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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 38 out of 1,889

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VAERS ID: 1237343 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Muscle spasms
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (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: None
Current Illness: Mild Carpel Tunnel
Preexisting Conditions: None
Allergies: Sulfa and Pennicilin
Diagnostic Lab Data:
CDC Split Type:

Write-up: One week after shot, ongoing Leg cramps, abdominal cramps (not pain) taking Advil


VAERS ID: 1237651 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram head abnormal, Magnetic resonance imaging head normal, Thrombosis, Venogram abnormal
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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: warfarin
Current Illness:
Preexisting Conditions: Primary hypercoagulable state (HCC)
Allergies:
Diagnostic Lab Data: 4/14 CT Venogram Head: "nonocclusive appearance of filling defect in left transverse sinus could represent a small nonocclusive thrombus" 4/14 MRI Brain: "no mr evidence of dural venous sinus thrombosis 4/15 CT Venogram Head: "no change in size or appearance of the irregular nonocclusive filling defects involving the left transverse and sigmoid sinuses"
CDC Split Type:

Write-up: Possible cerebral venous sinus thrombosis


VAERS ID: 1237963 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I have had a headache ever since receiving the shot over 2 weeks ago.


VAERS ID: 1238279 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Kentucky  
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 - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure fluctuation, Blood pressure increased, Computerised tomogram, Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: CT Scan - April 16, 2021 - No hemorraging Further Tests pending
CDC Split Type:

Write-up: Sever Uncontrollable Headache, Elevated and erratic blood pressure (186/101) for 7 days followed by Moderate- Bad headache with severe nausea and lightheadedness, erratic blood pressure,, still ongoing


VAERS ID: 1238390 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-15
Onset:2021-04-14
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Janssen Covid vaccine was received on 3/15. On April 14th, the female teenager began experiencing symptoms that felt like a severe cold. Out of an abundance of caution she scheduled a Covid test on April 16th. Despite wearing a mask and social distancing where possible, she was exposed for a very short period of time to another student who tested positive. The female teenager received a positive test result on April 19th and continues to experience symptoms that have gotten more severe in nature.


VAERS ID: 1238882 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: New Mexico  
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 1808978 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ischaemic stroke
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Olmasartan,Tamsulosin,Metoprolo9,Lumigan,Alphagan
Current Illness: N/A
Preexisting Conditions: Severe Glaucoma, HTN, BPH
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Caregiver called and sai he suffered from three Ischemic stokes 12 days after recieving the vaccine. Spent a few days in the hospital but recovining with no significant deficiets.


VAERS ID: 1238916 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-06
Onset:2021-04-14
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1082068 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Cerebral venous sinus thrombosis, Headache, Jugular vein thrombosis, Magnetic resonance imaging head abnormal, Platelet count decreased, Syncope, Venogram abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Hypotonic-hyporesponsive episode (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nifedipine, labetalol, furosemide, spironolactone, pravastatin
Current Illness:
Preexisting Conditions: DM2, HTN, HLD, HCV cirrhosis, CKD3
Allergies: Lisinopril
Diagnostic Lab Data: Platelet count on 4/13: 130 k/uL Platelet count on 4/14: 131 k/uL Platelet count on 4/15: 109 k/uL then later 125 k/uL No PF4 or SRA tests completed.
CDC Split Type:

Write-up: Pt has a history of DM2, HTN, HLD, HCV cirrhosis (sp treatment, Child Pugh A), CKD3 with baseline Cr 1.5 who presented to the ER after a syncopal episode and with headaches. She has no history of a positive COVID test. She reported receiving the J&J vaccine on 3/6 and reports headaches since then. She also had a syncopal episode that prompted her presentation to the ED. She underwent MRV of the brain looking for sinus thrombosis. The brain portion was normal but she was found to have a LIJ thrombus. She denies prior history of VTE. It is overall unclear if this thrombus is related the her symptoms, to the vaccine, or completely incidental. Pt was started on a heparin drip in the hospital...


VAERS ID: 1239027 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Tooth infection, Toothache
SMQs:, Osteonecrosis (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: Seasonal flu vaccine, in October 2020
Other Medications: none
Current Illness: none known at the time, but see vaccination effect
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: The vaccination uncovered an ongoing, hitherto silent infection: after a few days, my teeth started hurting, with the pain intensity increasing over two days to the point where I had to see a dentist. It turned out I had a molar that was infected and needed a root canal. The immune response from the vaccine probably caused my body to react to the tooth infection as well. I normally wouldn''t put the two things together, but I had a very similar reaction a few days after my flu vaccine back in October: sensitive teeth, wandering pain in different parts of my head, neck, and shoulder area. At that time, the dentist didn''t find anything (although we now know it was probably the start of that same tooth becoming infected and dying), and antibiotics took care of it. The root canal specialist I saw, the dr, said she is seeing a number of similar cases in her patients, where vaccinations bring out undetected problems. I actually consider that a good thing - I wouldn''t want to have a rotting tooth that goes unnoticed for a while.


VAERS ID: 1240045 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Oregon  
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 203A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Blood test, Dizziness, Dyskinesia, Electrocardiogram, Fatigue, Headache, Heart rate increased, Hypoaesthesia, Limb discomfort, Muscular weakness, Paraesthesia, Pyrexia, Urine analysis, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None i''m aware of
Preexisting Conditions: Slight tinitus. Some toenail fungus. Nothing serious
Allergies: None i''m aware of
Diagnostic Lab Data: I would have to check over my ER visit records. They took multiple blood tests and tested urine. EKG monitor. Lung scan. MRI on my brain. Keeping in mind that this was all within hours of my initial adverse reaction. From my understanding, all tests returned fairly normal results for a healthy 43 y/o male, so they were not immediately concerned that this was vaccine related. But my sysmptoms persist off and on and it has been a full week since the initial reaction.
CDC Split Type:

Write-up: I received the shot on 4/10. First 24 hours I had a slight fever and headache. Treated with Acetaninophhen. Since that time, I had relatively mild symptoms 4/11 - 4/13. Mostly fatigue. On 4/14, I had a sudden increase in heart rate, dizziness, tingling sensation in all arms and legs and weakness in my limbs/grip. This prompted me to visit the ER. They ran numerous blood tests amd scans on me but found no abnormalities. Various unusual symptoms have continued to persist since 4/14. For brief moments I feel fine. At other times I have experience fatigue, diziness/vertigo, rapid heart rate, pins and needles feeling in my left hand and left leg. Left leg numbness/tightness and heaviness. The fingers on my left hand sometimes move involuntarily. And my anxiety has also gone up during this time. Tonight it has migratee to my left foot, where I have numbness in several of my toes. I''m looking for advice. Should I be concerned? Should these symptoms still be occurring 11 days after receiving my shot? It has been very distressing and there seem to be very few people who have knowledge on this subject. My care providers keep saying to self monitor and contact them if symptoms worsen. The problem is symptoms don''t necessarily worsen, they just migrate from one area of my body to another. The numbness comes and goes in maybe 1-2 hour intervals.


VAERS ID: 1240175 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth, Pain, Pain in extremity
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram, vyvanse, hydrochlorothiazide
Current Illness: None
Preexisting Conditions: Allergic asthma, overweight, (controlled) hypertension
Allergies: Penicillin, shellfish
Diagnostic Lab Data: None yet
CDC Split Type:

Write-up: Had soreness in arm in first few hours. About 12 hours later (next morning) had full body pain that lasted about 1.5-2 days. Arm at injection site swelled up about the circumference of a small grapefruit, was firm and was warm to the touch but was not red yet. About day 4 I noticed it was a bit red and still swollen about the same size. Was also slightly painful and occasionally itchy. By day 6 it was obviously red and swollen, same size in diameter. Still hot to the touch and occasionally itchy. I?m starting day 10 now (shot was afternoon of 4/12. Now midnight 4/22) and still have large, red swollen lump that?s warm to the touch and firm. Less itchy and painful but still mildly so.


VAERS ID: 1240691 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427338

Write-up: FEELING WARMTH IN LEFT LEG/BOTH FEET/HANDS; This spontaneous report received from a patient concerned a 43 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced feeling warmth in left leg/both feet/hands. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling warmth in left leg/both feet/hands. This report was non-serious.


VAERS ID: 1240917 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site bruising, Injection site exfoliation, Injection site pain, Injection site rash, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428981

Write-up: INJECTION SITE BRUISE (2 INCH IN SIZE); SKIN PEELING AT THE INJECTION SITE; RASH ON INJECTION SITE; INJECTION SITE TENDER; FEVER; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and expiry: UNKNOWN) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. O n 14-APR-2021, the subject experienced injection site bruise (2 inch in size). On 14-APR-2021, the subject experienced skin peeling at the injection site. On 14-APR-2021, the subject experienced rash on injection site. On 14-APR-2021, the subject experienced injection site tender. On 14-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 14-APR-2021, and had not recovered from rash on injection site, injection site tender, injection site bruise (2 inch in size), and skin peeling at the injection site. This report was non-serious.; Sender''s Comments: V0:As per standard protocol, MAC comment not required for non -serious cases


VAERS ID: 1240940 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430057

Write-up: DIARRHEA; This spontaneous report received from a patient concerned an 81 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin allergy, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient experienced drug allergy when treated with morphine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 14-APR-2021, the subject experienced diarrhea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea on 14-APR-2021. This report was non-serious.


VAERS ID: 1240955 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pruritus, 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430323

Write-up: RED ITCHY BURNING BUMPS SPREAD TO HANDS AND LEGS; RED ITCHY BURNING BUMPS ON STOMACH; This spontaneous report received from a patient concerned a 58 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 14-APR-2021, the subject experienced red itchy burning bumps on stomach. On 15-APR-2021, the subject experienced red itchy burning bumps spread to hands and legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from red itchy burning bumps on stomach, and red itchy burning bumps spread to hands and legs. This report was non-serious.


VAERS ID: 1240978 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Swelling, Vascular pain
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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430773

Write-up: SORE VEIN NEAR LEFT COLLER BONE; COLLAR BONE AREA SWOLLEN; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 14-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the patient experienced sore vein near left coller bone. On 14-APR-2021, the patient experienced collar bone area swollen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the sore vein near left coller bone and collar bone area swollen was not reported. This report was non-serious.


VAERS ID: 1241023 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Urinary tract infection, Urine analysis
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: Urinalysis; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210431278

Write-up: URINARY TRACT INFECTION SYMPTOMS; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 14-APR-2021, the subject experienced urinary tract infection symptoms. Laboratory data included: Urinalysis (NR: not provided) Unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of urinary tract infection symptoms was not reported. This report was non-serious.


VAERS ID: 1241054 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient has no family history of thrombosis.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431723

Write-up: BLOOD CLOT IN LEFT CALF; This spontaneous report received from a patient and concerned a female of unspecified age. The patient was called to obtain additional information on 21-APR-2021 and message was left on a voicemail. The patient''s height, and weight were not reported. The patient has no family history of thrombosis. The patient does not have any underlying conditions. 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 13-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 blood clot in left calf. The patient noted that she did not have any underlying conditions or family history that may have made her more predisposed to this diagnosis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from blood clot in left calf. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: This spontaneous report concerns a female patient of unspecified age who experienced a blood clot one day after Janssen COVID-19 vaccine was administered for prevention of symptomatic SARS-CoV-2 virus infection. The patient''s height, and weight were not reported. The patient has no family history of thrombosis and has not reported any underlying conditions. No concomitant medications were reported. The patient did not provide details related to the blood clot, except it was not resolved at the time of the report. Given lack of alternative explanation and temporal plausibility the event is considered possibly related to Janssen COVID-19 vaccine.


VAERS ID: 1241058 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling cold, Hypoaesthesia, Pain in extremity
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Seasonal allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431768

Write-up: NUMBNESS IN LEG; PAIN IN ARM; HANDS FREEZING COLD; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included hypothyroid, and concurrent conditions included seasonal allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and batch number: 1805031 expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced numbness in leg. On 14-APR-2021, the subject experienced pain in arm. On 14-APR-2021, the subject experienced hands freezing cold. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from numbness in leg, pain in arm, and hands freezing cold on APR-2021. This report was non-serious.


VAERS ID: 1241061 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Intraocular pressure test, Ocular discomfort, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient''s race
Allergies:
Diagnostic Lab Data: Test Date: 20210415; Test Name: Intraocular pressure test; Result Unstructured Data: 1/10 pressure; Test Date: 20210415; Test Name: Intraocular pressure test; Result Unstructured Data: 2-3/10 pressure
CDC Split Type: USJNJFOC20210431793

Write-up: EYE PRESSURE; BLOODSHOT EYE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight was 179 pounds, and height was not reported. The patient''s pre-existing medical conditions included patient''s race. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021 21:00, the subject experienced bloodshot eye. On 15-APR-2021, Laboratory data included: Intraocular pressure test (NR: not provided) 2-3/10 pressure, 1/10 pressure. On 15-APR-2021 07:00, the subject experienced eye pressure. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from bloodshot eye, and eye pressure. This report was non-serious.


VAERS ID: 1241068 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431929

Write-up: HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 03-APR-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 headache. Treatment medications (dates unspecified) included: camphor/eucalyptus spp. oil/menthol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache. This report was non-serious.


VAERS ID: 1241169 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ear pain, Oropharyngeal pain, Productive cough, Rhinorrhoea
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy (Unsure to what she is allergic to.)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435847

Write-up: RUNNY NOSE; SORE THROAT; EAR PAIN; COUGHING UP WHITE PHLEGM; This spontaneous report received from a patient concerned a 68 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included unspecified allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced runny nose. On 14-APR-2021, the subject experienced sore throat. On 14-APR-2021, the subject experienced ear pain. On 14-APR-2021, the subject experienced coughing up white phlegm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from coughing up white phlegm, and had not recovered from runny nose, sore throat, and ear pain. This report was non-serious.


VAERS ID: 1241217 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Influenza, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Allergy; Lupus erythematosus; Non-smoker
Preexisting Conditions: Comments: no illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436236

Write-up: FLU SYMPTOMS; CHILLS "SHE WAS COLD"; DIARRHEA; VOMITING; LOSS OF APPETITE; FATIGUE; NAUSEA; This spontaneous report received from a consumer. The patient''s concurrent conditions included lupus, non smoker, abstain from alcohol, and allergy, and other pre-existing medical conditions included no illicit drug usage. The patient was previously treated with ergocalciferol, meloxicam, alprazolam, pantoprazole, gabapentin, hydroxychloroquine sulfate, rosuvastatin, and acetylsalicylic acid. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802072, and batch number: 1802072 expiry: UNKNOWN) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced loss of appetite. On 14-APR-2021, the subject experienced fatigue. On 14-APR-2021, the subject experienced nausea. On 15-APR-2021, the subject experienced diarrhea. On 15-APR-2021, the subject experienced vomiting. On 15-APR-2021, the subject experienced chills "she was cold". On an unspecified date, the subject experienced flu symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the diarrhea, vomiting, nausea, fatigue, chills "she was cold", loss of appetite and flu symptoms was not reported. This report was non-serious.


VAERS ID: 1241600 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Fatigue, Hot flush
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena, Acetaminophen, Elderberry, Tumeric Chaga
Current Illness:
Preexisting Conditions: Chronic Lyme
Allergies: NKDA, sensitivity to Sertraline
Diagnostic Lab Data: None as of April 22 am
CDC Split Type:

Write-up: I am typing with an update of a possible issue with my Janssen Covid vaccine. I received it on March 31, 2021. I did not have any immediate ill effects noted other than a out of severe fatigue April 3/4, which may or may not have been vaccine related. I had a temperature 2 degrees above my normal for less than 24 hours on April 8 (99.7F temporal). I am currently having hotflashes which are not my baseline. I am aware that I am the age when I could be showing signs of menopause. I am also aware that the Mirena does not stop the symptoms of menopause. That said, I am aware that there have been questions related to female fertility and hormonal changes with the vaccines. I feel my new symptom of hotflashes should be reported for that reason. The hotflashes started on April 14, and having been growing in times per day I experience them (I had six yesterday, April 21). I do not believe I am having any life threatening ill effects, and do not seek an appointment at this time, but wanted to file a report. Thank you.


VAERS ID: 1241915 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Full blood count, Glycosylated haemoglobin, Headache, Hemianopia, Ischaemic stroke, Lipids, Magnetic resonance imaging head abnormal, Venogram, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril 10 mg, Atorvastatin 40 mg
Current Illness: Developed severe headaches with blurred vision days after vaccine presented to Hospital twice before stroke noted on brain CT
Preexisting Conditions: hypertension, hyperlipidemia, migraines
Allergies: Penicillin, Cipro
Diagnostic Lab Data: Brain MRI, MRA, MRV, CBC. CMP, lipid panel, HgbA1c
CDC Split Type:

Write-up: Acute severe headaches and blurred vision after vaccine and acute ischemic stroke with resulting right hemianopsia


VAERS ID: 1242445 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart rate increased, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Have not gone to see a doctor yet.
CDC Split Type:

Write-up: Heart is beating fast for approx the past week. Wake up between 4-5 a.m. and can?t go back to sleep. On day of shot only had mild symptoms.


VAERS ID: 1242613 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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: vitamin and paroxetine
Current Illness: None
Preexisting Conditions: asthma
Allergies: Theophylline. blue cheese, and cinnamon
Diagnostic Lab Data: Urgent Care
CDC Split Type:

Write-up: shingles


VAERS ID: 1242798 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Blood count, Blood test, Fatigue, Hypoaesthesia, Injection site pain, Pain, Paraesthesia, Paranasal sinus discomfort, Sinus headache
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (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: Spironolactone 100mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood work on 4/22/21 to check my blood count including autoimmune, arthritis, and anemia.
CDC Split Type:

Write-up: After two weeks, the injection site is still sore, but mostly, my joints including wrists, knee, ankles are still extremely achy and throbbing persistently. I have experienced sinus pressure headaches as well. My legs and arms feel tingly and numb at times - more often my left side which is where I got injection. I feel weakness and fatigue most afternoons. My body didn''t feel this way before the vaccine and it seems as though my body hasn''t fully recovered from the shot and has flared up these symptoms. I feel all of a sudden that I have arthritis.


VAERS ID: 1243207 (history)  
Form: Version 2.0  
Age: 105.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Senior Living       Purchased by: ?
Symptoms: Anticoagulant therapy, COVID-19, Malaise, Pulmonary thrombosis, SARS-CoV-2 test positive
SMQs:, Embolic and thrombotic events, venous (narrow), Infective pneumonia (broad), Opportunistic infections (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? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, atenolol, hydroxyurea, latanoprost, paroxetine, furosemide, betaxolol, brimonidine, multivitamin, vitamin C, D,
Current Illness:
Preexisting Conditions: Leukemia, Undiagnosed Stomach Ulcers/Cancer, Asthma
Allergies: nka
Diagnostic Lab Data: positive Covid Test
CDC Split Type:

Write-up: pts granddaughter says she was not feeling well and a couple of weeks after taking the vax and had to call 911 on 4/16/2021. Paramedics took her to Hospital ER, in same city and state as patient, where she was admitted. She called her granddaughter 4/18/2021 and told her she had tested positive for Covid Virus while at the hospital and that she had a blood clot on her lung. She is being treated w/ a blood thinner.


VAERS ID: 1243299 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Human chorionic gonadotropin decreased, Maternal exposure before pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Beta HCG Test - Monday 4/12/21 - beta 65 Beta HCG Test - Wednesday 4/14/21 - beta 26 Beta HCG Test - Wednesday 4/21/21 - beta 2
CDC Split Type:

Write-up: I was 4 weeks and 3 days pregnant at time of Covid Vaccination. On Saturday 4/10 I began to spot lightly, and called my doctor on Monday morning, who recommended I come in for a blood test. I received a beta HCG blood pregnancy test Monday 4/12 and Wednesday 4/14. On Wednesday 4/14, I miscarried at 6pm.


VAERS ID: 1243473 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Muscle twitching, Musculoskeletal stiffness, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HRT combo patch Balcofen at night
Current Illness: none
Preexisting Conditions: Rheumatoid Arthritis
Allergies: sulfa drugs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Eye twitching, stiff neck, some tingling numbness in neck and face


VAERS ID: 1243531 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, alprazolam, Benadryl, Breo Ellipta
Current Illness:
Preexisting Conditions: COPD
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of breath that began Wednesday night (date of vaccine). Hx of COPD. Albuterol inhaler given and chest xray obtained. Pt d/c''d to home in stable condition


VAERS ID: 1243562 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Aphasia, Arteriogram carotid normal, Blood test normal, Cardiac stress test normal, Chest X-ray normal, Chest discomfort, Chest pain, Computerised tomogram head normal, Coordination abnormal, Dysarthria, Echocardiogram normal, Electrocardiogram normal, Fine motor skill dysfunction, Hemiparesis, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Magnetic resonance imaging spinal normal
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Montelukast 10mg, Atorvastatin 10 mg, Buedesonide inhaler, albuterol inhaler, zyrtec, coQ10, vitamin d3
Current Illness: none
Preexisting Conditions: Asthma, high cholesterol
Allergies: IV zofran, bees, stinging insects
Diagnostic Lab Data: 4/14/21 EKG, Blood draws, Chest xray 4/17/21 CT of the brain, blood work, EKG 4/18/21 MRI of the brain, MRA of the neck, Echocardiogram, blood work 4/19/21 MRI of the neck and spine, Stress test, blood work
CDC Split Type:

Write-up: On 4/14/21 I started having chest pain and pressure. I was seen in Urgent Care that day and an EKG, Chest xray, and lab work was preformed. Everything was normal and I was sent home to monitor. I continued having chest pain 4/14-4/17. On 4/17 I was having chest pain and then started having numbness in the left side of my face. I proceeded to have left sided weakness, difficulty speaking, slurred speech, and loss of motor skills. I was taken to the ER. They did a CT scan, blood work, and an ekg. All were normal. I was admitted to the hospital and they did MRI or the head, MRA of the neck, MRI of the neck and spine, Echocardiogram, Stress test, and further blood work. Everything came back normal. I saw Neurology inpatient and was discharged to follow up outpatient. I still have coordination difficulty and I do not have all of my motor skills back yet.


VAERS ID: 1243678 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Ecchymosis, Full blood count, Haematuria, Platelet count decreased, Reticulocyte count, Urine analysis
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Try-Estreylla
Current Illness: none
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data: CBC, urinalysis, reticulocyte count (4/14/2021)
CDC Split Type:

Write-up: Significant ecchymosis posterior legs and buttocks without trauma along with hematuria. Slightly low platelet count. Spontaneous resolution.


VAERS ID: 1243963 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-03-29
Onset:2021-04-14
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Vaccine on 3/29 leg pain 4/14 DVT seen on U/S 4/18


VAERS ID: 1244271 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head abnormal, Immune thrombocytopenia, Immunoglobulin therapy, Platelet count decreased, Subdural haematoma
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ibuprofen 600mg PO BID
Current Illness: none
Preexisting Conditions: Obesity, arthritis
Allergies: penicillins
Diagnostic Lab Data: Platelets 2000 4/14, Head CT 4/14: SDH of left frontal lobe Platelets 23K 4/15 after transfusion, 10mg dexamethasone q6h Platelets 48K 4/16 prior to starting IVIG. After 4 days of IVIG and dexamethasone, platelets recovered at 156K.
CDC Split Type:

Write-up: ITP with platelet count of 2K. Presented with subdural hematoma. Platelets recovered with dexamethasone 40mg PO daily and IVIG 400mg/m2 daily x 4 days. No further brain bleed.


VAERS ID: 1244815 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-21
Onset:2021-04-14
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cerebral haemorrhage, Communication disorder, Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 81 mg of aspirin daily
Current Illness: None
Preexisting Conditions: Polycystic kidney disorder, aneurysm
Allergies: None
Diagnostic Lab Data: Multiple CT scans, MRI, and blood samples.
CDC Split Type:

Write-up: Pt had a brain bleed on April 14th at approximately 2:00 in the afternoon and was emergency airlifted to Medical Facility. She stayed at hospital until April 21st. Pt is currently unable to read and recall information such as words, and her own birthday.


VAERS ID: 1244979 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blindness unilateral, Blood test normal, Headache, Magnetic resonance imaging normal, Mydriasis, Neuropathy peripheral, Pain, Sinus pain
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Clindamycin lotion form
Current Illness: None
Preexisting Conditions: Mild asthma
Allergies: None
Diagnostic Lab Data: MRI 4/17 MRI 4/19 results normal. Blood tests 4/17 including for white blood cells and blood sugar, normal. Eyes dilated 4/19 normal
CDC Split Type:

Write-up: Nueropathy (numbness weakness tingling) on right side. Loss of vision 30 minutes right side. Headaches, temple pain, sinus pain. Shots of random pain throughout body.


VAERS ID: 1245270 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Dizziness, Feeling hot, Flatulence, Flushing, Headache, Hypokinesia, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (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: Advair HFA Nasonex Zyrtec
Current Illness: Pleurisy Bronchitis
Preexisting Conditions: Asthma
Allergies: Celexa Cefzil Morphine Tramadol Singulair Omeprazole Clindamycin Doxycycline Penicillin Hydrochlorothiazide Theophylline Lexofloxacin Moxicycline Azithromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: I experienced an immediate reaction within minutes of getting the shot. Symptoms were a flush through my abdomen and then dizziness, lightheadedness. Felt like my motor skills were shutting down and was getting weakness like I was about to pass out. Although I have a lot of allergies to medication, I have NEVER had a reaction to a vaccine before. I was taken in for observation and this was reported. The day after the shot I woke up with a excruciating headache that last all day intermittently for five days with no relief from ibuprofen. Right leg throbbing pain and hot on second day. Third day had very severe pain in the abdomen like a lot of gas early in the morning while sleeping.


VAERS ID: 1245378 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Cold sweat, Feeling hot, Loss of consciousness, Mobility decreased, Nausea, Pain in extremity, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: She also passed out going to the bathroom twice.; Felt hot; Clammy; Feels very weak; Pain in left arm,; Difficulty moving left arm; Fever; chills; Nauseous; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (She also passed out going to the bathroom twice.) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No reported medical history). On 13-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (She also passed out going to the bathroom twice.) (seriousness criterion medically significant), FEELING HOT (Felt hot), COLD SWEAT (Clammy), ASTHENIA (Feels very weak), PAIN IN EXTREMITY (Pain in left arm,), MOBILITY DECREASED (Difficulty moving left arm), PYREXIA (Fever), CHILLS (chills) and NAUSEA (Nauseous). At the time of the report, LOSS OF CONSCIOUSNESS (She also passed out going to the bathroom twice.), FEELING HOT (Felt hot), COLD SWEAT (Clammy), ASTHENIA (Feels very weak), PAIN IN EXTREMITY (Pain in left arm,), MOBILITY DECREASED (Difficulty moving left arm), PYREXIA (Fever), CHILLS (chills) and NAUSEA (Nauseous) outcome was unknown. Treatment medication included acetaminophen. Action taken with m-RNA1273 in response to events is consider as not applicable. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1245421 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Hyperpyrexia, Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ATORVASTATIN; LISINOPRIL; LASIX [FUROSEMIDE]; NITROSTAT; BISOPROLOL; GABAPENTIN; SULFASALAZINE; VOLTAREN [DICLOFENAC DIETHYLAMINE]; ZANAFLEX; METHOTREXATE; REMICADE; RESTASIS; SUCRALFATE; CARBAMAZEPINE; ADVAIR; FOLIC ACID; VENTOLINE [SALBUT
Current Illness: Rheumatoid arthritis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: fever of 107.2°F; arm hurt; This spontaneous case was reported by a consumer and describes the occurrence of HYPERPYREXIA (fever of 107.2°F) in a 50-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. Concurrent medical conditions included Rheumatoid arthritis. Concomitant products included INFLIXIMAB (REMICADE) for Rheumatoid arthritis, ATORVASTATIN, LISINOPRIL, FUROSEMIDE (LASIX [FUROSEMIDE]), GLYCERYL TRINITRATE (NITROSTAT), BISOPROLOL, GABAPENTIN, SULFASALAZINE, DICLOFENAC DIETHYLAMINE (VOLTAREN [DICLOFENAC DIETHYLAMINE]), TIZANIDINE HYDROCHLORIDE (ZANAFLEX), METHOTREXATE, CICLOSPORIN (RESTASIS), SUCRALFATE, CARBAMAZEPINE, FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR), FOLIC ACID, SALBUTAMOL (VENTOLINE [SALBUTAMOL]), FLUOXETINE HYDROCHLORIDE (PROZAC), TRAZODONE, HYDROXYZINE, PANTOPRAZOLE, COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]), FERROUS SULFATE, MECLIZINE [MECLOZINE] and VALPROATE SEMISODIUM (DEPAKOTE) for an unknown indication. 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 HYPERPYREXIA (fever of 107.2°F) (seriousness criterion medically significant) and PAIN IN EXTREMITY (arm hurt). At the time of the report, HYPERPYREXIA (fever of 107.2°F) was resolving and PAIN IN EXTREMITY (arm hurt) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications included acetaminophen. The patient also used cold bath and Ice. Company comment:Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, excluding other etiologies causal relationship cannot be excluded. This case was linked to US-MODERNATX, INC.-MOD-2021-077761 (E2B Linked Report).; Sender''s Comments: Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, excluding other etiologies causal relationship cannot be excluded. US-MODERNATX, INC.-MOD-2021-077761:Mother


VAERS ID: 1245429 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Body temperature, Headache, Malaise, Pallor, Pyrexia, Renal failure, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Kidney failure
Allergies:
Diagnostic Lab Data: Test Name: body temperature; Result Unstructured Data: 101.5F
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: kidney failure; not feeling well; shaking; pale; weak; headache; 101.5F fever; This spontaneous case was reported by a consumer and describes the occurrence of RENAL FAILURE (kidney failure) in a 75-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 Kidney failure on 14-Apr-2021. On 14-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 2 dosage form. On 14-Apr-2021, the patient experienced RENAL FAILURE (kidney failure) (seriousness criterion medically significant), MALAISE (not feeling well), TREMOR (shaking), PALLOR (pale), ASTHENIA (weak), HEADACHE (headache) and PYREXIA (101.5F fever). At the time of the report, RENAL FAILURE (kidney failure), MALAISE (not feeling well), TREMOR (shaking), PALLOR (pale), ASTHENIA (weak), HEADACHE (headache) and PYREXIA (101.5F fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101.5f (High) 101.5F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Company Comment 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. Reporter did not allow further contact


VAERS ID: 1245443 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-11
Onset:2021-04-14
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030A21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Headache, Hypertension, Oedema peripheral, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DUPIXENT; CYMBALTA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No medical history was provided.)
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: Leg ultrasound; Result Unstructured Data: Causative extensive occlusive thrombus", DVT in the right leg starting from the groin going down to the foot
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: extremly high blood pressure; severe headache; DVT to right leg starting at the groin and going down to the foot; worsen edema with 4+and 5+ pitting edema in right leg; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of DEEP VEIN THROMBOSIS (DVT to right leg starting at the groin and going down to the foot) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031B21A and 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No medical history was provided.). Concomitant products included DUPILUMAB (DUPIXENT) from 09-Mar-2021 to 06-Apr-2021 and DULOXETINE HYDROCHLORIDE (CYMBALTA) for an unknown indication. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Apr-2021, the patient experienced DEEP VEIN THROMBOSIS (DVT to right leg starting at the groin and going down to the foot) (seriousness criterion medically significant) and OEDEMA PERIPHERAL (worsen edema with 4+and 5+ pitting edema in right leg). On an unknown date, the patient experienced HYPERTENSION (extremly high blood pressure) and HEADACHE (severe headache). At the time of the report, DEEP VEIN THROMBOSIS (DVT to right leg starting at the groin and going down to the foot), OEDEMA PERIPHERAL (worsen edema with 4+and 5+ pitting edema in right leg), HYPERTENSION (extremly high blood pressure) and HEADACHE (severe headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Apr-2021, Ultrasound Doppler abnormal: abnormal (abnormal) Causative extensive occlusive thrombus", DVT in the right leg starting from the groin going down to the foot. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient had an ultrasound of the leg performed. The diagnosis showed "causative extensive occlusive thrombus". Patient reported taking heparin and acetaminophen(Tylenol) ad treatment for the symptoms. This case was linked to (E2B Linked Report).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. MOD-2021-079102:1st dose


VAERS ID: 1245480 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-09
Onset:2021-04-14
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048A21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: TRULICITY
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (Medical history was not reported.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: sent to the emergency room because his doctor thought he was having a stroke.; blood vessels had burst in the brain, the hands, and the neck (describes it looking red, purple, like a chemical burn); This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (sent to the emergency room because his doctor thought he was having a stroke.) and PURPURA (blood vessels had burst in the brain, the hands, and the neck (describes it looking red, purple, like a chemical burn)) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. The patient''s past medical history included No adverse event (Medical history was not reported.). Concomitant products included DULAGLUTIDE (TRULICITY) for an unknown indication. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (sent to the emergency room because his doctor thought he was having a stroke.) (seriousness criteria hospitalization and medically significant) and PURPURA (blood vessels had burst in the brain, the hands, and the neck (describes it looking red, purple, like a chemical burn)) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 14-Apr-2021 due to CEREBROVASCULAR ACCIDENT and PURPURA. At the time of the report, CEREBROVASCULAR ACCIDENT (sent to the emergency room because his doctor thought he was having a stroke.) and PURPURA (blood vessels had burst in the brain, the hands, and the neck (describes it looking red, purple, like a chemical burn)) outcome was unknown. The lot number of the second vaccine was thought by the patient to be 0L161521A but patient was unsure. The patient was hospitalized for one day due to the events. Magnetic resonance imaging (MRI) and computerized axial tomography (CAT) scan were performed (results not provided). Treatment information was not provided. Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. This case was linked to US-MODERNATX, INC.-MOD-2021-080378, US-MODERNATX, INC.-MOD-2021-080378 (E2B Linked Report). This case was linked to MOD-2021-080340 (Patient Link).; Sender''s Comments: Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. -MODERNATX, INC.-MOD-2021-080378:Physician case -MODERNATX, INC.-MOD-2021-080378:


VAERS ID: 1245978 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Feeling cold, Peripheral swelling, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: April 7th cold chills lasted 20 min. April 14th a rash on both forearms and both thighs. Also had swelling of feet and hands with ankle and wrist joint soreness. April 16th started taking 4 Benadryl a day. 3 days later rash gone. Swelling and joint pain also gone.


VAERS ID: 1246442 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fluorescence angiogram abnormal, Injection site warmth, Myalgia, Optical coherence tomography abnormal, Pain in extremity, Peripheral swelling, Retinal vein occlusion
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Optic nerve disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Raynaud''s Syndrome
Allergies: ampicillin
Diagnostic Lab Data: Fluroescein Angiography, Optical coherence tomography
CDC Split Type:

Write-up: Muscle aches started about 12 hours after the injection. First my legs and back but after another 12 hours it was mostly my legs. Legs felt like the muscles were being pulled. (It felt like the beginnings of the extreme reaction I had to ampicillin 2 decades earlier, though not nearly as severe.) My arm swelled slightly, was warm at the injection site and ached about 12 hrs after the injection. The leg aches lasted about 2 days, the arm ache lasted about 1 day and the slight arm swelling lasted about 6 days... Reason for my reporting: I had an annual eye exam 4/14/21 where a retinal scan was done. The optometrist saw some blood spots in my left eye and referred me to an ophthalmologist. Ophthalmologist performed additional scans and tests including a Fluroescein angiography and determined I have BRVO (Branch Retinal Vein Occlusion) which is a series of blot clots in small vessels of the eye''s main vein. He did not say it could be a result of the vaccine but I have no risk factors associated with getting BRVO. Since it is not affecting my vision yet, the doctor wants to monitor it in 3 months to make sure it has not worsened. Since the Janssen vaccine was put on hold for causing other types of blot clots in women in my age group, I am wondering if the vaccine caused the blood clots in my eye.


VAERS ID: 1247418 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Fatigue, Migraine, Muscle spasms
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (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: medical cannabis for "neuro issues" per caller excedrin migraine
Current Illness:
Preexisting Conditions:
Allergies: zithromax, tylenol, soy
Diagnostic Lab Data:
CDC Split Type:

Write-up: 4/14/21 c/o migraine, leg spasms, abdominal cramps, fatigue 4/16-Recommend caller contact PCP; caller states she does not have health insurance and does not feel "bad enough" to go to hospital or urgent care. She states if symptoms worsen, she will be evaluated at a HCF. She also asked for f/u call to be scheduled for Sunday 4/18 as she will be working all day 4/17 and won''t be able to take call. 4/17-called the patient , no new issues , no migraine , nothing new to report


VAERS ID: 1248252 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Confusional state, Feeling abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: vit D, calcium
Current Illness: fever, body aches, head-ache, nausea
Preexisting Conditions: none
Allergies: penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: brain fog, extreme mental confusion,


VAERS ID: 1248277 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Full blood count normal, Pain, Pain in extremity
SMQs:, 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: Oral contraceptive - Cryselle
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC test on the 16th and 23rd, both came back normal but pain continues (day 15)
CDC Split Type:

Write-up: Since day 5 post-vaccine, I have been having short, stabbing pains in various areas of the body, but primarily legs. These pains last anywhere from just a second to maybe a full minute before going away and coming back - sometimes within a couple minutes, sometimes longer like 30 minutes.


VAERS ID: 1248404 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Menstruation irregular, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

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

Write-up: I am on birth control and am not supposed to have a period. I had vaginal bleeding a few days after receiving the vaccine. It is still occurring over a week later.


VAERS ID: 1248424 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Blister, Chills, Dry skin, Herpes zoster, Pain, Pruritus, Pyrexia, Rash erythematous, Scab
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Opportunistic infections (broad)

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

Write-up: Shingles. On the evening of the vaccine, he had a low grade fever and chills (from approximately 7 pm to 1 am). Two days later, he developed shingles. They started as a red rash spot in the middle of his back, approximately the size of 2 quarters, 2 days after the vaccine. On the 3rd day, the red rash was apparent along the right side of his midsection. Blisters started to appear on day 4. He phoned his doctor and provided photos for a virtual patient visit, and the doctor diagnosed shingles. The area affected is both itchy and painful. The doctor prescribed Valocyclovir. After taking the medication for 3 days, the blisters started to dry out and scab. The itching and pain are still present but reduced from their peak.


VAERS ID: 1248518 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dysphagia, Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test positive
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Strep Covid-19
CDC Split Type: vsafe

Write-up: Two weeks after the vaccine I had an extremely sore throat in the afternoon. It was hard to swallow but it was also painful all the time. I went to the doctor and got a Strep test and Covid-19 test which were negative. I just took Advil and it lessened the pain. I still have a tender throat especially in the morning and when I work out. It has been a week and it does seem to be getting better.


VAERS ID: 1249454 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Muscular weakness, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210440594

Write-up: PARESTHESIA; WEAKNESS IN LEGS; This spontaneous report received from a consumer concerned a 38 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced weakness in legs. On 18-APR-2021, the subject experienced paresthesia. Treatment medications included: methylprednisolone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from paresthesia, and weakness in legs. This report was non-serious.


VAERS ID: 1249473 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Graves'' disease; Non-smoker
Preexisting Conditions: Comments: Patient had no known allergies. No drug abuse/ illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210441520

Write-up: SORE; RASH ALL OVER THE BODY; SHIVERING; FEVER; TIREDNESS; This spontaneous report received from a patient concerned a 49 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included graves disease, abstains from alcohol, and non-smoker, and other pre-existing medical conditions included patient had no known allergies. no drug abuse/ illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-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 sore. On 14-APR-2021, the subject experienced rash all over the body. On 14-APR-2021, the subject experienced shivering. On 14-APR-2021, the subject experienced fever. On 14-APR-2021, the subject experienced tiredness. Treatment medications (dates unspecified) included: methylprednisolone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore, rash all over the body, shivering, fever, and tiredness on 14-APR-2021. This report was non-serious.


VAERS ID: 1249562 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dyspnoea, Feeling cold, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Symptoms (has lasted more than a week) : muscle pain in the right side of the body from neck to the waist. Strengthless, hard to breath, headache. Feeling very cold.


VAERS ID: 1249625 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Loss of consciousness, Migraine, Pruritus
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: migraine; Dizziness and lightheadedness; passed out; started developing itch; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 021B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (no relevant medical history reported). On 14-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-2021, the patient experienced PRURITUS (started developing itch). On 16-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criterion medically significant) and DIZZINESS (Dizziness and lightheadedness). On 19-Apr-2021, the patient experienced MIGRAINE (migraine). On 16-Apr-2021, LOSS OF CONSCIOUSNESS (passed out) had resolved. At the time of the report, PRURITUS (started developing itch) and DIZZINESS (Dizziness and lightheadedness) outcome was unknown and MIGRAINE (migraine) had not resolved. No concomitant medications were reported. Treatment of these events included Excedrin migraine. Action taken with mRNA-1273 in response to the event was not applicable. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1249651 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cellulitis, Herpes zoster, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Cellulitis; Shingles; Itchy rash on the neck; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CELLULITIS (Cellulitis) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event. On 07-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced RASH PRURITIC (Itchy rash on the neck). On 18-Apr-2021, the patient experienced CELLULITIS (Cellulitis) (seriousness criterion medically significant) and HERPES ZOSTER (Shingles). At the time of the report, CELLULITIS (Cellulitis), HERPES ZOSTER (Shingles) and RASH PRURITIC (Itchy rash on the neck) outcome was unknown. No concomitant medications are reported. Treatment medications includes; Tx: Neosporin, Valtrex and Keflex Action taken with mRNA-1273 in response to the event was not applicable. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1251020 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-26
Onset:2021-04-14
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Vitamin D
Current Illness: None
Preexisting Conditions: Treated Hashimoto''s Thyroiditis
Allergies:
Diagnostic Lab Data: Have upcoming appointment with primary care physician
CDC Split Type:

Write-up: Tinnitus in left ear - loud, high pitched ringing 24 hours/day


VAERS ID: 1251141 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood fibrinogen normal, Computerised tomogram head, Computerised tomogram normal, Computerised tomogram thorax, Fibrin D dimer increased, Head discomfort, Muscle spasms, Platelet count normal, Sensory disturbance, Ultrasound scan normal
SMQs:, Peripheral neuropathy (narrow), Haemorrhage laboratory terms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine, amyloidipine besilate, multi-vitamin
Current Illness: none
Preexisting Conditions: hypertension, hypothyroidism
Allergies: dust
Diagnostic Lab Data: Leg Ultrasound, CT Head and Chest with and without contrast were clear from 4/19
CDC Split Type:

Write-up: non severe Leg spasms - ultrasound showed clear 4/16 and 4/19, started 4/14 and still continuing in both legs but predominantly left Briefly had a spasm in left arm, but did not repeat Sensation of Pulling on hair and pressure in left side of head D-Dimer Elevated 1084, platelets and fibrinogen normal from test on 4/16


VAERS ID: 1251146 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Shingles


VAERS ID: 1251398 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-14
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

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

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

Write-up: Injection site is still swollen about 2 weeks later. It?s very hard and hurts a little with pressure. Sometimes I still get random shooting pains throughout my body that I didn?t get before my vaccination.


VAERS ID: 1251953 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Injection site erythema, Injection site mass, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastat 10mg, Gabapentin 300mg, Xanax 1mg Amlodipine 5mg, Lamotrigine 100mg, Venlafaxine 150 mg, vitamins D3 and C
Current Illness: None
Preexisting Conditions: Depression PTSD anxiety
Allergies: All pain killers
Diagnostic Lab Data: Called family Dr. was told to wait a few days
CDC Split Type:

Write-up: Still have a big lump at the injection site, still a little red and a little warm to touch


VAERS ID: 1256081 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Atrioventricular block, Blood pressure decreased, Cerebral thrombosis, Coronary arterial stent insertion, Coronary artery occlusion, Dizziness, Hypoaesthesia, Intracardiac thrombus, Transient ischaemic attack
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Conduction defects (narrow), 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), Guillain-Barre syndrome (broad), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Dehydration (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, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yes
Current Illness: High blood pressure
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: April 14, my sister was transported to hospital feeling faint and numbness in her left leg. As a result, she was admitted and treated for: ? blood pressure readings as low as 82/43, 76/50 while standing ? blood clots on her heart that traveled to her brain that were causing multiple mini strokes ? 95% blockage in her right heart vessel which required a stent ? 50% and 60% blockage in other chambers that will require attention She was given heparin and then switched to a different blood thinner to dissolve the clots. she was discharged on April 23rd with instructions to followup with her cardiologist and neurologist.


VAERS ID: 1256803 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cough, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dry persistent cough that has not gone away. 3x negative covid tests. Potentially a developed allergy or remaining immune response unknown.


VAERS ID: 1257358 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CR8750 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue
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: Diltiazem, benazepril,furosemide,warfarin, aspirin, vitamin d3
Current Illness: None
Preexisting Conditions: Afib, managed high blood pressure
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Tired easily, rapid heart beat. Symptoms are better at this time, but not completely gone. Symptoms started one week after vaccination, better at this time.


VAERS ID: 1257728 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

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

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

Write-up: Patient awoke on the morning of 4/14/21 and noted swelling of the lip/left facial region; swelling got worse throughout the day. Patient received epinephrine inhalation, famotidine IV, methylprednisolone IV, and diphenhydramine IV. Discharged 4/14/21.


VAERS ID: 1257905 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Amylase, Back pain, Computerised tomogram normal, Fatigue, Fibrin D dimer normal, Full blood count, Lipase normal, Metabolic function test, Oedema peripheral, Petechiae, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: alendrone, vitamin d, biotin, buspar, Cymbalta, prociotic, loratadine, milk thistle, mutlvitamin, nicotine patch, oxycodone, lyrica, turmeric, b12, d3, magnesium zinc
Current Illness:
Preexisting Conditions: chronic pain, arthritis, depression and anxiety
Allergies: sulfa, cefazolin, penicillin
Diagnostic Lab Data: 4/14/21 bilateral venous doppler ultrasounds negative, Chest CT negative, d-dimer negative. CMP, cbc, amylase, lipase normal.
CDC Split Type:

Write-up: petechial rash with bilateral lower extremity edema, abdominal pain, back pain, fatigue.


VAERS ID: 1258128 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-17
Onset:2021-04-14
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / N/A - / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Cough, Dyspnoea, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Not at the time the vaccine was administered. Developed COVID-19 symptoms after
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: TEST ORDERED: SARS-CoV-2 RNA Resp Ql NAA+probe~SARS-COV-2 (COVID-19) which came back positive.
CDC Split Type:

Write-up: INFORMATION TAKEN FROM WEDSS...Patient received the COVID-19 vaccine on 3/17. On 4/14 the patient began experiencing symptoms of COVID-19 which included fever, shortness of breath, cough, chills and congestion. Patient went in for testing on 4/19 with results coming back positive.


VAERS ID: 1258359 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Factor V Leiden mutation
SMQs:, Congenital, familial and genetic disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Hypertension, Cirrhosis with ascites and esophageal varices, Hepatocellular carcinoma, Factor V leiden mutation
Allergies: None
Diagnostic Lab Data: CT on 4/15/2021 showed new nonocclusive thrombus extending from the SMV
CDC Split Type:

Write-up: new nonocclusive thrombus extending from the SMV


VAERS ID: 1258442 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blister, Pruritus, Rash, SARS-CoV-2 test negative, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril Hydrochlorothiazide Sertraline Vitamin D Melatonin
Current Illness: Sinus Infection two weeks before vaccine and prescribed Amoxicillin.
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: Covid-19 negative 04/19/2021
CDC Split Type:

Write-up: I got a rash eight days after the vaccine. It was a rash that started on my left ankle. It spread to my legs and arms. It was itchy and blistered in a bite like rash that was in clusters. After days I went to Urgent Care four days after the rash started because it was all over both extremities and starting to spread to my torso. I was given an oral steroid and I took Benadryl and Claritin. The rash is better after twelve days but the skin on my hands and feet where rash was are peeling. It is still slightly itchy in all the places where it was present.


VAERS ID: 1258779 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0203A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Condition aggravated, 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: Synthroid, B12, Gingko Biloboa, Zetia, Vit D, Biotin, Gabapentin, Trazadone
Current Illness: None
Preexisting Conditions: Hashimoto, high cholesterol
Allergies: None
Diagnostic Lab Data: I first got tinnitus April 2019 and had seen an ENT and Audiologists but I havent had further testing since the vaccine but I can tell you for sure that it is louder and nothing seems to help reduce the sound.
CDC Split Type:

Write-up: I had tinnitus before but now it is louder. Gingko Biloboa was helping to keep it manageable but that doesnt seem to have any effect now.


VAERS ID: 1259021 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-04-14
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Eye pruritus, Rash, Rash papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: A fully body rash, raised skin, itchy and red.


VAERS ID: 1259365 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-31
Onset:2021-04-14
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Rash, SARS-CoV-2 test positive, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin Vitamin d3 Metoprolol Zyrtec
Current Illness: None
Preexisting Conditions: Type 2 diabetes High blood pressure Both of these under control
Allergies: None
Diagnostic Lab Data: Also tested positive for covid on 4/23
CDC Split Type:

Write-up: Rash covering chest, neck and face. Also swelling of face and around eyes. Started on 4/14 was still present when I visited doctor on 4/23 and was placed on Benadryl. Finally started going away 4/25. Still have rash and swelling if Benadryl wears off


VAERS ID: 1259747 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Condition aggravated, 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: multivitamin and turmeric capsules
Current Illness: mild tinnitus
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: tinnitus became worse: more noticeable, louder buzz sound after the vaccine


VAERS ID: 1260034 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine, losartan, sertraline, atorvastatin, levoxyl
Current Illness: NA
Preexisting Conditions: Past History of Cancer
Allergies: NKDA
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Administered on 4/9 Jenssen. On 4/14 patient daughter complained mother had a red itchy rash on bicept and on legs and ankles (red, bumpy, and itchy). Patient instructed to take benedryl and to contact primary care doctor. Pharmacy and Patient contacted doctor. RX medrol dosepak prescribed to picked up. Patient''s rash resolved. Family thinking this was related to the vaccine since patient had not tried any other meds nor was outside. Doctor did not think was related to Vaccine per patient''s daughter. Filing Voluntary VAERS to report rash 5 days later.


VAERS ID: 1260051 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control - tricyclin
Current Illness: covid 1 month prior
Preexisting Conditions:
Allergies: Allergies to amoxicillin and raspberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: Leg numbness/pins and needles in both legs and feet


VAERS ID: 1260978 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthma, Body temperature increased, Fatigue, Headache, Influenza like illness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamotrigine, Neurontin, escitalopram, Adderall, Meloxicam, quetiapine, albuterol (inhaler), Advair
Current Illness: None
Preexisting Conditions: Bipolar II, PTSD, ADHD, Elhers-Danlos Syndrome (hypermobility type), asthma (Note: Prior to probable case of COVID-19 from the 3rth to 8th of April, 2020, asthma flare-ups were extremely rare. Afterward, asthma symptoms worsened to require daily steroid inhaler and frequent abuterol rescue-inhaler use.)
Allergies: Seasonal allergies, mild nut allergies
Diagnostic Lab Data: Contact clinic listed above.
CDC Split Type:

Write-up: Fever of 39C, intense headache, joint and muscle pain, fatigue; patient remained in bed for two days with flu-like symptoms. Third day experienced mild headache and muscle pain; significant fatigue extended out through fifth day after vaccination and has not fully abated 12 days later. Asthma intensified to require round-the-clock use of rescue inhaler and has continued to be nearly uncontrollable, similar to one month after last year''s illness with COVID-19.


VAERS ID: 1261365 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Cough, Dyspnoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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: Asthma
Allergies: Voltaren
Diagnostic Lab Data: I have a dr appt on 04/28/2021
CDC Split Type:

Write-up: Going on week two continued difficulty breathing. I have been doing breathing treatments and inhaler. Dry cough, some wheezing, some tightness in chest at times when breathing is harder.


VAERS ID: 1261389 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Aphonia, Body temperature, COVID-19, Dysphonia, Illness, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: EQUATE COUGH DM; ADVIL [IBUPROFEN]; TYLENOL; VICKS VAPORUB [CAMPHOR;EUCALYPTUS GLOBULUS OIL;JUNIPERUS VIRGINIANA WOOD OIL;MENTHOL;MYRISTICA FRAGR
Current Illness: Respiratory tract congestion
Preexisting Conditions: Medical History/Concurrent Conditions: Weight loss
Allergies:
Diagnostic Lab Data: Test Date: 20210417; Test Name: COVID-19 virus test; Result Unstructured Data: postivite; Test Date: 20210418; Test Name: Body temperature; Result Unstructured Data: 99.1 C; Test Date: 20210419; Test Name: Body temperature; Result Unstructured Data: 99.4 C; Comments: 19/Apr/2021 at 18:05.; Test Date: 20210420; Test Name: Body temperature; Result Unstructured Data: 99.5 C; Comments: 20/Apr/2021 at 19:40.; Test Date: 20210420; Test Name: Body temperature; Result Unstructured Data: 100.8 C; Comments: 20/Apr/2021 14:55.; Test Date: 20210421; Test Name: Body temperature; Result Unstructured Data: 99.3 C; Test Date: 20210422; Test Name: Fever; Result Unstructured Data: 99 C
CDC Split Type: USJNJFOC20210445304

Write-up: SICKENESS WIPED OUT; VOICE WAS COMPLETELY GONE; COVID-19 INFECTION; HOARSE VOICE; This spontaneous report received from a patient concerned a 61 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included significant weight loss, and concurrent conditions included chest congestion. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 12:20 for prophylactic vaccination. Concomitant medications included dextromethorphan polistirex for chest congestion, and cough, camphor/eucalyptus globulus oil/juniperus virginiana wood oil/menthol/myristica fragrans oil/pinus nigra oil/thymol, ibuprofen, and paracetamol. On 14-APR-2021, the subject experienced hoarse voice. On 17-APR-2021, the subject experienced covid-19 infection. On 17-APR-2021, the subject experienced voice was completely gone. Laboratory data included: COVID-19 virus test (NR: not provided) postivite. On 18-APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.1 C. On 19-APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.4 C. On 20-APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.5 C, 100.8 C. On 21-APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.3 C. On 22-APR-2021, Laboratory data included: Fever (NR: not provided) 99 C. On an unspecified date, the subject experienced sickeness wiped out. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from hoarse voice, and the outcome of voice was completely gone, sickeness wiped out and covid-19 infection was not reported. This report was non-serious.


VAERS ID: 1261490 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-16
Onset:2021-04-14
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047A21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Dizziness, Dyspnoea, Eye swelling, Fall, Fatigue, Heart rate increased, Myalgia, Pharyngeal swelling, Pyrexia, Rib fracture, Swelling face, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Osteoporosis/osteopenia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: METHADONE; OXYCODONE; OXYGEN; PREDNISONE
Current Illness: COPD; Emphysema; Heart disorder; Hypoxia; Kidney function abnormal; Rheumatoid arthritis aggravated
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Dizzy; Weak; All of the sudden he had difficulty breathingĻ; Fast heart beat; Is still very tired; Swelling of his face and throat; Fall; Rib fracture; Pharyngeal swelling; His eyes were swelled like mush mellows; Vomiting; Muscle pain; Joint pain; Fever; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DIZZINESS (Dizzy), ASTHENIA (Weak), DYSPNOEA (All of the sudden he had difficulty breathingĻ) and HEART RATE INCREASED (Fast heart beat) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040B21A and 047A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included COPD, Emphysema, Kidney function abnormal, Heart disorder, Rheumatoid arthritis aggravated and Hypoxia. Concomitant products included OXYGEN for COPD and Emphysema, METHADONE and OXYCODONE for Rheumatoid arthritis, PREDNISONE for an unknown indication. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Apr-2021, the patient experienced DIZZINESS (Dizzy) (seriousness criterion hospitalization), ASTHENIA (Weak) (seriousness criterion hospitalization), DYSPNOEA (All of the sudden he had difficulty breathingĻ) (seriousness criteria hospitalization and medically significant), HEART RATE INCREASED (Fast heart beat) (seriousness criterion hospitalization), SWELLING FACE (Swelling of his face and throat), FALL (Fall), RIB FRACTURE (Rib fracture), PHARYNGEAL SWELLING (Pharyngeal swelling), EYE SWELLING (His eyes were swelled like mush mellows), VOMITING (Vomiting), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain) and PYREXIA (Fever). On 19-Apr-2021, the patient experienced FATIGUE (Is still very tired). The patient was hospitalized from 14-Apr-2021 to 17-Apr-2021 due to ASTHENIA, DIZZINESS, DYSPNOEA and HEART RATE INCREASED. On 17-Apr-2021, DIZZINESS (Dizzy), ASTHENIA (Weak), DYSPNOEA (All of the sudden he had difficulty breathingĻ), HEART RATE INCREASED (Fast heart beat), SWELLING FACE (Swelling of his face and throat), EYE SWELLING (His eyes were swelled like mush mellows), VOMITING (Vomiting), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain) and PYREXIA (Fever) outcome was unknown. At the time of the report, FALL (Fall), RIB FRACTURE (Rib fracture), PHARYNGEAL SWELLING (Pharyngeal swelling) and FATIGUE (Is still very tired) outcome was unknown. This case was linked to MOD-2021-080525 (E2B Linked Report).; Sender''s Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. MOD-2021-080525:caller''s case


VAERS ID: 1261497 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cellulitis, Chills, Heart rate, Heart rate increased, Pyrexia, Rash, Sepsis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Heart rate increased (elevated heartrate)
Allergies:
Diagnostic Lab Data: Test Date: 20210415; Test Name: Heart rate; Result Unstructured Data: high
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: cellulitis; Sepsis; Elevated heart rate; Rash from the waist down on left side of body; chills; Fever; This spontaneous case was reported by a physician assistant (subsequently medically confirmed) and describes the occurrence of CELLULITIS (cellulitis) and SEPSIS (Sepsis) in a 68-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 Heart rate increased (elevated heartrate). On 10-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-2021, the patient experienced CHILLS (chills) and PYREXIA (Fever). On 15-Apr-2021, the patient experienced CELLULITIS (cellulitis) (seriousness criterion hospitalization), SEPSIS (Sepsis) (seriousness criterion hospitalization) and RASH (Rash from the waist down on left side of body). On an unknown date, the patient experienced HEART RATE INCREASED (Elevated heart rate). The patient was hospitalized from sometime in April 2021 to sometime in April 2021 due to CELLULITIS and SEPSIS. At the time of the report, CELLULITIS (cellulitis), SEPSIS (Sepsis), HEART RATE INCREASED (Elevated heart rate), RASH (Rash from the waist down on left side of body), CHILLS (chills) and PYREXIA (Fever) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 15-Apr-2021, Heart rate: 132 (High) 132 beats per minute. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. She was admitted to the hospital and hospitalized for four days. She was diagnosed with cellulitis and sepsis. She was discharged home from the hospital with Augmentin (Amoxicillin / Clavulanic acid) for 10 days. Based on the current available information and temporal association between the use of the product and the start date of the event,s a causal relationship cannot be excluded. However, Further information has been requested This case was linked to MODERNATX, INC.-MOD-2021-081503~, MODERNATX, INC.-MOD-2021-081439, MODERNATX, INC.-MOD-2021-081647 (E2B Linked Report).; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event,s a causal relationship cannot be excluded. However, Further information has been requested MODERNATX, INC.-MOD-2021-081503 :Fourth patient-Same reporter MODERNATX, INC.-MOD-2021-081439:First patient-Same reporter US-MODERNATX, INC.-MOD-2021-081647:Third patient-Same reporter


VAERS ID: 1261820 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Atelectasis, Body temperature, Chest X-ray, Chills, Computerised tomogram, Fatigue, Pulmonary thrombosis, Pyrexia, Respiratory viral panel, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Inclusion body myositis; Penicillin allergy; Sjogren''s syndrome; Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: temp; Result Unstructured Data: Test Result:102 Fahrenheit; Test Date: 20210414; Test Name: Chest X-Ray; Result Unstructured Data: Test Result:some Atelectasis; Test Date: 20210414; Test Name: CAT scan; Result Unstructured Data: Test Result:double blood clot in left lung lower left lobe; Test Date: 20210414; Test Name: full viral panel; Test Result: Negative ; Test Date: 20210414; Test Name: Nasal Swab/Covid PCR Test; Test Result: Negative
CDC Split Type: USPFIZER INC2021438861

Write-up: 102 deg F temp; shivering; abnormal general body fatigue; Atelectasis; double blood clot in left lung lower left lobe; This is a spontaneous report from a contactable consumer (Patient). A 68-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 01Apr2021 17:00 (Batch/Lot number was not reported) at the age of 68-years-old as single dose for covid-19 immunisation. The COVID-19 vaccine was administered at Doctor''s office/urgent care. Medical history included Inclusion Body Myositis, Sjogren''s syndrome and Known allergies included Penicillin, Lamisil, Sulfa drugs. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient concomitant medication included unspecified other medications in two weeks. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Got up 9:30AM on 14Apr2021. Experienced abnormal general body fatigue. Began shivering at 1:00 PM and went back to bed. 102 degree F temp at 3:00 PM. Called primary care physician, who advised we go to Emergency room (ER). Got into ER about 6:00pm. Covid polymerase chin reaction (PCR) Nasal Swab test negative, full viral panel negative. Chest X-Ray showed some Atelectasis, Computerised tomogram (CAT) scan revealed double blood clot in left lung lower left lobe. Sent to Hospital at about 1:00 AM 15Apr2021. Treatment with 16ml/hr Heparin plus 5mg/day warfarin. Discharged 06:00 PM on16Apr2021. Adverse event resulted in: [Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event)]. The outcome of the events was recovering. Information on the lot/batch number has been requested.


VAERS ID: 1261827 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Unknown  
Location: Georgia  
Vaccinated:2021-03-30
Onset:2021-04-14
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 1 LA / -

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Contrast media allergy; Glaucoma; Hyperbaric oxygen therapy; Myasthenia gravis
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: CT scan; Result Unstructured Data: Test Result:unknown results
CDC Split Type: USPFIZER INC2021443979

Write-up: Pulmonary embolism; This is a spontaneous report from a contactable consumer (patient). A 60-year-old patient of unspecified gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6199) in the left arm on 30Mar2021 02:00 PM at 60-year-old at single dose for COVID-19 immunisation. Medical history included allergies to orphenadrine citrate (NORFLEX), blue dye. Other medical history included myasthenia gravis (Mg), asthma, hyperbaric oxygen therapy (hbo), glaucoma. There was no covid prior vaccination. There was no other vaccine in four weeks. There were concomitant medications in two weeks (unspecified). Patient experienced adverse event: pulmonary embolism on 14Apr2021 04:00 PM. The adverse events resulted in: Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). Hospitalization for 4 days. Patient received treatment for events included heparin drip. CT scan, respiratory TX, lab, apixaban (ELIQUIS). No covid tested post vaccination. Patient was recovering.


VAERS ID: 1262588 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Dyspnoea, Fibrin D dimer increased, Headache, Injection site bruising
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Patient went to the emergency department on 4/26/21 and she said tests/scans were done. They found that her D-dimer was elevated which doctors think is what is causing the bruising. They did not find any blood clots in her system. She said she will follow up with her primary care physician.
CDC Split Type:

Write-up: Patient states that bruising started about 3 days after her shot. The bruising started at the injection site, then it spread to her left leg and thigh. She woke up two days ago with bruises on her shin. Her on/off headaches began when bruising started. They intensified when her shortness of breath began three days ago.


VAERS ID: 1262752 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Gait disturbance, Vertigo, Walking aid user
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vit D, Met Formin
Current Illness: none
Preexisting Conditions: Adult onset Diabetes
Allergies: Anything with iodine, clams, oysters, scallops
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Became dizzy when she bent into the freezer and remains with "vertigo". Unable to walk without a cane or walker.


VAERS ID: 1263085 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-29
Onset:2021-04-14
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody, Arthralgia, Back pain, C-reactive protein, Fibrin D dimer, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMINS
Current Illness: CYSTITIS AND RENAL STONES
Preexisting Conditions: NONE
Allergies: LEVOFLOXACIN
Diagnostic Lab Data: LABS - DDIMER, CRP AND ANA, AND ORTHO REFERRAL
CDC Split Type:

Write-up: SEEN ON 4/16/2021 WITH PROVIDER WITH THE FOLLOWING COMPLAINTS: Pt here for left sided low back pain; he gets it in different spots. Sharp - left mid back , left low back, left hip and left thigh. Does not radiate to foot. Does not cause paraesthesias, numbness, weakness or tingling. No problems urinating, dysuria. The pain started after janssen vaccine along with low grade fever; lasted for 2 days then went away for over 1 week. In fact he drove and hiked 10 miles as well w/o any recurrence of pain. He notes pain restarted 2 days ago. Massage and heat help. Exercising does not worsen. Pain for past 2 days is at a 2 level. No hx of back pain or arthritis. He does have hx of renal stones and cystitis but was cleared last year by his urologist. He has not drunk enough water today and would like to do his cbc on 4/22. He denies any heaches, vision changes, abd pain or leg pain. Most of the time his pain is low back area. It was more intense in the 2 days after vaccine. No hx of blood clots. No chest pain or SOB. No injuries to back. Pain is the same as post vaccine though milder. He denies straining his muscle. No easy bruising or bleeding. kidney stones feel much differently.


VAERS ID: 1263348 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Fear, Obsessive-compulsive disorder, Panic reaction, Paranoia, Phobia
SMQs:, Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (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: Vyvanse 40mg Mirtazapine 30mg
Current Illness: none active
Preexisting Conditions: Chronic Dysthymia Attention Deficit Hyperactivity Disorder Predominantly Inattentive
Allergies: Qvar
Diagnostic Lab Data:
CDC Split Type:

Write-up: Acute exacerbation of paranoid ideation, phobia and obsessive thoughts to a level leading to a constant panic state. Although he patient has had some occasional background fears that never necessitated intervention or affected his daily function, he has never experienced such intense and constant symptoms.


VAERS ID: 1263645 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-06
Onset:2021-04-14
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Cerebral venous sinus thrombosis, Condition aggravated, Generalised tonic-clonic seizure, Headache, Magnetic resonance imaging head abnormal, Seizure, Transverse sinus thrombosis
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Embolic and thrombotic events, venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra, lisinopril, metoprolol, effexor, bentyl, requip, augmentin
Current Illness: Ear infection
Preexisting Conditions: Seizure disorder, migraine headaches, hypertension, depression, restless leg syndrome, irritable bowel syndrome.
Allergies: Naproxen
Diagnostic Lab Data: MRI on 4/26/21 right transverse and sigmoid sinus thrombus
CDC Split Type:

Write-up: Headache from 4/14/21 to 4/24/21, tonic-clonic seizure on 4/24/24 admitted to hospital on 4/24/24


VAERS ID: 1263697 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

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

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

Write-up: Noticed bright red disc-type spots on right leg - counted eight Area appeared swollen and was painful to touch Contacted my physician who looked at them Spots faded 2 days later


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

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

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

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


VAERS ID: 1264559 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Contusion, Eye pain, Haemorrhage, Headache, Heart rate increased, Hypoaesthesia, Magnetic resonance imaging normal, Migraine, Paraesthesia, Sleep disorder
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Glaucoma (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Cat scan, blood tests. Mri. All negative.
CDC Split Type:

Write-up: Severe headaches after four days. Continued mogranes to this date ( 14 days). Pain in right eye. Numbness and tingling throughout body. Waking up at 1 AM with 110 bpm heart rate. Easy bruising. Blood spots


VAERS ID: 1265882 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-16
Onset:2021-04-14
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044A21A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cellulitis, Feeling abnormal
SMQs:, Dementia (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: Cellulitis; Foggy feeling in head
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Cellulitis; head feels mentally in the fog; This spontaneous case was reported by a consumer and describes the occurrence of CELLULITIS (Cellulitis) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 044A21A and 047B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Cellulitis and Foggy feeling in head. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Apr-2021, the patient experienced CELLULITIS (Cellulitis) (seriousness criterion medically significant) and FEELING ABNORMAL (head feels mentally in the fog). At the time of the report, CELLULITIS (Cellulitis) and FEELING ABNORMAL (head feels mentally in the fog) outcome was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the mRNA-1273 in response to the events was not applicable. 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. Patient had a huge rash and doctor diagnosed it as cellulitis which itched, burned and felt kind of achy. The same thing happened with flu shot. This case was linked to MOD-2021-086069 (Patient Link).; 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: 1265992 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: EXCEDRIN EXTRA STRENGTH; ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Heart rate low; Tonsillectomy (Tonsils removed at age 6)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021409959

Write-up: This is a spontaneous report from a contactable consumer (the patient). A 42-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration in the left arm on 13Apr2021 10:45 (at the age of 42-years-old) as a single dose for COVID-19 immunization. The patient''s medical history included: tonsils removed at age 6 and heart rate at rest low. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had no allergies to medications, food, or other products. Concomitant medications included: acetylsalicylic acid/ caffeine, paracetamol (EXCEDRIN EXTRA STRENGTH) and cetirizine hydrochloride (ZYRTEC), both taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number not provided), via an unspecified route of administration in the left arm on 23Mar2021 11:15 (at the age of 42-years-old) as a single dose for COVID-19 immunization. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient stated he fainted the morning after receiving the shot on 14Apr2021 06:00. No treatment was received for the event. The outcome of fainted was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19. Information about lot/batch number has been requested.


VAERS ID: 1266009 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LO LOESTRIN FE
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021411516

Write-up: passing out; Vomiting; diarrhea; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 17-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 13Apr2021 at 13:45 (Batch/Lot Number: Ew0161) at 17-years-old as a single dose for COVID-19 immunization. The patient did not receive any other vaccine within four weeks of the suspect vaccine. The patient''s medical history was reported as none (no known allergies). The patient did not have COVID prior to the vaccination. Concomitant medications included ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE) taken for an unspecified indication, start and stop date were not reported. On 14Apr2021 at 13:15, the patient experienced passing out (medically significant), vomiting (non-serious), and diarrhea (non-serious). The clinical outcome of the events was recovering. The patient was not tested for COVID post vaccination.


VAERS ID: 1266010 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-13
Onset:2021-04-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: USPFIZER INC2021411959

Write-up: Fainted in the shower while shaving; This is a spontaneous report from a contactable consumer (patient). A 22-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm left on 13Apr2021 at 11:00 (at the age of 22-years-old) as a single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient fainted in the shower while shaving on 14Apr2021 at 15:30. There was no treatment received for the event. The outcome of the event was recovering. Information on the lot/batch number has been requested.


VAERS ID: 1266076 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-03-19
Onset:2021-04-14
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Cough, Gait disturbance, Influenza like illness, Muscular weakness, Pain, Pyrexia, Rash, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arthritis (arthritis is in his right foot only and his big toe ,diagnosed in 2017 or 2018.)
Allergies:
Diagnostic Lab Data: Test Date: 20210419; Test Name: Covid Test; Result Unstructured Data: Test Result:Negative
CDC Split Type: USPFIZER INC2021453286

Write-up: his legs were extremely weak; has to hold onto something to go through the house; rash is across his upper back, chest, and down both arms; Patient had a dry cough; running a fever; the next morning and it was even worse; flu-like symptoms after both doses; Sore all Over/Achy all over; This is a spontaneous report based on information received by Pfizer from Biontech [manufacturer control number: 40968], license party for Comirnaty. A contactable consumer reported that a 74-year-old male patient received second dose BNT162b2(COMIRNATY, Formulation: Solution for injection, Lot number: EN6207, Expiration: 31Jul2021), via an unspecified route of administration in arm left on 19Mar2021 at single dose for COVID-19 immunization. The patient medical history includes Arthritis (arthritis is in his right foot only and his big toe, diagnosed in 2017 or 2018) and Concomitant medication were not reported. Historical vaccine included BNT162b2 (COMIRNATY) on 26Feb2021 for Covid-19 immunisation and Unspecified steroid shot. Stated reaction was three to four days. First shot got caller and patient down for a week. Second shot got caller down for three days. At first, patient''s reaction was running like hers. Patient had a dry cough on an unspecified date in 2021. Was going for a COVID test today. Last week patient started running a fever on an unspecified date in 2021 and his legs were extremely weak on 14Apr2021. Has to hold onto something to go through the house on 14Apr2021. He was moving a little better, but not much. Patient had to go to doctor for his foot. Has terrible arthritis in the big toe on his right foot. Gets steroid shot every three months. Three weeks and four days after second COVID shot everything seemed to have worn off. The PA put the shot in his foot and it bruised the patient. Patient still has bruises on an unspecified date in 2021. Got the steroid shot in his big toe and two days later the weakness hit a second time. It really wiped him out. Caller cannot help patient get up and down. Patient was struggling with his legs and was aching. Wants to know if a steroid shot on top of the COVID shot and that close after would cause another reaction? The PA said it was ok to get a steroid shot three weeks after. Patient started having these reactions and doesn''t know if it was the COVID shot. Has had steroid shots every 3 months for 4 years. Has never had this kind of reaction. Patient didn''t think about getting the steroid shot because he seemed to be feeling fine. Reaction started the next morning and it was even worse on an unspecified date in 2021. By the third day after the shot he was down and caller couldn''t help patient get up. It scared the caller. Patient also broke out in a rash across his shoulders and down both arms. States her husband has had both shots and he has been having issues since the second one n 19MAR2021. Reporter states 3 weeks and 4 days after the second vaccine, her husband had to have a steroid shot in his foot because he has terrible arthritis in his right foot. Reporter states the patient has had a flare up since then with weakness in his legs and a rash on his chest. States the only difference this time is that he had just had the second Covid vaccine 3 weeks prior. States he has not had steroid reactions in the past, and she feels like this reaction was because of the Covid vaccine. Clarifies the shot in his foot was on 13Apr2021 and she does not know what steroid was injected. States it was 3weeks and 4 days between the steroid injection and the vaccine. States maybe they should war people not to get a steroid shot for a longer time after the vaccine. States after the first vaccine for about 5 days they were just laid out. States they ate soup and whatever they could warm up in the microwave. States his ear doctor said if they reacted to the first shot they must have had Covid at sometimes. States she doesn''t know, they never got tested before but they didn''t have any symptoms. States her husband''s test yesterday was negative. Weakness in the Legs AE: States for the last 2 days, he could not even get up on his own and she can''t lift him because he was bigger than she was. Rash was states it was not itching or anything, just a rash. States it was odd because she has had hives, and this was just broken out. Clarifies the rash was across his upper back, chest, and down both arms on 14Apr2021. States it was kind of like speckled on his body like the measles on an unspecified date in 2021. States the patient was 74 years old and he had measles when he was a kid just like she did, so it is not the measles. States the patient had a Covid 19 test done yesterday and it came back negative, so he doesn''t have Covid. She doesn''t know what it was. Treatment: states he was taking Motrin for the Aching. States she does not know if the reaction was because the PA did the injection, it had always been the doctor that had given the injection. Caller states she thinks it was getting the steroid injection on top of receiving the Covid shot. States the both received their vaccines because they couldn''t get a shot because they weren''t giving shots at her age, so when offered them the vaccine, they jumped on it. Yes, last Monday to his Nurse Practitioner, did not address the weakness in his legs because did not know what to do for that. She did not even say what she thought it was, said he needed to see someone about that but does not know who to see, does not know whether to go to the ER or who to go to. Not that emergent but when doctor does not know what to treat with worrisome. She was calling about to finish the report and to speak with the Medical department regarding if this has been reported before or if any information on the Covid vaccine and steroid injections. He received the 1st dose on 26Feb2021 and the 2nd dose on 19Mar2021. She mentioned that both of them experienced achiness, sore all over after the 1st dose and flu-like symptoms on an unspecified date in 2021 after both doses. Her husband however, had muscle weakness on his legs after the 2nd dose. On 13Apr2021, about 3 weeks and 4 days after the 2nd dose, her husband received a steroid shot on his right foot. They noticed that the weakness on his legs became extreme, to which he had trouble standing up and has to hold on to something to stand up as he cannot support himself. He also had a rash on his trunk, back, and down his arms. She mentioned that the rash was not itchy but was speckled like measles. They were wondering if this has been reported and if it was possibly an interaction between the vaccine and steroid. They mentioned that they already consulted with their HCP but said that they really cannot tell. Outcome of his legs were extremely weak, has to hold onto something to go through the house was not recovered while with other event rash is across his upper back, chest, and down both arms, Achy all over was recovered on 22Mar2021 and flu-like symptoms after both doses and Sore all Over was recovered on an unspecified date in 2021, while with other events was unknown. Follow up attempts were needed. Further information is expected.


VAERS ID: 1266114 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-07
Onset:2021-04-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: On 4/14, one week after my second Moderna shot, I experience swelling of the lymph nodes under my left arm/armpit area. It was painful and a bit freaky until I did some research that said that this is a side effect of the Moderna vaccine. It is still painful and swollen today, 4/28/21, although definitely not as much as two weeks ago. I do believe it will be back to normal by next week, judging by how the swelling and pain have decreased. I did get the same milder symptoms under my right arm/armpit but those are gone now.


VAERS ID: 1266281 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Loss of personal independence in daily activities
SMQs:, Dementia (broad), Arthritis (broad)

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

Write-up: J&J on 4/12/2021- other details unknown Fatigue, significant, prevents daily activity Headache, Arthralgia


VAERS ID: 1266447 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Loss of personal independence in daily activities, Rash, Rash pruritic, Somnolence, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Albuterol inhaler, Alprazolam, Amoxicillin, Budesonide Formoterol, Fluoxetine, Hydrocortisone, Ibuprofen, Mirtazapine, Narcan nasal spray, Olmesartan, Rosuvastatin calcium, Spiriva, Topamax, Trazodone, Trulicity, Gabapentin, No
Current Illness: None.
Preexisting Conditions: Diabetes, asthma, high blood pressure, high cholesterol, chronic back pain, neuropathy, migraine headaches, carpal tunnel.
Allergies: None.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: She got her vaccine, went home and has been real sleepy, drained and tired. She has a rash on her neck real bad and itchy, patchy type which grew to other parts of her neck. She cannot get anything done due to the fatigue and loss of appetite. These reactions still continue as of 4/28/21. She has not taken anything for this reaction. She is going to call her PCP today.


VAERS ID: 1267719 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-01
Onset:2021-04-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Facial pain, Myalgia, Tension, Trismus
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (narrow), Glaucoma (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Facial muscle soreness and tension. Lockjaw.


VAERS ID: 1267791 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Nausea, Photosensitivity reaction
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (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: None
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 5 days post vaccination, patient developed headache, nausea, photosensitivity. These symptoms were still lingering when I saw her on April 28th. I am unsure if they are related to vaccination.


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