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

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



Case Details (Reverse Sorted by Onset Date)

This is page 37 out of 1,889

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VAERS ID: 1218290 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Atrial flutter, COVID-19 pneumonia
SMQs:, Supraventricular tachyarrhythmias (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: losartan, celexa, mobic, lyrica, ultram, ambien, HCTZ, estradiol
Current Illness: N/A
Preexisting Conditions: HTN
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: hospitalized for COVID19 related PNA as well as new onset Afib/flutter


VAERS ID: 1218349 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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

Write-up: Headaches for two days after shot. One week after shot, extreme tiredness, headaches, severe sore throat. Symptoms still persisting.


VAERS ID: 1218382 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 7+ LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Cerebrovascular accident, Computerised tomogram head normal, Hemiplegia, Magnetic resonance imaging head abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Almomipine (hypertension) Low dose aspirin
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: Had 2 CAT scans done on 4/14/2021. No internal bleeding. MRI was done on 4/15/21 and showed that he had a massive stroke due to a blot clot.
CDC Split Type:

Write-up: My father had a massive stroke 3 days after taking his shot. He is now currently paralyzed on his right side and not speaking


VAERS ID: 1218606 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Chest discomfort
SMQs:, Anaphylactic reaction (broad), Hypoglycaemia (broad)

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

Write-up: 205/94, HR 70, Resp. 70, Chest discomfort, anxious, anxiety. Pt. complain of chest discomfort after receiving second dose of vaccine. Emergency personnel. Pt. was transferred to Hospital for further evaluation.


VAERS ID: 1218609 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-20
Onset:2021-04-14
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LL / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Fatigue, Mental status changes, SARS-CoV-2 test positive
SMQs:, Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Lung cancer on chemotherapy, HTN, DVT
Allergies:
Diagnostic Lab Data: Positive SARS-CoV-2 by PCR.
CDC Split Type:

Write-up: Positive COVID-19 result by PCR, weakness, fatigue, altered mental status.


VAERS ID: 1218705 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Bone lesion, Magnetic resonance imaging
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: metastatic breast cancer
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient noted to have liver hematoma (post liver biopsy 4/02/2021) on 4/14/21 MRI (ordered to evaluate cancer bone metastatic lesions). Patient told to report to ER based on imaging findings. Patient clinically stable per ER note and discharged without intervention


VAERS ID: 1218786 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Dyspnoea, Headache, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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: No
Current Illness:
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Feel pain on the stomach, headache, loose of breath and High pulse, causing go on A Emergency yo the Emergency Room.


VAERS ID: 1219109 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Chronic migraine when I was 6 until I was 17. Not as bad now.
Allergies: Cat dander
Diagnostic Lab Data:
CDC Split Type:

Write-up: First day, 7th, had fever of 101.3 and was sore all over and was having hot flashes.. Next day, 8th, was a little sore and still having g hot flashes. On the 13th, I started getting the hot flashes so bad I had to keep my heat at 66. No more than that. After I would get a hot flash, it was followed by chills. That has been flip flipping until today. Two days ago, 14th, had migraine that wouldn''t go away all the way until today, 16th, where I still have migraine and I still have hot flashes/ chills.


VAERS ID: 1219182 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Basilar artery occlusion, Computerised tomogram head abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vyvanz, spirinolactone, Mirena IUD, minoxidil
Current Illness: None
Preexisting Conditions: Migraines, Anxiety
Allergies:
Diagnostic Lab Data: CT angiography, hospitalization. Outcome is still pending, patient currently hospitilized
CDC Split Type:

Write-up: Basiliar Artery Occulsion


VAERS ID: 1219316 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-03-11
Onset:2021-04-14
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: COVID-19
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 20mg Trazodone 150 mg METFORMIN 500 mg Rosuvastatin
Current Illness: None
Preexisting Conditions: Diabetes type 2
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I tested positive for Covid 19 despite being fully vaccinated.


VAERS ID: 1219389 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Pain
SMQs:

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

Write-up: Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium


VAERS ID: 1219404 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-02-19
Onset:2021-04-14
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory distress syndrome, COVID-19 pneumonia, Chronic kidney disease, Diabetic ketoacidosis, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (broad), Myocardial infarction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, Lipitor, Insulin, Nifedipine, Gabapentin, Hydroxyurea
Current Illness:
Preexisting Conditions: HTN, CAD status bypass graft x4, T2DM, peripheral and retinal neuropathy, CKD 3b, thrombocytosis, diabetic foot ulcer, remote ovarian cancer
Allergies: Sulfa
Diagnostic Lab Data: COVID-19 PCR positive 4/15
CDC Split Type:

Write-up: Pt was admitted with COVID-19 pneumonia on 4/15 that has progressed to COVID ARDS, DKA, AKI on CKD, NSTEMI


VAERS ID: 1219629 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Unknown  
Location: Georgia  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), 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? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE,CARVEDILOL,PROSCAR,TRAZOOCIN
Current Illness:
Preexisting Conditions: htn
Allergies: NONE
Diagnostic Lab Data: DOPPLER U/S CTA CHEST
CDC Split Type:

Write-up: EXTENSIVE BLOOD CLOT ,DVT AND PE


VAERS ID: 1219688 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenopia, Eye pain, Laboratory test, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cyclobenzaprine 5 mg ( one at night)
Current Illness:
Preexisting Conditions: Interstitial cystitis ( chronic bladder inflammation)
Allergies: No
Diagnostic Lab Data: Eye exam- 4/15, bloodwork 4/16 (awaiting results)
CDC Split Type:

Write-up: Change in vision.. right eye... pain and white lines.. peripheral.. heaviness over both eyes still present from shot although nothing in comparison to first three days after shot.


VAERS ID: 1219795 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspepsia, Hyperhidrosis, Increased appetite, Muscle spasms, Nausea, Pain, Urinary hesitation, Urine analysis normal
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole 20 mg , ranitidine 20 mg daily
Current Illness: n/a
Preexisting Conditions: HX OF GERD
Allergies: NKDA
Diagnostic Lab Data: NORMAL UA;REFERRED TO EMERGENCY ROOM
CDC Split Type:

Write-up: 31 Y/O MALE WITHA PMHX OF GERD CONTROLLED DAILY WITH OMEPRAZOLE AND RANITIDNE, PRESENTS POST COVID VACCINE 4/12 PFIZER # 1 WITH EPIGASTRIC BURNING 10/10 CONSTANT, SEVERE SWEATING, SOAKING TSHRTS 3 AT NIGHT AND SWEATING NONSTOP DAILY, INSATIABLE HUNGER, MUSCLE CRAMPS TODAY ONLY. HAS BEEN PRESENT SINCE WEDNESDAY BUT WORSENED TODAY/ n. Pt states he takes Omeprazole, Tums, and Pepto. Pt states Pepto relieved his symptoms temporarily. Pt states he is nausea, but denies vomiting and diarrhea. Pt rates pain 10/10. EP PAIN IS CONSTANT, DENIES FEVER ., ADMITS URINARY HESTANCY BP 173/117 HR 113 DIAPHORETIC, SEVERE PAIN


VAERS ID: 1219827 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / SYR

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

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

Write-up: Increased ringing in both ears. Gradual but significant hearing loss in left ear. Started maybe on 4/12, but is noticeable on 4/14 and has gotten worse since.


VAERS ID: 1219856 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Loss of consciousness, Memory impairment
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), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: COVID-19, Moderna #1 3/16/2021
Other Medications: ALFUZOSIN ER 10MG 1 TABLET QD ELIQUIS 2.5MG 1 TABLET QD METOPROLOL SUCC ER 25MG 1 TABLET QD
Current Illness:
Preexisting Conditions: High blood pressure
Allergies: NKA
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient passed out (reported as "blacked out") the day after receiving the vaccine. He was transported by ambulance to hospital. This was the second incident (same incident reported after first dose). He does not have any memory of having passed out.


VAERS ID: 1220168 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040AZ1A / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site induration, Injection site swelling, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Patient initially presented to Advent emergency room with symptoms of swelling in her the left arm worsening over last few days. She reports that she got Moderna COVID-19 vaccination on April 7th 2020, subsequently few days after she noticed a golf ball-sized induration in the area of injection, however over the next few days it increased to the "size of a baseball" on the 14th of April. She reports that she went to urgent care, and was advised to continue with Benadryl cream, icing, and ibuprofen, however yesterday the area "doubled in size" expanding beyond the previously marked area. She denies any chills, fever, night sweats, nausea, vomiting, chest pain, shortness of breath associated with the symptoms. She cannot think of any specific aggravating factors or relieving factors at this time. She has not experienced similar symptoms in the past.


VAERS ID: 1220190 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Computerised tomogram normal, Dyspnoea, Electrocardiogram normal
SMQs:, Anaphylactic reaction (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: All tests done on 4-14-2021
CDC Split Type:

Write-up: Shortness of breath. Dyspnea and chest pain was ED diagnosis. CT scan clear, CXR clear, EKG clear. Blood clotting factors were high. Discharge instruction were to follow up with Cardiology on 4-16-2021


VAERS ID: 1220414 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-25
Onset:2021-04-14
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Patient stated he helped family move and his arm was sore after the shot, but starting two days ago it started burning with use, and not all the time.
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had normal discomfort after the shot. helped family moving heavy items that day and next day and was sore afterward. no issues until two days ago when he has started having burning in the area with use of his arm. it is not happening constantly, just seldom with use of his left arm.


VAERS ID: 1220499 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache, Laboratory test
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: none
Current Illness: none
Preexisting Conditions: Healthy
Allergies: None Known
Diagnostic Lab Data: sent to ER for evaluation, lab testing and possible CT head imaging
CDC Split Type:

Write-up: Onset some fatigue 1-2 days after vaccine, onset headache 7 days post vaccination, moderate in severity, helped by ibuprofen, headache has recurred over 48 hour period.


VAERS ID: 1220733 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Joint swelling, Peripheral swelling, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: none
Preexisting Conditions: type 2 diabetes, hypertension
Allergies: none
Diagnostic Lab Data: 4/16/20 - venous ultrasound left lower extremity
CDC Split Type:

Write-up: Patient presented to the clinic today reporting onset of pain to posterior left knee with swelling to left lower leg and ankle on 4/14/21. Patient sent to local hospital for venous ultrasound of left leg which showed thrombus to left distal superficial femoral vein, popliteal vein, and peroneal vein. Patient was then sent over the emergency department where he was evaluated and started on Eliquis.


VAERS ID: 1221238 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-24
Onset:2021-04-14
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Ecchymosis, Full blood count, Haemoglobin normal, Immune thrombocytopenia, Petechiae, Platelet count decreased, Thrombocytopenia, White blood cell count normal
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home medications.
Current Illness: No recent viral illness, no chronic health conditions.
Preexisting Conditions: Prior concussion April 2020. No other chronic issues.
Allergies: No known allergies.
Diagnostic Lab Data: CBC with WBC 7.2, Hgb 16, PLT 2.
CDC Split Type:

Write-up: Janssen vaccine received by patient on 3/24/21, no immediate symptoms. As of 4/14/21 started having petechia and non-traumatic ecchymosis. PLT count of 2. Hospitalized for severe thrombocytopenia, thought to be ITP. Currently admitted as of 4/16/21, report made on day 1 of hospitalization.


VAERS ID: 1221297 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Rash
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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, daily multivitamin (Rainbow light Men?s One)
Current Illness: None
Preexisting Conditions: Had a lung surgery to fix a burst bleb when I was about 20, that left me without a plural sac on the left side. Reoccurring chest pain (presumed to be because of blebs).
Allergies: Penicillin
Diagnostic Lab Data: Nothing other than an in person exam.
CDC Split Type:

Write-up: Six days after being vaccinated I broke out with a rash on both arms (triceps area) and on the top of my feet. The rash kept moving to different parts of my body, my knees and thighs, my lower back, even the bottom of my feet in the palms of my hands. It kept moving from location to location for two full days (I started taking corticosteroids and antihistamines this AM, which help a lot)


VAERS ID: 1221315 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Patient started noticing left arm swelling and pain about 2-3 weeks after the vaccine. She then presented to the hospital 4/16/21 and was found to have a deep vein thrombosis in her left brachial vein as well as a thrombosis in her right internal jugular vein. She is currently being further worked up and will be admitted to the hospital for anticoagulation.


VAERS ID: 1221504 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN J-J 1805031 / 1 LA / SYR

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

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

Write-up: severe headache for the last 3 days


VAERS ID: 1222451 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JOHNSON & JOHNS / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Swelling face, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None .
Current Illness: Daily supplements. B-12 , D
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swollen face, and eyes lids.


VAERS ID: 1222682 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-23
Onset:2021-04-14
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Diarrhoea, Dyspnoea, Fatigue, Tension headache
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen Fish Oil Omeprazole Loratadine Tylenol Fluticasone Proprionate
Current Illness:
Preexisting Conditions: Hyperlipidemia
Allergies: Dilaudid: Swollen lips Motrin: Lips get swollen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was spoken to via a telephone appointment and reports that she had diarrhea that same day of her vaccine and reports fatigue and new onset SOB at rest x 1 day. She is also c/o head tightness, back pain and BLE pain even at rest since she received her vaccine. She denies swelling to injection site, fever, hives, n/v, diarrhea, abdominal pain


VAERS ID: 1222736 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Chills, Diarrhoea, Dizziness, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen Ensure Complete Acetaminophen Prednisone Polyvinyl Alcohol 0.6% solution Diclofenac Sodium
Current Illness:
Preexisting Conditions: Hyperlipidemia Anemia Raynaud''s Phenomenon
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt c/o body aches, abdominal pain, and diarrhea. She reports she took diclofenac which only helped for a little while but her symptoms returned. She reports her abdominal pain is throughout all 4 quadrants and diarrhea. She reports her pain as a 10/10, and says it is a pain that she has never felt before. She says she also has chills, weakness, and feels feint.


VAERS ID: 1222832 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Laboratory test, Neck pain, Urine analysis
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Arthritis (broad)

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

Write-up: Started dizziness on 14th eve neck pain , back pain, fatigue. went to ER. Blood test were taken to check counts and were reported normal. Fluid was injected via IV and advised Meclizine 25 mg. advised pain killers if needed. advised to contact ENT specialist if the condition continues after 2 to 3 days.


VAERS ID: 1222922 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN C42A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Myalgia, Pain in extremity, Ultrasound scan normal
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Left leg pain, chills, muscolar pain


VAERS ID: 1222925 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac monitoring, Computerised tomogram head abnormal, Echocardiogram, Eye haemorrhage, Headache, Hypoaesthesia, Ischaemic stroke, Magnetic resonance imaging head abnormal, Mental impairment, Muscular weakness, Slow speech
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Retinal 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 125 mg Loratadine 10 mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Tests during evaluation at hospital Tests while admitted to hospital April 15 to April 16. Had 2 each CAT scans, 1 each MRI, On Heart monitoring, received blood thinners in belly, heart test ultrasound.
CDC Split Type:

Write-up: 04/14/21 8:00 PM; Pain on right side of head with blood inside of right eye. Drove to emergency room. Had pressure and pain 4 more times while waiting in emergency room. Evaluated in Emergency room. Admitted to hospital 04/15/21. Had testing CAT scans and MRI determined minor stroke or Ischemic stoke. Numbness on Right side involving right cheek, weakness in RH leg and arm, speech is a little slow; during hospital stay and continued after into April 17th. Released from hospital at 6PM on April 16. As of April 17 at 10:30 AM Still having issues, difficulty thinking, headache, numbness and slight pain in head and arm. Right leg is weak. Will call doctor on Monday April 19 to set up appointment.


VAERS ID: 1222947 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Enuresis
SMQs:

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

Write-up: Patient has experienced NOCTURNAL ENURESIS for 2 evenings at this point. She received the vaccine on Monday (4/12), and it''s Saturday (4/17) as I type this as it was reported to me.


VAERS ID: 1223024 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily mutli vitamin, vitamins d, glucosamine, msm, vitamin c
Current Illness: None
Preexisting Conditions: None
Allergies: None aware of
Diagnostic Lab Data: None, Covid PCR test negative 2 days before injection
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA Headache, body ache, difficultly breathing, nausea, tired


VAERS ID: 1223098 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metaprolol 50x1plavex
Current Illness:
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache for the last 36 hours and I don''t get Headaches,it''s not severe but medium like I''m on Plavix so I don''t think I can get blood clots


VAERS ID: 1223432 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebral venous sinus thrombosis, Cerebrovascular accident
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: CVA and cerebral venous sinus thrombosis


VAERS ID: 1223627 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram, Cough, Dyspnoea, Full blood count, Laboratory test, Pulmonary pain, Troponin
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ATORVASTATIN 20 MG LEVOTHYROXINE 100 MCG DULOXETINE 30 MG
Current Illness: NONE
Preexisting Conditions: UN-DIAGNOSED LEFT FLANK PAIN
Allergies: ANYTHING PENICILLIN BASED
Diagnostic Lab Data: CHEST X RAY CT WITH CONTRAST BLOOD WORK----CBC, D-DIMER AND TROPONIN
CDC Split Type:

Write-up: COUGH STARTING 2 HOURS AFTER INJECTION TROUBLE BREATHING STARTING THE FOLLOWING NIGHT WITH LUNG PAIN WITH EVERY COUGH WHICH BECAME WORSE


VAERS ID: 1223704 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-13
Onset:2021-04-14
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: not known so far
Diagnostic Lab Data:
CDC Split Type:

Write-up: Throbbing/tension headache around and above eyes level, arms/legs muscle ache last for 2 days that did not go away when taking Tylenol 500mg.


VAERS ID: 1223718 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

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

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

Write-up: Severe pain in the left leg


VAERS ID: 1223829 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-03
Onset:2021-04-14
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Rash, 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: Macrobid
Diagnostic Lab Data:
CDC Split Type:

Write-up: About a week and a half after vaccination, I have a rash on the back of my neck under my hairline. It?s itchy and bumpy. I don?t know ignore related to the vaccine or not, but it?s not normal for me to get rashes and I haven?t come into contact with any known allergens. I haven?t changed my soap or anything like that.


VAERS ID: 1223973 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN COVID / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Disorientation, Dizziness, Dysarthria, Dysstasia, Echocardiogram normal, Facial paralysis, Headache, Hyperhidrosis, Intensive care, Laboratory test, Magnetic resonance imaging normal, Muscular weakness, Neurological symptom, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Daily Vite Multivitamin each AM Pantoprazole 40 mg 2x a day Simvastatin 20 mg each AM Trazodone 100 mg at bedtime Ubidecarenone 100 mg each AM Trulicity 1 shot a week Vitamin D2 50,000 units oral Friday Duloxetine 60 mg each AM Lisinopril
Current Illness: none
Preexisting Conditions: Type II late onset diabetes High BP
Allergies: none
Diagnostic Lab Data: CT Scan 4/14/21 upon arrival to hospital showed area of brain no oxygen Lab work 4/14/21 Heart Ultrasound 4/16/21 normal CT Scan 4/15/21 normal MRI 4/16/21 nomral
CDC Split Type:

Write-up: At work while sitting at my desk I became dizzy, broke out in sweat, disoriented, blurred vision, slurred speech. Called plant nurse. She said my face was drooping, I couldn''t smile or stand. She called Ambulance. Ambulance arrived and decided symptoms of stroke and called for helicopter to take me to medical center. When I arrived they did CT and I was later told it showed possible areas of no oxygen to brain. They gave me TPA drug and almost immediately I could see improvement - my headache cleared. Throughout the next couple hours I regained movement on right side and all functionality returned except weakness in right arm. I stayed in ICU for 24 hours as required after receiving TPA and while additional tests were ran then was discharged on Friday, April 16, 2021


VAERS ID: 1225366 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Feeling hot, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole Sod Tabs 40mg 1 daily Triamcinolone Acetonide Nasal Spray once daily Probiotic Calcium 600mg w Vit D3 20mcg Omega3 1080mg Vit C1,000mg Vit E 184mg Vit D3 25mg vitB12 1000mcg
Current Illness: none
Preexisting Conditions: neuropathy from chemo due to breast cancer 2012 two layers of lymph nodes removes from left arm pit
Allergies: penicillian
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 4/14/2021 woke up with leg tingling and warm sensation and tightness .in right calf not painful but annoying next day both legs from knees down friday called pcp didnt think it was anything to worry about just keeps an eye on it watch for swelling and redness saturday it was much better. Sometimes it happen in my left arm. today brothering me again


VAERS ID: 1225589 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood creatinine normal, Blood urine present, C-reactive protein normal, Gait disturbance, Haemoglobin normal, Liver function test normal, Metabolic function test, Myalgia, Pain, Pain in extremity, Paraesthesia, Platelet count normal, Pregnancy test urine negative, Protein urine present, Red blood cells urine negative, Renal function test normal, Rhabdomyolysis, Urine analysis abnormal, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (narrow), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Arthritis (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: D+C due to retained products of conception on 4/2 after voluntary interruption of pregnancy via medication on 3/22
Preexisting Conditions: Mitral valve prolapse, asymptomatic
Allergies: NKDA
Diagnostic Lab Data: 4/16: CK 127768. WBC 12.66, Hgb 14.6, platelets 278. BMP, CRP wnl. Cr:0.6. Urine pregnancy negative. UA with large blood, 100 protein 4/17: CK 76,406. AST 1772, ALT 513. Cr: 0.6 4/18: CK 46034. AST: 1220 ALT:454
CDC Split Type:

Write-up: Vaccine received 4/7/2020. On Wednesday 4/14/2020, pt went to the gym and did high intensity interval training involving body weight exercises, specifically an exercise called "v-ups". Exercise was not more strenuous than usual, and pt was well hydrated. Pt reports that she exercises often and this was not a new exercise. Soon after workout, pt began having muscular pain in the hip, radiating into her inner thighs bilaterally with associated tingling. On 4/15, pain worsened and pt had difficulty ambulating. Denies any edema, erythema in her legs or unilateral leg swelling. Presented to the ED on 4/16 and found to have elevated CK of 127,768 with UA significant for large blood and protein, without RBC, indicative of rhabdomyolysis. Pt did not have any known risk factors that may precipitate rhabdomyolysis. On admission, fluids were initiated with downtrending CK, LFTs, and renal function remained stable. er D&C was done at on 4/2 and she reports there were no complications during or after the procedure. Her BHCG was elevated at the time and she tried an oral abortion pill but still had some fetal remnants so went for a D&C. She had the J&J vaccine shortly after on 4/7 and she reports no complications around and shortly after getting the vaccine. Denies vaginal bleeding or odor. Denies fevers, chills, abd pain, diarrhea, constipation, dysuria, chest pain, palpitations, shortness of breath, nausea/vomiting.


VAERS ID: 1226053 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Ringing in ears, started about day 9 after vaccination and continues at day 13.


VAERS ID: 1226180 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / SYR

Administered by: Public       Purchased by: ?
Symptoms: Angiogram, Aphasia, Cerebral haemorrhage, Computerised tomogram abnormal, Computerised tomogram head, Computerised tomogram neck, Electroencephalogram, Epilepsy, Fibrin D dimer increased, Full blood count abnormal, Headache, Hemiparesis, Magnetic resonance imaging head abnormal, Muscular weakness, Periorbital pain, Platelet count decreased, Superior sagittal sinus thrombosis, Thrombocytopenia, Venogram
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home prescription medications. No hormone supplementations. Patient taking as needed Advil for headaches which started approximately 7 days following vaccination.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: See above. All relevant tests from 4/18/2021: CT brain, CTA brain/neck, CTV brain, MRI brain wwo contrast, routine EEG, D-dimer, CBC
CDC Split Type:

Write-up: 52-year-old previously healthy female who received first dose of Janssen COVID-19 vaccine on 4/7/2021. She started having periorbital right headaches starting on or about 4/14/2021. Headaches were alleviated with OTC Advil. On the morning of 4/18/2021, she awoke with RIGHT arm weakness which, over the course of several hours, progressed to include right-sided leg weakness and aphasia. Initial CT head showing multifocal hemorrhage within the LEFT frontal lobe. Course complicated by epileptic seizure. MRI brain with and without contrast and CT venogram brain notable for superior sagittal sinus thrombosis involving the mid and anterior segments of the superior sagittal sinus. Patient found to have new thrombocytopenia on admission with platelet level 78k; previously had normal platelets 6/4/2019. D-dimer elevated $g 4.00 mcg/ml FEU. Started on Argatroban gtt, nicardipine, and IVIG.


VAERS ID: 1226193 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Feeling hot, Hyperhidrosis, Peripheral coldness, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Acetaminophen 500mg PO q6 PRN
Current Illness: N/A
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine administered Sunday at 2PM, severe chills/fever within 72 hours status post vaccine administration. 72 hours after: venous distention on vaccinated arm from the inner upper arm to wrist. Blood pressure <130/80. no fever, no chills. Thursday okay. Friday night at around 9PM, sudden feeling of loss of consciousness but without actually losing. Huge gush of warmth and blood to brain. After episode, cold and sweaty hands. Both arms had distended veins visible. Saturday morning, back to normal. no venous distention, no feeling of fainting. Saturday night at 10:30PM, BP 155/99, HR 88, distention of veins on both arms. 11:40PM, bilateral leg swollen, no pain, no signs or symptoms of VTE, no SOB. Sunday AM: blood pressure normal, swollen legs disappeared, achy and sore knee and hip joints bilaterally. Still monitoring signs and symptoms. PCP advised to take Aspirin 81mg daily.


VAERS ID: 1226308 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Surgery, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Women?s one a day multivitamin, fish oil, daily probiotic, vitamin C, vitamin D, vitamin B, Microgestin birth control
Current Illness: None
Preexisting Conditions: Chronic low back pain, degenerative disc disease, spinal stenosis, herniated discs
Allergies: None
Diagnostic Lab Data: Er visit 4/15/21 with bloodwork showing elevated white blood cell count as well as CT scan confirming appendicitis
CDC Split Type:

Write-up: Appendicitis beginning 4/14/21, leading to surgery (appendectomy) 4/15/21


VAERS ID: 1226699 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN LOT-042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Contusion, Increased tendency to bruise, Renal pain, Stomatitis, Tongue eruption
SMQs:, Severe cutaneous adverse reactions (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu shot always came down with flu
Other Medications: Pentazocine, hydroxyzine, Allegra,multi-vitamin, vita c
Current Illness:
Preexisting Conditions: Autoimmune problems from tic bite. Hives, chronic muscle pain,pulmonary fibrosis.
Allergies: NSAIDs,aspirin,sulfa.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Starting on 04/13/2021 noticed very easy bruising seems to be improving. Starting 04/16/2021 backache right side near kidney area, still on-going. Starting 04/18/2021 sore on tongue and right inside of mouth.


VAERS ID: 1226769 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203121A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Muscle spasms, Muscular weakness, Paraesthesia, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: I had the regular symptoms (fever of 104, shaking, chills, headache) 6 hours after the shot. What is my new concern is leg weakness and pins and needle feeling in my legs that started a few days after the vaccine. My legs still feel weak and I have occasional pins and needles and muscle cramps all through my legs, but especially my left.


VAERS ID: 1227131 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arachnoid cyst, Blood pressure measurement, Heart rate, Magnetic resonance imaging, Magnetic resonance imaging head, Platelet count, Platelet factor 4, Venogram
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: MARIJUANA; TYLENOL; ALEVE
Current Illness: Ex-smoker; Insomnia
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210415; Test Name: Platelet count; Result Unstructured Data: over 200000, normal; Test Date: 20210415; Test Name: Platelet count; Result Unstructured Data: 268; Test Date: 20210415; Test Name: Platelet count; Result Unstructured Data: 227; Test Date: 20210415; Test Name: MRI brain; Result Unstructured Data: Cerebral venous sinus thrombosis observed; Test Date: 20210415; Test Name: CT venograph; Result Unstructured Data: no thrombosis, rather there was arachnoid granulation; Test Name: MRI; Result Unstructured Data: see comments; Comments: nonvisualized of A1 segment of right ACA, more distal segment supplied by Left ACA, this is a normal anatomic variant. Also non visualization of R vertebral artery which is felt to be a normal anatomic variant as well.; Test Name: Heart rate; Result Unstructured Data: 88; Test Name: Venogram; Result Unstructured Data: see comments; Comments: An absence of flow in right traverse sinus highly suggestive of thrombosis sluggish flow in sigmoid sinus and superior IJ; Test Name: Platelet factor 4; Result Unstructured Data: testing planned; Test Name: Blood pressure; Result Unstructured Data: 120/86
CDC Split Type: USJNJFOC20210428480

Write-up: ARACHNOID GRANULATION; This spontaneous report was originally received from the patient''s husband and concerned a 45-year-old female patient. Initial information was received and processed with additional information received in discussion with treating physician on 15-APR-2021. The patient''s weight 69 kg and height 178 cm. Patient''s medical history included smoking for 10 years and quit 10 years ago. Subject''s concurrent conditions included insomnia. The patient was reported to be in good health, Body Mass Index (BMI) reported as 21.7. The patient had no family history of blood clots. On 08-APR-2021, the patient received vaccination with Janssen COVID-19 vaccine Ad26.CoV2.S (suspension for injection, route of administration not reported; batch number not reported and requested), dose unspecified, for COVID-19 vaccination. Batch number was not reported, will be requested. Non-company suspect drug included unspecified contraceptive pill (unknown, oral) for unspecified indication. Concomitant medications included cannabis sativa for insomnia. On an unspecified date ''just following'' vaccination, the patient had influenza-like symptoms . On 10-APR-2021, patient started experiencing headaches. On 14-APR-2021 (6th day post-vaccination), the patient presented to Emergency Room (ER) with four days of worsening headache and diagnosed with suspected right transverse sinus thrombosis (later ruled out.) The patient was transferred to a second hospital''s intensive care unit (ICU) on an unspecified date. On 15-APR-2021 (7th day post-vaccination), a magnetic resonance imaging (MRI) scan of the brain showed suspected cerebral venous sinus thrombosis (CVST). No other symptoms or neurologic deficits reported, and her platelet count was reported as normal at 268,000 on admission (units and normal range not reported). The admitting physician initiated argatroban whilst closely following the patient''s platelet count. Testing for a panel for heparin-induced thrombocytopenia including anti-platelet factor 4 (anti-PF4) antibodies and other unspecified workup were also planned. On an unspecified date, MRV of brain showed an absence of flow in right transverse sinus highly suggestive of thrombosis, sluggish flow in sigmoid sinus and superior IJ. MRA showed non-visualized of A1 segment of right ACA, more distal segment supplied by Left ACA, this is a normal anatomic variant. Also non visualization of R vertebral artery which is felt to be a normal anatomic variant as well. This read was reviewed on 15-APR with neuro-interventionalist physician and 3 radiologist who were all in agreement that this was instead a normal variant (arachnoid granulation.) Report was addended to clarify that there was never any thrombosis. Patient''s blood pressure was 120/86 and heart rate 88. Patient was fully anticoagulated with argatroban. No heparin was received. Heparin induced thrombocytopenia (HIT) panel was sent and lab was requested to urgently process. Platelet count remained normal from 268 to 227 on 15-APR-2021. On 15-APR-2021, a CT venogram was performed which again confirmed no thrombosis; rather there was arachnoid granulation (normal variant). All imaging was confirmed with neuro-interventionalist physician and 3 radiologist who were all in agreement. Treatment with agratroban was discontinued on 15-APR-2021. As of 15-APR-2021, patient was clinically improving. Headache was resolved and neurologically intact. Patient was eating and was planned to discharge home later in the day. The action taken with COVID-19 vaccine Ad26.CoV2.S was not applicable. Action taken with contraceptive pill was unknown. The event arachnoid granulation was recovering This report was serious (hospitalization/prolonged hospitalization).; Sender''s Comments: V0: A 45-year-old female experienced headache 2 days after vaccine and was hospitalized for suspected transverse venous sinus thrombosis (which was ruled out) 6 days after vaccine. There was no secondary hemorrhage, and after the imaging was reviewed with a neuroradiologist, it was determined that there was no thrombosis at all, but rather an arachnoid granulation (normal anatomic variant.) This was confirmed on follow up CT venogram the following day. Relevant concomitant medications included oral contraceptives. Platelet count was normal (268,000) on admission. No heparin was received, but a panel for heparin-induced thrombocytopenia, including ELISA for anti-PF4 antibodies is pending. The patient was initially anticoagulated on argatroban and symptoms improved one day after admission; the headache is resolved, she is neurologically in tact, and discharge is planned to home. Although the use of oral contraceptives is a risk factor for thrombosis, there was no thrombosis in this case.


VAERS ID: 1227227 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Rash, Rash papular, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: non contiguous papular rash on back and back of arms; excoriated and healing well without any s/sx of infection; no weeping; some early papules developing; pruritic; will treat with prednisone taper;


VAERS ID: 1227401 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Decreased appetite, Feeling of body temperature change, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Headache, nausea, no appetite, hot/cold flashes. 4days so far. Loss of energy n strength.


VAERS ID: 1227405 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Breast pain
SMQs:, Retroperitoneal fibrosis (broad), Lipodystrophy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Shingles
Other Medications: No
Current Illness: No
Preexisting Conditions: I use diet and exercise to control my sugar which has been good
Allergies: Milk, bactrim, ciprofloxacin, feldene
Diagnostic Lab Data: I didn''t go to my doctor
CDC Split Type:

Write-up: I had a few pains on my left side near bottom of breast , then an aching pain that went to my back. I have not had this symptom since Wednesday


VAERS ID: 1227420 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Migraine, Nausea, Sleep disorder
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Severe migraine for 3 days, migraine made me nauseous and stomach hurt. Day #2 severe lower back pain as well. Migraine so bad I had nights I couldn?t even sleep.


VAERS ID: 1227834 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Chest pain, Computerised tomogram thorax normal, Echocardiogram normal, Fibrin D dimer decreased, Magnetic resonance imaging normal, Myocardial necrosis marker increased, Myocarditis, Scan with contrast normal, Ventilation/perfusion scan
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Guafacine 1mg 2x day bystolic 10 mg 1x day Rousavastin 10mg 1x day
Current Illness: Autism, hypentsion
Preexisting Conditions: Austism
Allergies: Iodine contrast dye
Diagnostic Lab Data: Cardiac enzymes blood work ...as high as 17.67 ..discharged from hospital at 7.35.. ..extremely elevated Cat scan with contract...normal no blockage no damage to heart muscle D dimer test low.. .nuclear scan of lungs..no clots found Leg dabbler..no clots found Echocardiogram .. no periocarditis No trigger evidence except that Johnson and Johnson vaccine was received 5 days earlier
CDC Split Type:

Write-up: Chest pain, Elevated blood pressure, elevated cardiac enzymes, Acute myocarditis


VAERS ID: 1227934 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient medical history is unknown.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430394

Write-up: FEMORAL DEEP VEIN THROMBOSIS; This spontaneous report received from a physician concerned a 30-40 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions were unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 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 14-APR-2021, approximately 20 days after the patient received vaccination, he experienced femoral deep vein thrombosis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from femoral deep vein thrombosis. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: A 30-40 year-old man experienced femoral deep vein thrombosis approximately 20 days after vaccination. No past medical history or concomitant medications were reported. There were no details provided, including diagnostic workup. There is insufficient information to make a meaningful medical assessment.


VAERS ID: 1228633 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Inflammation, Swelling, Synovial cyst
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C Zinc losartan 50 mg
Current Illness: high blood pressure
Preexisting Conditions: high blood pressure
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: ON WEDNESDAY 14TH THE GANGLION BEHIND MY LEFT EAR SWELLD AT 8:30 AM IN THE AFTERNOON IT WENT DOWN. ON SATURDAY 17TH AGAIN AT BREAKFAST GOT INFLAMMED AND UNTIL NOW CONTINUES INFLAMMED.


VAERS ID: 1228696 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Coagulation time prolonged, Haemorrhage, Pain, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: trazadone 50 mg Fluoxitine / prozac 40 mg fluticasone benadryl mucinex B12 injection
Current Illness: sinus and allergies
Preexisting Conditions: pernicious anemia
Allergies: environmental, dust, pollen, mold
Diagnostic Lab Data:
CDC Split Type:

Write-up: low grade fever, headache for approx 24 hrs., body aches 24-48 hours, 5 days after injection heavy bleeding from cut on my tongue. A small cut developed when eating and then bleed profusely for 2 1/2 to 3 hours. My blood wasn''t clotting. That has never been a problem. Very heavy bleeding from a very small cut finally stopped after putting ice on it.


VAERS ID: 1228860 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Lymphadenopathy, Neck pain
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Painful and swollen gland in my neck. This began 10 days after vaccination and remains 4 days later.


VAERS ID: 1229090 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Peripheral swelling, Tenderness
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: irbesartan-HCTZ 150-12.5 mg tablet Jardiance 10 mg tablet pravastatin 40 mg tablet Janumet
Current Illness: None
Preexisting Conditions: asthma, T2DM, hypercholesterolemia, hypertension, hypertriglyceridemia,
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt noticed his calf was swollen and had some pain/tenderness on Wednesday. He then went back to the clinic on Friday where they instructed him to report to the ER. At the ER he was diagnosed with a DVT and told to begin Eliquis that night.


VAERS ID: 1229709 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-03-29
Onset:2021-04-14
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

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

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

Write-up: PAIN IN GROIN, RIGHT LEG AND SOME TIMES IN LEFT LEG AND RIGHT KNEE. GOING TO SEE DOCTOR TODAY


VAERS ID: 1229719 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Delaware  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Head discomfort, Muscular weakness, Neck pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Red Rice
Current Illness: N/A
Preexisting Conditions: High blood pressure
Allergies: Penicillin, sulfa, tetanus
Diagnostic Lab Data:
CDC Split Type:

Write-up: Neck pain. It leads to dizziness; weakness in the right and left arm. Head pressure.


VAERS ID: 1229726 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Hyperhidrosis, Incorrect dose administered
SMQs:, Neuroleptic malignant syndrome (broad), Medication errors (narrow), Hypoglycaemia (broad)

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

Write-up: pt received both a Johnson & Johnson as well as a Pfizer COVID 19 vaccines, 1 day apart. He started to have headache, "hot sweat" and fatigue 4-5 days after the 2nd vaccine and still affecting patient.


VAERS ID: 1229745 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dizziness, Dyspnoea, Fatigue, Headache, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol on 4/12/21
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: is a 39 yo M with no significant PMH. He presents for symptoms following Johnson and Johnson vaccine. PMH: none PSH: Right knee surgery, Lasik Family Hx: Denies any family history of HTN, clots, heart disease Patient received the Johnson and Johnson COVID-19 vaccine on 4/11/21, he began feeling tiered, headache and bilateral leg pain on 4/12/21. He had one dose of Tylenol 4/12/21. At around 4pm on 4/14/21 he reports that he had SOB, more bilateral leg pain, and dizziness. He states he went home and slept. Woke up Thursday and all his symptoms had resolved. Denies chest pain, numbness, tingling, swelling in his legs. Patient does endorse that he does have a stressful job working for airport and he had 3-4 cups of coffee daily. He also endorses that after the new of the side effects of the Johnson and Johnson vaccine appeared, he did notice he had more anxiety. Occupation: Works at airport, 12 hours shifts, on-call Social: no drinking, no drugs, smokes 1 cigarette per day for past 8 years


VAERS ID: 1229957 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Migranes
Allergies: penicillin, Sulphur, iodine, e-mycin, herbal MRI contrast, seafood
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported headache, hive on her face, tongue swelling. She reported that she took Benadryl for few days but it did help that much. She went to Urgent care and was referred to ER where she was prescribed Prednisone for 5 days. She reported feeling better after she started taking Prednisone.


VAERS ID: 1229969 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Gout, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Saxenda Lisinopril
Current Illness: None
Preexisting Conditions: High blood pressure Bone spurs in the feet
Allergies: Dust NSAIDS- sensitivity but not severe allergy Acetaminophen- sensitivity but not severe allergy
Diagnostic Lab Data: No blood work was done to confirm.
CDC Split Type:

Write-up: On 4/14/2021, right elbow started to hurt. This was a site of a removed gout-caused mass over a year ago. That subsided within a day. On 4/15/2021, left foot started to hurt. By 4/17/2021, the next to smallest toe and the large toe was swollen and very tender to any sort of touch. It was not warm. The pain was almost unbearable on 4/18/2021 and the suspicion that it might be gout was considered. On 4/19/2021, after a visit with his doctor, gout was confirmed as the likely cause of the pain/swelling. However, no blood tests were run to confirm. Treatment for gout was initiated.


VAERS ID: 1230278 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-03-10
Onset:2021-04-14
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Fibrin D dimer increased
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: ELEVATED D-DIMER, SOB


VAERS ID: 1230301 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Differential white blood cell count, Electrocardiogram, Exposure during pregnancy, Full blood count, Immunohistochemistry, Laboratory test, Pregnancy test
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Antenatal deep vein thrombosis, DVT (deep vein thrombosis) , PE ( pulmonary embolism
Preexisting Conditions: Antenatal deep vein thrombosis, DVT (deep vein thrombosis) , PE ( pulmonary embolism
Allergies: No Known Allergies
Diagnostic Lab Data: Labs: routine chemistry, special chemistry, pregnancy test, CBC and differential. EKG ( all competed on 4/14/2021)
CDC Split Type:

Write-up: Chest pain, and tightness


VAERS ID: 1230460 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Gait disturbance, Headache, Pain, Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra 180mg, Concerta 36mg, Fluoxetine 20mg, Trazodone 50mg
Current Illness: n/a
Preexisting Conditions: depressive disorder, idiopathic hypersomnolence, allergic rhinitis
Allergies: Cats, fluconazole, grasses, sulfa, thimerosal, trees, weeds
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Patient states that she received her Johnson and Johnson vaccine on 4/7. That night she started feeling fatigued, developed a headache, had some body aches and chills that lasted through the following day, then symptoms resolved. One week later on 4/14 she developed severe bilateral joint pain, specifically in bilateral shoulders, elbows, and knees- to the point where she could barely walk. She was also very fatigued and had chills. This lasted through the following day and started to subside, but then noticed small, papular lesions scattered across chest and arms. The lesions are itchy, small- 1-2 mm, and follow no particular pattern. She states that today her symptoms have overall improved other than the small itchy bumps. Denies any headache, abdominal pain, joint pain, fever, chest pain, shortness of breath, or redness/swelling of extremities.


VAERS ID: 1230489 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Paraesthesia oral, Rash
SMQs:, Anaphylactic reaction (broad), 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: sertraline 25 mg, multivitamins, vit c 500mg, allegra 180mg
Current Illness: none
Preexisting Conditions: none
Allergies: dailry, egg, tree nuts, glutein, levaquin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash on upper body, lips and tongue tingling, patient took Benadryl and used hydrocortisone 1%


VAERS ID: 1230621 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Headache, Hypoaesthesia, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

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

Write-up: Right leg numb and tingling for 3 days, headache for 1 week, stomach ache, joint pain.


VAERS ID: 1230777 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Computerised tomogram normal, Ear congestion, Facial pain, Fatigue, Feeling abnormal, Full blood count normal, Headache, Palpitations, Pyrexia, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin sr 150mg Iron 25mcg
Current Illness: None
Preexisting Conditions: None
Allergies: Naproxen Cipro Vanillian
Diagnostic Lab Data: Cbc, ct scan, chest x-ray. All "normal"
CDC Split Type:

Write-up: Bad headache, right side of face pain, vision issues, chest pain, blocked right ear, went to er, did tests "all ok". 5 days later and still feel awful everyday. Minor to moderate headaches, low grade fever, minor chest pain, heart racing, fatigue, brain fog.


VAERS ID: 1230935 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / N/A - / -

Administered by: Work       Purchased by: ?
Symptoms: Chills, Headache, Hot flush, Hypoaesthesia oral, Tinnitus
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (narrow)

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

Write-up: headache, chills, hot flashes, jaw numbness, tinnitus


VAERS ID: 1230938 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fall, Pain in extremity, Peripheral swelling, X-ray
SMQs:, Cardiac failure (broad), Angioedema (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: The patient is a 76 y.o. female evaluated for three days of left ankle pain and swelling status post mechanical GLF. Patient''s XR imaging has resulted prior to my evaluation and shows no evidence of bony injury. Findings were discussed with the patient. I feel that she is appropriate for discharge at this time and the patient is comfortable with this plan. She has been provided with an ankle brace and a prescription for tramadol given her allergies. The patient has also been advised to follow up with her PCP for further evaluation. Home care instructions and return precautions were discussed prior to discharge
CDC Split Type:

Write-up: The patient is a 76 y.o. female who presents to the Emergency Department with three days of left ankle pain and swelling status post mechanical GLF. Patient reports that she fell onto her left side three days ago. She is not anticoagulated and denies striking her head or any LOC. Since then she has had constant dull left ankle pain which is acutely worsened with ROM and weight bearing. Patient reports a history of fracture to this ankle. Patient notes that she is able to shuffle when wearing her compression stocking, but this elicits pain. She has pain radiating up her LLE, into her buttocks, and up her back "all the way to my neck." Patient has not taken any pain medications symptomatically. Patient reports feeling chills last night.


VAERS ID: 1231380 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Fatigue, Headache, Hyperhidrosis, Injection site pain, Nausea, Pain, Pyrexia, Sleep disorder, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, multivitamins, tylenol, homeopathic Oscillococcinum.
Current Illness: A few sinus headaches.
Preexisting Conditions: Sinus allergies, kidney stones, diverticulosis.
Allergies: Ibruprofen
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Woke up at 2am (approx 14 hrs after vaccine) with bad chills/shaking/sweating, fell asleep for a few hours then woke up feverish, bad headache, major bodyaches, nauseous with throwing up throughout the day, fatigue, weakness and sore arm at injection site so I slept most of the day in general, in between sickness. 2nd day after vaccine, April 15th I woke up with still a bad headache, bodyaches, nauseous, and sore arm. Headache subsided that night. April 16th I still was nauseous most of day and sore arm. Took extra strength tylenol a couple times on April 13th, 14th and 15th.


VAERS ID: 1231416 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-12
Onset:2021-04-14
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Rash
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC Fish oil capsules OTC Vitamin D 2000 IU
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Tiny red spots in various sites of body New and easy bruising


VAERS ID: 1231428 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / -

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Hypoacusis, Pain
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: I will do my hearing test 2:20pm 04/22/2021
CDC Split Type:

Write-up: I got 2nd shot on 10 am 04/13/2021 I feel o.k during date time. I am getting tire a little around 6pm. I cam back take later dinner around 9 pm. I feel like have a cold after 10:30pm I drink a lot and went to bed almost midnight. While I was sleeping, my body aches and hurts. I almost wake up 9:30 am. then I felt some strange I can not hear well from my left ear. Even I could not take phone using my left ear because I can not hear well what they said. I thought it will be better because it might by vaccine and i am tire However, this Symptom did not got away. I heard some noise from my ear and I can only heard sound around 10% comparing with normal hearing I reported my medical doctor on Wed night and I communicate with him by phone 2:30 pm 04/14/2021. He recorded my symptom. and I have schedule to check my hearing test on 2;20pm 04/22/2021


VAERS ID: 1231435 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cephalexin /
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: All teste results the doctor said were normal.
CDC Split Type:

Write-up: Numbness on Face , arms and legs mouth , neck. tingling sensation in many areas of the body ( Diagnosis) Paresthesia They prescrbed Methylprednisolone tablets USP 4MG.


VAERS ID: 1231785 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Hawaii  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Skin discolouration
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429147

Write-up: BLACK SPOT INSIDE THE LEFT SIDE OF THE CHEEK (INSIDE); This spontaneous report received from a patient concerned a 50 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: 043A21A, and batch number: 043A21A expiry: /6/2021) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced black spot inside the cheek. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from black spot inside the cheek. This report was non-serious.


VAERS ID: 1231997 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Maalox, Multi-Vitamin, Baclofen, Norco
Current Illness: None
Preexisting Conditions: COPD, Bronchitis, Insomnia, Anemia, Colostomy, Emphysema
Allergies: None
Diagnostic Lab Data: Doppler on 4/14/2021
CDC Split Type:

Write-up: He developed a blood clot in his right arm.


VAERS ID: 1232026 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Biopsy skin, Blood culture negative, Blood immunoglobulin A, Cutaneous vasculitis, HIV test negative, Hepatitis A antibody negative, Hepatitis B antibody negative, Hepatitis C antibody negative, Purpura, Rash, Rheumatoid factor positive, Serum ferritin increased, Treponema test
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Vasculitis (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Warfarin
Current Illness: None
Preexisting Conditions: Aortic valve replacement with mechanical bi-leaflet prosthesis, stroke, high blood pressure, hyperlipidemia
Allergies: Gabapentin Ibuprofen
Diagnostic Lab Data: Negative: HIV, hepatitis panel, cryoglobulins, ANA, ANCA, HIT panel, blood cultures Within normal range: IgA, C3, C4, Ferritin Elevated: Rheumatoid factor (however negative CCP antibodies) Positive: Syphilis Abs (however negative RPR) Skin biopsy consistent with leukocytoclastic vasculitis
CDC Split Type:

Write-up: Painful and itchy purpuric rash involving arms, legs, and lower abdomen which started one week after receiving J&J vaccine. A skin biopsy confirmed leukocytoclastic vasculitis. An extensive work-up was performed and was non-revealing for the most part. Rheumatology and Dermatology believed rash was caused by recently administered vaccine. Patient was started on Prednisone 60 mg daily along with Triamcinolone cream and pain medications. His rash and pain gradually improved and he was discharged 6 days later on an oral Prednisone taper.


VAERS ID: 1232266 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-25
Onset:2021-04-14
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Angiogram normal, Anion gap, Blood creatinine increased, Blood glucose normal, Blood urea increased, Computerised tomogram head normal, Diarrhoea, Dizziness, Glomerular filtration rate decreased, Headache, International normalised ratio increased, Magnetic resonance imaging normal, Neurological examination, Prothrombin time prolonged, SARS-CoV-2 test negative, Scan with contrast normal, Urine analysis normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver-related coagulation and bleeding disturbances (narrow), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: macrobid 100 mg lidocaine 4% patch imitrex 100 mg calcium-vitamin D 500 $D nifedical XL 30 mg propranolol HCL 120 mg Omeprazole 20 mg BID colace 100 mg paxil 30 mg daily lipitor 20 mg xyzal 5 mg asa 81 mg wellbutrin 150 mg relpax 40 mg flon
Current Illness: HSV 1 infection HSV 2 infection
Preexisting Conditions: Depression ? Dyslipidemia ? Environmental allergies ? Esophageal reflux ? Migraine ? MS (multiple sclerosis) ? Normal coronary arteries ? OSA (obstructive sleep apnea) PVD
Allergies: cefuroxime - diarrhea cipro - rash dilaudid - rash morphine- seizure vicodin - sedation
Diagnostic Lab Data: MRI 4/18 without contrast - no evidence of acute infarct CT angio - head - no acute pathology negative COVID -19 PCR CMP with glucose 108, BUN 23, creatinine 1.14, eGRF 49, anion gap 8 - all other values WNL Prothrombin time 20.3/INR 2.0 U/A - negative CBC with diff - wnl except noncyte absolute count of 1.04
CDC Split Type:

Write-up: presentation to the ED on 4/17 with intractable HA & dizziness x3 days. Pt with MS. Normal & nonfocal neurologic exam. Given her use of Coumadin with described severe headache, head CT was obtained. This did not reveal any acute pathology. Patient was treated with a combination of IV fluids, IV Reglan, IV Benadryl, oral Valium, scopolamine patch, IV Haldol, IV magnesium, IV Decadron for combined dizziness and headache. She reported complete resolution of headache thereafter. She was able to ambulate midway through her emergency department visit but later reported intractable dizziness for which she felt uncomfortable being discharged. As such, general medicine was contacted for observation admission to obtain MRI to rule out posterior infarct and continue treatment for her intractable dizziness. MRI obtained 4/18 with and without contrast showed no evidence of acute infarct and no evidence of active demyelinating lesions. Findings compatible with known history of multiple sclerosis with supratentorial demyelination. There was no of opacified right maxillary sinus for which she will continue Flonase. Patient was seen by physical therapy who felt she was safe for discharge as she was able to ambulate independently without persistent dizziness. PT and Care Management arranged for in-home physical therapy 3-5 times per week. Prescriptions for Antivert and Zofran provided for presumed peripheral vertigo. Did discuss the possibility of current symptoms being related to Janssen COVID 19 vaccination on March 25th, although I did convey this seemed unlikely to patient and her brother. Patient is to follow up with her primary care doctor and was provided strict return precautions. in 4/20/21 phone call f/u with RN Care Manager pt reports ongoing dizziness, headaches including new onset diarrhea. PCP informed


VAERS ID: 1232316 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Chest discomfort, Vein disorder
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Naproxen, Amlodipine Besylate, Quinapril-Hydrochlorothiazide, Potassium Chloride ER, Atorvastatin Calcium, Aspirin 81, Metformin HCL
Current Illness:
Preexisting Conditions: Type 2 Diabetes, Hypertension, High Cholesterol
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tightness in the left breast several days. Thick palpable cord/ inflammation of vein.


VAERS ID: 1232911 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Arthralgia, Erythema, Gait disturbance, Gout, Joint swelling, Musculoskeletal stiffness, Pain, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: 1 week after receiving the vaccine, what I believe to be a gout flare started in my right foot. The joint of my big toe became very swollen and red, painful to the touch and the rest of the front part of my foot also became swollen. It was difficult to walk or even put pressure on it for 5 days and I treated it with ice, elevation and 600 mg ibuprofen 3X/day. Symptoms are starting to resolve , but the joint is still swollen and red, though the pain is subsiding. I am able to walk with a normal gait, though there is still stiffness and some pain.


VAERS ID: 1233370 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Chills, Lymph node pain, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Fur, grass, dust.
Diagnostic Lab Data: Video appointment with doc on 4/8. Advised to stay hydrated and have Zyrtec. Applied calamine lotion of own volition. Sent updated pics to doc on 4/19. Advised Ceterizine 10mg daily and Triamcinolone 0.1% ointment.
CDC Split Type:

Write-up: Severe pain in lymph nodes under left arm for 3-4 hours after vaccine Fever for 36 hours after vaccine Chills to date Red raised warm rash on chest a week later Rash itchy and spread to back, neck, hips, legs and arms despite antihistamines (benadryl, zyrtec)


VAERS ID: 1233439 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Decreased appetite, Dizziness, Dyspepsia, Eosinophil count decreased, Fatigue, Head discomfort, Headache, Nausea, Pain in extremity, Photophobia, Platelet count normal, Rash, Rash erythematous, Skin warm, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 105mg NP Thyroid daily
Current Illness: None
Preexisting Conditions: Under active Thyroid but controlled w NP Thyroid meds
Allergies: None known
Diagnostic Lab Data: Negative STAT ultrasound at ER, normal platelet levels, yet low eosinophils
CDC Split Type:

Write-up: Not too many adverse symptoms the day of and after vaccine... tired at times and sensitivity to light but continued to eat and helped w energy. Also, warm left side of neck and slight red rash. Not expecting to have leg pain in my calf 6 days later then moved to quad muscle and entire left leg felt achy. CDC at this point said to check out any leg pain. Pain was not severe but bothersome... had STAT ultra sound at ER on day 7, turned out negative for blood clots. Returned to my physicians office day 8... still not feeling right with more of a rash on left side of neck and warm to the touch. Tired and slightly light headed and slight pain in left upper chest. Digestion not the best starting day 5 thru 10. Blood test returned normal for platelet levels but low eosinophils... either allergies or body is fighting the vaccine and creating antibodies (most likely). No known allergies besides maybe skin reaction to Timothy Bluegrass. Moderate headache day 9 and 10 which made me more fatigued (pain on both sides of head above ears and temples)... normally I do not get headaches. Also, loss of appetite or feeling slight nauseous on day 8, 9, and 10 after the vaccine. Now on day 11 and 12.. feeling better but still not quite right. Lightheaded and feeling fullness in head but more energy than day 9 and 10 by far. Never heard of people having symptoms after day 1 or 2 of the vaccine, so obviously I think this should be more documented for patients especially after blood clotting as a possibility 6 days after the vaccine.


VAERS ID: 1233607 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: calcium,vitamin D, probiotic and levothyroxin
Current Illness: none
Preexisting Conditions: hypothyroidism
Allergies: penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: cold painful toes and numb and tingly finger tips and forearm.


VAERS ID: 1234221 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Eye infection, Eye swelling, Influenza A virus test, Influenza B virus test, Oropharyngeal pain, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Ocular infections (narrow), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu shot in 2014 with similar reaction to this one
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: SARS-CoV-2 Influenza A Influenza B
CDC Split Type:

Write-up: 9 days after receiving vaccine started experiencing sore throat, swollen / infected eyes, bronchial irritation that progressively worsened. Went to dr after 5 days and tested for COVID which was negative. Symptoms continue to worsen. I have not been sick in over 5 years.


VAERS ID: 1235435 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Shingles was confirmed by dr. as my diagnosis today, 4/20/21, urgent care
CDC Split Type:

Write-up: Shingles. I had chicken pox as a 5 year old and the vaccine didn''t exist at that time. I''ve never before had a shingles outbreak but got my first one a week after the Janssen COVID-19 vaccine. No other logical explanation other than it being triggered by the shot.


VAERS ID: 1235600 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamin (as recommended), vitamin D3 (1000 IUs per day), occasional vitamin B12 as needed.
Current Illness: None
Preexisting Conditions: Pericarditis (from some virus that inflamed the heart/heart lining interface) at age 22 (2007). The condition and symptoms took me out of college classes for a quarter, and I was put on anti-inflammatory meds for a few months. It took ~1yr to fully recover from painful symptoms.
Allergies: Slight allergy to dairy
Diagnostic Lab Data: None. Incident was onetime occurrence, and subsided.
CDC Split Type:

Write-up: Woke up at 2:15am with a deep heart pain reminiscent of my pericarditis symptoms back in my early 20s. Pain lasted a few minutes, I drank some water, and went back to bed 20 minutes later.


VAERS ID: 1235604 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Cough, Dizziness, Dyspnoea, Fatigue, Injection site pain, Pain, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: after vaccination- took Tylenol, Advil, Benadryl
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 1. injection site pain 6. cough 2. throat itchiness 7. dizziness 3. generalized aches 8. hard to breath 4. joint pain 5. tiredness


VAERS ID: 1235630 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Blood test, Decreased appetite, Fatigue, Feeling cold, Headache, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative, Sleep disorder
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: RESPIRATORY PATHOGEN PANEL WITH COVID-19 All tests negative
CDC Split Type:

Write-up: 12 hours after my 2nd dose of Moderna I felt somewhat nauseated and my abdomen felt sore. 18 hours after 2nd dose I started running a low fever of 100.7. The following day my fever jumped to 102.6 at 2pm and fever continued to return every 3 to 4 hrs. My abdomen aches when I have fever. The following day (Friday night) I went to sleep at 10:30 with a fever of 101, rooks some Tylenol and woke up at 12:30 to a 104.3 fever and severe chills. It took two hours, a cold bath and 4 Advil gel capsules to bring fever down to 101.5. This fever has continued and I still currently have a high fever, all day every day, every 3 to 4 hours. My body is somewhat achy and I have mild to medium headaches off and on. I met with a nurse practitioner and she ordered a RESPIRATORY PATHOGEN PANEL WITH COVID-19. I tested negative for all viruses. I am managing the fever by setting alarms on my phone for every 3-4 hours so I don?t forget to take a fever reducer. It?s a total nightmare. When will it end? My appetite is also v small and I am weak. I am truly exhausted from this unending high fever.


VAERS ID: 1235657 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Fibrin D dimer, Full blood count, Limb discomfort, Oral mucosal blistering, Pain in extremity, Rash erythematous, Ultrasound Doppler, Venogram
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Ulcerative Colitis
Preexisting Conditions:
Allergies: HKDA
Diagnostic Lab Data: ROS HEENT: no runny nose, no eye pain, no ear pain CV: no chest pain, no palpitations Resp: no shortness of breath, no cough, no pleurisy Abd: no abdominal pain, no N/V/D, no hematur Abd: no abdominal pain, no N/V/D, no hematuria/dysuria MSK: no joint pain, no joint swelling, no back pain PE Gen: A&Ox4, NAD, speaking in full sentences HEENT: 4mm PERRLA EOMI with conjugate gaze, no facial trauma, no AOM/OE/Ludwig''s, no cervical adenopathy CV: S1/S2 RRR no MRG Pulm: CTA all fields, no dyspnea, unlabored respirations GI: no focal TTP, no peritoneal signs MSK: moving all extremities equally 5/5 strength, no deformities, no joint effusions Neuro: CN 2-12 intact, cerebellar intact, DTR 2/4 bilat patellar, no clonus Labs: Dimer: 3.4 CBC: unremarkable Chem: unremarkable Rad: US RLE: EXAMINATION: US, EXTREMITY (DUPLEX-UNILATERAL) FINDINGS: Sonographic images of the deep veins of the right lower extremity were obtained both with and without compression. The veins compress normally. Doppler pulse waves are normal, including with augmentation. IMPRESSION: No evidence of deep venous thrombosis. Transcribed Date and Time: 04/20/2021 14:21:00 Dictated and Signed by: DR CT Venogram: Comparison: None. Technique: Helical CT images from skull base to vertex after the administration of intravenous contrast in the arteriovenous phase. Coronal and sagittal reformations provided. Findings: There is a large CSF containing space within the right anterior temporal region, most consistent with an arachnoid cyst. No mass effect, edema or shift of midline structures. There is no evidence of a filling defect within the visualized dural venous sinuses. No abnormal areas of enhancement. The visualized calvarium and skull base are unremarkable for technique. Impression: Unremarkable CT head with IV contrast. Transcribed Date and Time: 04/20/2021 14:51:00 Dictated and Signed by: DR.
CDC Split Type:

Write-up: Pt developed Red rash on neck and blister in mouth about 6 days after vaccine administration recieved JJ vaccine 08 APR 2021. reports pressure/pain to bottom of both feet and pain to back of both calves R worse than left.


VAERS ID: 1235675 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (Historical condition not reported.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Unconscious in shower/Eyes rolled back in head; Hot and sweaty; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Unconscious in shower/Eyes rolled back in head) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (Historical condition not reported.). On 14-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Unconscious in shower/Eyes rolled back in head) (seriousness criterion medically significant), FEELING HOT (Hot and sweaty) and EYE MOVEMENT DISORDER (Eyes rolled back in head). At the time of the report, LOSS OF CONSCIOUSNESS (Unconscious in shower/Eyes rolled back in head), FEELING HOT (Hot and sweaty) and EYE MOVEMENT DISORDER (Eyes rolled back in head) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1236186 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Paranasal sinus discomfort
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427627

Write-up: SINUS PRESSURE; STOMACH PAIN; HEADACHE; This spontaneous report received from a patient concerned a 72 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 14-APR-2021, the subject experienced sinus pressure. On 14-APR-2021, the subject experienced stomach pain. On 14-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, sinus pressure, and stomach pain. This report was non-serious.


VAERS ID: 1236269 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428771

Write-up: NUMB LEFT CHEEK; This spontaneous report received from a patient concerned a 49 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, and batch number: UNKNOWN expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. No concomitant medications were reported. On 14-APR-2021, the subject experienced numb left cheek. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from numb left cheek. This report was non-serious.


VAERS ID: 1236274 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Rash
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428793

Write-up: RASH ALL OVER THE BODY; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced rash all over the body. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of rash all over the body was not reported. This report was non-serious.


VAERS ID: 1236357 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac murmur, Chills, Confusional state, Diarrhoea, Dyspepsia, Headache, Hyperacusis, Hyperaesthesia, Injection site pain, Injection site swelling, Nausea, Pain, Pyrexia, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Pseudomembranous colitis (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE]
Current Illness: Drug allergy; Heart murmur
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429221

Write-up: CHILLS; NAUSEA; HEADACHE; PAIN AT INJECTION SITE; SWELLING AT INJECTION SITE; VOMITING; DIARRHEA; CONFUSION; MILD BODY ACHE; NOISE SENSITIVITY; FEVER; BURNING SENSATION IN STOMACH; VOMITED BILE AND FOAM; NOT STAY AWAKE; SLIGHT HEART MURMUR; SENSITIVE BODY; This spontaneous report received from a patient concerned a 50 year old female. The patient''s weight was 160 pounds, and height was 62 inches. The patient''s concurrent conditions included heart murmur, and sulfa allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 13:50 for prophylactic vaccination. Concomitant medications included pantoprazole sodium sesquihydrate for heart murmur. On 14-APR-2021, treatment medications included: bismuth subsalicylate. On an unspecified date, the subject experienced chills, nausea, headache, pain at injection site, swelling at injection site, vomiting, diarrhea, confusion, mild body ache, noise sensitivity, fever, burning sensation in stomach, vomited bile and foam, not stay awake, slight heart murmur, and sensitive body. Additional treatment medications (dates unspecified) included: paracetamol, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from noise sensitivity, vomited bile and foam, not stay awake, and slight heart murmur, and had not recovered from chills, nausea, headache, pain at injection site, swelling at injection site, vomiting, diarrhea, confusion, mild body ache, fever, burning sensation in stomach, and sensitive body. This report was non-serious.


VAERS ID: 1236988 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad)

Life Threatening? 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: diclofenac
Current Illness:
Preexisting Conditions: rosacea sleep apnea
Allergies: erythromycin peanuts sulfa tree nuts
Diagnostic Lab Data: Venous doppler
CDC Split Type:

Write-up: Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity


VAERS ID: 1237338 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-02
Onset:2021-04-14
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test, Chest X-ray, Chest pain, Electrocardiogram, Erythema, Inflammation
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG 4/15 Blood Test 4/15 Chest X-ray 4/15
CDC Split Type:

Write-up: Pain in chest and back began on Wednesday 4/14. What started out feeling like an uncomfortable pulled muscle in my back/chest area on Wednesday escalated rapidly to very sharp stabbing pains in my chest and back by Thursday afternoon 4/15. After discussing my symptoms with the office of my PCP Thursday afternoon, I was told to go to the Emergency Room for evaluation. I checked into the ER at approx 6pm that Thursday evening on 4/15. While there I underwent a blood test, EKG and a chest Xray. Upon evaluating the results of each test the Dr on assignment stated that there were no problems with major organs but could not diagnose. Small red marks began developing on the right side of my chest that same day and progressively expanded in quantity across the right side of my chest and back. A follow-up visit with my PCP was completed on Tuesday 4/20 and the diagnosis of Shingles was confirmed. Pain has not subsided and has only gotten worse as of 4/21. Prescription treatments began the evening of 4/20.


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