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From the 10/15/2021 release of VAERS data:

Found 8,070 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit



Case Details

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VAERS ID: 1330717 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-05-18
Onset:2021-05-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Per patient had a seizure after HPV vaccine, no problems with other vaccines.
Other Medications: Nonne
Current Illness: None
Preexisting Conditions: History of depressionn and asthma.
Allergies: Penicillin - Rash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pateint was given vaccine on 5/18/2021, soon after her injection, she passed out in the lobby. Code Blue was called. After medical team arrived, her HR= 48; BP= 89/56; O2= 100% on 3L and she responded to verbal commands. Hx of needle phobia. Not sure whether her Syncope was secondary to Vasovagal vs. J&J Vaccine vs. Seizures, therefore, we called EMS to take her for further evaluation.


VAERS ID: 1330753 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808979 / N/A RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Confusional state, Hypoxia
SMQs:, Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown, but per facility nurse, pt is NOT on blood thinners.
Current Illness:
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: J&J vaccine was administered to patient. Consent form states that patient will be receiving J&J vaccine today. Pt is confused per medical baseline. Notified facility nurse, RN that I will be given J&J to patient and was okay with giving. After vaccine was given a second facility nurse, RN confirmed that pt was supposed to received second dose of Pfizer vaccine today. Pt was closely monitored in area for 30 minutes, facility Dr was notified. No acute distress noted, vital sign stable, no reactions noted, no active bleeding noted during 30 minutes of observation. Pt was taken back to her room and 15 minutes after observation at around 09:35AM, facility staff notified pt was desatting, was placed on oxygen and ambulance was called and taken to emergency room.


VAERS ID: 1330786 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-17
Onset:2021-05-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Hypoaesthesia, Nausea, Paraesthesia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Sexual dysfunction (broad)

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

Write-up: Fingers tingling in vaccinated arm, vomiting , diarrhea, nausea, numbness in both arms


VAERS ID: 1330864 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-07
Onset:2021-03-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Canalith repositioning procedure, Cardiac stress test normal, Cold sweat, Computerised tomogram normal, Dizziness, Echocardiogram normal, Magnetic resonance imaging normal
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: shingles the next day it felt like i had the flu
Other Medications: Janumet Quinapril Hydrochlorothiazide ( stopped taking it after the shot) Atorvastatin Pantoprazole Glucosamine Chondroitin Vitamin B12 Vitamin D Meclizine ( After the vaccine ) PB Assist
Current Illness: No
Preexisting Conditions: Type 2 Diabetes Hypotension
Allergies: Fish ( Not shellfish)
Diagnostic Lab Data: nuclear stress test - came back normal echo cardiogram - came back normal mri - came back normal cat scan -came back normal
CDC Split Type: vsafe

Write-up: On 03/14 I woke at 8:15 am and I was having a really bad dizzy spell and I had something like this before it was called bppv ( bengen paroxysmal positional vertigo) but i never had it as intense as it was when i woke up it was beyond anything that i have had in the past and I thought it was that I went on Friday 3/19 to another doctor that specialized in the Epley maneuver and that helped so much but then I had it again on 03/23 and I went back and they did the same thing Epley maneuver 04/02 I went to go see an ent and go to get my ears check she also did Epley maneuver an and nothing happen she turned my head and I had a bad episode of vertigo. and it was worse then it was the first time My blood pressure went up to 190/100 my pulse was at 100 broke out in a cold sweat she called 911 they took me to general hosptial. They did the and nothing came from it. They gave me volume but I only took one pill and it didn''t do much for me. They sent me home I called Dr and they person on duty said that they can do a cat scan i said not they told me to go to emergency room right now I had a cat scan nothing came up they put in a ambulance and took me to another hospital so that i could an MRI which 10:30am, everything came back normal from that. So then my regular doctor told me to see my cardiologist to make sure it was not a heart problem last Tuesday i had a nuclear stress and echo cardiogram that came back to show that the dizziness is not from the heart or a blood flow problem


VAERS ID: 1330877 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-27
Onset:2021-05-06
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Dyspnoea exertional
SMQs:, Pulmonary hypertension (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PREDNISONE CLOBETASOL PROPIONATE 0.05 % EXTERNAL CREAM ESTRACE 0.1 MG/GM VAGINAL CREAM HYZAAR 100-12.5 MG ORAL TABLET (LOSARTAN POTASSIUM-HCTZ) K-TAB 20 MEQ ORAL TABLET EXTENDED RELEASE (POTASSIUM CHLORIDE) FLUTICASONE PROPIONATE 50 MC
Current Illness: PMR
Preexisting Conditions: hyperlipidemia, hypertension, prediabetes, GERD, Hx of PE 2011, PMR
Allergies: CODEINE (Moderate) LISINOPRIL (LISINOPRIL) (Moderate) NORVASC (AMLODIPINE BESYLATE) (Moderate)
Diagnostic Lab Data: CTA to dx PE
CDC Split Type:

Write-up: SOB with exertion, Diagnosed PE in ED


VAERS ID: 1330929 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-03-22
Onset:2021-04-06
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18050118 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Electrocardiogram, Fatigue, Hemiparesis, Migraine, Mobility decreased, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Serve fatigue, muscle weakness on my left side, leg pain causing me not to stand for long periods of time, nauseas, serve migraines


VAERS ID: 1331063 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-03-08
Onset:2021-03-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest X-ray, Computerised tomogram, Dyspnoea, Electrocardiogram, Fatigue, Feeling abnormal, Gait disturbance, Hypertension, Influenza like illness, Malaise, Pain, Peripheral swelling, Skin sensitisation, Thrombosis, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Percocet 5 mg PRN, Advil, Diclofenac
Current Illness: No
Preexisting Conditions: Degenerative Disc Disease, Fibromyalgia, Arthritis, Knee replacement
Allergies: No
Diagnostic Lab Data: Ultrasound at CVT Vascular on , phone number is on April 14, 2021 and found 4 clots on left calf Blood work Chest x-ray, EKG, CT scan with contrast at ER
CDC Split Type: vsafe

Write-up: I woke up Wednesday and I felt like I was hit by a train. I felt like a wet dish rag hanging on the sink. Everything hurt, even taking a step, I just felt bad, tired like the flu but no respiratory issues. By the 14th I started getting short of breath, couldn''t walk without SOB, my legs started to swell, joints were sore, I felt tired. Went to the doctor and my blood pressure was high, I was prescribed medication for my blood pressure and fluid pills. It hurt just to brush against the skin on my calf. An ultrasound revealed 4 blood clots in my left calf. Went to the ER at . Hospital in and sent to hematologist Dr. and there were no findings.


VAERS ID: 1331078 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Blood test, Chest X-ray, Chills, Fatigue, Peripheral swelling, Pyrexia, Rash, Rash erythematous, Scan with contrast, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Ferrous sulfate, lovaza, Boniva, Buspirone, Nasonex, Zyrtec, Omeprazole, INcruse, Ventolin, Levothyroxine
Current Illness: Other specified nonscarring hair loss, Vaginitis, Vulvitis and vulvovaginitis in diseases classified elsewhere, menopausal and female climacteric states,
Preexisting Conditions: Allergies, chronic cough, depression, GERD, headache, history of melanoma, Hyperactive airway disease Hyperlipidemia, Hypothyroidism IBS, Pulmonary nodule, Aneurysm aorta
Allergies: Demerol
Diagnostic Lab Data: Patient was assessed in ER and had CTA chest with and w/o contrast, bilateral duplex Lower extremities, chest x-ray, other blood testing
CDC Split Type:

Write-up: patient developed extreme fatigue, rash, fever , chills and swelling of lower extremities within few days of receiving vaccine. Also had red rash scattered on lower extremities extending from knees down to her feet.


VAERS ID: 1331093 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-10
Onset:2021-04-15
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Migraine
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: penicillin
Diagnostic Lab Data: ER - April 15th - CT scan; full bloodwork - determined that there wasn''t any thing they had to treat in that regard. ER
CDC Split Type: vsafe

Write-up: I had the first migraine headache I every had in my life. On the 15th of April (middle of night) I went to ER because it would not respond to any meds at home. They gave me an IV Cocktail of three different medications. That was what I needed. Migraine - happened again 2 weeks later. That happened on May 12 and - I went to ER again - they gave IV Cocktail and that did what it needed to. No tests were done the second visit.


VAERS ID: 1331125 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-08
Onset:2021-05-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Amnesia, Confusional state, Diarrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diabetes, cholesterol, nebulizer
Current Illness: None
Preexisting Conditions: COPD Type II Diabetes Heart Disease
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Loss of bowel control, memory loss, confusion began talking like a baby


VAERS ID: 1331130 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Eye pruritus, Eye swelling, Muscle spasms
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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: FLU SHOT
Other Medications: CLONIDINE, LABETALOL, DOXAZOSIN, XOLAIR
Current Illness:
Preexisting Conditions: HYPERTENSION, INTERMITTENT ASHTMA, MAST CELL ACTIVATION SYNDROME, IDIOPATHIC ANAPHYLAXIS, CHRONIC IDIOPATHIC URTICARIA, HISTORY OF ALLERGIC REACTIONS, MASTOCYTOSIS
Allergies: PREDNISONE, PEANUTS, FLU VACCINE, ATROVENT, IODINE, ASPIRIN, VANCOMYCIN, MORPHINE, TOMATOES, PINEAPPLE, LATE, POTASSIUM CHLORIDE, SANDIMMUNE, CYCLOSPORINE, CARDIZEM, SHELLFISH, BARIUM, CONTRAST DYES, METOPROLOL, AMLODIPINE, HYDRALAZINE
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT RECEIVED VACCINE, AFTER ABOUT 25MINUTES SHE STARTED DEVELOPING SYMPTOMS SUCH AS LEG CRAMPING, EYE SWELLING AND EYE ITCHING SIMILAR TO MAST CELL ACTIVATION FLARES SHE HAS HAD IN THE PAST. SHE DENIED ANY LIP, TONGUE OR THROAT SWELLING AND DENIES ANY WHEEZING OR TROUBLE BREATHING, SHE ALSO DENIES ANY ABDOMINAL PAIN, VOMITING OR DIARRHEA.


VAERS ID: 1331135 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-04-05
Onset:2021-04-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amnesia, Arthralgia, Blood creatine phosphokinase increased, Blood test, Chest X-ray, Chest pain, Chills, Head discomfort, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Trulicity - for type 2 diabetes
Current Illness: no
Preexisting Conditions: type 2 diabetes
Allergies: no
Diagnostic Lab Data: ER - - Chest x-rays, bloodwork - CPK levels were elevated after the vaccine
CDC Split Type: vsafe

Write-up: Ever since the shot, that night - severe chills, fever. A week later, I went to ER - I was still having short term memory loss, chest pain and body aches and joint pains I have been scheduled for a Rheumatologist; Neurologist. I''m still taking prednisone until I can get to the Rheumatologist. As long as I''m on the prednisone, I''m all right but as soon as I come off it I get symptoms back of pressure in my head, all my joints start hurting and have short term memory loss.


VAERS ID: 1331136 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiovascular evaluation, Cerebellar stroke, Echocardiogram, Magnetic resonance imaging abnormal, Vertebral artery occlusion, Vertigo
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Vestibular disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ropinarole Armour thyroid Wellbutrin Metformin Zofran Trazodone
Current Illness: Restless leg syndrome
Preexisting Conditions: Restless leg syndrome
Allergies: Bactrim
Diagnostic Lab Data: MRI showing vertebral artery occlusion Cardiac work up normal TEE normal
CDC Split Type:

Write-up: Developed symptoms of Vertigo 2 days post vaccine, diagnosed with cerebellar stroke secondary to vertebral artery occlusion on 5/12/21. She had extensive work up which was normal following diagnosis.


VAERS ID: 1331170 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-05-03
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Full blood count normal, HIV test negative, Magnetic resonance imaging abnormal, Viral test
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Underwent filling for a cavity on the same day, otherwise well.
Preexisting Conditions: None
Allergies: Cats Seasonal allergies
Diagnostic Lab Data: HIV negative. CBC normal. MRI demonstrates bilateral facial nerve enhancement. Additional viral tests pending. CSF analysis planned, pending.
CDC Split Type:

Write-up: Bilateral facial nerve palsy. Unrelenting to date (16 days after onset).


VAERS ID: 1331221 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-12
Onset:2021-03-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Autoimmune disorder, Blister, Condition aggravated, Eczema, Injection site rash, Joint swelling, Lethargy, Pain, Paraesthesia, Pruritus, Rash, Scab
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Armor Thyroid Birth control Multivitamins
Current Illness:
Preexisting Conditions: Hashimoto''s Eczema
Allergies:
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: The day after the vaccine I woke up feeling achy and lethargic. The following day I got a rash at the injection site. Three days after getting the vaccine I went to Urgent care because I had a rash and my joints were swollen. I had target shaped rashes and blisters all over my body. It was extremely itchy. It was not on my face and upper chest but they seemed to be focused around my joints. My joints were a little achy. I also had pins and needles in my hands and feet. I was given Prednisone for seven days and discharged from the urgent. The rash lasted about seven days. Some of the spots were still scabs at that point. The swelling in my joints and the tingling feeling were resolved in two days after taking the Steroids. I have Eczema and Hashimoto?s disease and pre-existing nerve issues. I was told it was an autoimmune response. I have had problems with my allergies since I got the vaccine which has not happened since childhood. I am also having episodes of food triggered Eczema. It took about three weeks before I was fully recovered but the food triggered Eczema which I have not had problems with for 15 years. It does seem to have settled down a little.


VAERS ID: 1331290 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Feeling hot, Hyperhidrosis, Nervousness, Photopsia, Retching, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Retinal disorders (narrow), Hypoglycaemia (broad)

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

Write-up: Patient was very nervous about getting the covid vaccine. She sat for 15 minutes and after about 8 minutes she said she thought she was having a panic attack and felt hot. Tech administered vaccine and sat with her the whole wait time since she was nervous. Held an ice pack on her neck when she stated she felt hot. The 15 minute timer went off and she still felt nervous so she continued to sit. Rph also was present once the ice pack was given. She had a dry heave at about 12 minutes. After 20 minutes we moved her to the floor she said she was seeing light flashes. She was sweaty and hot. BP was taken at 420pm 162/109 and 98 pulse. Asked pt if we could call an ambulance, she felt she didn''t need one. We got lead from Division 1, also suggested an ambulance and this time pt said ok. Now BP taken was 157/109 and pulse 108. Patient felt a dry heave and we put her on her side. Ambulance arrived and put pt on a stretcher.


VAERS ID: 1331294 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-03-10
Onset:2021-03-25
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Contusion, Joint swelling, Pain, Pain in extremity, Ultrasound scan normal, X-ray normal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Seven prescriptions - Diabetic and have high blood pressure and so I take meds for these: Metformin - twice a day; Atenolol; Glipizide; hydrochlorothiazide; Losartan; Metaprol; Atorvastatin; Benadryl at night to sleep
Current Illness: no
Preexisting Conditions: no
Allergies: only latex gloves; Itchy sinuses where I''ll snore if I don''t take Benadryl
Diagnostic Lab Data: 2nd ER visit - x-ray, ultrasound, gave me steroids to take - The pain stopped for two days (on the fourth and fifth pill) but after that pill I when the course of steroids was finished the pain came back and has been hurting since. It hurts more when I''m off of it. When I take the pressure off of it, it throbs all around the ankle bone. I have a doctor visit scheduled on the 24th of this month - with my doctor.
CDC Split Type: vsafe

Write-up: Excruciating pain in my right ankle, and then four days later bruising all around the ankle and swelling. It still is going on today. It is painful. I feel like a light and shock in the ankle several times a day at times. Sometimes the pain moves to my arch. I went to ER, a week after the pain started. They gave me an arthritis cream and the compression stockings for my legs the first ER visit. The pain did not even subside with either of these. I used the cream as directed four times a day. I did it for 20 days but it didn''t do anything. Second ER visit - four to five days afterwards 0 when I had the bruising starting and the swelling and they took x-rays and gave me an ultrasound. They didn''t find anything wrong. ER- the second time as well.


VAERS ID: 1331296 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Back pain, Balance disorder, Bell's palsy, Blood test, Borrelia test, Carpal tunnel syndrome, Chills, Cognitive disorder, Dizziness, Dyspnoea, Electromyogram abnormal, Facial paralysis, Feeling abnormal, Feeling jittery, Hallucination, Headache, Judgement impaired, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Mobility decreased, Monoplegia, Mucosal disorder, Muscle contractions involuntary, Muscular weakness, Neck pain, Nodule, Pain, Pain in extremity, Pain of skin, Peripheral coldness, Polymenorrhoea, Pruritus, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 4/16 Video appt. with Dr - tell her about bizarro back pain, possible Lyme? 4/18, go to ER: Bloodwork - Lyme neg. no indicators of blood clots, Script for Doxy, Prednisone 4/26 Follow up, orders brain MRI 4/28 Brain MRI report clear 4/27 Dr, Lyme specialist (order new lyme test in 1 mo. follow up with possible spinal tap) 5/10 Begin Physical Therapy 5/10 Neurologist 5/18 EMG (5/19/21 Camara says ?carpel tunnel? in left arm. 5/18 bloodwork order 5/24 Neurologist follow up 5/26 Cervical MRI 5/28 Lyme specialist follow up post bloodwork
CDC Split Type:

Write-up: 4/1 J&J Vaccine, exactly 7 hrs later, intense chills, woke up next morning a-okay 4/3 A few min after waking up, itchy wrists (bilateral), then itchy shins (bilateral), last about 20min 4/5(?) Possible tick (on back - couldn?t really see or reach, scratched at it?) 4/10 Back pain/extreme tightness (fascia from back of knee to upper back feels like sheet of hard leather, extremely limited forward flexion, maybe 50% of normal?) 4/11 Painful intermittent scalp spasms over left ear for 2-ish hours 4/17 Hypersensitive mucus membranes 4/18 Right side of face falls down - Bell?s Palsy? 4/19 Weird hard-leather back pain fading 4/20 ?Headache? - actually feels like seizing scalp muscles behind top of ears 4/20 ?Cold? spots on skin, particularly legs 4/20 Painful knot (familiar) mid/upper right side 4/20 Out of breath 4/21 Leatherback returns 4/22 Awake 3am head pain back of right ear down neck 4/22 Awake 3am - I can feel my face! (BP resolving) 4/22 Extreme pain during asana, leatherback, shakey, lightheaded, out of breath, severe brain fog (almost hallucinatory) 4/23 Awake 1am extreme head, upper right back pain 4/23 Cold spots front of thighs above knee and left foot 4/24 Weird right upper arm/shoulder pain (hours after carrying around a dozen-ish 100lb-ish rocks) 4/25 Awake 1am -6am in extreme insanely excruciating pain right arm (upper/outer/upperback-ish) paced house for 5 hrs. Tylenol & vicodan useless 4/25 Period 2 weeks early (prednisone?) 4/28(ish) Starting to feel increasingly yeasty (doxy?) 4/29 Last day prednisone (accidentally took 1 extra day, grr) 4/29 Extreme weakness and pain - right arm utterly crippled, shoulder partially paralyzed??? (acute and continuous still as of 5/19) 4/29 Very off balance 4/29 Very jittery 4/29 Emergency visit with Dr (Grrr.) 4/30 Left bicep totally dead with pain like an ice pick through it, extreme weakness (pain, limited mobility and some weakness continuous still as of 5/19) 5/1 I can see in my notes that I am switching words!?! (left for right) ?someone mentioned to me on May 2(?) that I was switching left for right? 5/3 Dr video appointment 5/5 Brain fog approaching hallucinatory (hard to explain, everything around me slightly ?fun-house mirror-esque?, judgement is vey skewed, not fun!) 5/7 Last day doxy


VAERS ID: 1331462 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-03-11
Onset:2021-03-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac disorder, Chills, Dyspnoea, Electrocardiogram, Fatigue, Feeling hot, Headache, Heart rate abnormal, Heart rate increased, Hypertension, Hypoaesthesia, Immediate post-injection reaction, Paraesthesia, Peripheral swelling, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tegretol 400mg Multivitamin Probiotic
Current Illness:
Preexisting Conditions: Hypertension
Allergies: Penicillin-anaphylactic
Diagnostic Lab Data: EKG
CDC Split Type: vsafe

Write-up: It started as soon as I got the vaccine. I had a feeling of heat travelling down my arm followed by a pins and needles sensation. I stayed for 30 minutes and I could feel a strange feeling of pins and needles seemed to be travelling up my neck and into my face. When I saw that my arm was swollen. My arm started to itch and I was taken into the observation area and checked out. I went home and four hours later I felt like I couldn''t take a deep breath and I started to get a headache, chills and fatigue. The next day my arm and face were still little numb and I was still having a little trouble breathing. On day four I still felt like I couldn''t take a deep breath and my heart rate was erratic. On the fifth day I went to an Urgent Care clinic. My blood pressure and heartrate were a little high. I went to the doctor the next day because they had found some hardening of my heart. After five weeks I still have a little feeling of pins and needles in my left arm and in the left side of my face.


VAERS ID: 1331478 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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, Estradiol, melatonin, unisom, ashwaghanda, multivitamin, vitamin D, vitamin B12
Current Illness: fibromyalgia, trigeminal neuralgia
Preexisting Conditions: fibromyalgia, trigeminal neuralgia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Migraines several days after vaccine, severe migraine on 4/23


VAERS ID: 1331491 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

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

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

Write-up: Janssen COVID-19 Vaccine Vaccine Lot Number: 202A21A Pt reported feeling light-headed 1-2mins after shot. unconscious for 15-20 sec. diaphoresis before passing out. 911 called. M410 transported to HEC Pt suffered no trauma or fall. 12 lead ekg performed with sinus brady and 1st degree. no daily meds, nkda. ran 4 miles today; oatmeal/granola, milk protein bar; 13:28 92/43 p 57 ; 105/71 P 42; 112/66 p 49


VAERS ID: 1331787 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-11
Onset:2021-05-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816027 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Abnormal behaviour, Aphasia, Blister, Body temperature increased, Chest X-ray, Computerised tomogram head abnormal, Culture urine, Depressed level of consciousness, Electroencephalogram, Full blood count, Haemorrhage intracranial, Influenza virus test, Lumbar puncture, Metabolic function test, Muscular weakness, Peripheral swelling, Urine analysis, Vasogenic cerebral oedema
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hyponatraemia/SIADH (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetic, HBP, Dementia
Preexisting Conditions: Dementia, Diabetes, Hypertension
Allergies: No known allergies
Diagnostic Lab Data: A Lumbar Puncture was conducted conducted on patient on 05/18/2021. An EEG was conducted on the patient on 05/19/2021.
CDC Split Type:

Write-up: At 8:05 am on 05/12/2021 temperature of 102.8 was noted and Tylenol was given. The nurse did not did not document any other symptoms and stated that the patient denied any pain and felt fine. CBC, CMP, Flu swab, chest x-ray and UA with culture were obtained. The resident had a low grade temperature of 99.9 at 2:04 pm on 05/12/2021 and no other symptoms were documented. On 05/13/2021 at 12:15 pm, Nurse noted that resident wasn''t ''acting like herself''. Nurse obtained a rectal temperature of 99.6 from resident and the resident had a blood pressure of 159/80, pulse of 66, respiration of 18, and an O2 sat of 95% on room air. Nurse noted that the resident was trying to speak but could not get


VAERS ID: 1331791 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Flushing, Speech disorder
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: not sure
Current Illness: crohn disease
Preexisting Conditions: crohns
Allergies: no
Diagnostic Lab Data: EMS came and took patient to hospital
CDC Split Type:

Write-up: Patient stopped by stated he is planning a trip and that his doctor wants him to get Jansen vaccine . we I gave him the shot 20 minutes later he started showing flushing and difficulty talking.


VAERS ID: 1331833 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-14
Onset:2021-05-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest pain, Dyspnoea, Electrocardiogram, Malaise
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: I felt really sick the following day! I had COVID-19 prior to this so it felt like that again... 48 hours after I had chest pain and shortness of breath! I went to the hospital and my blood pressure was 166 over 99... blood tests came back ok for now


VAERS ID: 1332011 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-04-06
Onset:2021-05-04
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cardiac function test, Computerised tomogram, Dizziness, Dysstasia, Intensive care, Nausea, Orthostatic hypotension, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xaretel Flecainide aspirin Metropol amlodipine / benazepril crestor
Current Illness: Afib ... Had Web Sl implant for brain aneurysm last July ... might of had some type of infection
Preexisting Conditions: Same
Allergies: None
Diagnostic Lab Data: CT Scan lower body ...blood test ...a lot of heart test
CDC Split Type:

Write-up: Wasn?t able to stand up at all... nausea fainting dizziness etc... had to take rescue twice within 5 days... was in the ICCU unit at one point.. diagnosed with orthostatic hypotension


VAERS ID: 1332219 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Hyperhidrosis, Insomnia, Laboratory test normal, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Acetaminophen - 650 mg
Current Illness: None
Preexisting Conditions: Cavernoma
Allergies: None
Diagnostic Lab Data: I had blood panels done on 5/11/2021 at the ER and then again the following week at my primary care doctor''s office. Both times nothing abnormal (including my platelet counts) was found.
CDC Split Type:

Write-up: I experienced a severe headache later the same day as my vaccination. I took some extra strength acetaminophen at the regular intervals that day/night, but by the bed time (~9:00PM) I was unable to sleep. I experienced chills/sweating throughout the night as well as body ache and nausea. By morning (5/11/2021, ~9:00AM) I began vomiting and soon could not keep down any liquids. After this continued unabated, I went to the emergency room at ~11:00AM I checked myself in and the nurses triaged me and gave me IV fluids. The wait times that morning at the ER were very long, in excess of 2 hours, and after the first full bag of saline my nausea was gone and I felt amazingly better. Realizing I wasn''t going to be seen for several hours and concerned about my own Covid exposure/general risk sitting in the waiting room for most of the day, I decided to leave without being seen. I ate lightly that day and drank lots of Pedialyte. By the next day I was ready to eat normally and went about my day. Later that week I went to see my primary care doctor just to establish that nothing more was going on, as the Johnson and Johnson pause was announced that week.


VAERS ID: 1332238 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Cold sweat, Immediate post-injection reaction, Impaired driving ability, Presyncope
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: no
Preexisting Conditions: unknown
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: 3 minutes after injection patient started to stand up to get pharmacist''s attention and pharmacist looked over at patient and noticed patient was clammy and looking like he was going to fall over. Pharmacist told patient to sit back down and immediately grabbed e-kit and headed to patient''s side. Patient was clammy (like just got out of shower). At 3:45 PM BP was 128/63 and PR was 44. At 3:50 PM BP was 92/56 and PR 51, at this point RPh decided it was more than a vaso-vagal reaction and administered the epinephrine injection at 3:51 PM - EMS was called. At 3:52 PM BP was 130/76 and PR 59, 3:55 PM 134/86 PR 66, 3:58 PM BP was 148/83 and PR 68 at 3:59 PM EMS arrived and patient declined them taking him to hospital via ambulance due to no insurance. He had pharmacist escort him to his car so he could get his cell phone and back to pharmacy so he could call his son to pick him up and take him to the hospital. Unknown if patient ended up going to hospital.


VAERS ID: 1332385 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-30
Onset:2021-05-03
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Balance disorder, Burning sensation, Computerised tomogram normal, Dizziness, Headache, Neck pain, Photophobia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: -
Current Illness: -
Preexisting Conditions: Childhood seizures (last episode was age 11)
Allergies: Phenobarbitol
Diagnostic Lab Data: CT scan shows no blood clot.
CDC Split Type:

Write-up: Monday-Feeling like ants crawling under my skin. Headache, present even with Tylenol Tuesday- Ant feeling subsided, headache and neckache. Lightheadedness and loss of balance. Went to ER Thursday 5/20- Lightheaded and loss of balance Since 5/4, lightheadedness comes and goes. Light and sound affect the ability to focus. I have never felt like this before.


VAERS ID: 1332354 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-05-20
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, Sinus headache
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: No medical condition
Allergies:
Diagnostic Lab Data: Test Date: 20210313; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 20210317; Test Name: COVID-19 virus test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210517516

Write-up: CONFIRMED COVID-19 INFECTION; BAD SINUS HEADACHE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no medical condition. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 07-MAR-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 MAR-2021, the subject experienced confirmed covid-19 infection. On MAR-2021, the subject experienced bad sinus headache. On 13-MAR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. On 17-MAR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Positive. The action taken with covid-19 vaccine was not applicable. The outcome of the confirmed covid-19 infection and bad sinus headache was not reported. This report was non-serious. The suspected product quality complaint has been confirmed to be it was confirmed that no pqc was identified within the reported complaint and this was a duplicate case to pqms 90000178956. voided based on the pqc evaluation. based on the PQC evaluation/investigation performed. This case, from the same reporter is linked to 20210517426. This report was associated with product quality complaint: 90000178962 The suspected product quality complaint has been confirmed to be voided as it was confirmed that no PQC was identified within the reported complaint and this was a duplicate case to PQMS 90000178956. Voided based on the PQC evaluation.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1332367 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-05-10
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Seizure, Vision blurred
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: General physical condition; Comments: The patient did not had history of comorbidities, did not had no known allergies and did not had drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210529765

Write-up: SEIZURES; PAIN IN JOINTS; VISION BLURRY; This spontaneous report received from a patient concerned a 62 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included he had been healthy individual all his life. The patient''s concurrent conditions included patient was non-alcohol user, and non-smoker. The patient had no history of comorbidities. The patient had no known 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: 205A21A expiry: 11-MAY-2021) 1 total dose was administered at left arm on 10-MAY-2021 (reported as Monday) for prophylactic vaccination. No concomitant medications were reported. On 10-MAY-2021, the patient experienced blurry vision (vision blurry) which had happen all of sudden. On 12-MAY-2021, (reported as Wednesday) after taking JNJ vaccine he was taken to the emergency room because he had developed seizures (seizure), the patient experienced pain in joints (pain in the joints) which had happen all of sudden and was hospitalized. The patient was treated with Levetiracetam 500 mg for seizure. He was hospitalized for a day. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from seizures, and had not recovered from pain in joints, and vision blurry. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210529765-COVID-19 VACCINE AD26.COV2.S-Seizures. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). V0: 20210529765-COVID-19 VACCINE AD26.COV2.S-Pain in joints. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1332437 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-03-20
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Decreased appetite, Gait inability, Headache, Laboratory test, Pain in extremity, Peripheral swelling, Photopsia, Tremor, X-ray
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Retinal disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210321; Test Name: X-ray; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Laboratory test; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: X-ray; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210532568

Write-up: BACK OF THIGHS WERE QUIVERING; SWOLLEN LEFT FOOT AND PAIN; FLASHING LIGHTS IN EYES; UNABLE TO WALK ON LEFT FOOT; NOT APPETITE; JOINT PAIN/LEFT ANKLE PAIN/LEFT WRIST PAIN/PAIN IN LEFT PALM; TERRIBLE HEADACHE; PAIN LEFT THUMB/LEFT HEEL PAIN/RIGHT HAND PAIN/COULD NOT OPEN BOTTLES DUE TO JOINT/HAND PAIN/UNABLE TO USE HAND/BAD HAND PAIN/TERRIBLE PAIN IN BOTH HANDS/LEFT HEEL PAIN/L FOOT PAIN/LEFT ARM PAIN; This spontaneous report received from a patient concerned a 50 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 1802068, and expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced pain left thumb/left heel pain/right hand pain/could not open bottles due to joint/hand pain/unable to use hand/bad hand pain/terrible pain in both hands/left heel pain/l foot pain/left arm pain. On 21-MAR-2021, the subject experienced joint pain/left ankle pain/left wrist pain/pain in left palm. On 21-MAR-2021, the subject experienced terrible headache. Laboratory data included: X-ray (NR: not provided) Not reported. Treatment medications included: tramadol. On 22-MAR-2021, the subject experienced unable to walk on left foot. On 22-MAR-2021, the subject experienced not appetite. Treatment medications included: prednisone. On 25-MAR-2021, the subject experienced flashing lights in eyes. On 26-MAR-2021, the subject experienced swollen left foot and pain. On 28-MAR-2021, the subject experienced back of thighs were quivering. On 28-APR-2021, Laboratory data included: Laboratory test (NR: not provided) Not reported, and X-ray (NR: not provided) Not reported. The action taken with covid-19 vaccine was not applicable. The patient recovered from flashing lights in eyes on 01-APR-2021, and back of thighs were quivering on 31-MAR-2021, had not recovered from swollen left foot and pain, terrible headache, and pain left thumb/left heel pain/right hand pain/could not open bottles due to joint/hand pain/unable to use hand/bad hand pain/terrible pain in both hands/left heel pain/l foot pain/left arm pain, and the outcome of joint pain/left ankle pain/left wrist pain/pain in left palm, not appetite and unable to walk on left foot was not reported. This report was non-serious.


VAERS ID: 1332463 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-05
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Blood pressure measurement, Dyspnoea, Hypertension, Musculoskeletal discomfort, Pain, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Arthritis (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sickle cell trait
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Name: Blood pressure; Result Unstructured Data: 148/106 mmhg
CDC Split Type: USJNJFOC20210532847

Write-up: HIGH BLOOD PRESSURE; SHORTNESS OF BREATH; PAIN CONTINUES ALL OVER BODY; HIP PAIN; LEFT KNEE DISCOMFORT; This spontaneous report received from a patient concerned a 59 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included sickle cell trait. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 043A21A expiry: Unknown) dose was not reported,1 total administered on 05-APR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On APR-2021(10 days later), the patient experienced left knee discomfort and hip pain, for which patient visited primary doctor, who referred him to an orthopedic. Orthopedic prescribed meloxicam; however, the patient took ibuprofen daily instead of it . On an unspecified date, the patient experienced pain all over body for which patient took oxycodone hydrochloride/paracetamol but discontinued due to constipation and for constipation patient took casanthranol/docusate sodium, then patient checked blood pressure and it was found 148/106 mmHg (high) so patient visited to emergency room where patient firstly checked for covid -19 test which was negative. For high blood pressure patient took amlodipine 10 mg daily. The patient took paracetamol for unknown indication. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain continues all over body, and the outcome of left knee discomfort, hip pain, shortness of breath and high blood pressure was not reported. This report was serious (Other Medically Important Condition); Sender''s Comments: V0: 20210532847-COVID-19 VACCINE AD26.COV2. S - High blood pressure. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1332493 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-04-13
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Diagnostic ultrasound; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210534787

Write-up: EXTREME PAIN IN RIGHT LEG; 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 (suspension for injection, route of admin not reported) dose was not reported, administered on 13-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 extreme pain in right leg. Laboratory data (dates unspecified) included: Diagnostic ultrasound (NR: not provided) Not reported. The action taken with covid-19 vaccine was not applicable. The outcome of extreme pain in right leg was not reported. This report was non-serious.


VAERS ID: 1332501 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Feeling abnormal, Pain, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Childhood asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210535381

Write-up: RED ITCHY SPOTS ON LEGS; NO APPETITE; FEELING ACHY; FEELING TOUCHY; This spontaneous report received from a patient concerned a 72 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included childhood asthma. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 042A21A, and batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced feeling achy. On 12-APR-2021, the subject experienced feeling touchy. On 13-APR-2021, the subject experienced no appetite. Treatment medications included: diphenhydramine hydrochloride. On 14-APR-2021, treatment medications included: acetylsalicylic acid. On 20-APR-2021, the subject experienced red itchy spots on legs. On 28-APR-2021, treatment medications included: sulfamethoxazole/trimethoprim. Additional treatment medications (dates unspecified) included: triamcinolone, lidocaine, and ketoconazole. The action taken with covid-19 vaccine was not applicable. The patient recovered from feeling achy, and no appetite on 13-APR-2021, had not recovered from red itchy spots on legs, and the outcome of feeling touchy was not reported. This report was non-serious.


VAERS ID: 1332960 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-05-01
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dysphonia, Fatigue, Heart rate, Heart rate increased, Heart rate irregular, Influenza like illness, Respiratory tract congestion, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Cardiac arrhythmia terms, nonspecific (narrow), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient has not been on any medication and had not seen a doctor for years. He has been feeling really good for years until the last 7-10 days.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Heart rate; Result Unstructured Data: 50s or 60s beats per minute; Test Date: 202105; Test Name: Heart rate; Result Unstructured Data: 90s beats per minute; Test Date: 20210511; Test Name: Heart rate; Result Unstructured Data: 190s beats per minute.; Test Date: 20210511; Test Name: COVID-19 virus test; Result Unstructured Data: negative; Test Date: 20210512; Test Name: Heart rate; Result Unstructured Data: stabilized to around 74 beats per minute; Test Date: 20210513; Test Name: Heart rate; Result Unstructured Data: high 80s to 90s while resting and over 100s beats per minute
CDC Split Type: USJNJFOC20210525842

Write-up: HEART RATE INCREASED; HEART RATE UNSTABLE; FELT LIKE FIGHTING COLD OR FLU; RESPIRATORY TRACT CONGESTION; VOICE NOT NORMAL; FATIGUED; This spontaneous report received from a patient concerned a 63 year old white (non-Hispanic or Latino) male. The patient''s height, and weight were not reported. The patient has not been on any medication and had not seen a doctor for years as he had been feeling really good for years until the last 7-10 days. 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, 1 total dose administered on 08-APR-2021 in the late afternoon to left arm for prophylactic vaccination . No concomitant medications were reported. The patient used fitbit and his resting heart rate was high 50s or into 60s beats per minute. On APR-2021, the patient reported that he had been fatigued the first 2 days by following the shot (laid down and watched tv), then went back to normal. Starting one week to 10 days ago, on MAY-2021, his resting heart rate increased to in the 90s beats per minute which could not get below that. On 11-MAY-2021, the patient''s heart rate became totally unstable and he had to go to emergency room at 11:00 with heart rate spiking in the 190s beats per minute. His heart rate was in the 180-190s beats per minute, but it was bouncing all over (for example 120, 90, then 190s beats per minute.) Heart rate would bounce around within seconds of each other. He was transferred into hospital and admitted to hospital on 11-MAY-2021 at 22:00 until 12-MAY-2021 at around 17:00. The patient was hospitalized for two days also was put on medications (blood thinner, beta blocker and another medication) while in hospital. It was reported that in hospital they were going to use paddles to shock, but heart rate stabilized on it''s on so he was able to be discharged. On 12-MAY-2021, while in hospital heart rate stabilized to around 74 beats per minute. If he moved around at all heart rate went back into the 90s beats per minute. He told that this never happened to him before. On 13-MAY-2021, the patient reported that heart rate high around 80s to 90s beats per minute while resting and over 100 beats per minute when moves around. On MAY-2021, the last 7-10 days he started feeling fatigued, like fighting some kind of cold or flu (but didn''t have either) and chest congestion, voice was not normal. He felt like having vaccine response or immune response. This was still going on. Laboratory data included: COVID-19 virus test (NR: not provided) negative (units unspecified), and Heart rate (NR: not provided) 190s beats per minute. Treatment medications (dates unspecified) included: metoprolol tartrate(Lopressor), and apixaban (Eliquis). The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The outcome of heart rate increased, felt like fighting cold or flu, respiratory tract congestion and voice not normal, fatigue and heart rate unstable was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0:20210525842-Covid-19 vaccine ad26.cov2.s-Heart rate increased ,heart rate unstable. These events are considered unassessable. The events has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the events.


VAERS ID: 1332963 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Blood test, Ultrasound scan, White blood cell count increased, X-ray
SMQs:, Neuroleptic malignant syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: EFFEXOR; ROSUVASTATIN; FEMHRT
Current Illness: High cholesterol
Preexisting Conditions: Comments: The patient had no allergies to medication, food or other products.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Diagnostic ultrasound; Result Unstructured Data: Negative for blood clots; Comments: Ultrasound of left arm and shoulder; Test Date: 202104; Test Name: Blood test; Result Unstructured Data: White blood cells elevated; Test Date: 202104; Test Name: X-ray; Result Unstructured Data: Negative for bone abnormalities
CDC Split Type: USJNJFOC20210527440

Write-up: COVID SHOULDER; WHITE BLOOD CELLS ELEVATED; This spontaneous report received from a patient concerned a 52 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high cholesterol, and other pre-existing medical conditions included the patient had no allergies to medication, food or other products. 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 00:40 for prophylactic vaccination. Concomitant medications included ethinylestradiol/norethisterone acetate for drug used for unknown indication, rosuvastatin for drug used for unknown indication, and venlafaxine hydrochloride for drug used for unknown indication. On APR-2021, the subject experienced white blood cells elevated. Laboratory data included: Blood test (NR: not provided) White blood cells elevated, Diagnostic ultrasound (NR: not provided) Negative for blood clots, and X-ray (NR: not provided) Negative for bone abnormalities. On 25-APR-2021, the subject experienced covid shoulder. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from covid shoulder, and white blood cells elevated. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.


VAERS ID: 1332965 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-05-07
Submitted: 0000-00-00
Entered: 2021-05-20
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, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Social - 1-2 drinks per week, ''very light drinker, socially''); Fear of needles; Nonsmoker
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210514; Test Name: COVID-19 PCR test; Result Unstructured Data: Positive; Test Date: 20210513; Test Name: COVID-19 rapid POC test; Result Unstructured Data: Positive; Test Date: 20210513; Test Name: COVID-19 rapid POC test; Result Unstructured Data: Negative at HCP
CDC Split Type: USJNJFOC20210530216

Write-up: FAINTED POST IMMUNIZATION; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 26 year-old white and Hispanic or Latino female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included needle phobia, alcohol use (Social - 1-2 drinks per week; very light drinker) and non-smoker. The product was stored in appropriate temperature conditions (it was stored properly from receipt to administration). The patient was not pregnant. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: unknown, expiry: unknown) administered on 07-MAY-2021 to left arm as 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 07-MAY-2021, the patient fainted post immunization. On the same day, she was feeling exhausted and had headache. On 08-MAY-2021, she experienced low grade fever and lethargy. Till 10-MAY-2021, she was feeling exhausted and had headaches. On 13-MAY-2021, she identified lack of smell while cleaning house (cleaning products). On the same day, she had positive rapid home test for COVID 19 and she tested negative at health care professional (HCP). On 14-MAY-2021, she was tested positive polymerase chain reaction (PCR) for Covid 19 (headache, exhausted, low grade fever, lack of smell and lethargy). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fainted post immunization on 07-MAY-2021, and was recovering from confirmed covid-19 infection. This report was associated with product quality complaint: 90000179636 This report was serious (Other Medically Important Condition). The narrative states the patient received the vaccine on 07-May-2021 and had a positive Covid-19 test on 14-May-2021 with 7 days elapsed between vaccine and test. There was not sufficient time elapsed for the patient to achieve immunity therefore this report was not considered a lack of effect. The suspected product quality complaint has been confirmed to be voided there was no PQC identified within the reported complaint. Voided based on the PQC evaluation/investigation performed".; Sender''s Comments: V0:20210530216-covid-19 vaccine ad26.cov2.s-Fainted post immunisation. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1333212 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-16
Onset:2021-05-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Balance disorder, Condition aggravated, Dizziness, Fall, Flushing, Heart rate increased, Hypotension, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: While waiting for 15-mins monitoring after getting Johnson&Johnson covid vaccine, he fainted and fell off the chair. Pharmacy staff rushed to his aid and he regained consciousness within a minute. He said he was feeling flushed and dizzy. He said he was having too much anxiety and has had fainting issue with vaccinations/MRI in the past. His blood pressure was low with high heart rate. We called 911 and paramedics came immediately. He was still unstable so the paramedics took him for further evaluation


VAERS ID: 1333240 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-27
Onset:2021-05-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Full blood count, Inflammation, Metabolic function test, Myalgia, Urine analysis
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: asa, azelastine, cialsis, testosterone, propranolol, b-complex, zinc, copper
Current Illness: none
Preexisting Conditions: htn.
Allergies: none
Diagnostic Lab Data: cmp, cbc, ua (all done at the er)
CDC Split Type:

Write-up: beginning on 05/04/21 developed severe and disabling polymyalgia and poly arthralgia : was seen at urgent care twice and a local er once. we all agree this is likely an autoimmune inflammatory response to the vaccine. the patient has been placed on steroids with good response and pain reduction.


VAERS ID: 1333281 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

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

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

Write-up: When vaccine was administered, 4/6/21 - I passed out. Within 24 hours - i was vomiting and had severe nausea. I had extremely bad headaches that went away for 2 days then started up again extremely bad the Monday (4/12/21) after my vaccine. Visited my primary care doctor on Wednesday (4/14) as they wouldnt go away. advised to take motrin. On friday (4/17) they still had not gone away and went to Urgent care due to fear since the vaccine had been pulled for preventative measures. they did blood work and advised to take some decongestants as the weather had been strange (Snow and 80degrees in the same week) that helped.


VAERS ID: 1333454 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Chills, Impaired work ability, Limb discomfort, Pain in extremity, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: iron - for anemia
Current Illness: no
Preexisting Conditions: anemia
Allergies: no
Diagnostic Lab Data: April 24, 2021-Urgent care: tested for DVT - for blood clots; platelets - Dr said I was fine but I still have the symptoms.
CDC Split Type: vsafe

Write-up: The night I started getting feverish. I rested. On Monday, I called out sick. Monday, Tuesday - it was chills, fever. 2nd day, my legs started having a sensation I''ve never ever felt - like cramping/charlie horse. I went to work on the third day but I needed to go home. When I came home, my legs were doubled the size. I tried to ride it out by resting. Ever since then, my legs have weird sensations - not cramps but aches. I have never felt this before. Once in a while, when I''m walking, I get cramps. It still hasn''t gone away. At the end of the day, my legs will be swollen but not as bad as the third day after the vaccine. I think my platelets are actually too high so I think that is a good thing. Upcoming doctor''s appt on July 9 - she is going to do a whole physical with bloodwork.


VAERS ID: 1333503 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cardiomyopathy, Catheterisation cardiac abnormal, Chest discomfort, Congestive cardiomyopathy, Coronary artery stenosis, Dizziness, Dizziness postural, Echocardiogram, Ejection fraction decreased, Electrocardiogram abnormal, Fatigue, Feeling abnormal, General physical health deterioration, Heart rate irregular, Intensive care, Left ventricular dysfunction, Malaise, Right ventricular dysfunction, Ventricular extrasystoles, Ventricular hypokinesia
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Dementia (broad), Pulmonary hypertension (narrow), Cardiomyopathy (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ipratropium nasal spray prn, ibuprofen prn
Current Illness: nne
Preexisting Conditions: prostatitis
Allergies: PCN
Diagnostic Lab Data: 5/16 and 5/17, EKG, multiple, ventricular ectopy Cardiac Catherization 5/17/21: Moderate global LV dysfunction. LVEF 25-30%. All arteries patent; mid-LAD with less than 10% stenosis. Dilated cardiomyopathy Transthoracic Echo, 5/18: Severe global LV and RV dysfunction
CDC Split Type:

Write-up: Never felt "right" after receiving vaccine. Occasional dizziness noted, especially upon standing. Deterioration in health 5/16/21: Was on a bicycle ride in the morning and HR monitor read 180 BPM. Rested briefly, did not feel well, rode home. Continued to not feel well throughout the day. Went to the emergency room at 6:00 PM with irregular HR, fatigue, and chest tightness. Heart rhythm irregular with ventricular ectopy. Admitted to the hospital, cardiac catherization done 5/17 8:00 AM, no evidence of CAD, diagnosed with non-ischemic cardiomyopathy. No risk factors and all probably causes ruled out. Non-smoker, healthy lifestyle, no excessive alcohol use.


VAERS ID: 1333547 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-16
Onset:2021-05-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 AR / IM

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

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

Write-up: Systemic: Fainting / Unresponsive-Severe


VAERS ID: 1333571 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-31
Onset:2021-04-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test, Pneumonia, Pyrexia, X-ray
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

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

Write-up: I was told I had pneumonia, I had a fever of 104


VAERS ID: 1333632 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-09
Onset:2021-05-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Computerised tomogram normal, Dizziness, Eye pruritus, Headache, Hypotension, Oropharyngeal pain, Paranasal sinus discomfort, Periorbital swelling, Rash, Sneezing, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: Asthma, IBS, Breast cysts, Left ovarian cyst.
Allergies: No known allergies.
Diagnostic Lab Data: Sent to ED 5/13/21. Negative CT at that time, no evidence of CVST. Referred to allergist for further evaluation. Notes not yet available.
CDC Split Type:

Write-up: Pt. states after going for a run 5/11/21, she began aggressively sneezing and noted some swelling under both eyes with itching of the eyes. She also reports some frontal sinus pressure and sore throat. Pt. also reports some intermittent chest all pain. 5/14/21 had persistent facial swelling, and dry patchy rash throughout arms and abdomen. She also had new onset headache and moderate to severe sinus pressure. She also complained of lightheadedness and dizziness. BP was also low at that time 90/60.


VAERS ID: 1333648 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-08
Onset:2021-04-21
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Cerebrovascular disorder, Computerised tomogram spine, Condition aggravated, Fall, Hypoaesthesia, Immunoglobulin therapy, Magnetic resonance imaging head abnormal, Muscle disorder, Muscular weakness, Neurological examination abnormal, Paraesthesia, Sensory disturbance, Ultrasound Doppler normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: muscle weakness
Preexisting Conditions: Asthma, ED, gout, hypertension, hyperlipidemia
Allergies: seasonal, sulfa antibiotics
Diagnostic Lab Data: US of lower extremities negative for DVT MRI of brain - no acute intracranial abnormality, mild chronic microvascular disease CT of Cspine = no acute abnormalities Full Neuro exam- Bulk- mild diminished intrinsic foot muscles, diminished intrinsic hand muscles. Sensation- temperature sensation mildly diminished in BLE. Cranial nerves intact. Alert and oriented to person place time and situation. no issues with attention or concentration noted. No evidence of aphasia during concentration. Per Neuro consult note- does feel this may be chronic demyelinating disease superimposed on chronic neuropathy versus a mild form of GBS, however decision was made to treat him with 5 days of IVIG.
CDC Split Type:

Write-up: Presented to ED for paresthesia in bilateral palms and plantar aspect of feet, muscle weakness, fall, numbness in arms starting on 04/21 and went to ED on 04/25/2021 after worsening and losing balance.


VAERS ID: 1333763 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-01
Onset:2021-04-08
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram normal, Condition aggravated, Migraine, Pain in extremity, Pain in jaw, Paraesthesia, Platelet count normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Osteonecrosis (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? Yes
Hospitalized? No
Previous Vaccinations: 10/07/2013 Flu Shot
Other Medications: None
Current Illness: No, I did not.
Preexisting Conditions: I just have the migraines but not for 3 weeks (3 days only).
Allergies: I am allergic to Sulphur.
Diagnostic Lab Data: CT Scan was performed to make sure that I did not have any blood clots along with a palette count for my blood. All the tests came back normal.
CDC Split Type: vsafe

Write-up: My arms became really sore and jaw started hurting. I also had a tingling feeling throughout my body and the migraine was very intensed. By the April the 12 and 20th had go to the ER. The symptoms did not sub-sized on the 21st of April.


VAERS ID: 1333791 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-11
Onset:2021-04-01
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Headache, Lethargy, Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: I was taking Levothyroxine, Novalog 10 units with every meal, Tresiba 38 units first thing in the morning, daily and Trulicity.
Current Illness: I did not have any other illnesses.
Preexisting Conditions: I am diabetic and I have problems with my sciatic nerve.
Allergies: I have no allergies.
Diagnostic Lab Data: I did not have any medical tests or labs at my ER visit.
CDC Split Type: vsafe

Write-up: I woke up with a sore throat and congestion and as the days went by it became progressively worse. I also experienced sneezing, headaches and after Sunday I was so sick I could not get out of bed. I felt like I had zero energy. I felt very lethargic with terrible headaches. I have never felt this way before. I went to the Emergency Room and I tested positive for COVID-19. I tested negative in February and I was negative for antibodies.


VAERS ID: 1333797 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-31
Onset:2021-04-23
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SARS-COV-2 PCR Detected on 04/23/2021
CDC Split Type:

Write-up: Patient positive for COVID-19 on 04/23/21 after completing vaccination. She had nonproductive cough, shortness of breath, and fevers.


VAERS ID: 1333800 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-02
Onset:2021-04-06
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: None reported
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I experienced three days later bilateral leg pain, left greater than right., I also had headaches that were constant. I went to urgent care where they did exams. I can say that to this day I still have leg pain, L$gR and some headaches that come and go.


VAERS ID: 1333821 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-03
Onset:2021-04-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dermatitis, Erythema, Gait disturbance, Induration, Nodule, Pain in extremity, X-ray limb normal
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamin; Magnesium Supplement; Turmeric; Duloxetine - 20 mg
Current Illness: no
Preexisting Conditions: Supra ventricular tachycardia - since a kid; low blood pressure
Allergies: seasonal allergies - pollen
Diagnostic Lab Data: Monday, Dr did x-rays - unremarkable results; on my right leg; doctor tested me for blood clots. The doctor said I didn''t have any blood clot. He called it a strain sprain. He told me to keep it elevated and wrapped through the next day Tuesday. I got on Wednesday day and there was no pain.
CDC Split Type: vsafe

Write-up: A few hours after vaccine, I had been sitting down at a table and I got up to walk and I stepped down on my right foot and it felt like someone kicked me in my lower left leg. Kind of in the shin, but in the inside of the shin. The ball that sticks out - four inches above that on the inside. Every time I took a step it felt like someone was kicking me with a metal toed sharp boot. I hobbled around that day and the next day I realized I couldn''t move on it. The Urgent Care I was closest to that was open didn''t do x-rays. So on Monday, I went to Urgent Care Center - could feel a little knot where the pain was. Pain lasted three and 1/2 days consistently and then that was it. I did keep it wrapped for two weeks like the doctor told me just in case. About 10 days after I had been to the Urgent Care, it happened on my left side - about four inches above the ankle bone on the inside of the shin, I had the same sensation of pain. So I used the wrap for that ankle. It wasn''t as severe as the other side - it was about 30% pain - it felt like someone kicked me with a sneaker instead of a metal pointed boot. That lasted about a day and 1/2 (about 1/2 the time that the right side lasted). I had like something was biting my ankle - it got to be inflamed - I never had a reaction to a mosquito bite like that - I thought I had scabies. I went to my doctor and he didn''t know what it was. It wasn''t scabies - just a violent, insane reaction to a mosquito bite - it was inflamed, red, bumpy and hard - on my right ankle and also on my left ankle - started small and got to be the size of a quarter. I never reacted to mosquito bites like that in my life. My doctor told me to take Benadryl or Claritin. Normally I take one in the morning at this time of year and I was taking three a day to keep the itching manageable. She gave me a mild steroid cream to put on it - about four or five days after putting the cream on it that it was better. I don''t have any pain above my ankles anymore and the area where the crazy bite reaction was, I can still see but it''s 92% better and that has been almost four weeks ago that it happened. It''s been about 3 weeks since I saw the dr about it.


VAERS ID: 1333829 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-02
Onset:2021-04-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Back pain, Blood test, Computerised tomogram, Dizziness, Eyelid disorder, Gait disturbance, Intervertebral disc degeneration, Lumbar puncture, Magnetic resonance imaging, Neck pain, Pain, Spinal stenosis, Tinnitus, X-ray
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hearing impairment (narrow), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril/Hctz Tabs 20/25mg, Montelukast 10mg, Duloxetine Hcl Caps 60mg, Tizanidine 4mg, B-3 200mg, and ZyrTEC 20MG
Current Illness: Essential Hypertension, Neuropathy in both feet, and Allergic Rhinitis
Preexisting Conditions: Essential Hypertension, Neuropathy in both feet, and Allergic Rhinitis
Allergies: Sulfa, Tetracycline & related, Prednisone & related steroids, Ecklonia Kurome, and fish allergy
Diagnostic Lab Data: Lumbar Puncture, 1 x-ray, 2 Ct scans, 6 MRIs with and without contrast, ENT, Neurologists, Ophthalmologists. 60 Bloodwork panels,
CDC Split Type: vsafe

Write-up: I have neck pain, autoimmune seemed to think that the lumbar puncture was another attack on my system, severe pain in lumber, severe degenerative disc disorder with spinal stenosis. Difficulty walking half hour walking before extreme pain. Tinnitus is still consistent, nothing has subsided with medication. Within an hour of reading I get dizzy. Pronounced drooping eyelid.


VAERS ID: 1333830 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-12
Onset:2021-04-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20621A / N/A LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blister, Epistaxis, Impaired work ability, Limb discomfort, Urticaria, Vomiting
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I knew I was going to get sick, My arm felt heavy, all of a sudden I broke out in hives all over my lips, had bloody noses, I threw up constantly, 3 bloody noses, I thought I was having my period through my nose. I don''t even go to the doctor. I went to clinic they prescribed me meds called acyclovir, the second time I went back the blisters were cracking open they gave me Valacyclovir. I was an able to work because of the open blisters., I looked like Donald Duck.


VAERS ID: 1333853 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose normal, Cardiac arrest, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: aSA, lipitor, synthroid, MV
Current Illness: unknown
Preexisting Conditions: hyperlipidema hypothyroid colon polyps
Allergies: NKA
Diagnostic Lab Data: O2 sat initally 91% then 100% after 2LNC. blood sugar 102. BP 122/74.
CDC Split Type:

Write-up: LOC with cardiac arrest within 15 minutes of injection. CPR started and patient did recover on his own. EMS transported to ED.


VAERS ID: 1333886 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Body temperature decreased, Cardiac disorder, Chest pain, Chills, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Feeling hot, Influenza like illness, International normalised ratio, Loss of consciousness, Oxygen saturation decreased, Pulmonary embolism
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: flu/pnemonia shot- feels like I have a cold
Other Medications: Losartin Metroporol Gabipentin Bacfilin
Current Illness: Highblood pressure Arthritis
Preexisting Conditions: High Blood Pressure Arthritis
Allergies: Ceclor
Diagnostic Lab Data: EKG Cat Scan Heart Ultra Sound INR test and I dont know how many other test they ran and are continuing to run
CDC Split Type:

Write-up: Started out with what I thought were flu like symtoms - chills, then I was warm- extremly tired Then my chest started hurting- I thought this was the vaccine working- then I started getting short of breath- still thinking this is the vaccine working- then my chest started hurting extremely bad- and my abiity to breath became worse- finaly I contacted my doctor-because I thought maybe I had gotten bronchitis- so she prescribed an inhaler in the mean time - I ordered a oygen meter- and my oxygen was registering in the 80s- then my chest was getting more and more painful. And then a few days later, my oxygen started dropping down to the 70s and my body temp dropped to 95.1- I was passing out at home, although I didnt realize that is what was happening, I would just wake up and an hour would have passed and I didnt even realized I was out, and this kept happening especially during the time that my temperature kept dropping below 95. I rushed to the emergancy room which after I had been there a long time- they found that I had a *************** *********BLOOD CLOT- MASSIVE********************** A SADDLE BLOOD CLOT ************** IN LUNGS They immediately admitted me, and immediately started me on Lovonox and Coumidin I am currently on oygen and I will have to take Coumidin for the rest of my life. Due to the size of the clot (5-6 inches) they were concerned about my heart, the clot caused a strained on the right side of my heart, so they put my on a different beta blocker Coreg to slow my heart rate down, I will also have to take this medication for the rest of my life


VAERS ID: 1333968 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-05-05
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CAT Scan on my chest and EKG tests.
CDC Split Type:

Write-up: Small blood clot in my left lung. Treatment includes 5 mg dose of Eliquis blood thinner twice a day.


VAERS ID: 1333992 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-20
Onset:2021-05-16
   Days after vaccination:57
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Bacterial test positive, COVID-19, Confusional state, Cough, Depression, Essential hypertension, Fall, Joint dislocation, Joint dislocation reduction, Nitrite urine present, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypertension (narrow), Depression (excl suicide and self injury) (narrow), Arthritis (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Parkinson''s Disease, Hypertension, dementia
Allergies: Vicodin, Suprax, Cedax, Benadryl, PCN, quinine, VIoxx, Bextra
Diagnostic Lab Data: COVID-19 PCR test 5/16/2021
CDC Split Type:

Write-up: Paraphrase from provider discharge to swing bed note: 83 y/o female brought to ED for fall and left shoulder pain. Baseline dementia, poor historian, early onset Parkinson''s Disease. Fully vaccinated for COVID-19, showing no obvious symptoms of COVID. Cough, no dyspnea per review of systems. Problem list includes: Anterior shoulder dislocation, reduction. COVID-19. Essential Hypertension, Acute confusion, baseline dementia, urine + for nitrite and bacteria, started on macrobid. Depression. Unable to enter required fields for Q.#21, Hospitalization. Currently Hospitalized


VAERS ID: 1334013 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-05-07
Onset:2021-05-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angina pectoris, Blood creatine, Chest X-ray, Chest pain, Electrocardiogram, Fibrin D dimer, Full blood count, Metabolic function test, Troponin
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills
Current Illness: none
Preexisting Conditions: non harmful heart murmur
Allergies: none
Diagnostic Lab Data: o CBC with diff o comprehensive metabolic panel poc o d dimer poc o troponin (poc) istat p poct cbc with diff o ekg o xr chest 1 view - PA OR AP results showed no signs of blood clot but heart pain still exist
CDC Split Type:

Write-up: constant chest pain/ heart pain.


VAERS ID: 1334024 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-07
Onset:2021-04-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, COVID-19, Chills, Cough, Dyspnoea, Feeling abnormal, Headache, Pain, Productive cough, SARS-CoV-2 test positive, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: 4/7/2021 vaccination About 12.5 hours later, 2AM, I woke up with violent chills, trembling, 104 temperature, shaking, achiness, HA. I probably had a HA for 25 days. 4/21 urgent care. The Dr. dismissed and stated it was upper respiratory. I wanted to timeline that something wasn''t right, was dismissed and prescribed an antibiotic. 4/22 PCM. PCM stated I had all the symptoms for COVID. Tested COVID+. She had me come back in on 4/29/2021 and retest; negative. But positive for a bacterial infection, round of antibiotics. Steroid, 5 day antibiotic 4/7 - 5/16 I had had the HA for 25 days. Fever went away prob around 4/28th. I have had the dry cough, productive cough, breathing issues. *residual ''brain fog''.


VAERS ID: 1334143 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Gaze palsy, Hyperhidrosis, Loss of consciousness, Retching, Seizure, Skin discolouration
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Patient within a few minutes indicated he felt dizzy and sweaty. I sat him down within minutes his eyes rolled back and he lost consciousness. He bagan to make gurgling noises as if trouble breathing. His color was grey and he was sweating profusely. 911 was called by a technician and I gave one dose of Epinephrine 0.3 mg into lateral right thigh at approx. 9:40 am. Within this period of time he began seizing. He regained consciousness prior to EMT''s arriving and was brought to the hospital.


VAERS ID: 1334145 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-18
Onset:2021-05-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: same day of injection: EKG #1 sinus arrhythmia at 41 with frequent pauses, nonspecific ST-T wave changes EKG #2 normal sinus bradycardia at 36, normal interval/axis/QRS
CDC Split Type:

Write-up: Within 60-90 seconds after receiving J&J vaccine, patient became lightheaded, sat down, then subsequently passed out. Then had 2-3 jerking motions similar to seizure activity. Was lowered to the floor and called a CODE ASSIST. patient was not registered at the time, but was in a hospital. No previous reaction to injections. Patient taken to ED for workup. Patient diaphoretic and bradycardic at 36. given IV fluids and performed EKG. was later discharged from ED


VAERS ID: 1334176 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-30
Onset:2021-05-12
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Anion gap decreased, Basophil count decreased, Basophil percentage, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide normal, Contusion, Eosinophil count decreased, Eosinophil percentage increased, Epistaxis, Full blood count normal, Glomerular filtration rate, Haematocrit normal, Haemoglobin decreased, Immature granulocyte count, International normalised ratio normal, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage increased, Neutrophil count normal, Neutrophil percentage, Placental disorder, Prothrombin time normal, Red blood cell count decreased, Red cell distribution width normal, White blood cell count normal
SMQs:, Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Accidents and injuries (narrow), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine 2.5 mg po daily Eucrisa 2% topically daily prn rash folic acid 1 mg po daily B12 1000 mcg sq q 2 weeks Levothyroxine 100 mcg po daily Pantoprazole 40 mg po daily Drisdol 50,000 po q 2 weeks Leucovorin 25 mg po weekly Effexor XR 1
Current Illness: Psoriasis, Psoriatic arthritis, Osteoarthritis, Neuropathy, Obesity, HTN, dry skin, dry eye
Preexisting Conditions: as above, chronic pain, lymphedema, GERD, Spinal stenosis
Allergies: Cipro, vesicare, lyrica, zoloft, neurontin, wellbutrin, sulfa, chlorhexadine, latex, morphine
Diagnostic Lab Data: 5/19/21 Her CBC, PT/INR and PTT were stable- no significant abnormalities CBC with Auto Differential reflex to Manual Differential, if abnormal (05/19/2021 5:43 AM EDT): WBC 5.48 4.50 - 11.00 10*3/uL RBC 3.90 (L) 4.20 - 5.50 10*6/uL Hemoglobin 11.7 11.5 - 16.0 g/dL Hematocrit 37 37 - 47 % MCV 95 82 - 101 fL MCH 30.0 27.0 - 34.0 pg MCHC 32 32 - 36 g/dL RDW 14.3 11.5 - 14.5 % Platelets 298 140 - 440 10*3/uL MPV 8.5 7.4 - 10.4 fL Neutrophils % 55.3 38.0 - 70.0 % Lymphocytes % 27.9 20.0 - 48.0 % Monocytes % 10.4 4.0 - 12.0 % Eosinophils % 5.5 0.0 - 6.0 % Basophils % 0.7 0.0 - 2.0 % Immature Granulocytes % 0.2 0.0 - 0.4 % Absolute Neutrophils 3.0 1.7 - 8.0 10*3/uL Lymphocytes Absolute 1.5 0.9 - 2.9 10*3/uL Monocytes Absolute 0.6 0.3 - 0.9 10*3/uL Eosinophils Absolute 0.3 0.1 - 0.5 10*3/uL Basophils Absolute 0.0 0.0 - 0.3 10*3/uL Immature Granulocyte Absolute 0.0 0.0 - 0.1 Blood - Venous blood specimen (specimen) Blood - Venous blood specimen (specimen) ? PROTIME-INR (05/19/2021 5:43 AM EDT): Protime 10.1 9.0 - 12.0 seconds INR 1.0 Comment: Reference Range: 0.9-1.1 Therapeutic Range (Prophylaxis of Venous and Systemic Thromboembolism or Aortic Valve Replacement): 2.0-3.0 Therapeutic Range (Mitral Valve Replacement): 2.5-3.5 Blood - Venous blood specimen (specimen) ? BASIC METABOLIC PANEL (05/19/2021 5:43 AM EDT): Sodium 137 136 - 145 mmol/L Potassium 3.9 3.5 - 5.1 mmol/L Chloride 106 98 - 107 mmol/L CO2 28 22 - 29 mEq/L Anion Gap 3 (L) 5 - 14 mmol/L Calcium 8.90 8.50 - 10.30 mg/dL BUN 16 9 - 21 mg/dL Creatinine 0.70 0.55 - 1.10 mg/dL eGFR 86 Comment: Values below 60 have clinical implications for moderate kidney disease. If kidney function is unstable, result may not be accurate. Multiply by 1.210 if African American. $g60 mL/min Glucose, Fasting 97 Comment: If the patient is non-fasting the reference range can be extended to 200 mg/dL. 70 - 105 mg/dL Blood - Venous blood specimen (specimen) Narrative Date/Time: 5/15/2021 1:00 AM Consent: Consent obtained: Verbal Consent given by: Patient Risks discussed: Infection, nasal injury, pain and bleeding Alternatives discussed: No treatment Anesthesia (see MAR for exact dosages): Anesthesia method: Topical application Topical anesthetic: Lidocaine gel Procedure details: Treatment site: R anterior Repair method: temporary right anterior packing, then silver nitrate after packing removal. Treatment complexity: Limited Treatment episode: initial Post-procedure details: Assessment: Bleeding stopped Patient tolerance of procedure: Tolerated well, no immediate complications Comments: Right anterior nose was packed with cotton ball soaked in 1:1:1 of lidocaine 4%, epinephrine, and TXA. Packing left in for 30 minutes, and then removed. Area of excoriation over the right anterior septum with cauterized with silver nitrate. Attending physician was present for and supervised the entire procedure.
CDC Split Type:

Write-up: Patient had the vaccine on 4/30/21. On 5/12/21 she started having severe nose bleeds, which she has not had a problem with in the past. She also notes bruising over her arms. She has been seen at ER x 3, Urgent care and our office today. She had the nose packed in the ER and cauterization on 5/15/21 and 5/19/21. She is to see ENT today for follow up.


VAERS ID: 1334237 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-20
Onset:2021-04-01
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Chest X-ray, Headache, Hypertension, Malaise, Scan brain, Sinusitis, Ultrasound abdomen
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Hypoglycaemia (broad)

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

Write-up: 1 1/2 weeks after the vaccination, got a headache then started not feeling well. Treated for sinus infection and things worsened from there. Total of 4 ER visits, ultra sound scan, brain scan, lung and heart xray, and countless pcp visits. I am now suffering from high blood pressure and severe anxiety that has kept me at home. I have still have cardiologist appts and blood work scheduled.


VAERS ID: 1334299 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-31
Onset:2021-03-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 008B21-2A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Computerised tomogram head, Exposure during pregnancy, Headache, Hypersensitivity, Migraine
SMQs:, Angioedema (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid - 150 mcg.; Clonapan as needed; Minocycline - 100 mg; Vitamins: 1 a day women''s multi-vitamin; turmeric capsule; Vit D - 3000 IU
Current Illness: no
Preexisting Conditions: Hypo-thyroidism; Ehlers-Danlos SYndrome
Allergies: no medicine allergies; soy allergy; seasonal pollen - outdoor allergies
Diagnostic Lab Data: CT of my head - they found something that looked like it could be a stroke. Hospital - was transferred there and was there over night - they did more CT''s - no MRI. CT''s were inconclusive. They don''t know what it is but they see something. They referred me to neurology dept for follow up. They gave me more meds for headache pain. It was still persistent after I was discharged. Was discharged on the 19th. Told me to take aspirin.My headache was improved but not gone. Hospital - has the majority of the paperwork from imaging done on my head. They had stroke testing imaging and results. I''m waiting to get an MRI.
CDC Split Type: vsafe

Write-up: That evening I had developed a pretty bad headache by that evening but it didn''t go away. I went in to ER on April 19 for migraine because my that time news had come out to seek medical help and nothing was helping my migraine. They gave me via IV - migraine cocktail - Pregnancy - I think I became pregnant right after the vaccine but I''m not sure. I didn''t know but at the time I was pregnant - and I''m not pregnant anymore. I had a miscarriage about two weeks ago. Now my headaches are gone. I''ve also been put on between my pregnancy doctor and the two doctors at the hospital - steriod pack pills; Migraine cocktail at first ER; anti-inflammatories at second ER and then Primary Care Dr put me on Prescription nasal antihistamine/steroids nasal spray and headaches have slowly stopped happening. (My allergies flared up majorly after getting the vaccine. I have) Follow up is still needed on both the head pain - need an MRI and follow up is still needed on the miscarriage - I may still need further medical intervention. I have had two previous pregnancies - were abortions - both were confirmed to be fine before that. I was scheduled for my first sonogram for my pregnancy - I''m estimating I was probably about 5 weeks.


VAERS ID: 1334323 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Blood test, Condition aggravated, Dizziness, Fatigue, Headache, Heart rate increased, Impaired work ability, Loss of personal independence in daily activities, Magnetic resonance imaging head, Malaise, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Vivotif oral vaccine got me sick, I was physically ill with intense nausea, diarrhea, abdominal pain and discomfort, headache, l
Other Medications: Daily: Albuterol inhaler, symbicort inhaler, 20 mg xyzal, 40 mg famotidine, 100 mg spironolactone, 50 mg xr Myrbetriq, 4mg zofran, 5000 ius vitamin D3, 1000 mg vitamin C, 400 mg magnesium oxide, 1000 mg collagen supplement, 0.5 mg lorazepa
Current Illness: Nothing other than my chronic problems listed in item 12.
Preexisting Conditions: Overactive bladder and DSD, fructose malabsorption, IBS, asthma, and Possible MCAS or other mast cell disorder.
Allergies: Medication: sulfa medication, flovent inhaler, zinc, Hazelnuts, birch trees, grass, latex,
Diagnostic Lab Data: Multiple blood tests were preformed as well as a brain MRI, as well as two doctors visits and a visit to the emergency department.
CDC Split Type:

Write-up: The morning after my vaccine I woke up feeling very ill, I had a fever of 101 and I was extremely fatigued, dizzy, joint pain and headaches. I stayed home from work. Over the next few days my fever subsided but my headaches, body aches, nausea and dizziness continued. My headaches worsened and on 4/15 my Dr ordered a brain MRI as well as blood work to be sure of no clotting. The MRI came back normal but I later went to the ER due to worsening severe headache and rapid heart rate. I was later discharged and the Dr told me he believes I am having a more severe pro-longed reaction to the vaccine and that he thought my symptoms would subsided around two weeks post vaccine. I am still currently having sharp headaches and joint pain, I have needed to miss work multiple times due to all of this and not feeling well enough to work or do my normal activities.


VAERS ID: 1334372 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-08
Onset:2021-03-18
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, Atorvastatin, Hydrochlorothiazide, Lisinopril, Vitamin D3, Probiotic
Current Illness:
Preexisting Conditions: Hypothyroidism Stage 3 Kidney disease Undefined autoimmune disease (speckled positive blood test result) Pre-hypertensive
Allergies: Sulfa drugs
Diagnostic Lab Data: The ER performed chest x-rays and a full compliment of blood tests and all were normal.
CDC Split Type:

Write-up: About 10 days after the shot I could not breath. It came on over the course of a few hours to the point that my doctor told me to go to the ER. There they administered a nebulizer and a prescription for prednisone for 4 days which helped. 24 hours after the prednisone prescription was complete, the breathing difficulty resurfaced and I was back in the ER again. This time they gave me a longer course of prednisone (10 days) that reduced over that time. Once that course was complete the breathing difficulty started again, but not to the point of an ER visit. My GP then prescribed a smaller dose of Prednisone over 6 days combined with an inhaler. That has helped. I don''t really know if this is related to the vaccine. My suspicion is that the vaccine may have revved up my immune system and because of my autoimmune disease it attached my airway. But that is just a guess.


VAERS ID: 1334385 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-06
Onset:2021-05-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Loss of consciousness, Radius fracture, X-ray abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteoporosis/osteopenia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: Neurophy in my feet
Allergies: None
Diagnostic Lab Data: Xrays of my right arm on May 6th,2021. Showed broken radial head
CDC Split Type:

Write-up: Passed out on a walk and broke my arm falling on the concrete. Have had stomach pains and diarrhea off and on since getting the shot.. very tired


VAERS ID: 1334398 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-06
Onset:2021-03-10
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Fibrin D dimer, Pain in extremity, Ultrasound Doppler
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: at 28 years old received MMR booster
Other Medications: Many
Current Illness: Sarcoidosis
Preexisting Conditions: Sarcoidosis
Allergies: Hyper sensitivity to Mold
Diagnostic Lab Data: Doppler on all four limbs, have been referred for a D-Dimer test and CT scan.
CDC Split Type: vsafe

Write-up: I have pain in both legs. I have had to visit the ER. I visited a general practioner Dr.


VAERS ID: 1334464 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Dysstasia, Pain
SMQs:, Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: blood pressure was on the lower side
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type: vsafe

Write-up: It started on Monday 04/12 I had a back ache around 1 or 2pm I thought it was because I was sitting at the table for to long and around 6 it was really bad by the time I went to bed it was really painful I couldn''t roll over I wasn''t able to mover over from my left side to my right 04/13 when I woke up I couldn''t get out of bed without support I had to roll off my bed and use the wall in order to get up to a standing position ( went to urgent care this day ) I couldn''t sit down without a lot of pain and also couldn''t get up without pain I went to urgent and they gave me a muscles relaxer and steroid and also Tylenol this was like this for about 5 days and it started to go down after the fifth day and over the course of 3 weeks it did get better but the whole process lasted for about 4 week I couldn''t get out of bed without support for about 2 weeks 04/15 i went to see a doctor who agreed with the medication and there was no change to the prescriptions


VAERS ID: 1334483 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chills, Computerised tomogram normal, Cough, Feeling hot, Headache, Hypoacusis, Insomnia, Malaise, Nausea, Night sweats, Pain, Productive cough, SARS-CoV-2 test, Sinus congestion, Tinnitus, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: IUD; I take Xanax as needed - very rarely; Tylenol or ibuprofen as needed
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: ER - CT scan - to check blood plates - everything was okay; IV fluids were given; some pain reliever - similar to Ibuprofen. I was there for 8 hours or so. They told me it was a reaction to the vaccine. Prescription Ibuprofen and anti-nausea medication to go home with. Through SCAN in - it''s an at home self test: - COVID test - 5/19/2021 - still waiting for results
CDC Split Type: vsafe

Write-up: Nausea - immediately after the vaccine was given - 1st nausea just lasted a few hours. And then no other symptoms. About 2 weeks exactly after the vaccine I got very very sick and went to the in , ER - I didn''t have a fever but everything hurt on my body and I was nauseous and Had blurred vision. My hearing was off - ringing in my ears. I was pretty sick after that for about two weeks. I did a follow up with Dr. and he said it sounded typical this J & J vaccine. He said there was nothing he could do. During those two weeks, I kept taking lots of fluids and ibuprofen as needed. Headaches, body aches c hills, night sweats, blurred vision and I couldn''t sleep - had insomnia. The night sweats were very weird - I never had that before and I could literally ring my clothes out they were so wet every night. I felt like I had a fever but I didn''t the entire time. I felt like I was burning up but I had chills but there was no fever the whole time. Lately now, I have been feeling a little bit sick for about a week. It''s a little strange because I have a cough and phlegm and very congested in my head.


VAERS ID: 1334529 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-05-05
Onset:2021-05-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary normal, Arteriogram coronary normal, Asthenia, Cardiac ventriculogram left normal, Catheterisation cardiac, Chest discomfort, Electrocardiogram ST segment elevation, Electrocardiogram normal, Fibrin D dimer increased, Myalgia, Pericarditis, Pleuritic pain, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune 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:
Current Illness: No significant past medical history
Preexisting Conditions: No significant past medical history
Allergies: No known allergies
Diagnostic Lab Data: EKG (05/19/21): STE in V5-V6 with depression in aVL CTA Chest (05/19/21): negative for pulmonary embolizm Troponin (05/19/21): 0.27ng/mL (1340), 0.40ng/mL (1712), 0.35ng/mL (2049)
CDC Split Type:

Write-up: A 53-yo male patient with a nonsignificant past medical history presented to the hospital with worsening generalized muscle pain, and weakness. Patient reported that he received the Jannsen COVID-19 vaccine 3 weeks prior to admission and symptoms began 8 days later. On the morning of admission the patient also developed pressure-like and pleuritic chest pain. EKG findings showed ST elevations in V5-V6 with depression in aVL. D-dimer was found to be elevated however PE evaluation was negative. Troponins were also found to be elevated. The patient was diagnosed with acute pericarditis and underwent left heart catheterization, selective coronary angiography and left ventriculography. The coronary angiography revealed no significant obstructive coronary artery disease, and left ventriculography revealed normal LV size and function. Patient was subsequently initiated on colchicine therapy for acute pericarditis. He remains admitted at hospital.


VAERS ID: 1334536 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-11
Onset:2021-03-22
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Aura, Balance disorder, Headache, Hypoaesthesia, Magnetic resonance imaging, Malaise, Memory impairment, Neck pain, Neuralgia, Parosmia, Visual impairment
SMQs:, Peripheral neuropathy (narrow), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta 120 mg Vyvanse 60 mg Iron OTC Zyrtec OTC Multivitamin OTC
Current Illness:
Preexisting Conditions: Depression
Allergies: penicillin ibuprofen nonoxynol-9
Diagnostic Lab Data: 1st MRI of neck and right shoulder - 5/12/21 - showed collapsed disc in C5/C6 bulging towards spinal cord and impinging the flow of spinal fluid.
CDC Split Type:

Write-up: Sickness like the flu at first. Later in March, severe headaches, visual auras, sense of smell change. Continued on while April begin neck pain and severe nerve pain in right arm. Later in April, vision problems in right eye began. May, right arm completely numb, right eye vision problems, balance problems, right leg issues, memory problems, word retention problems. MRIs and x-rays by neurosurgeon in May showed collapsed disc in C5/C6 for no reason (no accident, no trauma) impinging the flow of spinal fluid. Continuing visit to neurologist and another MRI for suspected TIA. Treatment - multiple medications for nerve pain; surgery scheduled to replace collapsed disc and possible other disc (C4/C5) in June; 2nd MRI scheduled to review brain tissue last week of May.


VAERS ID: 1334548 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Fall, Pallor, Slow response to stimuli, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Pt received janssen vaccine, within 5 minutes pt was seated in waiting area and fainted very briefly and fell to the ground. Fell slowly and did not hit head. 911 was called. With the help of pt''s mother, pt placed on his side, appeared pale, slow to response, generalized weakness. Within 1 to 2 minutes pt become more responsive, was placed on his back and raised his feet up on a chair. An ice pack was applied to pt''s forehead and was monitored until EMTs arrived and care was transitioned to paramedics. Pt was assessed and taken with paramedics to be evaluated.


VAERS ID: 1334549 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-05-14
Onset:2021-05-20
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Feeling abnormal, Haemoptysis, Scan abnormal, Thrombosis
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Went to ER 5-20-2021 and reported being scanned and has a quarter size blood clots in Right lung. Started on blood thinners and sent home.
CDC Split Type:

Write-up: On early morning of 5-20-2021. Shortness of breath, felt weird, coughing up blood.


VAERS ID: 1334558 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-27
Onset:2021-05-13
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Limb discomfort, Thrombosis
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: lipitor, plavix, baby asa, vitamin D, parkinson meds
Current Illness: none
Preexisting Conditions: parkinsons disease two knee replacements this is third blood clot - first one from knee scope, second after knee surgery 10 years ago, 3rd one a week ago
Allergies: iodine
Diagnostic Lab Data:
CDC Split Type:

Write-up: had redness and tightening of the legs, went to ER, found very small blood clot in right calf. Gave rx blood thinner eloquis along with current plavix and asa


VAERS ID: 1334610 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Loss of consciousness, Wheelchair user
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: 15 minutes after the vaccination I passed out and a week later I lost feeling in my leg and had to go to the ER and now I''m currently wheel chair bound with no diagnosis but all the doctors can say is it from the COVID 19 vaccine.


VAERS ID: 1334649 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-09
Onset:2021-04-25
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Immune thrombocytopenia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: belimumab, cyanocobalamin, folic acid, norethindrone-estradiol
Current Illness: N/A
Preexisting Conditions: Lupus, Abnormal uterine bleeding
Allergies: Hydroxychloroquine, metformin
Diagnostic Lab Data: Blood tests
CDC Split Type:

Write-up: Immune thrombocytopenic purpura


VAERS ID: 1334663 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-14
Onset:2021-05-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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

Write-up: Patient has history of allergic reaction to flu vaccine that was not disclosed at the time of vaccination. patient had premedicated with pepcid and benadryl prior to vaccination. Developed an itchy throat while in the vaccine clinic after vaccination


VAERS ID: 1334698 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-05-10
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cerebrovascular accident
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lansaprozel
Current Illness: None
Preexisting Conditions: Gastro Reflux
Allergies: Penecilin
Diagnostic Lab Data: May 11
CDC Split Type:

Write-up: Acute stroke requiring hospitalization.


VAERS ID: 1334721 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose increased, Diabetes mellitus, Dry mouth, Fatigue, Glycosylated haemoglobin, Headache, Immediate post-injection reaction, Pain in extremity, Vision blurred
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune 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: Flu like symptoms with flu vaccine
Other Medications: zoloft 100mg, wellbutrin 150mg, lipitor 10mg, omega-3, allegra
Current Illness: no
Preexisting Conditions: high-cholesterol
Allergies: none
Diagnostic Lab Data: A1C
CDC Split Type: vsafe

Write-up: Immediately while receiving my shot my mouth went dry, I have had continuing dry mouth since them, It made my blood sugar go up and I''m now a diabetic. Soreness for almost 2 week in my arm, blurred vision. I was extremely exhausted, and had a headache. I ended up going to the ER


VAERS ID: 1334738 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Bronchitis, COVID-19, Dyspnoea, Fatigue, Lethargy, Migraine, Myalgia, Nausea, Oxygen saturation decreased, Pain, Pain in extremity, Peripheral swelling, Pneumonia, Pyrexia, SARS-CoV-2 test positive, Upper respiratory tract infection, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin SRL, Albuterol Inhaler, Zyrtec (allergy), Vitamin C
Current Illness: None.
Preexisting Conditions: Asthma, seasonal allergies (pollens/grasses), rheumatoid arthritis, Meniere''s disease, chronic venous insufficiency, morbid obesity
Allergies: None known.
Diagnostic Lab Data: Positive COVID-19 TEST on May 10, 2021 Upper Respiratory Infection on May 10, 2021 Bronchitis on May 10, 2021 Accute pneumonia on May 14, 2021
CDC Split Type:

Write-up: Increased pain and swelling in left arm - started within 12 hours and continued for 2 weeks Fever over 100 - started within 12 hours and continued for 1 month (fever between 100 and 102) Nausea - within 12 hours (continued for 1 month) Vomiting - within 24 hours (continued for 3 days) / then again 2 weeks out for 3 days) Migraine Headache - started within 12 hours and continued for 6 weeks (and on-going) Labored breathing - started within 12 hours and continued for 5 weeks (and on-going) Low oxygen - started within 36 hours and continued for 1 month) General muscle and body aches and pains (started within 24 hours and continued for 6 weeks (and on-going) Extreme exhaustion and lethargy (started within 6 hours and continued for 6 weeks (and on-going)


VAERS ID: 1334745 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Deep vein thrombosis, Pain, Pyrexia, Ultrasound scan
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210510; Test Name: Diagnostic ultrasound; Result Unstructured Data: Diagnosed with a deep vein thrombosis
CDC Split Type: USJNJFOC20210520235

Write-up: BODY ACHES; CHILLS; FEVER; DEEP VEIN THROMBOSIS; 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: 043A21A, and expiry: 21-JUN-2021) 1 total, dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the patient had body aches, chills and fever. In APR-2021 (a week after vaccination), the patient experienced right leg pain and felt heavy and visited her primary care physician who recommended ultrasound scan of the leg. On 10-MAY-2021, the patient''s ultrasound scan revealed deep vein thrombosis and she was treated with unspecified blood thinners. The patient was also put on Xarelto (rivaroxaban) therapy 15 milligram for 21 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, chills, and fever on 11-APR-2021, and the outcome of deep vein thrombosis was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0;20210520235-covid-19 vaccine ad26.cov2.s -Deep vein thrombosis. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1334756 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-03-25
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Angiogram, Blood pressure measurement, Cerebrovascular accident, Computerised tomogram, Headache, Hypertension, Magnetic resonance imaging, Pain in extremity, Phlebotomy, Thrombosis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (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:
Current Illness: Meniere''s disease; Polycythemia
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210426; Test Name: CT scan; Result Unstructured Data: No bleeding but possible CVA (stroke); Test Date: 202105; Test Name: Phlebotomy; Result Unstructured Data: Unknown; Test Date: 202105; Test Name: Blood pressure; Result Unstructured Data: 175/112 (unit unspecified); Test Date: 202105; Test Name: CT scan; Result Unstructured Data: unknown; Test Date: 20210513; Test Name: MRI; Result Unstructured Data: Normal; Test Date: 20210514; Test Name: CT angiography; Result Unstructured Data: Unknown; Test Date: 20210514; Test Name: Blood pressure; Result Unstructured Data: 156/117 (unit unspecified)
CDC Split Type: USJNJFOC20210530382

Write-up: POSSIBLE CVA; HIGH BLOOD PRESSURE; HEADACHE; POTENTIAL BLOOD CLOT; STOMACH PAIN; LEG PAIN; This spontaneous report received from a patient concerned a 56 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included polycythemia, and Meniere''s disease, and other pre-existing medical conditions included no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805022, expiry: 25-MAY-2021) dose was not reported,1 total administered on 10-MAR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the patient had no side effects right after the vaccination. On 25-MAR-2021, the patient felt a really bad leg pain in left leg behind the knee which had lasted for five days until 31-MAR-2021 or 01-APR-2021. On 31-MAR-2021, the patient had very bad stomach pain and felt if somebody was stabbing her until 11-APR-2021. On 23-APR-2021, the patient had pain in head, it woke the patient up in her sleep; the patient had no control over the right side of body and was not able to see, walk or talk. The patient did not know how long it lasted. On 24-APR-2021, the patient was lying in bed and felt that somebody taken the bottom of the bed and flipped her out; she also had blurred vision. On 26-APR-2021, patient went to the hospital. The patient underwent a CT (computed tomography) scan and found no bleeding in brain but a possible CVA (cerebrovascular accident-stroke). The patient was asked to admit in the hospital but the patient wanted to go back home. The patient''s blood pressure was really high although she had a perfect blood pressure and never took medication before. The patient was scared to take the pill and left the hospital. On an unspecified date, after coming back home, the patient suddenly lost control over left side of the body while taking bath and had blurred vision. The patient was taken to the hospital and found no bleeding in her brain. On an unspecified date in MAY-2021, a week prior to this report, the patient undergone phlebotomy and had to draw 500 ml of blood because patient had polycythemia and her blood was super thick. The patient also had a CT (computed tomography) scan and the results were unknown. On 13-May-2021, the patient had MRI (magnetic resonance imaging) and all were normal. On 14-MAY-2021, patient would be taking CT (computed tomography) angiography for finding out blood clot in brain. The patient was concerned about all events and was scared to find out if there would be blood clots in her brain. The PCP (primary care physician) of two hospitals she visited told her that she should not have taken the vaccine shot because of her polycythemia. On 14-MAY-2021, the patient''s blood pressure was 175/112 (unit unspecified) and in the morning it was 156/117(unit unspecified). The patient was started with unspecified blood pressure medication and also acetylsalicylic acid (Aspirin) to thin her blood. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from stomach pain on 11-APR-2021, and leg pain on 31-MAR-2021, had not recovered from high blood pressure, and the outcome of headache, possible cva and potential blood clot was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0;20210530382-COVID-19 VACCINE AD26.COV2.S-Cerebrovascular accident, Thrombosis, Hypertension. This event(s) is considered not related. The event(s) has an unknown/unclear temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY


VAERS ID: 1334773 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210534660

Write-up: SHORTNESS OF BREATH; TINGLING/NUMBNESS ALL OVER THE ARM; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: UNKNOWN) dose was not reported, administered on 12-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced shortness of breath, and tingling/numbness all over the arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shortness of breath, and tingling/numbness all over the arm. This report was non-serious.


VAERS ID: 1334865 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-09
Onset:2021-04-20
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram, Echocardiogram, Electrocardiogram, Magnetic resonance imaging
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRI CT Scans Heart EKG, Echo, etc. Blood tests
CDC Split Type:

Write-up: Hospitalized for a stroke on 4/20/20 at Medical Center.


VAERS ID: 1334880 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Nausea, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itchiness; Nausea; Lightheadedness. EMS at bedside.


VAERS ID: 1334893 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

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

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

Write-up: 1610 c/o dizziness. VSS HR 52 regular, BP 147/91, oxygen saturation 100%. She Reports history of hypertension and Dizziness. She takes metoprolol 100mg daily. Refused offer to be transported to the ER for evaluation. 12 lead EKG done by EMT.


VAERS ID: 1336092 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-04-06
Onset:2021-04-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Panic attack
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

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

Write-up: Shortness of breath; Lightheadedness. States it may be a panic attack . Cleared by ems.


VAERS ID: 1336113 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-10
Onset:2021-05-12
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN EL043A21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Test on May 12, 13, 14 and 15; unknown to cause of stroke.
CDC Split Type:

Write-up: Had a stroke on May 12, 2021. Found unresponsive while at work, while at work and sent to ER at Hospital. Hospital sent him to Hospital, due to Stroke on the same day. On 5-15-21 sent to Acute Rehabilitation. Still in Rehab doing PT, OT and speech therapy. Many test completed and unknown to how stroke happened. Health prior to vaccine was healthy with no concerns.


VAERS ID: 1336279 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Arthralgia, Body temperature, Diarrhoea, Dyspnoea, Ear disorder, Fatigue, Feeling abnormal, Fibrin D dimer, Gait disturbance, Headache, Hypoaesthesia, Magnetic resonance imaging, Muscular weakness, Myalgia, Pain in extremity, Pulmonary function test, Pulmonary function test decreased, Pyrexia, SARS-CoV-2 test, Vertigo, Visual field defect
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: ADHD; Asthma; Milk allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: 100s (unit not provided); Test Date: 202104; Test Name: Fibrin D dimer; Result Unstructured Data: Negative; Test Date: 202104; Test Name: MRI; Result Unstructured Data: No blood clots; Test Name: Pulmonary function test; Result Unstructured Data: Decreased lung function
CDC Split Type: USJNJFOC20210520835

Write-up: SUSPICION OF FLUID LEAK INTO EARS; DECREASED LUNG FUNCTION; LOSS OF PERIPHERAL VISION; NUMB LEGS; DIFFICULTY WALKING ACROSS THE ROOM/UNSTEADY GAIT; DIARRHEA; SHORTNESS OF BREATH; EXTREME VERTIGO; WEAK LEGS; HEADACHE/OCCIPITAL HEADACHE; ARTHRALGIA; SORE ARMS; MYALGIA; FATIGUE; FOGGY HEADED; ANAPHYLAXIS; FEVER; This spontaneous report received from a physician concerned a 30-year-old patient The patient''s height, and weight were not reported. The patient''s concurrent conditions included attention deficit hyperactivity disorder (ADHD), asthma, and milk allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration was not reported, batch number and expiry date were unknown) dose was not reported, 1 total, administered on left arm on 10-APR-2021 for prophylactic vaccination. The batch number was not reported has been requested. No concomitant medications were reported. On 10-APR-2021, within 30 minutes of vaccination, the patient developed anaphylaxis with no airway compromise, hives, swelling of limbs, face and administration site. The patient could not get immediate treatment for about an hour and then received Benadryl (diphenhydramine hydrochloride). On an unspecified date, in APR-2021, the patient experienced fever with a temperature of 100s (unit not provided). On 11-APR-2021, the hives started to go down with Benadryl treatment but it was not completely gone. On the same day, the patient experienced headache/occipital headache, arthralgia, sore arms, myalgia, fatigue and was foggy headed. On 12-APR-2021, the patient experienced shortness of breath, difficulty walking across the room (unsteady gait), extreme vertigo, diarrhea, numbness of legs and weakness of legs. It seemed like the patient was exhibiting symptoms of coronavirus disease (COVID-19). On 14-APR-2021, she eventually went to the emergency room (ER). The patient was tested for COVID-19 (swab test) and titres but both were negative. On an unspecified date, in APR-2021 (within 5 days of start of symptoms), a magnetic resonance imaging (MRI) without contrast was done and it did not show any blood clot, and D-dimer test was negative. The physician suspected a fluid leakage into the patient''s ear and wanted to know if adenovirus from vaccine could be implicated. The patient was prescribed meclizine, but it did not help. On an unspecified date, a pulmonary function test (PFT) was done which showed decreased lung function. The patient also had steroid (unspecified) for 4 days. On an unspecified date, in MAY-2021 (about 8 days before report), the patient started to lose peripheral vision and her vertigo escalated. It was reported that the patient was due for an MRI on 12-MAY-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the sore arms, fatigue, foggy headed, myalgia, arthralgia, shortness of breath, difficulty walking across the room/unsteady gait, extreme vertigo, diarrhea, weak legs, fever, headache/occipital headache, loss of peripheral vision, anaphylaxis, numb legs, suspicion of fluid leak into ears and decreased lung function was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210520835-COVID-19 VACCINE AD26.COV2.S-Anaphylaxis. This event(s) is labeled and is therefore considered potentially related.


VAERS ID: 1336281 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Agitation, Anion gap, Blood chloride, Blood creatinine, Blood glucose, Blood potassium, Blood pressure measurement, Blood sodium, Blood urea, Body temperature, Brain natriuretic peptide, Carbon dioxide, Chest pain, Coma scale, Cough, Differential white blood cell count, Dizziness, Dysgeusia, Dyspnoea, Ear pain, Factor II mutation, Factor V Leiden mutation, Fatigue, Feeling abnormal, Glomerular filtration rate, Haematocrit, Haemoglobin, Headache, Heart rate, Heart rate abnormal, Illness, Laboratory test, Malaise, Mean cell volume, Myalgia, Nucleated red cells, Oropharyngeal pain, Oxygen saturation, Pain, Pain assessment, Platelet count, Pollakiuria, Red blood cell count, Respiratory rate, SARS-CoV-2 test, Troponin I, White blood cell count, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Congenital, familial and genetic disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NORPACE
Current Illness: Abstains from alcohol; Asthma; Cerebral palsy; Chest pain (for 30 years); Chronic kidney disease stage 3; Congenital nystagmus; Diabetes; Diabetes mellitus; Hearing loss; Hypertension; Hypothyroidism; Non-smoker; QT prolonged
Preexisting Conditions: Medical History/Concurrent Conditions: Atherosclerosis of aorta; Atrial fibrillation (since she was 31 years old); Chronic laryngitis; Constipation; Deep vein thrombosis; Difficulty focusing eyes; Dry eyes; Dyspnea; Ecchymosis; Emesis; Fatigue; GERD; Goitre; Headache; Heart rate increased; Hemorrhoids; Hoarseness of voice; Influenza like illness; Melanoma; Nausea; Papillary thyroid cancer; Pharyngitis; Postconcussional syndrome; Sinus pain; Stroke; Tachycardia (since she was 31 year old); Thyroid operation; Tooth pain; Treatment noncompliance; Vertigo; Comments: The patient had no history of abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210420; Test Name: Sodium; Result Unstructured Data: 138 mEq/L; Test Date: 20210420; Test Name: Potassium; Result Unstructured Data: 4 mEq/L; Test Date: 20210420; Test Name: Chloride; Result Unstructured Data: 102 mEq/L; Test Date: 20210420; Test Name: CO2; Result Unstructured Data: 26 mEq/L; Test Date: 20210420; Test Name: Anion gap; Result Unstructured Data: 10 mEq/L; Test Date: 20210420; Test Name: BUN; Result Unstructured Data: 26 mg/dL; Test Date: 20210420; Test Name: Glucose; Result Unstructured Data: 328 mg/dL; Test Date: 20210420; Test Name: Creatinine; Result Unstructured Data: 0.92 mg/dL; Test Date: 20210420; Test Name: Glomerular filtration rate; Result Unstructured Data: more than 60 mL/min; Test Date: 20210420; Test Name: Troponin I; Result Unstructured Data: more than 0.02 ng/dL; Test Date: 20210420; Test Name: B-type natriuretic peptide; Result Unstructured Data: 64 pg/dL; Test Date: 20210420; Test Name: WBC count; Result Unstructured Data: 7.3 kilo per microliter; Test Date: 20210420; Test Name: RBC count; Result Unstructured Data: 4.73 million per microliter; Test Date: 20210420; Test Name: Hemoglobin; Result Unstructured Data: 14.9 g/dL; Test Date: 202104201734; Test Name: Blood pressure; Result Unstructured Data: 190/100 mm Hg; Test Date: 202104201734; Test Name: Body temperature; Result Unstructured Data: 36.6 degree celsius; Test Date: 202104201734; Test Name: Glasgow coma scale; Result Unstructured Data: Eye opening:4,Verbal response:5,Motor Response: 6, Total Coma Score:15; Test Date: 202104201734; Test Name: Oxygen saturation; Result Unstructured Data: 97 %; Test Date: 202104201734; Test Name: Pulse rate; Result Unstructured Data: 74 bpm; Test Date: 202104201734; Test Name: Respiratory rate; Result Unstructured Data: 16 (units unspecified); Test Date: 20140310; Test Name: Factor V Leiden mutation; Result Unstructured Data: negative; Test Date: 20140310; Test Name: Prothrombin mutation G20210A; Result Unstructured Data: HET Abnormal, coagulation; Test Date: 20210413; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 20210420; Test Name: Oxygen saturation; Result Unstructured Data: 98 %; Test Date: 20210420; Test Name: Respiratory rate; Result Unstructured Data: 18 (units unspecified); Test Date: 20210420; Test Name: Blood pressure; Result Unstructured Data: 214/91 mm Hg; Test Date: 20210420; Test Name: Pain scale; Result Unstructured Data: 1 (units unspecified); Test Date: 20210420; Test Name: Pulse rate; Result Unstructured Data: 81 beats per minute; Test Date: 20210420; Test Name: Body temperature; Result Unstructured Data: 97.8 F; Test Date: 20210420; Test Name: Nucleated red cells; Result Unstructured Data: 0 kilo per microliter; Test Date: 20210420; Test Name: Lab test; Result Unstructured Data: Normal (no blood clots/thrombocytopenia); Test Date: 20210420; Test Name: Platelet count; Result Unstructured Data: 190 kilo per microliter; Test Date: 20210420; Test Name: Differential white blood cell count; Result Unstructured Data: Normal; Test Date: 20210420; Test Name: X-ray; Result Unstructured Data: Aortic atherosclerosis; Comments: The lung volumes are within normal limits. There is no consolidation, pneumothorax or pleural effusion. The heart is normal in size. Atherosclerotic calcifications of the thoracic aorta are seen. The pulmonary vascularity is normal. The visualized bones remain intact. No radiographic evidence of acute cardiopulmonary process.; Test Date: 20210420; Test Name: MCV; Result Unstructured Data: 91 fL; Test Date: 20210420; Test Name: Hematocrit; Result Unstructured Data: 42.9 %
CDC Split Type: USJNJFOC20210523404

Write-up: SORE THROAT; SHORTNESS OF BREATH; MYALGIA; FATIGUE; HORRIFIC HEADACHE; HORRIBLE PAIN IN CHEST LIKE HEART ATTACK; BONE WRACKING DRY COUGH; METALLIC TASTE IN MOUTH; FELT DIZZY; FELT LIKE HIT BY DUMP TRUCK; BODYACHE; NOT FEELING WELL; AGITATED; URINATING A LOT; BILATERAL EARACHE; WAS TOO SICK; HEART RATE WENT UP TO MORE THAN 80 BPM; This spontaneous report received from a patient concerned a 67 year old female. The patient''s weight was 66.7 kilograms, and height was not reported. The patient''s past medical history included tachycardia, atrial fibrillation, left periorbital ecchymosis, dry eyes, trouble focusing, headache, nausea on right side of chest, felt like gas bubble and emesis, possible post concussion symptoms, voice hoarse/raspy voice, chronic laryngitis, flare up of hemorrhoid, constipated over a weekend, increased heart rate, nontoxic uninodular thyroid goiter, atherosclerosis of aorta, fatigue, papillary thyroid cancer, right thyroid lobectomy, deep vein thrombosis, gerd, melanoma of skin, dyspnea, deep vein thrombosis, sinus pain, tooth pain, treatment non compliance, pharyngitis, stroke, vertigo, and influenza like illness, and concurrent conditions included non-smoker, no alcohol use, asthma, cerebral palsy, qt prolonged, chest pain when tired, diabetes mellitus, chronic kidney disease stage 3, hypertension, congenital nystagmus, hearing loss, hypothyroidism, and diabetes, and other pre-existing medical conditions included the patient had no history of abuse or illicit drug usage. The patient was previously treated with phenoxymethylpenicillin, guaifenesin for sore throat, calcium carbonate, famotidine, simeticone, promethazine, cefalexin, diphtheria vaccine toxoid/pertussis vaccine acellular/tetanus vaccine toxoid for prophylactic vaccination, salbutamol, ciclesonide, and polymyxin for red eyes; and experienced drug allergy when treated with atenolol, ciprofloxacin, and erythromycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: 21-JUN-2021) dose was not reported, administered on 04-APR-2021 11:15 for prophylactic vaccination. Concomitant medications included disopyramide phosphate. On 10-MAR-2014, Laboratory data included: Factor V Leiden mutation (NR: not provided) negative, and Prothrombin mutation G20210A (NR: not provided) HET Abnormal, coagulation. On APR-2021, the subject experienced heart rate went up to more than 80 bpm. On APR-2021, the subject experienced agitated. On APR-2021, the subject experienced urinating a lot. On APR-2021, the subject experienced bilateral earache. On APR-2021, the subject experienced was too sick. On APR-2021, the subject experienced bodyache. On APR-2021, the subject experienced not feeling well. On 04-APR-2021, the subject experienced metallic taste in mouth. On 04-APR-2021, the subject experienced felt dizzy. On 04-APR-2021, the subject experienced felt like hit by dump truck. On 05-APR-2021, the subject experienced horrible pain in chest like heart attack. On 05-APR-2021, the subject experienced bone wracking dry cough. On 05-APR-2021, the subject experienced horrific headache. On 09-APR-2021, the subject experienced fatigue. On 13-APR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. On 20-APR-2021, the subject experienced sore throat. On 20-APR-2021, the subject experienced shortness of breath. On 20-APR-2021, the subject experienced myalgia. Laboratory data included: Anion gap (NR: not provided) 10 mEq/L, B-type natriuretic peptide (NR: not provided) 64 pg/dL, BUN (NR: not provided) 26 mg/dL, Blood pressure (NR: not provided) 214/91 mm Hg, Body temperature (NR: not provided) 97.8 F, CO2 (NR: not provided) 26 mEq/L, Chloride (NR: not provided) 102 mEq/L, Creatinine (NR: not provided) 0.92 mg/dL, Differential white blood cell count (NR: not provided) Normal, Glomerular filtration rate (NR: not provided) more than 60 mL/min, Glucose (NR: not provided) 328 mg/dL, Hematocrit (NR: not provided) 42.9 %, Hemoglobin (NR: not provided) 14.9 g/dL, Lab test (NR: not provided) Normal (no blood clots/thrombocytopenia), MCV (NR: not provided) 91 fL, Nucleated red cells (NR: not provided) 0 kilo per microliter, Oxygen saturation (NR: not provided) 98 %, Pain scale (NR: not provided) 1 (units unspecified), Platelet count (NR: not provided) 190 kilo per microliter, Potassium (NR: not provided) 4 mEq/L, Pulse rate (NR: not provided) 81 beats per minute, RBC count (NR: not provided) 4.73 million per microliter, Respiratory rate (NR: not provided) 18 (units unspecified), Sodium (NR: not provided) 138 mEq/L, Troponin I (NR: not provided) more than 0.02 ng/dL, WBC count (NR: not provided) 7.3 kilo per microliter, and X-ray (NR: not provided) Aortic atherosclerosis. Treatment medications included: hydralazine. On 20-APR-2021 17:34, Laboratory data included: Blood pressure (NR: not provided) 190/100 mm Hg, Body temperature (NR: not provided) 36.6 degree celsius, Glasgow coma scale (NR: not provided) Eye opening:4, Verbal response:5, Motor Response: 6, Total Coma Score:15, Oxygen saturation (NR: not provided) 97 %, Pulse rate (NR: not provided) 74 bpm, and Respiratory rate (NR: not provided) 16 (units unspecified). On 28-APR-2021, treatment medications included: prednisone. Additional treatment medications (dates unspecified) included: estradiol, levothyroxine, paracetamol, verapamil hydrochloride, salbutamol, diphenhydramine hydrochloride/lidocaine/nystatin, budesonide/formoterol, guaifenesin, benzonatate, chlorhexidine gluconate, ipratropium, aciclovir, fluticasone, montelukast, hydralazine hydrochloride, fluticasone propionate/salmeterol xinafoate, and famotidine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from metallic taste in mouth on 05-APR-2021, felt dizzy on 20-APR-2021, felt like hit by dump truck on 16-APR-2021, was too sick, and shortness of breath, and horrific headache on 19-APR-2021, had not recovered from bone wracking dry cough, horrible pain in chest like heart attack, sore throat, and bilateral earache, and the outcome of heart rate went up to more than 80 bpm, myalgia, not feeling well, fatigue, urinating a lot, agitated and bodyache was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non serious


VAERS ID: 1336288 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-05-17
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Fatigue, Feeling hot, Heart rate increased, Hypertension, Paraesthesia, Pyrexia, Swollen tongue, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension; Hypocholesteremia; Migraine
Preexisting Conditions: Medical History/Concurrent Conditions: Anaphylactic reaction
Allergies:
Diagnostic Lab Data: Test Date: 20210517; Test Name: Body temperature; Result Unstructured Data: 99.2 F
CDC Split Type: USJNJFOC20210535640

Write-up: TIREDNESS; TINGLING FACE FOR 5 MINUTES; CLOSING OF THROAT ABOUT 5 MINS BUT AIRWAY CLEAR; TONGUE SWELLING FEW MINUTES; HOT FACE; HIGH BLOOD PRESSURE; HIGH HEART RATE; FEVER; This spontaneous report received from a pharmacist concerned a 56-year-old female. The patient''s height, and weight were not reported. The patient''s past medical history included anaphylaxis reaction to flu shot, and concurrent conditions included hypertension, hypocholesteremia, and migraines. The patient was previously treated with Lisinopril, Atorvastatin, Zonisamide for migraine, Tizanidine for muscle pain related to migraine, Promethazine, Ketorolac, Trazodone for sleep, Influenza vaccine (Flu shot); and experienced drug allergy when treated with Epinephrine for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: 23-JUN-2021) dose was not reported, administered 01 total, on 17-MAY-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. On 17-MAY-2021, about 15 minutes after vaccination, the patient experienced tingling face for 5 minutes, closing of throat about 5 mins but were airway clear, tongue swelling for few minutes, hot face, high blood pressure, high heart rate, and fever, was given Benadryl (diphenhydramine hydrochloride) 50mg IM (intramuscular) to right arm after 30 mins of vaccination. On 18-May-2021, the patient experienced tiredness. Laboratory data included: Body temperature (NR: not provided) 99.2 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tingling face for 5 minutes, closing of throat about 5 mins but airway clear, tongue swelling few minutes, hot face, high blood pressure, and high heart rate on 17-MAY-2021, and had not recovered from fever, and tiredness. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 20210535640-COVID-19 VACCINE AD26.COV2.S-Tingling face for 5 minutes, closing of throat about 5 mins but airway clear, tongue swelling few minutes, hot face, and high heart rate . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). V0 20210535640-COVID-19 VACCINE AD26.COV2.S-High blood pressure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY. V0 20210535640-COVID-19 VACCINE AD26.COV2.S-Fever. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1336486 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-31
Onset:2021-04-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal rigidity, Angina pectoris, Blood pressure increased, Blood test, Chest X-ray, Decreased appetite, Dizziness, Dyskinesia, Echocardiogram, Electrocardiogram ambulatory, Feeling jittery, Fibrin D dimer, Full blood count, Headache, Heart rate increased, Nausea, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benadryl (didn''t take anything the day before vaccine), hydrochlorothiazide, aspirin
Current Illness: n/a
Preexisting Conditions: hypertension
Allergies: sulfa (vomiting)
Diagnostic Lab Data: chest xray EKG Blood panel CBC D-Dimer echocardiogram; satisfactory harness
CDC Split Type: vsafe

Write-up: 3/31 vaccination 4/2 Started to feel jittery, that evening, HA. Started taking Ibuprofen. 4/3 Pressure HA, lightheaded, legs were shaking and jerking. Nausea, couldn''t eat, stomach spasms. 4/4 symptoms of heartrate and increased BP. HA persisted. Rotating between Ibuprofen, Tylenol, Benadryl. 4/6 7am I went to the ER. BP was in the 200s, heart pain. Ran tests; chest x-ray, EKG, blood panel. They discharged you BP 168/87 with instructions to see PCM/ referral with cardiologist. 4/7 Talked to PCM for referral. He prescribed metropal. I had severe reaction and made muscle spasms worse. 4/8 saw PCM. He prescribed the muscle relaxer on 4/9. 4/13 CBC, D-dimer. Prednisone 10 mg 1/2 dose. 4/15 harness order 4/21 Cardiology appt. Dr. Repeat EKG, echocardiogram. Dr. stated AE to vaccine. *Kept daily diary of symptoms *ongoing intermittent increased HR; worse at night.


VAERS ID: 1336560 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hypoaesthesia, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Sexual dysfunction (broad)

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

Write-up: Patient consented to and was given the Janssen Covid-19 vaccine on 05/21/2021 at 3:10pm. Approximately 5 minutes post-administration, the patient reported not feeling well and was given assistance to get seated. She reported dizziness, nausea and numbness in her extremities. Emergency personnel were notified and arrived within 5 minutes. She was asked and accepted to be transported to Hospital for further evaluation.


VAERS ID: 1336566 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-10
Onset:2021-03-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Decreased appetite, Dyspnoea, Fatigue, Laboratory test, Pain, Pyrexia, SARS-CoV-2 test, White blood cell disorder
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Symbicort Montelukast Furosemide Potassium chloride Flonase Levothyroxine Liothyronine Diltiazem/er
Current Illness: None
Preexisting Conditions: COPD Missing Thyroid Enlarged Heart
Allergies: Bees Iodine
Diagnostic Lab Data: Three more months of labs were repeated for 3 months, all those labs had improved since starting Zpack. In between time of seeing Doctor , I had to see another doctor because he wasn''t in, that facility was was the one that saw me. She was the one that did the covid test. I visited Urgent Care which is Doctor .
CDC Split Type: vsafe

Write-up: 03/10/2021 I started feeling fatigued, hard time breathing, got to point I checked my oxygen, almost felt like I had covid. o appetite. Next day It started with pain, body aches, severe, after pain, fever came 102.1, I was doing advil but fever would not break. It was really bad for the first 3 days. Got to point I had to go get covid test at PA in Wharton, had no test, no smell, lasted about a month. Visited Doctor first week in April because Doctor was out due to loss of kids in house fire so it took a while to get in. He had done some blood work earlier in March, my numbers were bad- WBC, and he put me on a antibiotic, Zpack, just in case I did have covid, but I didn''t feel any of these symptoms until after I got J&J shot.


VAERS ID: 1336569 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Balance disorder, Computerised tomogram head, Confusional state, Depression, Dysstasia, Electrocardiogram, Fatigue, Gait inability, Headache, Mental status changes, Mobility decreased, Mood altered, Musculoskeletal stiffness, Nausea, Neck pain, Tinnitus, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Hearing impairment (narrow), Vestibular disorders (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin hcl 1000mg b) glimepiride 2mg c) clopidogrel 75mg d) metoprolol succ er 25mg e) olmesartan medoxomil 20mg f) chlorthalidone 25mg
Current Illness: None
Preexisting Conditions: High Blood Pressure Diabetic
Allergies: None
Diagnostic Lab Data: CT scan of head on 4/16/2021. Ecg of head on 5/19/2021
CDC Split Type:

Write-up: 4/15/2021: Severe headache, hip/joint pains, Nausea & vomiting. Mobility & balance issues, unable to walk or stand, tinnitus & extreme fatigue, change is mental status. *tinnitus, fatigue, nauseous feeling and balance problem & sudden depressed feeling continuous for weeks. 5/20/2021: severe neck pain and neck stiffness. Fatigue, nausea, tinnitus, confusion & mood changes


VAERS ID: 1336799 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-03-27
Onset:2021-03-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

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

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

Write-up: Difficulty breathing. Going to hospital.


VAERS ID: 1336807 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-08
Onset:2021-05-11
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Angiotensin converting enzyme, Antinuclear antibody, Blindness unilateral, Blood cholesterol increased, Blood folate normal, Blood thyroid stimulating hormone decreased, Blood triglycerides normal, Borrelia test, C-reactive protein normal, Glycosylated haemoglobin normal, HIV test negative, High density lipoprotein normal, Intracranial aneurysm, Intraocular pressure increased, Intraocular pressure test, Low density lipoprotein increased, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Magnetic resonance imaging normal, Red blood cell sedimentation rate normal, Scan with contrast normal, Treponema test negative, Tuberculin test, Ultrasound eye normal, Urine analysis, Very low density lipoprotein normal, Vision blurred, Visual impairment, Vitamin A, Vitamin B12 normal
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Glaucoma (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Lipodystrophy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Methimazole
Current Illness: Hyperthyroidism
Preexisting Conditions: Hyperthyroidism
Allergies: No known allergies
Diagnostic Lab Data: 5/18/21: TSH within normal limits 1.086. A1c 4.8. Lipid panel cholesterol 223, TAG 58, HDL 64, LDL 147, VLDL 12 5/19/21: ESR within normal limits. CRP within normal limits. Syphilis negative. HIV nonreactive. B12 872, Folate 19.8 5/19/21 Pending: Lyme antibody, ANA. Quantiferon gold, ACE level, heavy metal urine 5/21/21 Vitamin A pending 5/19/21: MRA head without. MRI brain with and without, MRI orbit face neck with and without: No acute intracranial pathology. Slightly limited evaluation of the optic nerves on the MRI of the orbits demonstrates no obvious optic nerve pathology. The remainder of the orbits are also normal. 2 mm diameter patent saccular anterosuperiorly directed right ophthalmic aneurysm. Otherwise, unremarkable brain MRA.
CDC Split Type:

Write-up: Patient presenting to Medical Center with progressive vision loss on 5/17/21, day prior to admission patient endorsing complete right eye vision loss and progressive left eye vision impairment. Prior to admission, she had presented to hospital for progressive right eye vision loss. Had right eye tonometry and ultrasound performed, pressure 24, ultrasound overall unremarkable. ESR and CRP normal limits. Referred for outpatient evaluation by ophthalmology and neuro-ophthalmology. Neuro-ophthalmologist referred her for IV steroids due to concern for ischemic optic neuropathy. She was started on IV solumedrol 1g daily for 5 days, with stabilization of her vision loss. No improvement in right eye vision loss, no worsening of left eye vision loss. Per patient, left eye vision blurriness able to see shapes and colors. Discharged on 5/21/21 on prednisone 60 mg until follow up with neuro-ophthalmology on 5/27/21.


VAERS ID: 1336815 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-05
Onset:2021-04-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Speech disorder, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (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: Flu shot
Other Medications: none
Current Illness: none
Preexisting Conditions: Asthma
Allergies: Mucinex
Diagnostic Lab Data: Doctor prescribed her antihistamine and she suddenly felt better.
CDC Split Type: vsafe

Write-up: About fifteen minutes after receiving the vaccine participant was having trouble speaking , tongue was swollen, could barely breathe so she took Benadryl that her family doctor prescribe to her symptoms got worse by midnight so she went to the emergency room at hospital.


VAERS ID: 1336832 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-13
Onset:2021-03-16
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthma, Blood culture negative, Chest X-ray normal, Chest pain, Chills, Computerised tomogram normal, Culture urine negative, Differential white blood cell count abnormal, Dyspnoea, Electrocardiogram normal, Fatigue, Heart rate increased, Malaise, Myalgia, Pyrexia, SARS-CoV-2 test negative, Systemic inflammatory response syndrome, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Myelodysplastic syndrome (broad), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sepsis (broad), Opportunistic infections (broad), COVID-19 (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: Zyrtec for allergies (as needed), tylenol and aleve for fever and chills (as needed).
Current Illness: Occasional allergies.
Preexisting Conditions: Anxiety and potentially allergy induced asthma (in the process of being confirmed by a medical professional)
Allergies: Hazelnut
Diagnostic Lab Data: EKG, Blood cultures, urine culture, Covid 19 test, CT scan, chest x-ray. Everything came back normal, except for an elevated WBC of 21.39. Manual differential found bands at 13%
CDC Split Type:

Write-up: Experienced 2 days of worsening fever, chills, myalgias, mild chest pain, fatigue and malaise. Went to the ER after having a low grade fever, chills, shortness of breath, mild chest pain, and an elevated resting heart rate. Was diagnosed with SIRS as a response to the covid vaccine and hospitalized for observation. Was discharged the next day. Diagnosed with SIRS, possibly due to the COVID vaccine with a secondary diagnosis of asthma.


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