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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 44 out of 1,889

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VAERS ID: 1234046 (history)  
Form: Version 2.0  
Age: 103.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None. Used to take daily Claritin up until a bout 3 years ago.
Current Illness: None.
Preexisting Conditions: None; has been bedridden for about 3 years.
Allergies: Slight allergy to pollen.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Received a Janssen vaccination on 4/7/21 from a home visiting nurse from the County Health Department. On approximately 4/13/21, the family noticed slight signs of an issue, with patient slumping towards the right, and showing some signs of weakness on right side of body. Family contacted the PCP, who advised to take her to the ED. Family was hesitant to do that because patient had been bedridden for past few years. She seemed to improve somewhat on 4/15/21. Then the morning of 4/16/21, the family found her on the floor of her bedroom. She appeared to have had a moderate to severe stroke. Right side of body paralyzed, cannot speak. Uncertain whether mental faculties further deteriorated. PCP ordered a hospice facility for care. Stroke likely caused by blood clot but unsure if related to JJ vaccine. She has not been evaluated in person by her health care providers.


VAERS ID: 1234231 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take the following daily, for at least 3 months: Calcium Vitamin D Emergen-C Astaxanthin Biotin Collagen Scoop
Current Illness: None
Preexisting Conditions: Tetralogy of Fallot
Allergies: None that I am aware of
Diagnostic Lab Data:
CDC Split Type:

Write-up: 6 days after I got the vaccine, I noticed a large rash across my torso. I am unsure if the rash was developing prior to when I noticed, but the rash is on my stomach and part of my lower back. I finally visited my primary doctor today and was told the rash is a drug reaction - it is not itchy nor painful. **I am supposed to be on baby aspirin indefinitely due to my heart condition. I have not taken baby aspirin in a few years. But after there were reports of women getting blood clots after getting the JNJ vaccine, I started taking baby aspirin 6 days after I got the vaccine. The rash may have happened before or after I took my first dose of baby aspirin. I stopped taking baby aspirin the following day. Today, my doctor advised me to stop taking all Vits and Supplements. I will be taking Zyrtec and Tagamet for next 10 days, hoping the rash will go away.


VAERS ID: 1234283 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-01
Onset:2021-04-13
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A421A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Women''s Multi-Vitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2005081796

Write-up: Pain in upper right leg, short sharp pain on right side of head Started April 13


VAERS ID: 1234286 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-03-20
Onset:2021-04-13
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test, Pain in extremity, Thrombophlebitis superficial
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: pt said she had isolated pain above her left elbow around 4/13/2021. the pain is now from her elbow to mid bi-cep. (she had given blood on 3/4/2021) pt saw a provider on 4/19/2021 regarding her symptoms. She was referred for a US. Results were superficial thrombosis left cephalic vein at the level of the mid upper arm extending into the forearm. She had blood work and was told to take Ibuprofen for pain and to stop taking her birth control. Pt will have a FU appt to discuss blood work results.


VAERS ID: 1235415 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Heart rate, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Heart rate; Result Unstructured Data: Elevated
CDC Split Type: USJNJFOC20210430903

Write-up: HEADACHE; ELEVATED HEART RATE; POUNDING HEART; This spontaneous report received from a patient concerned a 21 year old. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 1808982 expiry: unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced elevated heart rate. On 13-APR-2021, the subject experienced heart pounding hard. Laboratory data included: Heart rate (NR: not provided) Elevated. On 15-APR-2021, the subject experienced mild headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from elevated heart rate, heart pounding hard, and mild headache. This report was non-serious.


VAERS ID: 1235526 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac output increased, Confusional state, Vision blurred, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (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, ? days
   Extended hospital stay? 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: confusion/was not coherent; blurry vision; vomited; cardiac outcomes went up, from the lab results they were elevated; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of CONFUSIONAL STATE (confusion/was not coherent), VISION BLURRED (blurry vision), VOMITING (vomited) and CARDIAC OUTPUT INCREASED (cardiac outcomes went up, from the lab results they were elevated) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included No adverse event. On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Apr-2021, the patient experienced CONFUSIONAL STATE (confusion/was not coherent) (seriousness criterion hospitalization), VISION BLURRED (blurry vision) (seriousness criterion hospitalization), VOMITING (vomited) (seriousness criterion hospitalization) and CARDIAC OUTPUT INCREASED (cardiac outcomes went up, from the lab results they were elevated) (seriousness criterion hospitalization). At the time of the report, CONFUSIONAL STATE (confusion/was not coherent), VISION BLURRED (blurry vision), VOMITING (vomited) and CARDIAC OUTPUT INCREASED (cardiac outcomes went up, from the lab results they were elevated) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient had his first dose of the Moderna COVID-19 vaccine yesterday and immediately felt the vaccine go to his chest and down to the toes; 30-40 minutes after had confusion, blurry vision; he made it to a hospital in Dallas where he vomited, he could not read at the moment, could not call 911, did not know how to send his location, how to call or text, he was not coherent. Was admitted in the ER with altered mental state, he was not responsive when she went to see him. He stayed overnight, his cardiac outcomes went up, from the lab results they were elevated. They performed CT scans, neurological checks, a holter monitor, MRI, multiple blood works and everything was clear.; Sender''s Comments: Very limited information regarding these events has been provided at this time. Further information has been requested.


VAERS ID: 1235721 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016B21A / 2 LA / IM

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

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

Write-up: Chills throughout night after vaccine, fever and headache for about 4 hours the day after vaccine, fatigue the day after vaccine.


VAERS ID: 1235729 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: QVAR, Omega3 fish oil, multivitamin for women age 50+
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left arm was painful around the injection site, pain was peaked during night, until next day, and start to subdue after 2 days.


VAERS ID: 1236103 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Myalgia, Neck pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension (took blood pressure medication)
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Comments: no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423914

Write-up: FATIGUE; NECKACHE; CHILLS; MUSCLE ACHES; HEADACHE; DRENCHED IN SWEAT; This spontaneous report received from a patient via a company representative concerned a 51 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included covid-19 infection, and concurrent conditions included hypertension, and other pre-existing medical conditions included no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 15:45 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced drenched in sweat. On 13-APR-2021, the subject experienced headache. Treatment medications included: paracetamol. On 13-APR-2021 01:00, the subject experienced chills. On 13-APR-2021 01:00, the subject experienced muscle aches. On 13-APR-2021 05:00, the subject experienced neckache. On 13-APR-2021 06:00, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from drenched in sweat, chills, and muscle aches on 13-APR-2021, was recovering from neckache, and had not recovered from headache, and fatigue. This report was non-serious.


VAERS ID: 1236130 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Dyspnoea, Headache, Injection site paraesthesia, Pain, Pyrexia
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)

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: 20210413; Test Name: Body temperature; Result Unstructured Data: 100-102
CDC Split Type: USJNJFOC20210424789

Write-up: SLIGHT SHORTNESS OF BREATH; BODY ACHES; TINGLING IN INJECTED ARM; FEVER OF 100-102; HEADACHE; This spontaneous report received from a patient concerned a 29 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced slight shortness of breath. On 13-APR-2021, the subject experienced body aches. On 13-APR-2021, the subject experienced tingling in injected arm. On 13-APR-2021, the subject experienced fever of 100-102. On 13-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 100-102. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever of 100-102, body aches, headache, tingling in injected arm, and slight shortness of breath. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1236156 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN [ACETYLSALICYLIC ACID]; PEPCID [FAMOTIDINE]; ATORVASTATIN; MONTELUKAST; VITAMIN B12; BIOTIN
Current Illness: Abstains from alcohol; Ex-smoker (Discontinued 7 years ago.)
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Bariatric surgery; Blood cholesterol abnormal; Diabetic; Food allergy; Heart disease, unspecified; Hives; Comments: The patient did not have any drug abuse, illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425768

Write-up: DIZZINESS; NAUSEA; 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 hives, bariatric surgery, and diabetic, and concurrent conditions included lettuce. nuts and unspecified ingredient in indian food allergy, asthma, heart disease, cholesterol problem, ex smoker, allergy of unknown food substance, and non-alcohol user, and other pre-existing medical conditions included the patient did not have any drug abuse, illicit drug use.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 207A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. Concomitant medications included montelukast for asthma, atorvastatin for high cholesterol, famotidine for stomach acid, acetylsalicylic acid, biotin, and cyanocobalamin. On 13-APR-2021, the subject experienced dizziness. On 13-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dizziness, and nausea. This report was non-serious.


VAERS ID: 1236164 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 101 F
CDC Split Type: USJNJFOC20210426816

Write-up: BODY ACHES; CHILLS; FEVER; SEVERE HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 13-APR-2021, the subject experienced severe headache. On an unspecified date, the subject experienced body aches, chills, and fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 101 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, body aches, severe headache, and chills. This report was non-serious.


VAERS ID: 1236190 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Hyperventilation, Stress
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Eosinophilic 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:
Preexisting Conditions: Medical History/Concurrent Conditions: Clot blood
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427654

Write-up: MILD HEADACHE; HYPERVENTILATION; STRESSED OUT; This spontaneous report received from a parent concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included blood clots. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 29-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced hyperventilation. On 13-APR-2021, the subject experienced stressed out. On an unspecified date, the subject experienced mild headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the hyperventilation, stressed out and mild headache was not reported. This report was non-serious.


VAERS ID: 1236209 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A22A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Influenza like illness, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428079

Write-up: FLU LIKE SYMPTOMS; LOSS OF APPETITE; NAUSEA; This spontaneous report received from a consumer concerned a 48 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, and batch number: 206A22A expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 07:20 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021 18:00, the subject experienced flu like symptoms. On 13-APR-2021 18:00, the subject experienced loss of appetite. On 13-APR-2021 18:00, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the flu like symptoms, loss of appetite and nausea was not reported. This report was non-serious.


VAERS ID: 1236214 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A22A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428134

Write-up: SORE ARM/ CAN HARDLY MOVE IT; FLU SYMPTOMS/ NAUSEA/ NO APPETITE; This spontaneous report received from a patient concerned a 45 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A22A expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 07:20 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021 18:00, the subject experienced flu symptoms/ nausea/ no appetite. On 14-APR-2021 08:00, the subject experienced sore arm/ can hardly move it. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu symptoms/ nausea/ no appetite on 14-APR-2021, and had not recovered from sore arm/ can hardly move it. This report was non-serious.


VAERS ID: 1236237 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428432

Write-up: INJECTION SITE PAIN; 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 13-APR-2021 for prophylactic vaccination .Batch number was not reported and has been requested No concomitant medications were reported. On 13-APR-2021, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of injection site pain was not reported. This report was non-serious.


VAERS ID: 1236238 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Lethargy, Somnolence
SMQs:, 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:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Rheumatic fever; Comments: Patient have no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428436

Write-up: FEELING BAD; LAZY; SLEEPY; This spontaneous report received from a consumer concerned a 41 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included rheumatic fever, and concurrent conditions included non alcoholic, and non smoker, and other pre-existing medical conditions included patient have no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 13-APR-2021, the subject experienced lazy. On 13-APR-2021, the subject experienced sleepy. On an unspecified date, the subject experienced feeling bad. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from lazy, and sleepy, and the outcome of feeling bad was not reported. This report was non-serious.


VAERS ID: 1236239 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bedridden, Chest discomfort, Fatigue
SMQs:, Anaphylactic reaction (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: Breast feeding; Drug allergy; Non-smoker
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428439

Write-up: PRESSURE ON CHEST; COULD NOT GET OUT OF BED; TIREDNESS; This spontaneous report received from a patient concerned a 33 year old. The patient''s height, and weight were not reported. The patient''s concurrent conditions included breastfeeding, non smoker, and allergic to aspirin, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced could not get out of bed. On 13-APR-2021, the subject experienced tiredness. On 14-APR-2021, the subject experienced pressure on chest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from tiredness, and the outcome of pressure on chest and could not get out of bed was not reported. This report was non-serious. This parent/child case is linked to 20210436123.


VAERS ID: 1236262 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428673

Write-up: ADMINISTER TO 16 YEAR OLD PATIENT; OFF LABEL USE; This spontaneous report received from a health care professional concerned a 16 year old female. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced administer to 16 year old subject. On 13-APR-2021, the subject experienced off label use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the administer to 16 year old patient and off label use was not reported. This report was non-serious.


VAERS ID: 1236287 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Frequent bowel movements
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Drug allergy; Non-smoker
Preexisting Conditions: Comments: Patient has no known medical history and patient has no history of drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428910

Write-up: DIARRHEA; STOMACH ACHE; INCREASED BOWEL MOVEMENT; This spontaneous report received from a patient concerned a 51 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included sulfa-based allergy, non smoker, and abstains from alcohol, and other pre-existing medical conditions included patient has no known medical history and patient has no history of drug abuse or illicit drug usage. 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 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced stomach ache. On 13-APR-2021, the subject experienced increased bowel movement. On 14-APR-2021, the subject experienced diarrhea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from stomach ache, and the outcome of increased bowel movement and diarrhea was not reported. This report was non-serious.


VAERS ID: 1236344 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient was not pregnant at the time of vaccination.
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Body temperature; Result Unstructured Data: 100.1 F
CDC Split Type: USJNJFOC20210429111

Write-up: FEVER; TIREDNESS; This spontaneous report received from a patient concerned a 42 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers.. No concomitant medications were reported. On 13-APR-2021, the subject experienced fever. On 13-APR-2021, the subject experienced tiredness. Laboratory data included: Body temperature (NR: not provided) 100.1 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and tiredness. This report was non-serious.


VAERS ID: 1236387 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Alabama  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse drug reaction
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: USJNJFOC20210429824

Write-up: UNSPECIFIED SIDE EFFECTS; This spontaneous report received from a health care professional 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) 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 13-APR-2021, the subject experienced unspecified side effects. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of unspecified side effects was not reported. This report was non-serious.


VAERS ID: 1236719 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: School       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: Metformin 500mg
Current Illness:
Preexisting Conditions: Diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe Headaches.


VAERS ID: 1236750 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine Vitamin D3 Rosuvastatin Citalopram
Current Illness: None
Preexisting Conditions: Hypertension High Cholesterol
Allergies: Tape Neosporin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Since April 13th patient has had headache and body aches.


VAERS ID: 1236850 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-07
Onset:2021-04-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Diarrhoea, Gaze palsy, Pain, Parosmia, Pyrexia, Taste disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ocular motility disorders (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Day of vaccine and day after: high fever, chills, headache, body aches, vomiting, and diarrhea. April 13: food smelled rancid. April 17: certain foods smell and taste rancid. Everyday, more foods smelled/tasted rancid. 4/20/21: Symptoms improved, but several foods have a rancid aftertaste.


VAERS ID: 1236945 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-04-13
   Days after vaccination:4
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: Back pain, Fatigue
SMQs:, Retroperitoneal fibrosis (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: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have severe back ache and fatigue . did not seek treatment. should I seek treatment??


VAERS ID: 1237091 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-01
Onset:2021-04-13
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Chest pain, Deep vein thrombosis, Dyspnoea, Fibrin D dimer increased, Full blood count, Haematocrit decreased, Haemoglobin decreased, Muscle spasms, Peripheral vein occlusion, Platelet count normal, Pulmonary embolism, Red blood cell count decreased, Scan with contrast abnormal, Ultrasound Doppler abnormal, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (narrow), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Lupus Chronic Kidney Disease (Lupus Nephritis) Pt had recent bilateral lower extremity edema and shortness of breath not diagnosed
Preexisting Conditions: Lupus Surgical history: hernia repair, tonsillectomy, 2013 Pleural Effusion with thoracotomy and decortication of right lung, chest tube placed
Allergies: NKA
Diagnostic Lab Data: 4/18/2021 US Venous Duplex Lower Extremity: Acute deep venous thrombosis with occlusive thrombus in the left femoral, popliteal and posterior tibial veins. 4/18/2021 CT Angio Pulmonary Embolism W and/or WO Contrast: Acute pulmonary embolism within segmental arteries of bilateral upper lobes, lower lobes and right middle lobe. 4/18/2021 D-dimer : 16,641 4/18/2021 CBC: WBC 7.0, RBC 3.95, Hgb 11.3, Hct 34.9, platelets 163
CDC Split Type:

Write-up: Patient started having leg cramping on 4/13/2021, presented to the emergency department on 4/18/2021 with increasing shortness of breath and chest pain.


VAERS ID: 1237103 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-13
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alopecia
SMQs:

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

Write-up: About a week after the vaccine I noticed 1 patch of hair loss which procceded to 2 or 3. I visited my Dermatologist who injected steroids into each spot but within the next week more and more patches would fall out. A bedtime oil was prescribed for me to use and I am still experiencing the issue to date which has caused me to have to chop off all my hair yesterday. I have a 4week F/U appt with the dermatologist to see if any changes has occured


VAERS ID: 1237155 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-10
Onset:2021-04-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 207A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hypoaesthesia, Laboratory test
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: A lot of lab work was down on the day I see Dr and CT scan.
CDC Split Type:

Write-up: After the Vaccine. On the third date, April 13th 2:15pm my left side hand and leg feel numbness. On April 14th, my right side hand starts numbness. I went to see doctor on April 15th, Dr took blood works and schedule a CT scan on April 20th. On April 21st my left side hand and leg feel more numbness than before. I took a Tylenol at 9:35pm on April 21st. And When I wake up this morning which is April 22rd my right side head feel pain and I feel I can''t walk straight. Then I took another Tylenol at 9:35 am on April 22nd. My head is painful and I feel dizzy.


VAERS ID: 1237494 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Vertigo
SMQs:, Vestibular disorders (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: Anastrozole, multi vitamin
Current Illness: None
Preexisting Conditions: Breast Cancer in remission since December 2020
Allergies: Sulfa drugs, penicillin
Diagnostic Lab Data: None. Was not seen by a doctor for this side effect.
CDC Split Type:

Write-up: Vertigo, severe, upon waking 2 days after vaccine injection. Resolved within a few hours.


VAERS ID: 1237590 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-10
Onset:2021-04-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN DOESN''T HAVE LO / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Fatigue, Headache, Hypoaesthesia, Pain, Pain in extremity, Ultrasound scan
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Allergy medication, Inhaler
Current Illness: No
Preexisting Conditions: Asthma
Allergies: Sulfa, Augmentin
Diagnostic Lab Data: Blood Work, Ultrasound (right leg)
CDC Split Type: vsafe

Write-up: The day after felt normal aches and tired. On Tuesday my calves and right leg started to hurt. I woke up on Wed felt as if right leg was numb and begin to had headache. i left work went to ER had Blood Work, Ultrasound (right leg). I went home on Sunday I don''t take my Claritin felt fine. On that Monday 4/19 I did take Claritin my right leg started back hurting. Since Tues 4/20 I haven''t taken allergy medication my right leg doesn''t feel weird.


VAERS ID: 1237731 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Hypersomnia
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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: 32 , September 2007, flu vaccine
Other Medications: Paxil. Emgality Trazedone. Sumatriptan Latuda. Valium Topomax Ubrelv
Current Illness: Sloughing esophagitis
Preexisting Conditions: Migraines
Allergies: Clonidine Bee venom Trazedone Reglan Compezine
Diagnostic Lab Data: I did not go to the hospital or see a doctor.
CDC Split Type:

Write-up: I slept 15 to 20 hours a day from Tuesday until Friday. I also had suffered severe brain zaps.


VAERS ID: 1237936 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: tylenol 650 mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: sulfa
Diagnostic Lab Data: blood work, imaging, medications
CDC Split Type:

Write-up: Blood clot in right arm , SOB, CHEST PAIN, arm pain,


VAERS ID: 1238218 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK LA / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dysgeusia, Dyspepsia, Fatigue, Headache, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (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: Simvastatin, Omeprazole, Topiramate, Warfarin, Vitamin B12, Vitamin D, Dextroamphetamine
Current Illness:
Preexisting Conditions: Clotting Disorders (Excess Factor VIII & XI) Arnold Chiari I Malformation Sleep Apnea Fibromyalgia
Allergies: DHE Reglan
Diagnostic Lab Data:
CDC Split Type:

Write-up: Middle of the night woke up with chills, sweats. Lasted for the night. Took Tylenol. I no longer have a fever. Headache that started at 4am on 4/13/2021 and lasted throughout the day. I have been having headaches on and off throughout the week. I have had a metallic taste in my mouth for about a week with increased heartburn. I am still having these symptoms. Increased fatigue.


VAERS ID: 1238430 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anion gap decreased, Blood sodium normal, Chest pain, Computerised tomogram thorax normal, Dyspnoea, Electrocardiogram repolarisation abnormality, Myalgia, Platelet count decreased, Troponin normal
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (narrow), Conduction defects (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: CT chest-- no pulmonary emboli, normal CT EKG- Ventricular rate of 88, repolarization abnormality noted, without any acute ST or T segment findings Troponin is within normal limits. CBC = platelet count = 98k, BMP = Sodium = 136, anion gap = 5.8
CDC Split Type:

Write-up: myalgias, sharp left sided chest pain, shortness of breath. Chest pain is worse with deep breathing. Patient is treated with normal saline fluids.


VAERS ID: 1239008 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-30
Onset:2021-04-13
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Fatigue, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Osteonecrosis (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins: A, B complex, C, D, E, Niacinimide
Current Illness: None
Preexisting Conditions: None
Allergies: penicillin, bactrim, lactose bandages
Diagnostic Lab Data: None
CDC Split Type:

Write-up: No reaction at all until 14 days after vaccination. Worked all day came home really exhausted. Went to bed at 6:00 PM. Got up at 8:00 AM feeling exhausted. Came home from afternoon dentist appointment (cleaning) exhausted with aching joints, bones and a slight temperature. Went to bed at 6:00 PM and slept til 8:00 AM. It felt like the same reaction from the flu shots which is why I didn''t want to get vaccinated. I started taking 1000 mags at 6 :00PM about every hour 7-9000 mg total and felt fine the next morning instead of in bed for 3 days with the flu shot and no Vit. C. Also, shortly after the shot, I got a tingling at the indent in the back of my neck near the hairline which doesn''t quite hurt but I feel the need to press on it. I can''t tell when it''s going to come or what I''ve done to make it happen. It''s still happening several times a day.


VAERS ID: 1239146 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Headache, Hypoaesthesia, Musculoskeletal stiffness
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Arthritis (broad)

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

Write-up: Unusual headache x4 weeks radiating from the forehead with R facial numbness with dizziness and neck stiffness. These symptoms were severe and intractable for the first week, and then gradually decreased in severity and frequency. At 6 weeks, symptoms have all resolved except R facial numbness. Numbness includes the forehead, cheek, and jaw.


VAERS ID: 1239782 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-10
Onset:2021-04-13
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Cardiac ventricular thrombosis, Catheter directed thrombolysis, Chest pain, Dizziness, Dyspnoea, Headache, Impaired work ability, Intensive care, Middle ear effusion, SARS-CoV-2 test negative, Sinusitis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastatin, levothyroxine, meloxicam; Vitamins A, B, C, D & E. Fish Oil, CoQ10, Turmaric, Osteo Bi-Flex
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 4/15/21 to 4/17/21 - see Hospital records.
CDC Split Type:

Write-up: Tues 4/13/21- Headache and dizziness started about 4p. Wed 4/14/21- Could not go to work because of headache and dizziness. Made appt for 4/15 at 6:45a with Dr Thur 4.15/21- Awoke with intense headache and dizziness. Ready to go to appt but emergency room called at 6:37 to switch to a Virtual appt. I never received a call so I walked to the office. They told me they would not see me as I had Covid 19 symptoms. Went to airport and received a Negative Covid test. Went o Clinic and was diagnosed with fluid in the ears and a sinus infection. Went to work and only stayed 2 hours. Drove myself to the emergency room with weakness, shortness of breath and intense pain under the sternum. Diagnosed with a blood clot in the right ventricle. The cardiac cath lab removed it. Was in intensive care Thur-Sat.


VAERS ID: 1239798 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-04-11
Onset:2021-04-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lialda/mesalamine, fish oil, multi vitamins, slippery elm, marshmallow root powder, glutamine
Current Illness:
Preexisting Conditions: Ulcerative colitis
Allergies:
Diagnostic Lab Data: Two Covid tests both negative. One 3 days after symptoms and the other 5 days after.
CDC Split Type:

Write-up: Sore throat developed roughly 48 hours after vaccination. Still lingering 8 days after symptoms started.


VAERS ID: 1239974 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-03-31
Onset:2021-04-13
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cognitive disorder, Echocardiogram normal, Headache, Hypoaesthesia, Lack of spontaneous speech, Transient ischaemic attack, Venogram normal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine Primrose Oil
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: Penicillin
Diagnostic Lab Data: CT scans, MRI/MRV, echocardiogram, blood work including platelets and d-dimer, all normal 4/13-4/14 Discharged with diagnosis of suspected TIA.
CDC Split Type:

Write-up: Approx 6:30 pm headache 7:05 pm headache immediately subsided, right arm grew numb 7:09 pm speech became difficult. Trouble stringing words together. 7:15 difficulty spelling/texting 7:25 pm numbness speed to lower right quadrant of face. Speech became more labored. 7:40 arrived in ER, numbness in face resolved Approx 8:00 speech improved, arm numbness resolved CT scans, MRI/MRV, echocardiogram, blood work including platelets and d-dimer, all normal. Kept in hospital under observation until approx 6:30 4/14. Discharged with diagnosis of suspected TIA. Followup scheduled with primary physician and neurology consult.


VAERS ID: 1240488 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-13
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: The flu shot in 2012 really got me sick with fever and body chills.
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: None. I did not see a doctor for the above.
CDC Split Type:

Write-up: I took my vaccination on 4/7/21 at 12:10PM. On 4/13/21 at approximately 2PM I started suffering from very strong headaches, the pain stretched from one side of my head (temple) to the other side of the head. In the evening of 4/13/21 the pain was so great that I was literally pounding my fist on the wall and seriously considered going to the emergency room. I started taking Advil to help deal with these intense headaches. The pain peaked on 4/14/21, this was a day that I spent in bed taking medication (Advil). On 4/15/21 the pain started to subside. By 04/17 I barely registered anymore pain.


VAERS ID: 1240565 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424475

Write-up: BLOOD CLOT; This spontaneous report received from a male patient 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, frequency 1 total administered on MAR-2021(2weeks ago from date of reporting) 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. The patient wanted to know about the blood clots with the JNJ shot and was thinking that he had a blood clot on 13-APR-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of blood clot was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: A consumer of unknown age or gender called company to inquire what is going on with blood clots after vaccine. The subject stated that he thinks he has a blood clot 2 weeks after vaccine, but did not provide details, did not see a doctor or have an any diagnosis, and refused to see a doctor despite encouragement. He did not share any contact information or other information stating he would "wait for our lies to come out about clots." This case is confounded by a lack of meaningful history, a lack of diagnosis, a lack of workup, and a lack of contact information for any follow up. A meaningful medical assessment can not be made.


VAERS ID: 1240570 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Burning sensation, Limb mass
SMQs:, Peripheral neuropathy (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: USJNJFOC20210424538

Write-up: BUMP ON HAND; BURNING IN HAND; This spontaneous report received from a parent 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 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 13-APR-2021, the subject experienced bump on hand. On 13-APR-2021, the subject experienced burning in hand. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the bump on hand and burning in hand was not reported. This report was non-serious.


VAERS ID: 1240621 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Chills, 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: USJNJFOC20210425370

Write-up: CHILLS AROUND 02:00; HEADACHE AROUND 02:00; This spontaneous report received from a parent 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: not reported) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 13-APR-2021, the subject experienced chills around 02:00. On 13-APR-2021, the subject experienced headache around 02:00. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache around 02:00, and chills around 02:00. This report was non-serious.


VAERS ID: 1240640 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425828

Write-up: NAUSEA; This spontaneous report received from a consumer 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 12-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 13-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea. This report was non-serious.


VAERS ID: 1240670 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Skin disorder
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Occasionally couple times a week.); Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies, had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427124

Write-up: SKIN BREAKDOWN (ON ARMS AND TORSO AREA AND LITTLE BIT REDNESS); LITTLE BIT OF REDNESS; This spontaneous report received from a patient concerned a 56 year old male. The patient''s weight was 190 pounds, and height was 180 centimeters. The patient''s concurrent conditions included alcohol user, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies, had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, and batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced skin breakdown (on arms and torso area and little bit redness). On 13-APR-2021, the subject experienced little bit of redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from skin breakdown (on arms and torso area and little bit redness), and the outcome of little bit of redness was not reported. This report was non-serious.


VAERS ID: 1240699 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Chills, Exposure during pregnancy, Pain, Pregnancy test, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: Test Date: 20210413; Test Name: Pregnancy test; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210427558

Write-up: GENERAL BODY PAIN; VACCINE EXPOSURE DURING PREGNANCY; FEVER; CHILLS; This spontaneous pregnancy report received from a consumer concerned a 31 year old female. The patient''s weight, height, and medical history were not reported. It was not reported whether the patient had been pregnant before. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced general body pain. On 13-APR-2021, the subject experienced vaccine exposure during pregnancy. On 13-APR-2021, the subject experienced fever. On 13-APR-2021, the subject experienced chills. The date of the subject''s last menstrual period and expected delivery date were not reported. Laboratory data included: Pregnancy test (NR: not provided) positive. The pregnancy was continuing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from general body pain, fever, and chills, and the outcome of vaccine exposure during pregnancy was not reported. This report was non-serious.


VAERS ID: 1240712 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Discomfort, Fatigue, Nausea, Pain, Somnolence
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427659

Write-up: ACHE; SORE; GROGGY; TIRED; OCCASIONAL NAUSEA; This spontaneous report received from a patient concerned a 20 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 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced ache. On 13-APR-2021, the subject experienced sore. On 13-APR-2021, the subject experienced groggy. On 13-APR-2021, the subject experienced tired. On 13-APR-2021, the subject experienced occasional nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from ache, sore, tired, groggy, and occasional nausea. This report was non-serious.


VAERS ID: 1240733 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USJNJFOC20210427885

Write-up: CHEST PAIN; HEADACHE; This spontaneous report received from a patient via a company representative concerned an adult female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 13-APR-2021, the subject experienced chest pain. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, and chest pain. This report was non-serious.


VAERS ID: 1240741 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427952

Write-up: JOINT PAIN; HEAVY MUSCLE ACHES; This spontaneous report received from a patient concerned a 35 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: 042A21A expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced joint pain. On 13-APR-2021, the subject experienced heavy muscle aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from heavy muscle aches, and joint pain. This report was non-serious.


VAERS ID: 1240751 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Oropharyngeal discomfort
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZEROTEX
Current Illness: Alcohol use; Smoker
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428168

Write-up: FEELING WEIRD SENSATION IN THROAT; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol user, and smoker, and other 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: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 for prophylactic vaccination. Concomitant medications included orlistat. On 13-APR-2021 13:00, the subject experienced feeling weird sensation in throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling weird sensation in throat. This report was non-serious.


VAERS ID: 1240753 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Blood pressure high; Glaucoma; Non-smoker
Preexisting Conditions: Comments: Patient had no known drug allergies
Allergies:
Diagnostic Lab Data: Test Name: Lab test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210428187

Write-up: HEADACHE; LOW GRADE FEVER; MUSCLE ACHES; TIREDNESS; This spontaneous report received from a patient concerned a 70 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, glaucoma, non alcoholic, and non smoker, and other pre-existing medical conditions included patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced headache. On 13-APR-2021, the subject experienced low grade fever. On 13-APR-2021, the subject experienced muscle aches. On 13-APR-2021, the subject experienced tiredness. Laboratory data (dates unspecified) included: Lab test (NR: not provided) Normal. Treatment medications (dates unspecified) included: acetylsalicylic acid/caffeine/paracetamol/salicylamide. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, low grade fever, and tiredness, and had not recovered from muscle aches. This report was non-serious.


VAERS ID: 1240772 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Unknown  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428715

Write-up: SEVERE ITCHINESS; HIVES; This spontaneous report received from a patient concerned a 46 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced severe itchiness. On 13-APR-2021, the subject experienced hives. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe itchiness, and hives. This report was non-serious.


VAERS ID: 1240897 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: Simvastatin Escitalopram Pantoprazole busPIRone Symbicort Vit D3
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Injection sight was sore for 2 days after shot


VAERS ID: 1240901 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Anxiety, Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Paranoia
SMQs:, Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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: Pearls probiotic, multi vitamin with iron, lyrica, lithium, levothyxonzine, citalopram, alprazolam
Current Illness:
Preexisting Conditions: Depresssion, bipolar depression, tactile defensiveness, anxiety
Allergies: Oranges, cipro
Diagnostic Lab Data:
CDC Split Type:

Write-up: One week after, rash, swelling, redness, ichy at site of injection. Day of and to current date increased anxiety and feeling like I can trust no one.


VAERS ID: 1240908 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: COVID-19, SARS-CoV-2 test
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: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: COVID-19 PCR test; Result Unstructured Data: negative; Test Date: 20210411; Test Name: SARS-CoV-2 rapid POC test; Result Unstructured Data: negative; Test Date: 20210413; Test Name: SARS-CoV-2 PCR test; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210427494

Write-up: CONFIRMED COVID-19 INFECTION; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch no was not reported ,The company is unable to performed follow up to request batch /Lot numbers. No concomitant medications were reported. On 11-APR-2021, Laboratory data included: COVID-19 PCR test (NR: not provided) negative, and SARS-CoV-2 rapid POC test (NR: not provided) negative. On 13-APR-2021, the subject experienced confirmed covid-19 infection. Laboratory data included: SARS-CoV-2 PCR test (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed covid-19 infection was not reported. This report was non-serious.; Sender''s Comments: V0 Medical Assessment comment not required as per standard procedure as the case assessed as non-serious


VAERS ID: 1240944 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Blood pressure; Diabetes; Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430112

Write-up: NECK PAIN; ARM PAIN; LEFT SIDE BODY PAIN; HEADACHE; This spontaneous report received from a patient concerned a 58 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included diabetes, blood pressure, non alcohol user, and non smoker, and other 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: 1808609, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On APR-2021, treatment medications included: ibuprofen, and paracetamol. On 13-APR-2021, the subject experienced neck pain. On 13-APR-2021, the subject experienced arm pain. On 13-APR-2021, the subject experienced left side body pain. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, neck pain, arm pain, and left side body pain. This report was non-serious.


VAERS ID: 1240960 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Missouri  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Chills, Fatigue, Injection site reaction, Somnolence
SMQs:, 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430391

Write-up: KNOT AND REDNESS AT INJECTION SITE; TIREDNESS; CHILLS; FEELING SLEEPY; 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: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced feeling sleepy. On an unspecified date, the subject experienced knot and redness at injection site, and tiredness. Treatment medications (dates unspecified) included: acetylsalicylic acid, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the knot and redness at injection site, tiredness, chills and feeling sleepy was not reported. This report was non-serious.


VAERS ID: 1240962 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Vaccination adverse reaction (Got horrible side effects when taken flu shot); Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430447

Write-up: FELT AWFUL LIKE SHE WAS GOING TO DIE; FELT CRAPPY; NAUSEA; FELT TIRED/EXHAUSTION/FATIGUE; This spontaneous report received from a patient concerned a 71 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included vaccination adverse reaction, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient was previously treated with influenza vaccine for prophylactic vaccination; and experienced drug allergy when treated with sulfamethoxazole/trimethoprim. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced felt crappy. On 13-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced felt tired/exhaustion/fatigue. On 14-APR-2021, treatment medications included: paracetamol. On 18-APR-2021, the subject experienced felt awful like she was going to die. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt crappy, and nausea on 15-APR-2021, and felt tired/exhaustion/fatigue on APR-2021, and had not recovered from felt awful like she was going to die. This report was non-serious.


VAERS ID: 1240974 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Head discomfort, Muscle twitching
SMQs:, Anaphylactic reaction (broad), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastrooesophageal reflux disease; Twitches
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430735

Write-up: This spontaneous report received from a patient concerned a 45 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included acid reflux, and eye twitches. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 09:00 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced eye twitching. On 13-APR-2021, the subject experienced slight pressure on side of head. On 13-APR-2021, the subject experienced burning sensation in chest. On 13-APR-2021, the subject experienced shortness of breath. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from eye twitching, slight pressure on side of head, burning sensation in chest, and shortness of breath. This report was non-serious.


VAERS ID: 1241029 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Influenza like illness
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431366

Write-up: FLU LIKE SYMPTOMS; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 13-APR-2021, the subject experienced flu like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of flu like symptoms was not reported. This report was non-serious.


VAERS ID: 1241033 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Erythema, Feeling abnormal, Pruritus
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USJNJFOC20210431383

Write-up: RED MARKS ON BOTH LEGS REFERRED TO AS LINES ON LEGS, AFFECTED BOTH LEGS, FROM THE FRONT OF SHIN TO SIDE OF CALF/ STRIATION MARKS THAT ARE SLIGHTLY RED; FELT FUNNY, KIND OF SENSATION COMING FROM THE AREA; ITCHING; This spontaneous report received from a patient concerned a 63 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 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 13-APR-2021, the subject experienced itching. On 13-APR-2021, the subject experienced felt funny, kind of sensation coming from the area. On 14-APR-2021, the subject experienced red marks on both legs referred to as lines on legs, affected both legs, from the front of shin to side of calf/ striation marks that are slightly red. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from red marks on both legs referred to as lines on legs, affected both legs, from the front of shin to side of calf/ striation marks that are slightly red, itching, and felt funny, kind of sensation coming from the area. This report was non-serious.


VAERS ID: 1241063 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431834

Write-up: MILD TINGLING TO LEGS; 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, intramuscular, 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 13-APR-2021, the subject experienced mild tingling to legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from mild tingling to legs. This report was non-serious.


VAERS ID: 1241078 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Headache, Myalgia, Nausea, Pain assessment, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Pain scale; Result Unstructured Data: Headache - 9.5/10; Test Date: 20210413; Test Name: Pain scale; Result Unstructured Data: Muscle Ache 7.5/10; Test Date: 20210415; Test Name: Pain scale; Result Unstructured Data: Headache - 1 to 2.5/10
CDC Split Type: USJNJFOC20210432068

Write-up: TINGING IN THE RIGHT LEG, MOSTLY IN LOWER RIGHT LEG; NO APPETITE; SEVERE HEADACHE; MUSCLE SORENESS; NAUSEA; This spontaneous report received from a patient concerned a 44 year old female. The patient''s weight was 165 pounds, and height was 162.56 centimeters. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 16:45 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced no appetite. On 13-APR-2021, the subject experienced severe headache. On 13-APR-2021, the subject experienced muscle soreness. On 13-APR-2021, the subject experienced nausea. Laboratory data included: Pain scale (NR: not provided) Headache - 9.5/10, Muscle Ache 7.5/10. Treatment medications included: paracetamol. On 14-APR-2021 20:30, the subject experienced tinging in the right leg, mostly in lower right leg. On 15-APR-2021, Laboratory data included: Pain scale (NR: not provided) Headache - 1 to 2.5/10. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from tinging in the right leg, mostly in lower right leg, severe headache, muscle soreness, nausea, and no appetite. This report was non-serious.


VAERS ID: 1241140 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension; Seasonal allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435600

Write-up: COUGHED UP BLOODY PHLEGM; MILD SORE THROAT; SLIGHT HEADACHE; This spontaneous report received from a patient concerned a 63 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hypertension, seasonal allergy, and tree pollen allergy. The patient experienced drug allergy when treated with nifedipine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, expiry: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced slight headache. On 15-APR-2021, the subject experienced coughed up bloody phlegm. On 15-APR-2021, the subject experienced mild sore throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from coughed up bloody phlegm, and mild sore throat on 15-APR-2021, and slight headache on 13-APR-2021. This report was non-serious.


VAERS ID: 1241152 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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: USJNJFOC20210435692

Write-up: TWO BRUISE (ONE ON EACH LEG); This spontaneous report received from a consumer concerned a 20 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A expiry: 21-JUN-2021) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced two bruise (one on each leg). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from two bruise (one on each leg). This report was non-serious.


VAERS ID: 1241154 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Hypersomnia
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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: AMOXICILLIN
Current Illness: Bone cancer; Non-smoker; Radiation burn; Sepsis
Preexisting Conditions: Medical History/Concurrent Conditions: Cardiac pacemaker insertion; Heart valve replacement NOS; Open heart surgery; Comments: The patient had no known allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435728

Write-up: SLEPT A LOT; FEELING VERY TIRED; This spontaneous report received from a consumer concerned an 89 year old male. The patient''s height and weight were not reported. The patient''s past medical history included artificial valve surgery, and pacemaker surgery, and concurrent conditions included non smoker, sepsis, cancer on shin bone and radiation burn and other pre-existing medical conditions included no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A and expiry: 23/JUN/2023) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Concomitant medications included amoxicillin for sepsis. On APR-2021, the subject experienced slept a lot. On 13-APR-2021, the subject experienced feeling very tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from feeling very tired on 15-APR-2021 and the outcome of slept a lot was not reported. This report was non-serious.


VAERS ID: 1241155 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling, Joint range of motion decreased
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435737

Write-up: CAN''T RAISE ARM ABOVE SHOULDER; ARM HOT TO TOUCH; REDNESS AT INJECTION SITE; PAIN IN LEFT VACCINATED ARM; SWELLING OF ARM; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included covid infection, and other pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, expiry: 23/JUN/2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced can''t raise arm above shoulder. On 13-APR-2021, the subject experienced arm hot to touch. On 13-APR-2021, the subject experienced redness at injection site. On 13-APR-2021, the subject experienced pain in left vaccinated arm. On 13-APR-2021, the subject experienced swelling of arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in left vaccinated arm, redness at injection site, swelling of arm, arm hot to touch, and can''t raise arm above shoulder. This report was non-serious.


VAERS ID: 1241166 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Chills, Fatigue, Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435816

Write-up: I FELT LIKE I COULD FIGHT someone OR TWO; CHILLS; TIRED; 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 12-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 13-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced tired. On 14-APR-2021, the subject experienced I felt like I could fight someone or two. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and tired on APR-2021, and the outcome of I felt like I could fight someone or two was not reported. This report was non-serious. This case, from the same reporter is linked to 20210435862.


VAERS ID: 1241170 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Anxiety, Chills, Headache, Pain, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435852

Write-up: ANXIETY; SWOLLEN ARMS AND FINGERS; BLOATED STOMACH; BODY ACHES; CHILLS; FEVER; HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 06:50 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced body aches. On 13-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced fever. On 13-APR-2021, the subject experienced headache. On 16-APR-2021, the subject experienced swollen arms and fingers. On 16-APR-2021, the subject experienced bloated stomach. On an unspecified date, the subject experienced anxiety. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered with sequelae from body aches, chills, fever, and headache on 14-APR-2021, was recovering from swollen arms and fingers, and bloated stomach, and the outcome of anxiety was not reported. This report was non-serious.


VAERS ID: 1241177 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435918

Write-up: MILD HEADACHE/FELT LIKE A SINUS HEADACHE; FELT TIREDNESS; NAUSEA ON AND OFF; This spontaneous report received from a patient concerned a 49 year old. 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: 1808978, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 14:00 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced mild headache/felt like a sinus headache. On 13-APR-2021, the subject experienced felt tiredness. On 13-APR-2021, the subject experienced on and off. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from mild headache/felt like a sinus headache, felt tiredness, and nausea on and off. This report was non-serious.


VAERS ID: 1241212 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Chills, Dizziness, Dyspnoea, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436209

Write-up: VOMITING; SHORTNESS OF BREATH; CHILLS; NAUSEA; ANXIETY; DIZZINESS; This spontaneous report received from a patient concerned a 49 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, and expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced anxiety. On 13-APR-2021, the subject experienced dizziness. On 13-APR-2021, the subject experienced shortness of breath. On 13-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced nausea. On 17-APR-2021, the subject experienced vomiting. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from anxiety, and shortness of breath, and had not recovered from dizziness, nausea, vomiting, and chills. This report was non-serious.


VAERS ID: 1241225 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Fatigue
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOCETIRIZINE
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies and normally had to take anti-histamines in the spring.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436291

Write-up: SHORTNESS OF BREATH; FATIGUE; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies and normally had to take anti-histamines in the spring. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. Concomitant medications included levocetirizine. On 13-APR-2021, the subject experienced shortness of breath. On 13-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shortness of breath, and fatigue. This report was non-serious.


VAERS ID: 1241238 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dizziness, Pallor, Polymenorrhoea
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient did not have known drug allergies and drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436414

Write-up: EARLY MENSTRUAL CYCLE; PALLOR; LIGHT HEADED; WEAKNESS; This spontaneous report received from a health care professional concerned a 54 year old female. The patient''s weight was 150 pounds, and height was 64 inches. The patient''s concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included the patient did not have known drug allergies and drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced early menstrual cycle. On 13-APR-2021, the subject experienced pallor. On 13-APR-2021, the subject experienced light headed. On 13-APR-2021, the subject experienced weakness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from early menstrual cycle, had not recovered from pallor, and weakness, and the outcome of light headed was not reported. This report was non-serious.


VAERS ID: 1241243 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Anxiety, Fatigue, Nausea, Oropharyngeal pain, Throat irritation
SMQs:, Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436447

Write-up: SORE THROAT; FATIGUED; NAUSEA; WENT TO BED 5HRS EARLY; RAW THROAT; FEELING UNEASY; This spontaneous report received from a patient via a company representative concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 13-APR-2021, the subject experienced raw throat. On 13-APR-2021, the subject experienced feeling uneasy. On 13-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced went to bed 5hrs early. On 14-APR-2021, the subject experienced sore throat. On 14-APR-2021, the subject experienced fatigued. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the raw throat, nausea, feeling uneasy, sore throat, fatigued and went to bed 5hrs early was not reported. This report was non-serious.


VAERS ID: 1241258 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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: USJNJFOC20210436580

Write-up: BRUISE ON UPPER RIGHT SIDE OF CHEST; This spontaneous report received from a consumer concerned a 52 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: 041A21A, and batch number: 041A21A expiry: 21-JUN-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced bruise on upper right side of chest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bruise on upper right side of chest. This report was non-serious.


VAERS ID: 1241270 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Body temperature, Chills, Dizziness, Headache, Heart rate, Injection site pain, Oxygen saturation, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use; Latex allergy (hives and throat swell (anaphylaxis)); Non-smoker
Preexisting Conditions: Comments: The patient had no illicit drug usage and drug abuse.
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: Body temperature; Result Unstructured Data: 102.5 F; Test Date: 20210413; Test Name: Pulse oximetry; Result Unstructured Data: 91 %; Test Date: 20210413; Test Name: Heart rate; Result Unstructured Data: 120 BPM; Test Date: 20210416; Test Name: Body temperature; Result Unstructured Data: 99 F
CDC Split Type: USJNJFOC20210436719

Write-up: DIZZY; CHILLS; LEFT ARM PAIN AT INJECTION SITE; FEVER; HEADACHE; VOMITING; LEFT-SIDE STOMACH PAIN; This spontaneous report received from a patient concerned a 53 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included latex allergy, alcohol user (twice a month), and non-smoker, and other pre-existing medical conditions included the patient had no illicit drug usage and drug abuse. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced vomiting. On 13-APR-2021, the subject experienced left-side stomach pain. On 13-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced left arm pain at injection site. On 13-APR-2021, the subject experienced fever. On 13-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 102.5 F, Heart rate (NR: not provided) 120 BPM, and Pulse oximetry (NR: not provided) 91 %. On 16-APR-2021, the subject experienced dizzy. Laboratory data included: Body temperature (NR: not provided) 99 F. Treatment medications (dates unspecified) included: ibuprofen, acetylsalicylic acid, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, left-side stomach pain, and chills on 16-APR-2021, was recovering from dizzy, and had not recovered from headache, fever, and left arm pain at injection site. This report was non-serious.


VAERS ID: 1241280 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 8351698 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Decreased appetite, Diarrhoea, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436781

Write-up: STOMACH CRAMPING; DIARRHEA; NAUSEA; LOSS OF APPETITE; This spontaneous report received from a patient concerned a 54 year old female. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 8351698, and batch number: 8351698 expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced loss of appetite. On 16-APR-2021, the subject experienced stomach cramping. On 16-APR-2021, the subject experienced diarrhea. On 16-APR-2021, the subject experienced nausea. Treatment medications (dates unspecified) included: loperamide hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from loss of appetite, nausea, stomach cramping, and diarrhea. This report was non-serious.


VAERS ID: 1241572 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN OUZAZIA / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heavy menstrual bleeding, Menstruation delayed, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: IgA Vasculitis (HSP) as a child with joint inflammation since then PCOS Psoriasis
Allergies: Penicillin allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: My period was supposed to start on 04/09 the day I got the vaccine. It was delayed until 04/13 when it began to bleed BLACK clotty sticky sludge. It had the appearance and consistency of vegemite or molasses. Black sludge. At first it was extremely heavy with very large black clots. Then it became tiny little black clots suspended in a brown sludge. This continued for 6 days until 04/18. Then on 04/19 my menstruation turned bright red with no clots, but has not abated at all for another 4 days. I am currently today on Thurday 04/22 still bleeding almost 2 weeks after taking the J&J shot. I cannot believe I am still bleeding after 10 full days!!! Never in 30 years of menstruating have I had a 10 day period. I am very scared and upset.


VAERS ID: 1242035 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-13
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec, hydroclorithia, percocet, morphine
Current Illness: None
Preexisting Conditions: Fibromyalgia
Allergies: Cipro, bactrim, cortisone
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash, hives all over from head to toe, very itchy, went to ER told to take Benadryl, did not help, went back to ER next night I was given pepcid and Atarax wich did help relieve somewhat. Symptoms lasted for 4days. Now I getting severe muscle cramps in hands, legs, feet and between shoulder blades about 10 times at night and consistently during the day.


VAERS ID: 1242090 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-31
Onset:2021-04-13
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, C-reactive protein normal, Erythema, Fibrin D dimer increased, Full blood count normal, Haematocrit normal, Haemoglobin normal, Pain in extremity, Peripheral swelling, Platelet count normal, Thrombophlebitis superficial, Ultrasound scan abnormal, White blood cell count
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cyclobenzaprine 10 mg TID prn muscle spasm
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: Lower extremity ultrasound -- showed occlusive superficial venous thrombus in great saphenous vein CBC -- (Hgb 15.7, Hct 46.3, Plt Count 269,000, Leukocytes 9.4, all normal values); D-dimer (1057 ng/mL, elevated but not unexpected with SVT), CRP normal
CDC Split Type:

Write-up: Developed symptoms of pain, redness, swelling to left anterior shin on 4/13, symptoms worsening so presented to clinic for evaluation. Has multiple varicose veins in this area.


VAERS ID: 1242608 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Lethargy, Malaise
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 10mg Lisinopril Culturelle digestive daily probiotic 2000 IU Vitamin D3
Current Illness: None
Preexisting Conditions: Bicuspid aortic valve
Allergies: Kiwifruit
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills and malaise starting at 2am 4/13/21 and lasting ~4 hours. Lethargy and malaise lingering for 4 days after that. Side effects vanished by sometime 4/16/21.


VAERS ID: 1242739 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-02
Onset:2021-04-13
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Headache, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Headaches, body aches and pain, intermittent nausea vomiting. Severe fatigue.


VAERS ID: 1243074 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Klonopin, Wellbutrin, Metformin, Victoza, ibuprofen, multivitamin, Biotin
Current Illness: None
Preexisting Conditions: Diabetes type 2, anxiety, depression
Allergies: Pine sap
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pain near injection site getting increasingly worse. By 9 days after, couldn''t move my upper arm away from my body without intense pain. Went to urgent care because my doctor didn''t have appointment. Now 2 weeks after, still cannot move arm away from body. Pain a bit decreased at this time


VAERS ID: 1243555 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site pain, Pain in extremity, Sleep disorder
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: 4-5 DAYS AFTER VACCINATION, LEFT ARM PAIN DISTAL TO SITE OF INJECTION, NUMBNESS OF LEFT HAND. PAIN IS INTERMITTENT, WORSENING, WAKING PT UP FROM SLEEP LAST NIGHT. PT WAS SENT TO THE ED FOR FULL EVALUATION.


VAERS ID: 1243702 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-30
Onset:2021-04-13
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Peripheral swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Rosuvastatin, calcium, Zetia, gabapentin, xanax, fioricet, pantoprazole
Current Illness:
Preexisting Conditions: migraine, gerd, hyperlipidemia, MDD, Anxiety, cervical spinal stenosis, back pain, chronic fatigue, vit d deficiency, osteoporosis
Allergies: sulfa drugs, tetracycline, demerol, codeine, vicodin, ibuprofen, nitrofurantoin
Diagnostic Lab Data:
CDC Split Type:

Write-up: severe headache, fatigue, left arm pain and weakness, leg swelling


VAERS ID: 1244060 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-10
Onset:2021-04-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood creatinine increased, Blood potassium increased, Blood urea increased, Cellulitis, Deep vein thrombosis, Erythema, Hydronephrosis, Hyperkalaemia, Limb injury, Peripheral swelling, Platelet count normal, Ultrasound Doppler abnormal, Ultrasound kidney abnormal, Ventilation/perfusion scan normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Retroperitoneal fibrosis (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: tamsulosin, simvastatin, potassium chloride ER, fish oil, multivitamin, midodrine, lisinopril, furosemide, ferrous sulfate, digoxin
Current Illness:
Preexisting Conditions: COPD, hypertension, bladder cancer, OSA, anemia, atrial fibrillation
Allergies: penicillins
Diagnostic Lab Data: 4/22/21: Renal ultrasound: bilateral hydronephrosis SCr: 4.59; BUN: 87 K: 6.1 Platelets: 178 V/Q scan: low probability of PE Lower extremity doppler: left superficial femoral vein thrombus
CDC Split Type:

Write-up: Patient received the vaccine on 4/10/21 and a few days later hit his leg, which subsequently became erythematous and swollen. He went to urgent care on 4/13/21 and received a prescription for doxycycline which he stopped taking prior to resolution of symptoms due to side effects from the medication. He was prescribed clindamycin, but did not start this medication. Patient had outpatient labwork this morning which revealed an elevated SCr, for which he was sent to the ED. The patient was found to have AKI with hyperkalemia, as well as left lower extremity DVT and cellulitis. Patient is being treated with heparin and linezolid, as well as Kayexalate. The patient is being admitted to the hospital for treatment.


VAERS ID: 1244775 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-05
Onset:2021-04-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Discomfort, Induration, Pain, Platelet count decreased, Sensory disturbance, Thrombophlebitis superficial, Ultrasound scan, Vein discolouration
SMQs:, Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Extravasation events (injections, infusions and implants) (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: N/A
Current Illness: N/A
Preexisting Conditions: Low Platelet Count for 10 years with no observable symptoms.
Allergies: N/A
Diagnostic Lab Data: Ultrasound of vein. Physically compared my right calf to left calf. No additional tests, just mentioned my already low platelet count over the past decade.
CDC Split Type: Unsure: this number is on

Write-up: Went emergency after noticing one of my veins had turned red and was hardening. Vein pulsing in left leg. Emergency room doctor diagnosed "superficial thrombophlebitis." The pulsing in lower leg (calf) continues and in elbow and wrist joints. The pain is not an issue. I''ve been feeling a bit of but most of my discomfort has been anxiety about what''s going to happen next and what are the throbbing. The vein is no longer red, is slightly hard, pain is a 1 on scale of 10. Doctors have not contacted me since the evening after I was seen and I reported to them I felt better than I did at the hospital.


VAERS ID: 1245042 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Dysgeusia, Headache, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Taste and smell disorders (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arm muscle pain, leg muscle pain, back pain, headaches, metallic taste in mouth : all lasting up to 2 weeks


VAERS ID: 1245072 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-13
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: Dyspnoea, Feeling abnormal, Headache, Night sweats, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use; Penicillin allergy; Smoker
Preexisting Conditions: Comments: The patient no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431817

Write-up: INCREASED SHORTNESS OF BREATH; FEELS BAD; FEVER; NIGHT SWEATS; HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin allergy, alcohol use, and somker, and other pre-existing medical conditions included the patient no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot number. No concomitant medications were reported. On 13-APR-2021, the subject experienced night sweats. On 13-APR-2021, the subject experienced headache. On 14-APR-2021, the subject experienced feels bad. On 14-APR-2021, the subject experienced fever. On an unspecified date, the subject experienced increased shortness of breath. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feels bad, night sweats, headache, and fever, and the outcome of increased shortness of breath was not reported. This report was non-serious.; Sender''s Comments: V.0 Medical assessment comment not required as per standard procedure as case was assessed as non-serious.


VAERS ID: 1245255 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-04-09
Onset:2021-04-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 LA / IM

Administered by: Private       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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin, Escitalopram, Tamsulosin, Vitamin D 2000 IU, Flaxseed oil pills,
Current Illness: None
Preexisting Conditions: Mild tinnitus
Allergies: None
Diagnostic Lab Data: I talked to my primary care physcian about a week after the shot, and have now set up an appointment with an ENT doctor for April 27, 2021.
CDC Split Type:

Write-up: Several days after receiving my vaccination, my tinnitus symptoms, which had been fairly mild, changed to be much more noticeable and louder. It seems like before it was just in one ear and now it is both ears. It used to noticeable and bother me only at bedtime when things were very quiet and now I can hear the ringing all the time day and night.


VAERS ID: 1245257 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Injection site swelling, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Burning sensation thru arm. Shot location swelled up to size of baseball 24-40 hours after shot: extreme pain in left arm joins below the shot including wrist and knuckles. Elbow felt like it was consistently being hit in the funny bone


VAERS ID: 1245391 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032B21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Vaccination site haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: arm cannot stop bleeding; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE HAEMORRHAGE (arm cannot stop bleeding) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032B21A) for COVID-19 vaccination. The patient''s past medical history included No adverse event (No medical history reported). On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Apr-2021, the patient experienced VACCINATION SITE HAEMORRHAGE (arm cannot stop bleeding) (seriousness criterion medically significant). At the time of the report, VACCINATION SITE HAEMORRHAGE (arm cannot stop bleeding) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication included unknown thyroid medication. Treatment medications were not provided. Very limited information regarding this event has been provided at this time. Further information has been requested. Based on the current available information and the temporal association between the product use and the start date of the event a causal relationship cannot be excluded.; Sender''s Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. Based on the current available information and the temporal association between the product use and the start date of the event a causal relationship cannot be excluded.


VAERS ID: 1245416 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-03-16
Onset:2021-04-13
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Body temperature, Fatigue, Headache, Hypoxia, Nausea, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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: Test Name: Body temperature; Result Unstructured Data: 102 degree Celsius
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: low oxygen; upset stomach; high fever, 102; nausea; fatigue; headache; rash; This spontaneous case was reported by a consumer and describes the occurrence of HYPOXIA (low oxygen) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001B21A and 038B21A) 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 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 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 13-Apr-2021, the patient experienced HYPOXIA (low oxygen) (seriousness criterion medically significant), ABDOMINAL DISCOMFORT (upset stomach), PYREXIA (high fever, 102), NAUSEA (nausea), FATIGUE (fatigue), HEADACHE (headache) and RASH (rash). At the time of the report, HYPOXIA (low oxygen), ABDOMINAL DISCOMFORT (upset stomach), PYREXIA (high fever, 102), NAUSEA (nausea), FATIGUE (fatigue), HEADACHE (headache) and RASH (rash) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 102 degree Celsius Fever. Tylenol was taken as treatment medication. Concomitant medications were not provided. Company comment: Based on the current available information and temporal association between the use of the product and the start date of these 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 these events, a causal relationship cannot be excluded.


VAERS ID: 1245468 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:2021-04-13
Onset:2021-04-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Deafness transitory, Diplopia, SARS-CoV-2 test, Tinnitus
SMQs:, Hearing impairment (narrow), Ocular motility disorders (broad), Hypoglycaemia (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: ROBITUSSIN A-C
Current Illness: Sore throat (Patient reported that her throat was no longer sore at the time of vaccine just "scratchy.")
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: COVID-19 antigen test; Test Result: Negative ; Result Unstructured Data: Patient had received a negative COVID test on the day of the vaccination.
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: "I lost hearing in both ears for 20 min, on and off ever since"; "my vision doubled in size"; "It sounds like a buzzing nose, and feels like I''m on a plan and my ears need to pop."; This spontaneous case was reported by a consumer and describes the occurrence of DEAFNESS TRANSITORY ("I lost hearing in both ears for 20 min, on and off ever since") in a 27-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Sore throat (Patient reported that her throat was no longer sore at the time of vaccine just "scratchy."). Concomitant products included CODEINE PHOSPHATE, GUAIFENESIN, PHENIRAMINE MALEATE (ROBITUSSIN A-C) from an unknown date to 13-Apr-2021 for Sore throat. On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Apr-2021, the patient experienced DEAFNESS TRANSITORY ("I lost hearing in both ears for 20 min, on and off ever since") (seriousness criterion medically significant) and DIPLOPIA ("my vision doubled in size"). On an unknown date, the patient experienced TINNITUS ("It sounds like a buzzing nose, and feels like I''m on a plan and my ears need to pop."). On 13-Apr-2021, DIPLOPIA ("my vision doubled in size") had resolved. At the time of the report, DEAFNESS TRANSITORY ("I lost hearing in both ears for 20 min, on and off ever since") and TINNITUS ("It sounds like a buzzing nose, and feels like I''m on a plan and my ears need to pop.") had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Apr-2021, SARS-CoV-2 test: negative (Negative) Patient had received a negative COVID test on the day of the vaccination.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient denies any treatment related to the events. 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: 1246155 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Sore arm, fatigue and DIZZINESS


VAERS ID: 1246205 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-11
Onset:2021-04-13
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042AZIA / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood blister, Chest discomfort, Headache, Limb discomfort, Muscular weakness, Musculoskeletal discomfort, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitafusion Women''s Gummy Daily Vitamin x 2 daily ForestLeaf Quercetin Bromelain x 2 daily (for seasonal allergies)
Current Illness: None Had annual physical onApril 2nd, no issues, didn''t require bloodwork
Preexisting Conditions: None
Allergies: Wheat Seasonal allergies Some animals, cats especially.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I had the vaccine n Sunday, Tuesday morning I woke up with a very tight feeling across my chest/ rib cage area, particularly on my right side, underarm, under breast area. I also had some weakness in my left arm where the shot was given. The tightness in my chest was not affecting my ability to breath, I was able to go on my usual daily hour-long walk but it was concerning me enough for a call with a Dr. I had spent the day before (Monday) using a wood pellet BBQ so I though maybe the issue was related to smoke. The Dr prescribed a salbutamol inhaler which I have used before for seasonal allergies but that didn''t really d anything to help with the tight feeling. The feeling of tightness remained all week (and still does to some extent 11 days later). On the Friday I noticed a small dark spot, approx 2mm, a bit like a blood blister on the back of my right thigh. I have had these before fairly infrequently, and I see a dermatologist once a year for a check up and they are not concerned, and they usually go away on their own. But, the combination of a new blood spot and the continued tight feeling across my chest had me concerned enough to call my regular Dr''s office. I was also feeling occasional sporadic aches in my legs in varying places. I spoke to a practice nurse who was very reassuring that she had spoken to many other patients that had also been experiencing chest tightness that had gone on for days after the Janssen vaccine, so after that I felt less concerned about the symptoms. I am still experiencing the tightness in my chest which has affected my shoulders and neck with what feels like muscle tension, and also been accompanied by some mild headaches at the sides of my head. I was pretty anxious about getting the vaccine which is not something I usually struggle with and on the Tuesday after the vaccine I felt particularly irrational and also very tired.


VAERS ID: 1246539 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-06
Onset:2021-04-13
   Days after vaccination:7
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: Public       Purchased by: ?
Symptoms: Dry mouth, Dry skin, Dyspnoea, Erythema, Feeling hot, Flushing, Pain, Pain in extremity, Pruritus, Skin exfoliation, Sleep disorder
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications: Lexapro, hormone replacement, multi-vitamin, blood pressure, cholesterol, Allegra, Flonase, steroid injection 7 days prior for allergies, Goli Apple Cider Vinegar gummies, Vitamin D
Current Illness: Hay Fever
Preexisting Conditions: High Blood Pressure, High Cholesterol, Generalized Anxiety Disorder
Allergies: Sulfa, cats, season
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: That evening, I began to have difficulty breathing as I did after out of quarantine from COVID. I used my inhaler prescribed to me from having covid in November of 2020. That helped. Then about a week later I started to have leg pain. Not sharp pain, but achey pain in both legs that can not be controlled by Tylenol or Ibuprofen. It has been occurring every few days and some nights like last night are bothersome and I can not sleep well. Also after about a week, I had dryness and redness on the bottom part of my mouth and chin. In the last week I have had flush on my neck and chest. It is hot, sometimes causes dryness and pealing and is sometimes itchy.


VAERS ID: 1247561 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-12
Onset:2021-04-13
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Dry eye, Facial paralysis, Headache, Ophthalmoplegia
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Ocular motility disorders (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone 20 mg tab qd for bells palsy Atorvastatin Aspirin Prilosec
Current Illness:
Preexisting Conditions: Hyperlipidemia
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bells palsy happening on left side of his face, everything is paralyzed, small pain behind left ear, left eye will not close(drys out), and is still going on with no improvement Went to ER because they thought it was a stroke .


VAERS ID: 1247844 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-03-06
Onset:2021-04-13
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / UNK AR / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Heavy menstrual bleeding, Menstrual disorder, Menstruation delayed, Nausea, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Fertility disorders (broad)

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

Write-up: Onset of period was delayed by 8 days - this is highly unusual as periods are normally very regular. When period began, it was incredibly heavy and contained clots of blood. Accompanied by significant abdominal pain and cramping with nausea. Also, the blood was bright red (normally it is dark brownish red).


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