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

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



Case Details (Reverse Sorted by Onset Date)

This is page 52 out of 1,889

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VAERS ID: 1210444 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-27
Onset:2021-04-12
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN TJ1808978 / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Headache, Pain, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Covid Positive Test Result (15 minute test)
CDC Split Type:

Write-up: Covid Positive. Severe coughing, severe body aches, severe headache, vomiting, complete loss of appetite, severe chills


VAERS ID: 1210506 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / -

Administered by: Public       Purchased by: ?
Symptoms: Body temperature increased, Chills, Headache, Influenza like illness, Malaise, Muscle spasms, Pain, Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad), Dystonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: In the evening after started feeling slightly ill. In the morning felt flu like but had to go in to work. At that time, achey, headache. Then about 1pm got chills, felt a lot worse. At one point took temp that evening and it was 101.8. Slept from about 2pm-6:30pm and then from 9pm to 8am. Fever was gone in morning, felt better. Still feel slightly achey next evening. Do have ache/cramp feeing in left calf.


VAERS ID: 1210542 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: My head has felt plugged and my ears are ringing horribly


VAERS ID: 1210552 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall
SMQs:, Accidents and injuries (narrow)

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

Write-up: On 4/12/21 at about 10:50 am approximately 10 minutes after vaccination, pt allegedly slipped out of his chair in the observation area and fell to the ground. He got back up on his own and was directed to sit back in the chair. Pt was given apple juice to drink as he said he had not eaten that morning. His blood pressure was measured and found to be within normal limits. Pt was asked to stay for another 15 minutes for observation which he did. He stated he was feeling much better at that time. I asked him to stay a few minutes more but he elected to leave a that time. I called the patient later on that afternoon around 3pm at which time he stated he was feeling fine and didn''t require any medical treatment.


VAERS ID: 1210596 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Migraine, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: I''ve been feeling nauseous and with a migraine 3 days now, I don''t have insurance so I haven''t gone to the hospital, I''ve been taking just Tylenol for pain.


VAERS ID: 1210623 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Asthenia, Chills, Decreased appetite, Headache, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Body chills. Fever (102.6),severe headache, bodyache, stomach ache, loss of stamina and apetite. No medications taken


VAERS ID: 1210629 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Petechiae, Platelet count
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE 100 MCG , FLONASE
Current Illness: no
Preexisting Conditions: no
Allergies: AUGMENTAN, AMOXYCILLAN
Diagnostic Lab Data: Platelet Blood Test 04-14-2021 no results yet.
CDC Split Type:

Write-up: Petechiae on legs


VAERS ID: 1210675 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amitriptyline, estradiol, famotidine, naproxen, protonix, plaquenil, polytrim
Current Illness:
Preexisting Conditions: allergic rhinitis, GERD, endometriosis, diffuse cystic mastopathy, polyarthritis
Allergies: codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dr. reports: Asked to evaluate patient after she received J and J vaccine at the vaccine site. Pt. Given vaccine at 2:59 PM in right Deltoid. Approximately 10 minutes later, pt. Noted redness of right lower arm. Pt. Denied itching no airway issues no SOB. No wheezing. Pt. Taken to Medic area for further eval. VSS at 3:20 PM wit BP 122/78, P89, R 12, O2 Sat 99% on RA. Pt. Felt well. Monitored. Rash gradually subsided, and did not occur anywhere else. No airway swelling. Lungs clear to auscultation. Pt. Did not develop any other symptoms or signs. Warning signs and symptoms discussed with pt. And pt. Knows if these occur, she will contact PCP emergently or call 911. Pt. Observed until 3:42. Pt. Related felt well, and rash nearly gone. Pt. Desired to leave, and is going to be drive home by her husband.


VAERS ID: 1210687 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A214 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lower respiratory tract infection, Nasopharyngitis
SMQs:, Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, omega, vitamin d
Current Illness: None
Preexisting Conditions: Hypothroidism
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Head cold now moved to chest cold


VAERS ID: 1210710 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

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

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

Write-up: Per Dr. : Asked to see patient in medic treatment room 5 minutes after he received Jand J vaccine at vaccine center. Pt. Was in observation, and began to feel lightheaded and dizzy. Pt. Felt like he would pass out. Pt. Notified observer, that got nurse. Pt. Taken by wheelchair back to Medic treatment room. Pt. VSS initially at ^30 Pm, BP 94/70, P 60, R12, O2 sat 100% on RA. No airway swelling, no rash, no wheezing. Lungs CTA B. Pt monitored. Given Sprite, crackers. Felt much better. BP at 6:37 PM was 188/82, HR 66 P Ox 100 % on RA, R12. Lungs remained clear. Pt. Back to baseline. Warning signs and symptoms discussed prior to pt leaving clinic, and pt. Verbalized understanding andd need to call 9111 if these occurred. Pt. Likely had vagal reaction, that full resolved.


VAERS ID: 1210714 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Night sweats, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe fever, drenching night sweats, itchy skin on and around neck all started Sunday night and were unbearable Monday morning. Drenching night sweats and itchy neck continued the night of Monday, April 12. Night sweats subsided Tuesday, April 13, Itching has turned into rash on neck.


VAERS ID: 1210721 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pulmonary pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I did not take any medicines at the time of vaccination.
Current Illness: No
Preexisting Conditions: I did not have terrible illness.
Allergies: No
Diagnostic Lab Data: I have not started the tests.
CDC Split Type:

Write-up: I feel pain in the upper side of my left lung near the scapula when I inhale, yawn, and squat. The pain started around 4/12/2021 11:00 pm. From the start date, the rank (1-10) of pain I felt was 3. The pain worsened in the past two days. These two days I feel the rank of pain is 5. I only took Panadol medicines to relieve pain.


VAERS ID: 1210809 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Erythema, Nasal congestion, Pruritus, Rash, Sneezing, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Generic Adderall, Allegra, vitamin D supplement
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: None were conducted.
CDC Split Type:

Write-up: Jansen COVID-19 Vaccine EUA On 04/12/2021 at 11:30pm (5 days after I was originally vaccinated), I started to itch inside of the crooks of both of my arms were starting to itch. After a few minutes of not scratching the crooks of my arms, I had noticed that both crooks of my arms were still red. I then took off my shirt and realized that I had an extensive rash with hives all over my trunk. I also had a sudden onset of nasal congestion and sneezing during this same time period. I took Benadryl and Pepsid on that same night and then saw my primary care doctor the following morning. My primary care doctor diagnosed my rash/hives as a probable result. I was instructed to continue with the Benadryl and Pepsid and watch for any changes.


VAERS ID: 1210846 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Myalgia, Tinnitus, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Finasteride, Tamsulosin, vitamin D, Advil
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I have not sought medical attention. If the ringing in my ears continue I will see my doctor.
CDC Split Type:

Write-up: Approximately 27 hours after receiving the injection I had approximately 15 minutes of uncontrollable shaking. I stopped when I got into a hot shower. I also had a headache and muscle aches and pains the day after the injection. Approximately 72 hours after the injection I developed ringing in my ears and it is continuing now.


VAERS ID: 1210868 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Mobility decreased
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Janssen COVID-19 Vaccine EUA a sharp series of pain in my abdomen on Monday, April 12. It was not severely persistent; I don?t believe it lasted for more than a few hours and it tapered on and off during that time, but initially it was sharp and made it difficult to move


VAERS ID: 1210947 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspepsia, Dyspnoea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: adipex 37.5mg motrin 800mg
Current Illness:
Preexisting Conditions:
Allergies: penicillin codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: indigestion, labored breathing, leg pain with


VAERS ID: 1210951 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: Fever, chills, severe body aches, cold sweat. Treated with advil and tylenol, lasted 36 hours. Sore arm, 4 days and not better yet


VAERS ID: 1211026 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Chills, Dehydration, Diarrhoea, Dizziness, Hyperhidrosis, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: At hospital (do not have access to results)
CDC Split Type:

Write-up: Unrelenting, simultaneous vomiting and diarrhea ~7 hours to the minute after receiving the shot. Symptoms included abdominal pain, severe nausea. Resulted in dehydration leading to dizziness, sweating, shivering.


VAERS ID: 1211091 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood pressure measurement, Dizziness, Pallor, Partial seizures, Seizure, Vomiting
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: EMS, who was working in the clinic, stated that the patient had a partial seizure and directed the Clinic Lead Nurse to call EMS. Patient became pale, 5 second seizure, dizziness and vomiting. EMS was called and vital signs were taken but patient declined to go to the hospital. Patient recovered and drank some water and ate some crackers. Patient waited another 30 minutes and stated he felt much better. Clinic Lead Nurse called the patient, on April 13, 2012, who stated that he went home, ate some food and relax the rest of the day. He stated he felt better and had no more problems. He did not seek additional medical care.


VAERS ID: 1211101 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Computerised tomogram, Electrocardiogram, Gastrointestinal pain, Hyperhidrosis, Laboratory test, Loss of consciousness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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: metoprolol, metformin
Current Illness: none
Preexisting Conditions: HBP
Allergies: none
Diagnostic Lab Data: All from 4/12/2021: CAT scan, EKG, blood tests, was diagnosed as a colon spasm although, patient is skeptical since she had a colonoscopy 1 1/2 years ago.
CDC Split Type:

Write-up: Nauseous, sharp pain in upper abdomen, sweating, passed out. Spouse called ambulance


VAERS ID: 1211154 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A27A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Musculoskeletal stiffness
SMQs:, Acute pancreatitis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alive
Current Illness: Strep
Preexisting Conditions: Under active thriod bipolar hi blood pressure
Allergies: Codine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache stomach cramps stiff muscles


VAERS ID: 1211257 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anal incontinence, Blood glucose increased, Dehydration, Fatigue
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Noninfectious diarrhoea (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: metformin glimperide
Current Illness: none
Preexisting Conditions: diabetic
Allergies: codine
Diagnostic Lab Data: Hospital has given a barrage of tests
CDC Split Type:

Write-up: found my mother lying on the floor Monday morning covered in feces...she had been extremely tired after shot. Her Blood sugar was extremely elevated ...and she was dehydrated


VAERS ID: 1211376 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

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

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

Write-up: Patient called Monday and stated the morning 2 days after his vaccine he woke up with a rash all over his body. I tried to call the patient to see how he was doing on Wednesday but did not get a call back.


VAERS ID: 1210962 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Florida  
Vaccinated:2020-04-12
Onset:2021-04-12
   Days after vaccination:365
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / SYR

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

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

Write-up: Headache after injection. 6 hours after dose, cold chills. An hour after that, a fever of 101F.


VAERS ID: 1210969 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-03-31
Onset:2021-04-12
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Disorientation, Gaze palsy, Pyrexia, Rash macular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Ocular motility disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: I received J&J vaccine on 31st March. I?m 32 years old woman. I?m currently out of states, I came to another Country on 9th April. About 2days ago, I observed some tiny spots on my fingers (3 on middle finger, and 1 on ring finger - refer attached image). Also, at the same time I felt little disorientation where I was almost blank for just few seconds. I believe that might be due to empty stomach/low sugar. And then, I?m having a headache today. After the vaccination, I had a fever of 102.7 degrees for about 2days. I?m just concerned that this is nothing to worry about. And, if there are some blood tests or scans that I should get done just to be safe.


VAERS ID: 1210975 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dysarthria, Speech disorder developmental, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Birth control
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After Sunday, I developed nervous shaking throughout my entire body and today on April 14, I have developed interruption in speech and slur in speech.


VAERS ID: 1210982 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Fatigue, Headache, Pain, Pain in extremity
SMQs:, Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthesis 50mg tab, Dextroamp-Amphetamin 20mg Hydroxyzine Pamoate 50mg, Trazodone 50mg, Ibuprofen 800mg, Tylenol extra strength 2 caplets, Fluoxetine 20mg, Vitamin E 400mg, Centrum multi gummies 2 tablet, and Vitamin C 250mg 2 tablets
Current Illness: None
Preexisting Conditions: Hypothyroidism 4yrs, diabetic 7.0 2yrs and insomnia for 5 yrs
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: A few hours after vaccination I had headache body aches and no energy. On 4/13/2021 had sever headache and anything I took only helped for a few hours, body aches were in my legs with sharp pain. On 04/14/2021 same symptoms as day before, also tired, no energy and stay in bed all day so I don?t feel the pain as much


VAERS ID: 1211008 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Abdominal pain upper, Angiogram, Blood thyroid stimulating hormone, Dizziness, Fatigue, Full blood count, Headache, Hyperhidrosis, Loss of consciousness, Metabolic function test, Muscle spasms, Nightmare, Troponin normal
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), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: N/A
Preexisting Conditions:
Allergies: Erythromycin, Pepto-bismol
Diagnostic Lab Data: ROS: General: No fatigue, fevers/chills, malaise Eyes: No eye pain, eye discharge, visual changes Ears: No ear pain, hearing changes Nose/throat: No nasal congestion, sore throat CV Additional information for Item 19: ROS: General: No fatigue, fevers/chills, malaise Eyes: No eye pain, eye discharge, visual changes Ears: No ear pain, hearing changes Nose/throat: No nasal congestion, sore throat CV: No chest pain, palpitations, syncope, edema Pulm: No SOB, wheezes, cough, hemoptysis GI: No anorexia, abd pain, nausea, vomiting, diarrhea GU: No dysuria, hematuria, urgency, frequency MSK: No joint pain, edema, warmth, redness, deformity Neuro: HA, syncope; No seizures, weakness, numbness/tingling, vertigo, lightheadedness, AMS Skin: No rash, lesions, itching Heme: No easy bruising/bleeding, petechiae All systems reviewed and negative except as stated above. Physical Exam: Vital signs reviewed, no acute intervention necessary General: NAD, AOX3, cooperative Head: Normocephalic, atraumatic Eyes: PERRL, EOMI, no conjunctival injection, no scleral icterus Ears: No edema/erythema of otic canal, no TM edema/erythema/dullness/bulging Nose: No nasal discharge Throat: No pharyngeal edema, erythema, tonsillar exudates, uvular deviation, asymmetric swelling, trismus, drooling, or voice changes Neck: No meningismus; normal ROM Lymph: No cervical lymphadenopathy Respiratory: Unlabored breathing, normal respiratory effort, LCTAB CV: Normal peripheral circulation, RRR, no m/r/g Abd: Soft, NTND Skin: No rashes, petechiae, or purpura Neuro: Grossly intact, moves all extremities equally, gait normal MSK: No TTP, deformity, ecchymosis, or focal edema Psych: Normal mood, normal affect, appropriate responses Labs: CBC/BMP largely unremarkable TSH/FT4 wnl trop NEG Imaging: CT angiography of the head. Indication: Headache. Evaluate for cerebral venous thrombosis. Comparison: None. TECHNIQUE: Axial and reformatted sagittal and coronal images of the brain obtained with IV contrast administration. Findings : No aneurysm is identified in the circle of Willis and its branches. Normal enhancement of the dural venous sinuses without evidence of intraluminal thrombus. Changes from prior left occipital craniotomy. No abnormal post contrast enhancement is noted. Normal size of the ventricles and extra-axial spaces for the patient''s age. Normal white matter tracts of the supratentorial brain. Normal basal ganglia and thalami. Normal brainstem. Normal cerebellum. There is no demonstrated extra-axial, intraparenchymal, or intraventricular hemorrhage. There are no findings of an acute ischemic infarction. There is no demonstrated fracture. Normal visualized paranasal sinuses. IMPRESSION: No aneurysm is identified in the circle of Willis and its branches. Normal enhancement of the dural venous sinuses without evidence of intraluminal thrombus. Changes from prior left occipital craniotomy. No abnormal post contrast enhancement is noted. Electronically signed on Apr 14, 2021 7:18:19 PM JST by: M.D., Certified by ABR, MSK, Neuroradiology EKG: - regular rate (67 bpm) and rhythm - PRI wnl - axis wnl - no sig p-wave abnormalities - no e/o RVH/LVH - QRS wnl - no sig STE/STD - QTc wnl for Pt (430 msec) - T-waves not hyperacute, peaked, or flattened - no U waves - no findings of prolonged QT, delta wave, epsilon wave, Brugada wave, AV block or widened QRS
CDC Split Type:

Write-up: vaccine reaction-passed out. c/o worsening headache and feels tire. states broke out sweat, stomach pain, HA, leg cramping and passed out (for about 30sec according to husband) on Mon. took Advil several days. last Advil 0600. J&J vaccine on 5 Apr. 61 yo f w/spouse c/o ongoing headache w/concerns for single episode of ''passing out'' approx 48hrs pta approx 30-45 sec per spouse at bedside; Pt states nighttime episode w/preceding leg crampings, sweating, dizziness, sat on footstool and per spouse passed out but caught by spouse and avoided injury; spontaneous recovery w/o further issue from that episode, spouse denies any post-syncope seizure-like activity/urinary incontinence/tongue biting; Pt and spouse concerned. for cerebral venous thrombosis; Pt has sig hx of prior neurosurgery for posterior/occipital schwannoma around 2017, successfully removed, w/o further findings or complications on f/u (last DEC 2020) to include repeat imaging at that time Pt states has been taking advil OTC for ha but no sig relief at this time; Pt defers need for medications at time of provider evaluation; Pt denies any fevers/ns/chills, cp, sob, palpitations, dyspnea, abd pain/cramping, current nvd, prior syncope, fam hx of MI/SCD/dysrhythmias.


VAERS ID: 1211182 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Mouth ulceration, Oral disorder, Oral pain
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Maalox, famotidine, simethicone
Current Illness: none acute
Preexisting Conditions: anxiety, dyspepsia
Allergies: latex
Diagnostic Lab Data: Video visit exam - 4/14/21
CDC Split Type:

Write-up: mouth ulcers - painful mucosal ulcers diffusely the margin near lips (b/l upper mouth and R lower mouth), does not include the lips, vermillion border, or skin beyond the lips. additional lesion on tongue. No ulcer in the throat.


VAERS ID: 1211418 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Arthralgia, Blood iron decreased, Chest pain, Chills, Computerised tomogram normal, Diarrhoea, Fibrin D dimer increased, Flushing, Full blood count abnormal, Headache, Immediate post-injection reaction, Myalgia, Nausea, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamin
Current Illness: Endometrial pain
Preexisting Conditions: Endometriosis
Allergies: Morphine
Diagnostic Lab Data: D dimer elevated levels; CBC results indicative of low iron; ct scan of head negative for clotting
CDC Split Type:

Write-up: 04.11.2021 12:15 p.m. Vaccination and immediate sore arm 12:45 p.m. Headache and continued sore arm 7:00 p.m. Chills, fever 100, took Advil and hot shower. Broke fever during shower. 11:00 p.m. Went to bed but chills returned. Couldn''t sleep. 04.12.2021 12:35 a.m. Went pee and felt nauseous with chills. 2:30 a.m. Went pee, drank a bottle of water and felt extreme pain in joints and chest. 3:00 a.m. Took 400 mg Advil. 4:15 a.m. Went pee and drank another bottle of water. 6:00 a.m. Woke up SO due to high fever of 104.4. checked repeatedly both ears. Checked SO temp and he was normal. 6:30: In ER. 2 L of IV, tylenol, pain meds (tramadol) and sleep. Chills went away around 7:45 a.m. when the fever broke. 8:00 a.m. Another round of pain meds. 9:00 a.m. Last round of pain meds. 10:00 a.m. Discharge with temp of 99.8. 3:00 p.m. After rest and more fluids at home, fever broke. 7:00 p.m. Chills returned, mild headache, and joint pain. 8:00 p.m. Diarrhea. Flushed 3 times. Lost a lot of fluid. 8:15 p.m. Took hot shower to help with chills. 9:00 p.m. Drank 15 ounces of water and Gatorade combined. 9:15 p.m. Fever 101.0 10:45 p.m. Fever 101.5 04.13.2021 12:40 a.m. Fever 102.5 and took 2 Tylenol 2:30 a.m. Fever 99.8 5:00 a.m. normal temp 98.7, still have headache. 11:00 a.m. normal temp 98.5, pain in leg and arm muscles and joints primarily ankles, knees and wrists. Pain in lower abdominal area. 2:20 p.m. PCP appt. Blood drawn. Temp normal at 98.9 6:00 p.m. temp 100.0 8:20 p.m. 2 Tylenol, headache, joint/muscle pain 9:30 p.m. Temp 100.0 11:00 p.m. Normal temp 98.8 04.14.2021 12:05 a.m. Temp 105.5; took 2 Tylenol. 3:00 a.m. Temp 96.8/97.4 10:30 a.m. Blood draw to test for clotting 12:30 p.m. Blood results indicate clotting potential; went to ER for head CT scan to asses clotting in the brain. Headache still persists and pains in muscles.


VAERS ID: 1211427 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Chills, Dyspnoea, Fatigue, Gaze palsy, Heart rate increased, Hyperhidrosis, Myalgia, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Ocular motility disorders (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine besylate 5mg 1/day Rosuvastatin ca 40mg 1/day Ergocalcif 1,250mcg 1/week Cyclobenzaprine hcl 10mg 1/day as needed Vitamin C 2/day Black Elderberry
Current Illness: None
Preexisting Conditions: trigeminal neuralgia Sciatica High blood pressure
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Left work early because Chills, sweating Fever, Headache, Muscle and body aches, Fatigue, Shortness of breath, Fast heartbeat, Blood pressure 150/86/98 at 4:10pm on April 11. Cyclobenzaprine 10mg at 5pm and slept under multiple blankets because I was cold and sweating. Woke up the next day fine just a sore arm.


VAERS ID: 1211442 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

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

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

Write-up: High fever (up to 104F), headache


VAERS ID: 1211445 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily Women?s Multivitamin Daily Collagen supplement Daily Green tea extract supplement Daily Magnesium supplement Daily L-Tyrosine supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swollen, red, tender, itchy at site injection area


VAERS ID: 1211585 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cerebral calcification, Computerised tomogram head abnormal, Feeling abnormal, Fibrin D dimer increased, Full blood count normal, Mental status changes, Pain in extremity, Platelet count normal, Rash, Vascular calcification, Vasculitis
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vasculitis (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Carvedilol, plavix, duloxetine, fluoxetine, HCTZ, Hydrocodone/APAP, meloxicam, metformin, lyrica, simvastatin, tizanidine, tramadol
Current Illness:
Preexisting Conditions: hypercholesteremia, Type 2 diabetic with peripheral neuropathy, hx. of colectomy, hypertension, depression, chronic pain, DVT (12/2018)
Allergies: Ace inhibitors
Diagnostic Lab Data: 4/14/2021 CT of head w/o constrast: IMPRESSION: No evidence of acute intracranial pathology. The calvarium is intact. Mild chronic microvascular ischemic changes. Cerebral vascular calcifications are noted at the carotid siphons. 4/14/2021 D-Dimer 1.96 mcg/mL - H 4/14/21 CBC - WNL, Platlets 177 Further workup pending at this time
CDC Split Type:

Write-up: She presents to ED on 04/14/2021 with complaints of altered mental status and rash. Patient states that she went to work on Saturday, she is a food server, she started to feel not herself and felt like she ?snapped?. She states that on the way home in her car she was nearly struck by the train crossing barriers. She states that she went home and sat in her recliner on Saturday and did not get up until Wednesday at around lunchtime. She states that she did not get up to eat or drink. She used incontinence pads and depends. She did not get up to use the restroom. She did continue to take her medications. Patient states that she was motivated to get up today because her friends were concerned for her and 1 of her friends came over to take her out for lunch. Elevated D Dimer History of DVT - mild leg pain, no swelling or erythema. No chest pain, cough or SOB. Low suspicion for PE - full dose lovenox - BLE duplex in the morning


VAERS ID: 1211727 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-02
Onset:2021-04-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Age 49, tetanus vaccine, hand and body tremors lasting fo 15 minutes two days after vaccination
Other Medications: Zinc, vitamin D3
Current Illness: Chills, fatigue, mild body and joint pain lasting 1.5 days. Negative result for Covid on both rapid test and standard test.
Preexisting Conditions: No known health issues beyond being overweight (34.5 bmi)
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Mild chills, fatigue, and body ache 24 hours after vaccination. 10 days after vaccination: migrating headache of varying intensity, the longest lasting at top of head toward front, also noted at side of head toward back, with strongest intensity occurring at base of skull. All resolved the following day.


VAERS ID: 1211731 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartin, amlodipine, atorvastatin,escitalopram,alprazolam
Current Illness: NA
Preexisting Conditions: Heavy smoker
Allergies: NA
Diagnostic Lab Data: Benadryl and cortisone cream
CDC Split Type:

Write-up: Broke out in intense itching over whole body, no rash


VAERS ID: 1211817 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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

Write-up: Immediate swelling/pain at injection site. Swelling reducing at 10 min. post vaccine.


VAERS ID: 1211937 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8279 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Hyperventilation, Pallor, Paraesthesia, Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Vital Signs: B/P 149/85, 88, O2Sat 87% B/P 123/79, 69, O2Sat 98%
CDC Split Type:

Write-up: Lightheaded, increased respirations, tingling in hands and feet (numbness), pale, hyperventilation. EMS checked, helped her to regulate her breathing. Stated this happens when she gets shots.


VAERS ID: 1211942 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood calcium decreased, Blood urea increased, Chills, Haematocrit decreased, Haemoglobin decreased, Nausea, Neutrophil count decreased, Platelet count decreased, Protein total decreased, Pyrexia, Red blood cell count decreased, SARS-CoV-2 test negative, Vomiting, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (narrow), Agranulocytosis (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: Diptheria and tetanus toxoid: anaphylactic reaction as a child, localized reaction (swelling) with booster shots
Other Medications: acyclovir, beclomethasone, budesonide, calcium, dapsone, dicyclomine, vitamin D2, famotidine, granisetron, isavuconazonium, loperamide, lorazepam, melatonin, metoprolol, mirtazapine, multivitamin, fish oil, ondansetron, pantoprazole, predni
Current Illness: graft versus host disease, subacute fungal sinusitis
Preexisting Conditions: polycythemia rubra vera, migraine, back pain, myelofibrosis, acute myeloid leukemia in remission, acute myeloblastic leukemia, graft versus host disease complicating bone marrow transplant (February 2021), history of allogenic bone marrow transplant (December 2020)
Allergies: Bactrim, Phenergan DM
Diagnostic Lab Data: Electrolytes: BUN 26 mg/dL, calcium 8.0 mg/dL, rest within normal ranges CBC: WBC 1.9 10*9/L, RBC 2.16 10*12/L, hemoglobin 7.1 g/dL, hematocrit 21.0 %, platelets 40 10*9/L, ANC 1.3 10*9/L LIver function: total bilitubin: 1.6 mg/dL, alkaline phosphatase 193 U/L, ALT 233 U/L, AST 156 U/L, protein: 5.0 g/L, albumin 3.5 g/dL SARS-CoV-2 RNA negative
CDC Split Type:

Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA: three days after vaccination patient reports nausea, vomiting, and abdominal cramping, Presents to oncology clinic with fever (temp 38.5 Celsius), rigors, and chills. Patient admitted to oncology service for fever and rigors while on immunosuppression.


VAERS ID: 1211964 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Paraesthesia, Rash, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Red rash on chest and face, tingling feet, tongue swollen (patient said), child. Drove home. Refused transportation to hospital.


VAERS ID: 1212145 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Diarrhoea, Dizziness, Fatigue, Injection site pain, Musculoskeletal chest pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B complex, Vitamin D, baby aspirin, Iron, magnesium, Spironolactone, Sertraline, Hyoscyamine, Omeprazole.
Current Illness: None
Preexisting Conditions: Marked sick sinus bradycardia. Average BPM 36, falls to 18 BPM when asleep. Body mass index of 41 (weigh 270).
Allergies: None that I am aware of
Diagnostic Lab Data: Saw my doctor on day 6. He advised what symptoms to look for (headache, red or sore legs, breathing difficulty) and advised going to ER is any other issues arise.
CDC Split Type:

Write-up: Strong burning pain in left arm at time of injection. 72 Hours later severe diarrhea, severe exhaustion that began same day as stomach issues, and has lasted 4 or more days (still on-going). Day 3 had muscle aches and pains with no physical activity. Day 6 woke with upper back and shoulder pain and slight dizziness. More muscle aches. Still severely exhausted, even with 8 hours sleep. Upper chest sore to the touch after no physical activity.


VAERS ID: 1212168 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN DON?T JNOW / 1 - / IM

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

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

Write-up: Fever, headache, muscle aches


VAERS ID: 1212224 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JANSSEN206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Sleep disorder, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, magnesium, vitamin d, fish oil
Current Illness: Canker sore under tongue started day before
Preexisting Conditions: Overweight
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tinnitus in both ears since day after vaccination. April 15 left ear tinnitus mostly subsided but right ear still noticable and preventing sleep.


VAERS ID: 1212248 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site induration, Injection site pruritus, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: i do not know.
Current Illness: none that i am aware of
Preexisting Conditions: potential high blood pressure, potential acid reflux
Allergies: patient states she has had extreme itchiness to Demerol
Diagnostic Lab Data: none
CDC Split Type:

Write-up: patient called the pharmacy on 4/12/21. she explained that she had a rash on her right arm (above elbow), an itchy knot the size of a tennis ball on the left deltoid (where the vaccine was administered), and a swollen nodule behind her left ear lobe. she also explained she was outside over the weekend, and thought she also had some spring allergies arising. she was counseled to report any further events to her PCP, to take Benadryl in place of Zyrtec, and to apply a cold compress on the right arm rash with some hydrocortisone cream. she was counseled to continue reporting all side effects to v-safe as discussed on 4/12/21.


VAERS ID: 1212255 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Paranasal sinus discomfort
SMQs:

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

Write-up: seasonal allergies - takes zyrtec & metoprolol; HX: anxiety, tightness to forehead / sinusis.


VAERS ID: 1212278 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: Fever of 102.5, aches,


VAERS ID: 1212281 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N.A. / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Headache
SMQs:, Hypoglycaemia (broad)

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

Write-up: I woke up Monday morning after receiving vaccine on Sunday with a severe headache and cold sweats. The cold sweats have subsided however I am still having a headache. Its not as severe as it was on Monday but i have kept a headache since Monday even taking Tylenol and ibuprofen doesn''t make it completely go away.


VAERS ID: 1212286 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Dizziness, Dyspnoea, Fatigue, Headache, Myalgia, Nausea, Pyrexia, Vision blurred, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (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? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin XL 150 mg/24 hours oral tablet, extended release FLUoxetine 20 mg oral capsule OTC Vitamin B12
Current Illness: n/a
Preexisting Conditions: Orthostatic hypotension, Migraines, Headaches, Neck Pain, Anxiety, ADD
Allergies: Toradol Reactions: seizure like symptoms and numbness MethylPREDNISolone Acetate Reactions: Seizure-like symptoms/episode
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills, fever up to 102.5, headache, fatigue, mild nausea, muscle aches, joint pain, minor shortness of breath, feeling of lightheadedness/dizziness, feeling like my vision was off/blurry and was... crowded, like the edges of my vision weren''t entirely there?


VAERS ID: 1212290 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / IM

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

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

Write-up: pt. reports nausea. pt. denies any other s/s. pt. waiting an additional 15 mins. to be monitored


VAERS ID: 1212296 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: slight lightheadedness, intermitten. Resolved without interventions. pt. declined further medical assessment / ED transport. EMS not notified.


VAERS ID: 1212308 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Feeling abnormal, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: FLU VAC, TETANUS VAC = ANAPHYLAXIS
Other Medications: NORVASC, SPIRNOLACTONE, MULTIVIT, VIT D
Current Illness: NONE
Preexisting Conditions: HTN, FIBROMYALGIA
Allergies: PCN, LOSARTAN, BEES, IODINE, SHELLFISH, FLU VAC, TETANUS VAC
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: FEVER, CHILLS, SEVERE BODY ACHES, FOGGINESS/ PALMS OF HANDS HURT AND STILL HURTING


VAERS ID: 1212315 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Pain in jaw, Tinnitus
SMQs:, Hearing impairment (narrow), Osteonecrosis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D 5000 iu, xyzal, fluticasone
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, ringing in left ear, jaw pain in left jaw


VAERS ID: 1212344 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205821A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myalgia, Pain, Pruritus, Tendon pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: gabapentin, probiotic, singular, estrace, multi vit
Current Illness: none healthy
Preexisting Conditions: none healthy
Allergies: levofloxacin, ciprofloxacin
Diagnostic Lab Data: None - I got the same symptoms when I took the two antibiotics they damaged my ligaments had to go to therapy for recovery.
CDC Split Type:

Write-up: All tendons and muscles throughout entire body aches. Gradually getting worse each day. Face has irritating itching like I was allergic to medication.


VAERS ID: 1212349 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / IM

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

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

Write-up: pt. reports itching to the neck & face. pt. denies any difficulty swallowing / breathing and/or other s/s. pt. declined staying at the vaccination site longer to be monitored. advised to call 911 if symptoms worsen. pt. verbalized understanding.


VAERS ID: 1212358 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Loss of consciousness, Tremor
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), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: c/o - passing out and while shaking - transfer care to paramedics & they call the ambulance, but patient refuses to go to the ER. Symptom resolved and pt. went home.


VAERS ID: 1212406 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Oral mucosal blistering, Pain, Photophobia, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe chills, High fever, shivering, headache, body aches, light sensitivity , blisters all over mouth


VAERS ID: 1212417 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Fatigue, Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Headache in back of head started day after the shot. Was intermittent, but now 4/15 has developed into worst headache of life. Since day after vaccine had fever, diarrhea, fatigue, nausea, dizziness 4/13 had N/V. Stomach pain today around belly button.


VAERS ID: 1212551 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abdomen, Small intestinal obstruction
SMQs:, Gastrointestinal obstruction (narrow)

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

Write-up: small bowel obstruction


VAERS ID: 1212570 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Musculoskeletal stiffness, Pain in extremity
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: pain in the calves, tiredness, stiff neck


VAERS ID: 1212638 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-02-13
Onset:2021-04-12
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, apixaban, insulin, furosemide, duoneb
Current Illness: None
Preexisting Conditions: COPD, home oxygen use, atrial fibrillation, chronic kidney disease
Allergies: No knwown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Diagnosed with COVID 19. 1 month after 2nd dose of Moderna


VAERS ID: 1212653 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Headache, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: high fever for two days, vomiting only once, diarrhea, dizziness, a lot of abdominal pain, headache


VAERS ID: 1212861 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose normal, Blood test, Confusional state, Culture, Dehydration, Ehrlichia test, Meningitis aseptic, Protein total
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine, Brimonidine Tartrate-Timolol (COMBIGAN) 0.2-0.5 % Ophthalmic Solution, ascorbic acid 500 MG , cholecalciferol 25 MCG (1000 UT) Oral Tab, flunisolide (NASALIDE) 25 MCG/ACT (0.025%) Nasal Solution, hydrochlorothiazide (HYDRODI
Current Illness: None
Preexisting Conditions: Glaucoma, hypothyroidism, GERD, HTN
Allergies: citalopram, penicillin, sulfa
Diagnostic Lab Data: As above, LP with 30 neutrophils, normal protein and glucose. Numerous tests for bacterial and viral pathogens (Biofire, culture, Lyme, anaplasma/ehrlichia) were negative. LP done on 4/13/21
CDC Split Type:

Write-up: Patient developed confusion four days after receipt of vaccine. At presentation to the hospital was confused, dehydrated. Neuroimaging negative, LP showed aseptic meningitis with 30 neutrophils, normal protein and glucose. Numerous tests for bacterial and viral pathogens were negative. Patient improved, and was discharged after a three day stay.


VAERS ID: 1212870 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Fatigue, Feeling abnormal, Headache, Platelet count normal
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Some gastrointestinal issues related to constipation. Nothing related to diarrhea
Allergies: None
Diagnostic Lab Data: I saw my primary care physician on Tuesday, 04/13, and blood was drawn to check my platelets to be cautious after the recent news of the "pause" of the Janssen vaccines . The platelet levels were normal and no other tests were performed.
CDC Split Type:

Write-up: Following the shot I had "normal" side effects. Tired, headache, foggy/light headed. These began about an hour after the shot and continued. 48 hours after the shot, Monday morning, I began having stomach pains and diarrhea. I continued to feel light headed and foggy. The stomach pains and diarrhea are still present today, Thursday, 04/15/21, nearly 5 days after receiving the vaccination.


VAERS ID: 1212888 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SC

Administered by: Private       Purchased by: ?
Symptoms: Contusion, Headache, Immune thrombocytopenia, Insomnia, Platelet count decreased, Platelet transfusion
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: Unknown
Preexisting Conditions: None
Allergies: none
Diagnostic Lab Data: Platelets 4/14 of 3 K/CMM 4/15 of 50K/CMM - status post platelet infusion
CDC Split Type:

Write-up: Patient with complaints of persistent headache and insomnia the night of the vaccination. Patient developed bruising on her leg, shoulder and abdomen the next day. Patient presented to ER on day 4 post vaccination and is admitted at the hospital with ITP.


VAERS ID: 1212898 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Rash, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allopurinol 300mg, Atorvastatin 40mg, Losartan-hydrochlorothiazide 100-25mg
Current Illness: None
Preexisting Conditions: Diabetes, High cholesterol, Hypertension
Allergies: None
Diagnostic Lab Data: No tests have been performed
CDC Split Type:

Write-up: Patient reported a rash that started on 4/12/2021. Rash is pinpoint, flat, red dots. Rash started on inner thighs and has now spread to navel and chest area. Rash is burning and itching. Patient has reported that he was mowing the lawn on 4/12 and thinks he saw poison ivy. Patient has not tried any treatment for his rash.


VAERS ID: 1212961 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Menstrual disorder
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Probiotic, Omega 3, NAC (600mg)
Current Illness: N/A
Preexisting Conditions: Irregular periods
Allergies: Latex, Codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Spontaneous menstrual bleed ~31 hours after vaccination. Only lasted for about 1 hour.


VAERS ID: 1212978 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Gait inability, Thrombosis, Ultrasound scan abnormal
SMQs:, Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CLONAZEPAM 1 MG HCTZ 25 MG
Current Illness: NONE
Preexisting Conditions: SVT- SURFACE VEIN CLOTS DVT- LLE 2 YEARS AGO
Allergies: NKDA
Diagnostic Lab Data: Ultrasound of vein lower extremity 04-13-21
CDC Split Type:

Write-up: Pt states that on Monday she noticed that she couldn''t put pressure on her leg to walk. (04-12-21) Pt called and made an appointment on 04-13-21 and saw her PCP. Ultrasound was ordered and was dx with near occlusive vein thrombosis in the distal right femoral vein. Pt was prescribed Lovenox 100mg to take now and was also prescribed eliquis 5 mg twice daily, and acetaminophen-codeine to help with the pain.


VAERS ID: 1213004 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALBUTEROL 90MCG (CFC-F) 200D ORAL INHL INHALE 2 PUFFS BY MOUTH EVERY 6 HOURS AS NEEDED FOR BREATHING ASPIRIN 81MG CHEW TAB CHEW one tab daily DICLOFENAC NA 1% TOP GEL APPLY 1 MODERATE AMOUNT TO THE SKIN FOUR TIMES
Current Illness: None
Preexisting Conditions: Carpal tunnel syndrome Edema of lower extremity History of repair of rupture of quadriceps tendon Diabetes mellitus Benign essential hypertension Lumbar radiculopathy Overactive bladder Gastroesophageal reflux disease Hyperlipidemia Vitamin D deficiency Neck Pain Pain In Leg Benign prostatic hypertrophy without outflow obstruction Shoulder Joint replacement Status
Allergies: METFOMRIN CAUSES INDIGESTION
Diagnostic Lab Data: Doppler of left lower extremity was negative for Deep Vein Thrombosis
CDC Split Type:

Write-up: Patient called reporting right lower extremity swelling that started in his right ankle about 45 minutes after his vaccination. The swelling gradually went up to his calf.


VAERS ID: 1213005 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Dyspnoea, Electrocardiogram, Headache
SMQs:, Anaphylactic reaction (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Descovy COQ-10 Fish Oil Multivitamins (C, D etc)
Current Illness: None
Preexisting Conditions: None
Allergies: Ibuprofen
Diagnostic Lab Data: EKG conducted in doctors office on 4/13 at 4pm - all clear Headaches persist
CDC Split Type:

Write-up: Headache Shortness of breath Smart watch indicated Atrial Fibrillation (112 BPM average) on 4/12 at 3:04pm


VAERS ID: 1213007 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-28
Onset:2021-04-12
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nifedipine ER 30 Trelegy Montelukast Albuterol HFA Albuterol via neb
Current Illness: COPD s/p Covid Hypertension CKD
Preexisting Conditions: COPD s/p Covid Hypertension CKD
Allergies: NKDA
Diagnostic Lab Data: Venous Ultrasound 4/14/21
CDC Split Type:

Write-up: DVT of left popliteal vein per Venous US 4/14/21


VAERS ID: 1213009 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

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

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

Write-up: Two days after having my one and only covid shot i began noticing ringing in my right ear and my hearing is not as good as is was previously. i am setting up a doctors appointment today to see what the issue is.


VAERS ID: 1213039 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Enalapril 5mg 1QD, Carvedilol 12.5mg 1BID, Simvastain 40mg 1QHS
Current Illness: throat cancer 2015, last treatment Jan 2016
Preexisting Conditions: cancer in remission, HBP, GERD, High cholesterol
Allergies: NKA
Diagnostic Lab Data: Not known
CDC Split Type:

Write-up: On 4/12/2021 Patient states that he had itching On 4/13/2021 and 4/14/2021, symptoms escalated On 4/14/2021 Patient states he had a rash on arms, neck, and entire body. He went to Dr. for evaluation. Was given a steroid shot at office, and Medrol Dosepak to continue at home.


VAERS ID: 1213066 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-26
Onset:2021-04-12
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Pulmonary embolism, SARS-CoV-2 test positive, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine Glipizide Silver gel (Basadrox)
Current Illness: Had an episode of syncope about a week before presenting to the ER on 4/12/21 - patient went to hospital for syncope episode and was discharged after a few hours. Patient diagnosed with COVID-19 on 4/12/21 (admission to hospital)
Preexisting Conditions: Diabetes Hypertension
Allergies: NKDA
Diagnostic Lab Data: COVID-19 PCR - 4/12/21 - detected
CDC Split Type:

Write-up: Patient presented with with on going shortness of breath. Patient was swabbed and diagnosed with COVID-19. CT of the chest shows that the patient had bilateral pulmonary emboli. Patient is currently being treated at our hospital for COVID-19 and PE


VAERS ID: 1213078 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Bacterial test positive, Blood creatine normal, Blood culture, Blood lactic acid, Blood sodium decreased, Blood urea normal, C-reactive protein increased, Chills, Culture urine, Diarrhoea, Dysuria, Headache, Hyponatraemia, Leukocytosis, Nausea, Nitrite urine present, Procalcitonin increased, Pyrexia, Red blood cell sedimentation rate increased, Red blood cells urine positive, Urine abnormality, Urine analysis abnormal, Vomiting, White blood cell count increased, White blood cells urine positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Proteinuria (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Sepsis (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM, thyroid disease
Allergies: CLINDAMYCIN; HYDROCODONE-ACETAMINOPHEN; ROFECOXIB
Diagnostic Lab Data: In the emergency room febrile 107.5 blood pressure 103/56, HR 135, RR 20, 100% on RA. His labs notable for leukocytosis 18.4, BUN/Cr 13/1.2, hyponatremia 132 , elevated infection markers CRP 260, ESR 49 and Procal 9.6. Lactic acid 1.8. UA cloudy with +ve nitrate. Urine microscopy RBC$g36, WBC$g100 and many bacteria. Blood and urine cultures obtained. In ED received Vancomycin and ceftriaxone and 1 L of RL
CDC Split Type:

Write-up: Pt received the J&J vaccine on Monday 4/12 around 10 am. Reports onset of diarrhea mon night, frequent episodes. Then Tuesday 4/13 developed dysuria, fever/chills, headache, nausea, vomiting. Presented to ED 4/14 and admitted to hospital medicine with acute kidney injury.


VAERS ID: 1213087 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-07
Onset:2021-04-12
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Computerised tomogram, Contusion, Embolism venous, Subclavian vein thrombosis, Thrombectomy, Ultrasound scan
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Accidents and injuries (narrow)

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

Write-up: 1 Extensive left upper extremity venous thromboembolism-nonocclusive in the left subclavian, left axillary, brachial and basilic veins 2 Right lower lobe subsegmental PE 3 Mechanical thrombectomy of the left subclavian and axillary veins 4 Bruising all over body


VAERS ID: 1213198 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Headache, Urethral pain, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: cranberry pill Reclipsen
Current Illness:
Preexisting Conditions: As per patient - adolescent epilepsy
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, vomiting, back pain, urethral discomfort


VAERS ID: 1213215 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-04
Onset:2021-04-12
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Blood iron decreased, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Deep vein thrombosis, Endoscopy upper gastrointestinal tract normal, Haemoglobin decreased, Laboratory test, Mineral supplementation, Pain in extremity, Transfusion, Ultrasound scan abnormal
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OTC Omeprazole
Current Illness: None
Preexisting Conditions: GERD and Hiatal Hernia
Allergies: NKA
Diagnostic Lab Data: As listed above but also had blood work in a follow up appointment with Doctor on 04/13/21 (results not known at this time) and have scheduled another ultrasound on 05/17/21 for DVT check. Awaiting approval for capsule endoscopy.
CDC Split Type:

Write-up: On 3/12/21 developed pain in left calf area. Pain continued to progress and became extremely painful by April 2, 2021. April 3rd went to urgent care for assessment. Sent from urgent care to Lab for ultrasound of left calf which came back positive for DVT. Sent to ER and started on IV heparin. Also received CT Scan of Chest and Abdomen which showed PE in right lower lobe of lung. Admitted to Vascular unit. Doctor ordered an upper Endoscopy to check for bleeding due to low HGB and FE. The Scope was negative for bleeding. Lab work was ordered on 04/06/21 and due to very low HGB and FE patient was given an FE (iron) infusion the evening of 4/06/21 and again the morning of 04/07/21. The patient also received a unit of blood the morning of 04/07/21 prior to being discharged from the hospital. Patient was started on Eliquis 5mg 2x a day, Ferrus Sulfate 325mg 1x a day and Omeprazole 20mg 1x a day as discharge medications.


VAERS ID: 1213221 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

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

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

Write-up: PATIENT SAID THAT VACCINE BURNED AFTER ADMINISTRATION. HE GOT REALLY HOT AND NEEDED TO REMOVE HIS MASK TO BREATH. I ESCORTED HIM TO A SEAT NEXT TO HIS WIFE AND HE FAINTED. HE REGAINED CONCIOUSNESS AFTER 1 MINUTE. GOT HIM A COLD CLOTH FOR HIS HEAD AND A GLASS OF WATER. ABOUT 15-20 MINUTES LATER HE FAINTED AGAIN. HE REGAINED CONCIOUSNESS AFTER 30 SECONDS. EMS FINALLY ARRIVED AFTER 2 CALLS TO THEM. EMS CHECKED HIS VITALS AND PREFORMED AN EXAMINATION. HE DECLINED TO BE TAKEN TO THE HOSPITAL. AFTER ABOUT 2HRS HE LEFT ON HIS OWN POWER


VAERS ID: 1213371 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Limb discomfort, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)

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

Write-up: Patient is experiencing tingling, pressure and pain behind the knee in her right leg.


VAERS ID: 1213407 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Eye pain, Pain, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: AROUND 11PM STARTED GETING THE CHILLS, LEGS SHAKING AND HAD FEVER OF 104. AT 1:30AM, EYES HURT TO THE TOUCH. MOM ENDED TAKING TO ER AROUND 3AM. THEY GAVE HER TYLENOL AND IBUPROFEN. SHE GOT HOME AT 6AM AND SLEPT AND TOOK TYLENOL AND IBUPROFEN ON AND OFF. FEVER FLUCTUATED FROM 101 TO 104 AND BACK, TYLENOL TOOK FEVER DOWN TO 99.7. BUT UPTO TODAY, SHE STILL HAS BODY ACHES.


VAERS ID: 1213460 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Elestrin gel, Prozac, multi vitamin, Vitamin C, D, Melatonin
Current Illness: Tested positive for Covid March 14, severely ill for 14 days, tested negative March 26, 2021, still experiencing slight fatigue, headaches, no taste, smell returning, no appetite.
Preexisting Conditions: None
Allergies: Ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizziness


VAERS ID: 1213473 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-26
Onset:2021-04-12
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: right lower extremity femoral dvt


VAERS ID: 1213498 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Chest pain, Cough, Nasal congestion, Pain
SMQs:, Anaphylactic reaction (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: I''ve been sick for 7 days, with cough, stuffy nose, pain in upper left chest, achy,


VAERS ID: 1213525 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-24
Onset:2021-04-12
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Pain in extremity, Peripheral swelling, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ACETAMINOPHEN (TYLENOL) 325 MG ORAL TABLET Take 2 Tabs by mouth every 4 hours as needed. ATORVASTATIN (LIPITOR) 40 MG ORAL TABLET TAKE 1 TABLET AT BEDTIME CARVEDILOL (COREG) 6.25 MG ORAL TABLET TAKE 1 TABLET TWICE DAILY WITH M
Current Illness: Past medical history significant for combined systolic/diastolic heart failure status post AICD 11/20/2012, coronary artery disease, NSTEMI 3/2018, moderate to severe mitral regurgitation, moderate aortic regurgitation, moderate tricuspid regurgitation, hyperlipidemia, hypertension, insulin-dependent diabetes, chronic kidney disease disease stage IIl, chronic anemia with transfusion 2019, hypothyroidism, OSA, obesity and prior tobacco use, atrial fibrillation, dilated cardiomyopathy, and hyperkalemia.
Preexisting Conditions: Past medical history significant for combined systolic/diastolic heart failure status post AICD 11/20/2012, coronary artery disease, NSTEMI 3/2018, moderate to severe mitral regurgitation, moderate aortic regurgitation, moderate tricuspid regurgitation, hyperlipidemia, hypertension, insulin-dependent diabetes, chronic kidney disease disease stage IIl, chronic anemia with transfusion 2019, hypothyroidism, OSA, obesity and prior tobacco use, atrial fibrillation, dilated cardiomyopathy, and hyperkalemia.
Allergies: Amiodarone Ace inhibitors Tromethamine Toradol
Diagnostic Lab Data: US DUPLEX LOWER EXTREMITY VEINS RIGHT Result Date: 4/12/2021 Impression: Right lower extremity deep venous thrombosis.
CDC Split Type:

Write-up: Right lower extremity swelling/pain 4/13/21 Improved swelling of right lower extremity 4/14/21 Heparin 1,000 unit/ml 5,592 units IV (80 units/kg x 69.9 kg) daily 4/12/21 Eliquis 10 mg po BID 4./14/21 to 4/20/21 Eliquis 5 mg po BID 4/21/21


VAERS ID: 1213558 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Dizziness, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Myalgia, Nasal congestion, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: antihistamine 20mg
Current Illness: none. only allergic to pollen
Preexisting Conditions: none
Allergies: sulfa
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Monday: General muscle body pain. Some congestion and stomach discomfort. Pain and swollen area where shot was administrated. Tuesday: Better but same symptoms. Wednesday: Better but still stomach discomfort , some muscle pain all over body, swollen, red and hard on area where shot was administrated. Tired. Today: Still same as Wednesday, some light head, need to rest, feel some nausea or some stomach disconfort.


VAERS ID: 1213944 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Heart rate decreased, Hypotension, Loss of consciousness, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), 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: Unknown
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was looking pale a minute after the shot, I asked how he was doing, he responded by saying he felt very dizzy. I asked him to take slow deep breaths, gave him some water. About after 1 more minute he passed out (very unresponsive but still breathing, pupils very dilated) pulse was slow but still palpable. Tried ammonium smelling salts, that did not bring patient around. Called 911. Tried patting patient and talking to patient to bring them back to consciousness. After about a minute or two patient was able to respond to me. He knew his name and date of birth and where he was. Asked him to wait for ambulance to check vitals. Patient said he still felt very dizzy. Kept his head down and eyes closed. Once EMS arrived they checked his vitals, determined BP was low (they did not tell me a number). They monitored patient''s vitals for 10-15 minutes. BP did not "bounce back" per EMS so they took him to the hospital for IV drip possibly.


VAERS ID: 1213962 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Dizziness, Fatigue, Feeling abnormal, Myalgia, Neck pain, Pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Montelukast Sodium 10 mg Levocetrizine 5mg Spiriva Respimate Inhaler
Current Illness: NA
Preexisting Conditions: Asthma
Allergies: cats, feathers, grass, trees, dust, corn
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Dizziness, muscle aches and soreness, random muscle pain in wrist, jaw, lower back, neck. Had to use rescue inhaler once(normally only use before exercise) fatigue Brain Fog


VAERS ID: 1213979 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-15
Onset:2021-04-12
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Thrombosis, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: END STAGE RENAL DISEASE AND HYPERTENSION
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: HOSPITALIZED FOR BLOOD CLOTS, UNRESPONSIVE AND TAKEN TO HOSPITAL


VAERS ID: 1214065 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Laboratory test, Muscle spasms, Musculoskeletal pain, Pain in extremity, Peripheral swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions:
Allergies: unknown
Diagnostic Lab Data: labs drawn but no diagnostic imaging was ordered to rule out blood clot .
CDC Split Type:

Write-up: Patient presented to the ED and complained of bilateral posterior thigh and buttock pain. Reports the prior evening had cramping and a lump in left calf.


VAERS ID: 1214097 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cellulitis, Diarrhoea, Faeces discoloured, Induration
SMQs:, Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine, 4000 IU Vitamin D,
Current Illness: None
Preexisting Conditions:
Allergies: clindamycin, Avocados, Carrots, Pineapple, Clams, Nightshades, feathers, ragweed, dust, mites, alternia, willow, phoma, penicilum, oak, & maple. Onions and Coconut are sensitivities.
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1. Facial Cellulitis - 2 days after shot. Below right eye on cheekbone. Hard, swollen, tender and a bit purplish. Tele-Health Visited with doctor who prescribed antibiotic & probiotic - however suggested I wait to see what happens the next day after using warm washcloth compress before taking antibiotic. Next day swelling had gone down. Antibiotics were not taken as it cleared up in 2 days. Minor scabbing left by day 5. 2. 5 days after shot - Bright Yellow Runny Diarrhea


VAERS ID: 1214109 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Chills, Fatigue, Headache, Oedema peripheral, Pain in extremity, Paraesthesia
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Armour Thyroid 360 mg daily, 800mg ibuprofen, 180 mg fexofenedine (Amazon house brand), vitamin d3, St John''s wort, Ginko Biloba, Mega B vitamin complex (pill form, Nature''s Bounty)
Current Illness: none
Preexisting Conditions: Euthyroid (thyroidectomy due to papillary thyroid cancer, 2006) Obesity
Allergies: latex, walnuts, pecans, pineapple, topical iodine, aloe vera
Diagnostic Lab Data: none
CDC Split Type:

Write-up: General swelling in the armpit under the shoulder that received the injection. It''s sore, and making my arm lightly achy and my hand tingle off and on. I assume it is due to the lymp nodes being super-activated under there. I have had Covid-19 twice (May 2020 and Jan 2021) and guess it may be related to a super-ready immune system. Also, it has re-activated some of the covid symptoms--chills, exhaustion, headache, and a dimming of my taste and smell, which had not even fully returned since the January 20021 bout of Covid. Now I can only discern sweet/sour/salty, with a momentary hint of what I''m eating during the first bite or sip, before it''s gone again. Complex mixes of foods, like a taco, for instance, would taste like nothing at all. Zero. Single note flavors, such as orange juice, are weakly flavored at first, then gone after a taste or two, like the tastebuds are used up. Most of the ability to smell is weak again, as well. I do wonder if the losses are due to inflammation response and not the virus activity itself, in light of this?none


VAERS ID: 1214167 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Dyspnoea, Fatigue, Heart rate increased, Myalgia, Nausea, Pain in extremity, Pyrexia, Tremor, Ultrasound scan
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: no
Preexisting Conditions: none known
Allergies: none known
Diagnostic Lab Data: Followed up with ultrasound on Thursday 4/15 per doctor request which showed no signs of DVT
CDC Split Type:

Write-up: Monday evening after vaccine - fever over 101, chills with uncontrollable shaking, rapid heartbeat that could be felt within eyes, nausea, muscle aches & pain - including back and left leg Tuesday morning through Thursday - lower fever, pain in leg continued, shortness of breath, fatigue


VAERS ID: 1214172 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Full blood count, Metabolic function test, Pain, Pain in extremity, Red blood cell sedimentation rate
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CBC with Diff, CMP, Sed Rate, D-Dimer, Chest X-Ray, EKG
CDC Split Type:

Write-up: Moderate to Severe Body Aches, Chest Tightness and SOB, limb pain, calf pain, atypical chest pain, fatigue.


VAERS ID: 1214184 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blepharospasm
SMQs:, Dystonia (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

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

Write-up: eyelid twitching


VAERS ID: 1214290 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A LA / IM

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

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

Write-up: Patient reported a "prickly rash" on their back, around side, and underarm 2 days after receiving vaccine. Patient reports is was itchy, she took Benadryl. Patient reports is has since improved.


VAERS ID: 1214301 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Asthenia, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Pyrexia, Respiratory tract congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Abdominal pain, low fever, headache, muscle and joint soreness, fatigue/ weakness, nausea, diarrhea, congestion.


VAERS ID: 1214306 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Migraine, Myalgia, Nausea, Pain in extremity, Photophobia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: It started slowly with feeling extra tired and light arm soreness. Then rapidly became extreme shivering, a fever, headache and full body muscle aches. In the early morning I also got stomachache cramps and felt hungry, but food didn?t help. It actually made me feel nauseous. By 6am the next day I had a serious migraine too - sensitivity to light. My eyes hurt. It actually was so bad I caved and took 2 liquid Advil?s to help with the pain. From there I slowly got better over the day but still had the above mentioned symptoms, just less intense. Around 8pm the fever came back and I called it a night. Next morning I felt better, but still tired. Still had a headache but not a migraine. And occasional stomach aches. It?s now 2 days later and the head aches, arm soreness and occasional stomach aches have not gone away.


VAERS ID: 1214327 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-04-02
Onset:2021-04-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: allopurinol losartan lisinopril tylenol PRN prednisone PRN for gout flares colchicine PRN for gout flares
Current Illness:
Preexisting Conditions: Gout chronic kidney disease
Allergies: No known allergies
Diagnostic Lab Data: Doppler to diagnose DVT and other bloodwork.
CDC Split Type:

Write-up: Patient began experiencing pain in his right leg on 4/5, sought treatment at walk-in clinic on 4/12. Healthcare provider he saw sent him to ultrasound at a medical center, who then referred him to the emergency deptartment. Patient was diagnosed with a DVT and prescribed Eliquis 10 mg BID x7 days then 5 mg BID for 6 months.


VAERS ID: 1214414 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Axillary pain, Back pain, Chest discomfort, Chills, Cough, Discomfort, Fatigue, Feeling abnormal, Headache, Injection site pain, Insomnia, Muscle spasms, Myalgia, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cosentyx and Mirena (no OTC, dietary supplements or herbal remedies)
Current Illness: none
Preexisting Conditions: psoriatic arthritis
Allergies: penicillin, sulfa and shrimp
Diagnostic Lab Data: 13th April - COVID 19 test - results returned on 15th April as negative.
CDC Split Type:

Write-up: Headache and general tiredness began 30-45 min after shot. Muscle soreness (injection site, rib muscles, leg muscles, back muscles and neck muscles) began soon after. By 6pm, muscles had become painful. I had chills but no measurable fever. I got in the bed but unable to sleep due to muscle pain and discomfort. Hip joints and back began to ache. Fever and chills worsened over the next several hours to measurable with highest at 102F. I took 1000mg tylenol generic which did not lower fever but fever did not rise higher. Throughout the night, I experienced calf muscle cramps and foot cramps, stomach pains, joint pains, inability to sleep, worsening injection site soreness and armpit soreness (likely lymph node soreness). Once in middle of night I may have felt chest tightness but I even doubted that I really experienced it as I had been thinking about all the AEs I was experiencing. Symptoms continued through night. Next morning, developed a cough so I made appointment to get a COVID exposure test at 1pm on 13th April because I had flown in plane on 10th April. Cough could have been due to allergy type post-nasal drip because of high pollen in area. By late Tue evening, I felt better. Headache had resolved and muscle symptoms improved. Now (3:45pm on 15th April) I am still experiencing lymph node/armpit soreness and general inability to focus, think clearly. I feel like I am in a fog. I emailed a message to my physician and reported this through VAERS


VAERS ID: 1214605 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-17
Onset:2021-04-12
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Angiogram abnormal, Dyspnoea, Hypoxia, Obesity, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Buspirone, cimetidine, duloxetine, vitamin D 3, esomeprazole, l-methylfolate, lorazepam
Current Illness: None
Preexisting Conditions: Generalized anxiety disorder, GERD, hyperlipidemia, class III obesity with BMI 44.5
Allergies: Penicillin, Benadryl (anxiety), codeine (palpitations)
Diagnostic Lab Data: CT angio chest PE protocol on 4/14/21 demonstrating: Acute bilateral pulmonary emboli are noted greater on the right. Filling defects are seen within the distal right pulmonary artery extending into the right upper, middle and lower lobe pulmonary arteries extending into the subsegmental branches. On the left there are small segmental and subsegmental pulmonary emboli in the left upper and lower lobes
CDC Split Type:

Write-up: Bilateral pulmonary embolism which was diagnosed on 4/14/21 after 2 days of severe shortness of breath. Associated with hypoxia requiring supplemental oxygen. Patient is morbidly obese which is only other risk factor for pulmonary embolism. He denies history of increased sedentary activity, denies recent travel, denies known history of a hypercoagulable disorder or family history of blood clots. No other causative factors for the pulmonary emboli have been identified.


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