: 1277541 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-13
Onset:2021-03-18
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dizziness, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: excedrin migraine
Current Illness: none
Preexisting Conditions: none
Allergies: strawberries
Diagnostic Lab Data: cat scan, blood work, heart tests, ear check
CDC Split Type:

Write-up: Nausea, dizziness, vomiting


VAERS ID: 1277579 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-10
Onset:2021-04-20
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Diarrhoea, General symptom, Hyperhidrosis, Nausea, Pallor, Syncope, Tinnitus, Urine analysis normal, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (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: Adderall 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood and urine labs 4/20/21 Results normal
CDC Split Type:

Write-up: Vasovagal syncope reaction Sweating nausea diarrhea paleness blurred vision ringing in ears etc


VAERS ID: 1277756 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Electrocardiogram, Herpes zoster, Laboratory test, Lymphadenopathy, Pain
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazadone 50mg daily Omeprazole 20 mg daily Vitamin D 5000 IU daily Vitamin B12 1000 mcg daily
Current Illness: None
Preexisting Conditions: Fibromyalgia
Allergies: Blue dye in Zoloft
Diagnostic Lab Data: April20,2021 Hospital ER Labwork , EKG, Chest X-Ray
CDC Split Type:

Write-up: Shingles developed on April 14,2021- eight days after vaccination. Burning pain through left side back to left breast with rash left breast, enlarged lymph nodes left side and left neck, extreme pain which was treated with valtrex, gabapentin, two courses prednisone, Advil, capzacin cream. May 1,2021 pain continues. Seen in Hospital ER April 20,2021 for confirmation diagnosis.


VAERS ID: 1277760 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Joint swelling, Mobility decreased
SMQs:, Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lithium Carbonate 300 mg X2 day.
Current Illness: n/a
Preexisting Conditions: Bipolar 2
Allergies: Sulfa medications Benzoil Peroxide
Diagnostic Lab Data:
CDC Split Type:

Write-up: joint swelling and pain both ankles and right wrist, resulting in reduced mobility.


VAERS ID: 1277804 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-29
Onset:2021-04-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Intensive care, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: History of seizures since childhood
Allergies: Unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Was observed for at least 15 minutes. Arrived at home and had a seizure, was rushed to the hospital. Mother claimed patient is in ICU.


VAERS ID: 1277853 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Blood clot on right leg, it hurts very much.
Other Medications: Certinex
Current Illness: Allergy to pollen
Preexisting Conditions: Asthma
Allergies: Penicillin
Diagnostic Lab Data: I have a blood clot on the right leg, I went to the ER on Thursday 04/22/2021.
CDC Split Type:

Write-up: Pain on both legs, Tiredness, Fatigue.


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