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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 54 out of 1,889

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VAERS ID: 1218748 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-17
Onset:2021-04-12
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Computerised tomogram thorax, Disease risk factor, Dyspnoea exertional, Fibrin D dimer increased, Myocardial strain, Oxygen saturation decreased, Pulmonary embolism
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: calcium carbonate-vitamin D3 cyanocobalamin (vitamin B-12) e
Current Illness:
Preexisting Conditions: history of CVA (residual mild numbness in fingers/toes, mild right facial droop), hypertension, hyperlipidemia
Allergies: sulfa, azithromycin, cephalexin, cipro, nsaids
Diagnostic Lab Data:
CDC Split Type:

Write-up: 74-year-old female with cardiac risk factors presents with exertional dyspnea over the past 3 days. Patient had low oxygen saturation 81% at the doctor''s office which came up to 89 with rest. Patient placed on oxygen here in the emergency department. Patient does not have symptoms at rest. Patient does not have any calf swelling or pleuritic pain. Patient''s D-dimer is elevated therefore CT angio of the chest was obtained which shows large, central pulmonary embolism with evidence of right heart strain.


VAERS ID: 1218760 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt became lightheaded following vaccination, diaphoretic, then unresponsive, she then opened her eyes and began talking


VAERS ID: 1218787 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-31
Onset:2021-04-12
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / N/A RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody, Demyelination, Intervertebral disc disorder, Magnetic resonance imaging spinal abnormal, Magnetic resonance imaging thoracic abnormal, Myelitis, Myelitis transverse, Pain, Paraesthesia, Pyrexia, Scan with contrast, Spinal cord infarction, Urinary retention, Vertebral lesion
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Demyelination (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? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Norgestimate-ethinyl estradiol (0.25 mg-35 mcg)
Current Illness: N/A
Preexisting Conditions: Obesity
Allergies: Almond (anaphylaxis), Peanut (anaphylaxis) and penicillins (GI intolerance)
Diagnostic Lab Data: 1.) MRI C spine w/ and w/o contrast: Extensive intramedullary signal abnormality extending from the mid body of C6 into the dorsal spine. Differential considerations include transverse myelitis as well as cord infarct. 2.) MRI L spine w/ and w/o contrast: There is diffuse abnormal signal throughout the thoracic spinal cord extending to the T12 level. Primary differential considerations include diffuse demyelinating process versus diffuse myelitis. 3.) MRI T spine w/ and w/o contrast: There is diffuse prominent abnormal T2 hyperintensity throughout the entire visualized thoracic spinal cord. Primary differential considerations include diffuse demyelinating process versus diffuse myelitis. No pathologic enhancement at this time. No tumor. 4.) Autoimmune panel from LP pending final results at time of reporting. 5.) ENA screen was positive for SCL-70 antibody. ANA titer (<1:80)
CDC Split Type:

Write-up: Initially patient felt feverish with body aches after receiving the vaccination but this improved after 48 hours. Two weeks after vaccination patient presented to hospital with ascending paresthesias and urinary retention. MRI cervical/thoracic spine with evidence of longitudinally extensive lesion from C6 distally to throughout thoracic cord. Findings overall concerning for transverse myelitis v demyelination.


VAERS ID: 1218808 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Medical cannabis therapy, Nausea, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: felt nauseous and "tingly", smoked medical marijuana this morning, hx of anxiety


VAERS ID: 1218850 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Fatigue, Impaired work ability, Insomnia, Migraine, Muscle spasms, Myalgia, Neck pain, Pain in extremity, Vascular imaging
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Citalopram
Current Illness: none
Preexisting Conditions: depression
Allergies: Codeine
Diagnostic Lab Data: 4/13/21 - Vascular scan of left leg - No clot found 4/13/21 - Examination by Dr clinic No sign of blood clot
CDC Split Type:

Write-up: Received the J&J Covid Vaccine shoot on Sunday, April 11th at the Clinic. The night of receiving my shot, I had a migraine and neck pain which resulted in trouble sleeping. When I got up in the morning, I started having severe muscle pain in my thighs and in my calf, mild cramps in the abdomen. The leg pain lasted the entire day with exhaustion, which interfered with my ability to work a full day. When I went to bed later that night, I still had pain behind my left knee and I was worried about if there was a blood clot. I got up the next morning and my legs were still cramping but improved from the prior day. When I saw the news discussing the blood clot issue associated with the J&J vaccine, I felt it was important to contact my Dr. to discuss the leg pain. They did an ultrasound (vascular scan) on my left leg and follow up with my doctor''s office walk-in clinic after the scan. My legs were examined and no clots were identified. We discussed things to watch for.


VAERS ID: 1218859 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: lightheaded and diaphoretic


VAERS ID: 1218890 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache
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: medical marijuana use
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache and dizzy following vaccine


VAERS ID: 1218895 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Feeling abnormal, Mental status changes, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (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: aspirin, mobic, albuterol inhaler, duoneb, zofran,
Current Illness: none
Preexisting Conditions: asthma
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: the evening after the vaccination felt generally poorly, then developed fever allegedly up to 104.0 associated with mental status change; felt better in AM, afebrile, and back to baseline state


VAERS ID: 1218906 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-20
Onset:2021-04-12
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NOT GIVEN / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Headache, Rash
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (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: nothing taken within 36 hours of taking vaccine
Current Illness: none
Preexisting Conditions: none
Allergies: codeine and penicillin
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: HEADACHE AND DIZZINESS IMMEDIATELY AFTER SEVERE RASH ON ARM AS OF 4 DAYS AGO


VAERS ID: 1218909 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache
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: lisinopril
Current Illness:
Preexisting Conditions: COPD, high BP, asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache and dizziness following vaccine reported, reported medical marijuana use


VAERS ID: 1218937 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

Administered by: Public       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: pt reported feeling lightheaded, drank juice, ate, cool cloth to back of neck


VAERS ID: 1218953 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt reported dizziness, mild diaphoresis, pt reported not doing well with shots, needed to elevate feet, drank juice, ate snack


VAERS ID: 1218954 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A - / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Palpitations, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad)

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

Write-up: whole body numbness, palpitations, throat tight


VAERS ID: 1218995 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dizziness, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

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

Write-up: chest pain, sharp, dizziness, sob


VAERS ID: 1219013 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-02
Onset:2021-04-12
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Fluid retention, Laboratory test
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate 200mg
Current Illness: none
Preexisting Conditions: none
Allergies: Penicillin
Diagnostic Lab Data: blood tests 4/15/2021
CDC Split Type:

Write-up: Fluid retention (5 + lbs pushing on liver)


VAERS ID: 1219086 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Presyncope
SMQs:, Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: near syncope


VAERS ID: 1219115 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Presyncope
SMQs:, Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: coreg
Current Illness:
Preexisting Conditions: htn, hypothyroid, abdominal aneurysm, dysautonomia, LBBB
Allergies: azithromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: near syncope


VAERS ID: 1219123 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Crying, Diarrhoea, Erythema, Fatigue, Headache, Heart rate increased, Migraine, Pain, Pyrexia, Sleep disorder, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: No prescriptions. Daily vitamin D and calcium
Current Illness: None
Preexisting Conditions: Osteopenia
Allergies: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Got shot at 10:15am. Felt tired mid-afternoon. Got chills early evening. Went to bed with low grade fever, which ramped up quickly. Fever-topped out at 101.4 by 3:00am, body aches, repeated vomiting, repeated massive diarrhea, severe headache -crushing, squeezing vise (in the top 10 worst of my life -including migraines!), bright pink/red fingers and toes, racing uneven heartbeat. Couldn''t sleep. In tears from headache pain. In desperation took an 800mg Ibuprofen pill at 4:00am. Finally got to sleep. Woke up 5 hours later. Fever mostly gone. Other symptoms receding, except headache. Took 2 aspirin at noon. Still have minor headache. Yuck!


VAERS ID: 1219125 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Anaphylactic reaction, Intensive care
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: fluoxetine 20 mg tablet daily, spironolactone 25 mg tablet daily, metformin 1500 mg daily
Current Illness: No
Preexisting Conditions: PCOS, history of anaphylaxis to nuts and chocolate
Allergies: Peanuts, tree nuts, shellfish, and chocolate
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had anaphylaxis with recorded trigger (Pfizer COVID vaccine). She received epinephrine onsite, and then an additional dose of 0.3mg in ED. She however, required required two more doses of 0.5mg epinephrine and racemic epi neb. She was admitted for further observation given need for multiple doses of epinephrine. At approximately 9:00 am (~18 hours post vaccine) a rapid response was called on 4/13 and patient was transferred to the PICU for further treatment. Patient also received the last dose of epinephrine 0.5mg at approximately 9:00 am (~18 hours post vaccine). Patient received famotidine 20mg IV x1 and methylprednisolone 90mg IV x2 in the PICU. Patient was discharged on 4/14 at 8:00 am from the PICU, approximately 41 hours post vaccine administration. Received a total of epinephrine x7 doses during the hospitalization.


VAERS ID: 1219200 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase nasal spray, Fluocinonide topical cr., HCTZ, Medroxyprogesterone, Naproxen, Oxymetazoline nasal spray, Albuterol Inh, Sumatriptan, Zyrtec
Current Illness:
Preexisting Conditions: HTN, migraines, allergic sinusitis, abnormal uterine bleeding, thyroid nodule, dyspnea on exertion
Allergies: soap
Diagnostic Lab Data:
CDC Split Type:

Write-up: Spoke to Pt who states rcvd J&J vaccine 4/1/2021 through the County. Pt reports transient facial numbness 4/12/2021 in am. Pt concerned of possible embolism given family h/o strokes. Father died of stroke and siblings have had prior stroke episodes. Pt advised to go to ER given recent information regarding women and potential strokes post-J&J vaccination.


VAERS ID: 1219219 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood pressure increased, Dyspnoea, Headache, Heart rate increased, Injection site pain, Neck pain
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Hypertension (narrow), Cardiomyopathy (broad), Arthritis (broad), Dehydration (broad)

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

Write-up: PATIENT SEEN IN THE EMERGENCY ROOM WITH SHORTNESS OF BREATHE, INCREASED BLOOD PRESSURE, INCREASED HEART RATE, HEADACHE, AND PAIN IN THE NECK/ARM ARM AREA. STILL UNRESOLVED.


VAERS ID: 1219226 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood pressure increased, Dyspnoea, Haematemesis, Headache, Heart rate increased, Rectal haemorrhage
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Ischaemic colitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Dehydration (broad)

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

Write-up: PATIENT SEEN IN THE EMERGENCY ROOM WITH SHORTNESS OF BREATHE, INCREASED BLOOD PRESSURE, INCREASED HEART RATE, HEADACHE, RECTAL BLEEDING AND VOMITTING BLOOD. SYMPTOMS STILL UNRESOLVED.


VAERS ID: 1219243 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Chills, Dizziness, Fatigue, Headache, Hypoaesthesia, Laboratory test, Menstruation irregular, Muscle spasms, Nausea, Pain, Paraesthesia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pantoprazole, probiotics
Current Illness: no
Preexisting Conditions: Gastritis
Allergies: eggs,
Diagnostic Lab Data: Blood work done 4/15. waiting results
CDC Split Type:

Write-up: chills, dizziness started day of injection-4/6 Nausea, body aches, fatigue day 2-4/7 loss of sleep, excessive fatigue, 4/9-4/15 slight headache, mild abdominal pain, left leg cramp/aches, tingling, numbness, 4/12- 4/15 Menstrual Period delay for 5 days,-never happened unless when pregnant/on birth control shot, started 4/16


VAERS ID: 1219268 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Lymph node pain, Lymphadenopathy, 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)

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: Oral contraceptive
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 1 hour after: sore arm, sore/enlarged lymph node in underarm About 8 hours after: chills, body ache, fever About 16 hours after: severe headache, fatigue


VAERS ID: 1219358 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-29
Onset:2021-04-12
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Movement disorder, Pain, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 10-12.5 MG, Rosuvastatin 20 MG
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: To be done
CDC Split Type:

Write-up: Both Lower Legs are swollen, pain below the knee area. Unable to walk, feet. Boady pain.


VAERS ID: 1219476 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Epistaxis
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: Vitamins A, B, C, D, E HYDROCHLOROTHIAZIDE Altavera
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have had a bloody nose everyday since Monday, some days more than once, up to 3-4 a day.


VAERS ID: 1219643 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Pain in extremity, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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:
Current Illness:
Preexisting Conditions: chronic lung disease
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever to 102, dizziness with syncope, arm pain bilateral.


VAERS ID: 1219673 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026B21A / 2 LA / IM

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: losartan and simvastatin
Current Illness: no
Preexisting Conditions: blood pressure and high cholesterol
Allergies: penicillin
Diagnostic Lab Data: He was not feeling well and didnt have time to answer all the questions. He is home and has some effects.
CDC Split Type:

Write-up: Patient just called the pharmacy and said he was released from the hospital and had a stroke on 4/12-4/13. He believes it to be due to the vaccine. He received his second dose on 4/7/21


VAERS ID: 1219776 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

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

Write-up: Intractable headache for 4 days


VAERS ID: 1219829 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Body temperature increased, Chills, Headache, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Slow release iron supplements (45mg 2-3X week)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Chills, body temp elevated, sweats, headache


VAERS ID: 1219869 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Headache, Pain in extremity, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertaline 50 mg OD, Loratadine 10mg OD, Multivitamin OD
Current Illness: Patient recently returned ( 03/29/21) from 2 long plane trips. Patient with bilateral leg swelling on return.
Preexisting Conditions: Chronic pain, recurrent sinusitis
Allergies: Codeine
Diagnostic Lab Data: Patient referred to hospital ED.
CDC Split Type:

Write-up: Patient with intractable headache not relieved by OTC Tylenol. Presents today with right calf tenderness on palpitation. Headache, visual disturbance.


VAERS ID: 1219872 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Erythema, Fatigue, Feeling hot, Muscle spasms, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient received J&J immunization on 4/12/21. Patient reported common adverse reactions like tiredness and chills on day 1. Patient also reported having bad leg cramps in her calves the night. The following day tiredness and chills had subsided but patient still reported having some leg pain in calves. Patient contacted her PCP who advised her to monitor if pain gets worse, red or warm. Patient states pain has not gotten worse, red or warm but has also not improved. Counseled patient to follow up with PCP as this is not a common adverse reaction of the immunization. Patient will follow-up with outcome.


VAERS ID: 1219890 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Computerised tomogram head, Computerised tomogram neck, Facial paralysis, Hypoaesthesia, Laboratory test normal, Speech disorder, Transient ischaemic attack
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Back injury
Allergies: Ceclor
Diagnostic Lab Data: Ct head normal Ct neck there was evasive of ascending aorta 3.8 cm Chest X-ray normal Blood test normal
CDC Split Type:

Write-up: Diagnosed at ER with a transient ischemic attack. Right side went numb, struggled to speak and right side of face drooped


VAERS ID: 1219893 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Skin swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: aleve, sildenafil, amlodine, glimepiride
Current Illness: None
Preexisting Conditions: high blood pressure and diabetes
Allergies: NKDA
Diagnostic Lab Data: patient stated he is going to urgent care
CDC Split Type:

Write-up: swollen, red, puffy, itching at injection site


VAERS ID: 1219941 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Chills, Headache, Hypoaesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Patient stated she has high blood pressure that she does not take medications for
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 19 year old, female patient received the J&J vaccine on 4/12/21. Today, 4/16/21 she reported chills (the night of), headache and abdominal pain since then, and also that she cannot feel the right side of her face. Went over the EUA information for J&J such as side effects, etc and recommended for patient to contact her health care provider/seek medical attention as a precautionary measure.


VAERS ID: 1220129 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Carotid artery stenosis, Computerised tomogram, Eye haemorrhage, Magnetic resonance imaging
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Ischaemic central nervous system vascular conditions (narrow), Retinal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D 50,000IU
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: MRI/CAT SCAN 04/16/21
CDC Split Type:

Write-up: PATIENT DEVELOPED BLOOD CLOT IN EYE. WENT TO RETINA SPECIALIST. WENT TO ER. COROTID ARTERY HAS 80% BLOCKAGE


VAERS ID: 1220134 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio, Angiogram, Angiogram abnormal, Anion gap normal, Aspartate aminotransferase normal, Atelectasis, Basophil count decreased, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Brain natriuretic peptide normal, Chest pain, Differential white blood cell count abnormal, Dyspnoea, Eosinophil count decreased, Eosinophil percentage, Fibrin D dimer increased, Full blood count abnormal, Globulin, Glomerular filtration rate, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, International normalised ratio normal, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased, Monocyte count decreased, Monocyte percentage, Nausea, Neutrophil count, Neutrophil percentage, Platelet count normal, Protein total normal, Prothrombin time shortened, Pulmonary embolism, Red blood cell count normal, Red cell distribution width normal, Scan with contrast abnormal, Troponin I normal, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Myelodysplastic syndrome (broad), Infective pneumonia (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: Albuterol, Aspirin 325mg, Vitamin D, HCTZ
Current Illness: No acute illness
Preexisting Conditions: Migraine, Vertigo, Osteoarthritis, Diverticulosis, Prediabetes, Smoking, Hx of uterine cancer, hx bilateral knee replacements, obesity BMI 39
Allergies: Bee sting, Codeine, Egg, Latex, Penicillin, Sulfa, Erythromycin
Diagnostic Lab Data: COMPLETE BLOOD COUNT AND DIFFERENTIAL - Abnormal Result Value Ref Range WBC Count 9.5 4.5 - 11.0 10(3)/uL RBC Count 4.93 4.00 - 5.20 10(6)/uL Hemoglobin 14.7 12.0 - 16.0 g/dL Hematocrit 44.3 33.0 - 51.0 % MCV 89.9 80.0 - 100.0 fL MCH 29.8 26.0 - 34.0 pg MCHC 33.2 32.0 - 36.0 g/dL RDW 14.1 11.5 - 15.5 % Platelets 243 140 - 440 10(3)/uL MPV 10.7 6.5 - 11.0 fL % Neutrophils 57.1 42.0 - 72.0 % % Lymphocytes 32.7 20.0 - 44.0 % % Monocytes 6.6 0.0 - 11.0 % % Eosinophils 3.3 <=7.0 % % Basophils 0.3 0.0 - 3.0 % % Immature Granulocytes 0.1 % Abs Neutrophils 5.4 1.7 - 7.0 10(3)/uL Abs Lymphocytes 3.1 (*) 0.9 - 2.9 10(3)/uL Abs Monocytes 0.6 0.0 - 0.9 10(3)/uL Abs Eosinophils 0.3 0.0 - 0.5 10(3)/uL Abs Basophils 0.0 0.0 - 0.2 10(3)/uL Abs Immature Granulocytes 0.01 10(3)/uL D-DIMER - Abnormal D-Dimer 1,338.0 (*) 0.0 - 500.0 ng/mL FEU Narrative: The clinical cutoff value of 500 has a very high negative predictive value (essentially 100%) for exclusion of deep vein thrombosis and/or pulmonary embolism. TROPONIN I - Normal Troponin I 0.00 0.00 - 0.04 ng/mL PROTHROMBIN TIME AND INR - Normal Prothrombin Time 10.8 9.4 - 12.5 Seconds INR 1.0 0.9 - 1.1 INR B-TYPE NATRIURETIC PEPTIDE - Normal BNP <10.0 <100.0 pg/mL COMPLETE BLOOD COUNT AND DIFFERENTIAL Narrative: The following orders were created for panel order COMPLETE BLOOD COUNT AND DIFFERENTIAL. Procedure Abnormality Status --------- ----------- ------ COMPLETE BLOOD COUNT AND...[337604721] Abnormal Final result Please view results for these tests on the individual orders. COMPREHENSIVE METABOLIC PANEL Sodium 141 136 - 146 mmol/L Potassium 3.8 3.5 - 5.1 mmol/L Chloride 100 98 - 107 mmol/L CO2 28 22 - 29 mmol/L Anion Gap 16.8 10.0 - 20.0 mmol/L Creatinine 1.02 0.57 - 1.11 mg/dL Blood Urea Nitrogen 19.0 10.0 - 20.0 mg/dL Calcium 9.2 8.6 - 10.5 mg/dL Glucose 102 70 - 105 mg/dL eGFR $g60 $g=60 mL/min/1.73m(2) Total Protein 7.6 6.0 - 8.0 g/dL Albumin 4.3 3.5 - 5.0 g/dL Globulin 3.3 2.0 - 3.5 g/dL Albumin/Globulin Ratio 1.3 1.0 - 2.0 Aspartate Aminotransferase (AST) 17 5 - 41 U/L Alanine Aminotransferase (ALT) 28 8 - 45 U/L Alkaline Phosphatase 82 50 - 136 U/L Bilirubin, Total 0.3 0.2 - 1.2 mg/dL eCrCl (Rx) - Adults 77.2 mL/min Result Date: 4/13/2021 EXAM: CTA DATE: 4/13/2021 8:30 PM CLINICAL DATA: ADDITIONAL CLINICAL DATA: sob COMPARISON: 9/28/2015. TECHNIQUE: A CT angiogram (CTA) of the pulmonary arteries and chest was performed. Specifically, preliminary unenhanced images were obtained through the pulmonary arteries. Following this, during bolus infusion of intravenous contrast, thin-section contiguous transaxial images were obtained through the thorax. In addition, multiplanar and three dimensional (3D) reformations through the pulmonary arterial tree were generated from the acquisition scanner and reviewed. CONTRAST: 100 cc intravenous injection of nonionic contrast. FINDINGS: MEDIASTINUM/HILA/AXILLA: No axillary, mediastinal, or hilar lymphadenopathy. PULMONARY ARTERIES: Small amount subsegmental pulmonary emboli in the posterior basal segments of both lower lobes. No evidence of right ventricular strain. LUNGS: Bibasilar and right middle lobe atelectasis. UPPER ABDOMEN: Visualized upper abdominal structures are unremarkable. BONES: No significant findings in the visualized bones. OTHER: IMPRESSION: 1. Small amount of subsegmental pulmonary emboli in the posterior basal segments of the lower lobes without evidence of right ventricular strain. 2. Bibasilar and right middle lobe atelectasis.
CDC Split Type:

Write-up: Bilateral Pulmonary Embolism: Symptoms began acutely at 8pm on 4/12/2021. She developed chest pain, shortness of breath and nausea. Sharp pain. She was seen in the emergency department and at that time D-dimer was elevated to 1338. She had a subsequent CT scan that showed Subsegmental pulmonary emboli in posterior basal segments of lower lobe bilaterally


VAERS ID: 1220154 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blindness transient, Chills, Dizziness, Fatigue, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular 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: Lamictal Citalopram Olanzapine Adderall
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever of 101F, chills; dizziness, head rush, temporary loss of vision when standing; fatigue


VAERS ID: 1220160 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lipitor, Metformin, Jardiance, 81mg Aspirin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Seizure 4/12/2021 go to ER, stayed in hospital 4 days


VAERS ID: 1220201 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin 1000mg twice a day, Glimepiride 4mg twice a day, Jardiance 25mg once a day, Lisinopril/hctz 25-20 once a day, Levothyroxine 75mcg once a day, simvastatin 20mg at night, vitamin E capsule 2000mg twice a day, aspirin 81mg once a day
Current Illness: Not that we are aware of
Preexisting Conditions: Diabetes, Arthritis, HypoThyroid, High cholesterol, Hypertension, Heart Disease
Allergies: KNDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s arm started swelling about the size of a fist. It is not red. Warmer at site. Around the injection it is hard (about the size of a quarter). Arm is still sore. Patient has been taking tylenol and ibuprofen.


VAERS ID: 1220349 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-29
Onset:2021-04-12
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dark circles under eyes, Eye pain, Eye swelling, Headache, Nausea, Paranasal sinus discomfort, Sinonasal obstruction
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (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: Vit D3, GABA, ashwagandha, cod liver oil, melatonin, welbutrin, armor thyroid, rhodiaola, EPO.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: My wife was feeling great and then woke up with massive sinus pressure from her face cheek bones and up. Blocked nasal passages. Swollen, aching eyeballs with eye muscle pain. Extremely dark circles below eyes. Headache and nausea. Continued for 36 hours and then went away. We thought we would let you know as there now is a hold on administering this vaccine.


VAERS ID: 1220558 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Amnesia, Computerised tomogram head, Electrocardiogram, Full blood count, Headache, Magnetic resonance imaging, Metabolic function test, Nausea, Seizure, Urine analysis, Vomiting
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flomax, Lisinopril, Atorvastatin
Current Illness: None
Preexisting Conditions: Hypertension Hyperlipidemia PSVT Osteoarthritis
Allergies: NKDA
Diagnostic Lab Data: non-contrast brain CT - 4/12/2021; CBC, CMP, UA, EKG MRI - 4/15/2021
CDC Split Type:

Write-up: -Nausea, Vomiting, Memory loss, headache, seizure - 4/12/2021 at 4 am -Seen in ED on 4/12/2021 and had a negative non-contrast brain CT -MRI 4/15/2021 showed a Nonpygenic thrombosis of intracranial venous system


VAERS ID: 1220586 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Appendicectomy, Appendicitis, Arthralgia, Blood test, Computerised tomogram abdomen abnormal, Hypoaesthesia, Injection site pain, Myalgia, Nausea, Pyrexia, Sensitive skin, Urine analysis, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None taken.
Current Illness: None.
Preexisting Conditions: Asthma
Allergies: None. Seasonal allergies.
Diagnostic Lab Data: Urinalysis, multiple blood labs, CT Scan, appendectomy
CDC Split Type:

Write-up: No symptoms until 10pm when I started to experience achey joints, sensitive skin, and sore muscles. 12am is when I started to experience a fever and took my temperature which was 101''F. The fever and muscle aches lasted until the following morning. Around 12pm is when I began expecting some stomach discomfort/sharp pains on the upper left hand side of my stomach. It began to increase in intensity around 4pm when I began to get nauseous. 5-6pm is when I began vomitting, and decided to go to the ER after the pain reached a level 8-9 and my face and limbs felt numb. I was admitted to the emergency room at 11:30pm and was given a CT Scan where it was discovered I had appendicitis. Wednesday evening I underwent surgery, and was discharged Thursday 4/15. I am still experiencing a slight fever and soreness at the injection site on my left arm.


VAERS ID: 1220610 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: feeling of closing of the throat. Pt came in for covid vaccine. Answered no to screening questions. Was given Janssen single dose. Pt asked MA, what an allergic reaction looks like. I stepped in and told pt. hives, swelling/ closing of the throat, and feeling like you can''t breathe. Pt stated @ 1535 that she felt her throat was closing up a little and that breathing was getting difficult. Pt was speaking in clear full sentences w/o difficulty. I told her to take deep breathes and drink water. I assessed her, she was warm and dry and no apparent swelling of the throat, no itchiness or dryness of the throat. MA brought in BP machine, vital signs were stable. O2 was at 95%. Pt has asthma. I wanted to seek a second opinion on pts well-being, MA went to seek provider that had seen pt prior to vaccination. As MA went to get nurse, I continued to talk to pt about her status. I asked if the feeling was getting better or worse and pt said it was staying the same. Pt was not in distress and speaking in clear full sentences. I told her if her status worsens I have an epi pen to help her breathe better. MA came back 5 minutes later w/o provider and pt stated her throat closing as she had her hands on her throat and was worried. MA did not realize the urgency of the situation and went back to get the nurse. During this time I asked pt if the feeling was getting worse and pt said yes. I told her I have the epi pen and thats when pt requested I administer it to her. I administered the epi pen at 1554. One minute later Nurse comes in to assess pt. Pt is calm and speaking in clear full sentences. MA takes vital signs and BP is elevated and O2 is at 99%. I inform the nurse that I administered epi and she advised to keep pt for observation, she left to see another pt. Pt was calm and speaking in clear full sentences A&O X4 and stated that the feeling was better. At 1610 Pt stated that her throat was feeling the same closing feeling as before the epi pen. I messaged my nurse supervisor, at 1612 about pt and she proceeded to bring Dr. for assessment. Dr. assessed pt and told me to call 911. Pt was not in distress and speaking in clear full sentences. Fire dept. came and took over the situation approximately 8 minutes later. Pt requested to be taken to Hospital.


VAERS ID: 1220728 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills, headache, fever of 103, muscle aches


VAERS ID: 1220765 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 2039219 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache, Mobility decreased, Myalgia, Night sweats, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe Joint and muscle aches, fever, chills, loss of appetite, night sweats, severe headache, extreme fatigue. Symptoms started 8 hours after injection and persisted for 3 days. Took Tylenol as needed for fever and pain. Extreme fatigue kept me immobilized for those 3 days.


VAERS ID: 1220817 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chills, Full blood count normal, Headache, Metabolic function test normal, Nausea, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, glimepiride, metformin, protonix, sitagliptin, sucralfate
Current Illness:
Preexisting Conditions: Diabetes, hypertension, nicotine dependence
Allergies:
Diagnostic Lab Data: CBC and CMP normal.
CDC Split Type:

Write-up: Patient presented to hospital 3 days after vaccine with severe headache, leg pain, nausea, subjective fever and chills.


VAERS ID: 1220823 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash on arms and legs


VAERS ID: 1221010 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dysphonia, Fatigue, Hangover, Headache, Myalgia, Nausea, Pyrexia, Throat tightness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MVI (MULTIVITAMIN) ORAL TAB PANTOPRAZOLE hydroCHLOROthiazide 25 MG ORAL TAB Fluticason Propionate (Flonaise) Olapatadine
Current Illness: None
Preexisting Conditions: Liver Disease Thrombocytopenia
Allergies: Sulfa
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: I started getting a headache about an hour along with pain in the back of my neck and a mild headache after my shot (maybe an hour or so). Around 1100 hours, about the time I got back from the Facility, I began to feel a tightness in my throat and got a little raspy. When I drank water and ate a little, it hurt similar a hangover as if dehydrated, but went away after a minute or so. About 1400 hours began to develop chills, causing me to get into bed, and then the chills, overall muscular pains, very tired, moderate headache and some nausea ensued as well along with an initial low grade fever. Fever went up to 102.1 degrees and had fever till about 2130 hours and broken only after I took two (1) Tylenols. Still had a very low grade fever till about 2300 hours or so (99-100), but finally went away. I awoke next day (13 APR) about 0800 feeling a bit better, but with a moderate headache and touch of diarrhea. Headache lasted all day. This prompted me to contact my treatment facility and a telecall was conducted giving them my symptoms. They recommended Rizatriptan should my headache continue and Tylenol not enough to relieve. I cannot take any analgesics due to my liver disease and Thrombocytopenia. Finally my headache went away (with a slight hint it might come back), but no more fever, chills etc. On 14 APR, no more headache but still felt a little tired. From 15 APR through today (16 APR), no further symptoms and feel great, but prepared to report anything that may develop laer.


VAERS ID: 1221172 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram, Hypoaesthesia, Swelling face, 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), Hearing impairment (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (no medical history reported)
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: CAT; Result Unstructured Data: negative for evidence of stroke
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: face felt droopy/diagnosed with Bell''s Palsy; felt like her face was swollen; face became physically swollen and numb; left side of her face and the left "part of her tongue" became swollen; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL PARALYSIS (face felt droopy/diagnosed with Bell''s Palsy) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (no medical history reported). On 12-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Apr-2021, the patient experienced FACIAL PARALYSIS (face felt droopy/diagnosed with Bell''s Palsy) (seriousness criterion medically significant), SWELLING FACE (felt like her face was swollen), HYPOAESTHESIA (face became physically swollen and numb) and SWOLLEN TONGUE (left side of her face and the left "part of her tongue" became swollen). At the time of the report, FACIAL PARALYSIS (face felt droopy/diagnosed with Bell''s Palsy), SWELLING FACE (felt like her face was swollen), HYPOAESTHESIA (face became physically swollen and numb) and SWOLLEN TONGUE (left side of her face and the left "part of her tongue" became swollen) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Apr-2021, Computerised tomogram: negative negative for evidence of stroke. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient reports she was negative for respiratory distress or difficulty breathing. Treatment included two unknown oral antibiotics and oral steroids.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1221173 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-11
Onset:2021-04-12
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Meniere's disease, Muscle spasms, Nausea, Pruritus, Rash, Restlessness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Dystonia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Meniere''s disease; Leg cramp; Itching; Restlessness; Rash; Nausea; Headache; This spontaneous case was reported by a consumer and describes the occurrence of MENIERE''S DISEASE (Meniere''s disease) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No reported medical history). Concomitant products included CLOZAPINE for an unknown indication. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Apr-2021, the patient experienced MENIERE''S DISEASE (Meniere''s disease) (seriousness criterion medically significant), MUSCLE SPASMS (Leg cramp), PRURITUS (Itching), RESTLESSNESS (Restlessness), RASH (Rash), NAUSEA (Nausea) and HEADACHE (Headache). At the time of the report, MENIERE''S DISEASE (Meniere''s disease), MUSCLE SPASMS (Leg cramp), PRURITUS (Itching), RESTLESSNESS (Restlessness), RASH (Rash), NAUSEA (Nausea) and HEADACHE (Headache) outcome was unknown. Not Provided Concomitant medications included sleep aid. Treatment for the event included the reporter will consult HCP if symptoms persist. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event is not applicable. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Further information has been requested.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Further information has been requested.


VAERS ID: 1221202 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Headache, Myalgia, Pyrexia, Sleep disorder
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? Yes
Hospitalized? No
Previous Vaccinations: Flu shot bug bites 20 hours after 12/20/20 flu shot.
Other Medications: NP thyroid 90mg
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: Clindamycin, all Sulfa Drugs, Cipro, gluten, wheat, dairy and slight egg allergy
Diagnostic Lab Data: None
CDC Split Type: N''/A

Write-up: 8 hours after vaccine started having chills. I had a fever of 99.5. My normal temp is always 97.3. Never had chills with ANY Flu Shot. Ever. 9 hours after vaccine I had a headache really bad. 10 hours after vaccine I had muscle pain all over back, both arms, both hands, both hips, both knees and both ankles. Monday night VERY hard to sleep. Tylenol did not help me at all with pain. next day Tue 4/13/21, low grade fever all day 99.3 or 99.5 Didn''t do much due to pain all over body chills were gone Thought my face was swollen around 3pm. ER doctor said I was fine and I left ER at 8:30pm I felt fine Wednesday around 10am. Normal reaction. No other issues.


VAERS ID: 1221262 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Accident at home, Chest pain, Confusional state, Memory impairment, Road traffic accident
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (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: albuterol, glipiZIDE, insulin glargine, metformin-XR, valsartan
Current Illness: NA
Preexisting Conditions: asthma, diabetes mellitus (TII), hypertension, dermatitis, MRSA, anxiety, myopia, elevated liver enzymes, dry eye syndrome
Allergies: atorvastatin
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Received dose on Friday 4.9.21. Called on 4.16.21 to report symptoms / ADR experienced on Monday 4.12.21. Monday -3 days after receiving J and J vaccine - patient reported forgetfulness altered consciousness. Does not remember driving home and then backing in drove all over lawn and hit the house and gate. Symptoms: Pt received Johnson and Johnson COVID vaccine 4/9. States symptoms started 4/12 with chest pain. States she drove all over the lawn and hit house/gate. Pt states this is very unusual for her. Felt very "out of sorts" for an hour and a half and also doesn''t remember the whole ride home. Since then she feels fine and is currently having no other symptoms. No other episodes of memory loss or strange behavior since Monday 4/12. Called and spoke with pt. She denies symptoms since the incident on 4/12. I advised she can monitor at home and schedule an appointment or seek care in UCC/ED if symptoms return. Pt was agreeable to this.


VAERS ID: 1221300 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Side effects occurred - 15hr low grade fever (100-101) Headache, fatigue


VAERS ID: 1221304 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-03
Onset:2021-04-12
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Muscle spasms
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad)

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

Write-up: Patient presented to consultation on 04/14 stating reports of numbness in left big toe and calf over the "past few days." They further clarified it improved throughout the day each day and they noticed an improvement in these symptoms with a "leg cramp PM" OTC product containing Tylenol and Benadryl.


VAERS ID: 1221415 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood test normal, Chest pain, Dyspnoea, Headache, Pain in extremity, X-ray normal
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Back pain, headaches, dizziness
Allergies: Fish
Diagnostic Lab Data: I went to ER, got blood work and X-ray, they said everything looked normal
CDC Split Type:

Write-up: I got out of work went home, started having sharp pains in my chest, and on my arm, I got worried nothing like this has happened before with the chest pain, I was already having back pain, shortness of breath, and headaches


VAERS ID: 1221578 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram abdomen normal, Computerised tomogram head normal, Computerised tomogram neck, Dizziness, Echocardiogram normal, Hypoaesthesia oral, Presyncope, Transient ischaemic attack
SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (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: Lisinopril, Jardiance
Current Illness:
Preexisting Conditions: diabetes, hypertension, hyperlipidemia
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received the vaccine friday then monday has numbness to the tongue , near syncope, dizziness, ems called taken to ER and admitted to hospital for TIA. CT of neck, head, abd done, chest xray, full blood work, echo, results sent to primary care said all test ok


VAERS ID: 1222253 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Angiogram pulmonary abnormal, Aspiration, Bilevel positive airway pressure, Blood gases abnormal, Blood pH decreased, Bronchitis, Burning sensation, Chest pain, Chills, Cold sweat, Computerised tomogram abdomen, Cough, Diarrhoea, Dizziness, Dyspnoea, Dysuria, Electrocardiogram normal, Fatigue, Hypertension, Nasal congestion, Oxygen saturation decreased, PCO2 increased, Pain, Paraesthesia, Respiratory distress, Rhinorrhoea, SARS-CoV-2 test negative, Urine analysis normal
SMQs:, Anaphylactic reaction (broad), Lactic acidosis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lipitor 80 mg daily plavix 75 mg daily depakote ER 750 mg daily colace 200 mg neurontin 600 mg TID microzide 12.5 mg daily lantus 38 units daily humalog 1-50 units 5x/day duo-neb 0.5-2.5 mg/3ML every 4 hrs keppra 1000 mg BID lisinopril 10 m
Current Illness: COPD, chest pain, sleep apnea
Preexisting Conditions: ? Iron deficiency ? COPD with asthma (HCC) ? Essential hypertension ? Type 2 diabetes, uncontrolled, with neuropathy (HCC) ? History of migraine ? History of bipolar disorder ? OSA (obstructive sleep apnea) ? Non-toxic multinodular goiter ? Sleep-related hypoventilation due to pulmonary parenchymal pathology ? Primary insomnia ? Adrenal adenoma ? History of renal calculi ? Urge incontinence of urine ? Psychogenic nonepileptic seizure ? Esophageal stricture ? Polypharmacy ? Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type ? Thrombocytopenia (HCC) ? Slurred speech ? Parkinson''s disease (HCC) ? Impaired functional mobility, balance, gait, and endurance ? Chronic low back pain, unspecified back pain laterality, unspecified whether sciatica present ? Stress incontinence ? Primary osteoarthritis of left hip ? DDD (degenerative disc disease), lumbosacral ? Mixed hyperlipidemia ? Methamphetamine abuse (HCC) ? Left-sided weakness ? Anxiety ? Arthritis ? At risk for falls ? Basal cell carcinoma (BCC) ? Bipolar I disorder, most recent episode (or current) depressed, severe, specified as with psychotic behavior (HCC) ? Calculus of kidney ? Cerebrovascular accident (CVA) (HCC) ? Chronic coronary artery disease ? Claustrophobia ? Disorder of liver ? Chronic abdominal pain ? Chronic back pain ? Fibromyalgia ? Sciatica ? HSV infection ? Internal hemorrhoids ? Migraine headache ? Mild cannabis use disorder ? Moderate tobacco use disorder ? Obesity ? Polysubstance abuse (HCC) ? Posttraumatic stress disorder ? Schizoaffective disorder (HCC) ? Severe alcohol use disorder, in sustained remission (HCC) ? Somatic symptom disorder ? Hepatitis C virus infection without hepatic coma, unspecified chronicity ? Gastroparesis ? Bipolar disorder, in partial remission, most recent episode depressed (HCC) ? Borderline personality disorder (HCC) ? Dysphagia ? Severe cocaine use disorder, in sustained remission (HCC) ? Right adrenal mass (HCC) ? Chronic obstructive pulmonary disease with (acute) exacerbation (HCC)
Allergies: ASA - throat swelling, bee venom - Shortness of breath diazepam - hives, shortness of breath, itching erythromycin-hives, shortness of breath, swelling haloperidol - anaphylaxis, hives ibuprofen - hives, shortness of breath, swelling, rash raspberry - hives, shortness of breath, swelling salicylates - hives, SOB, throat swelling tramadol - hives, SOB, swelling
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID-19 Vaccine Johnson and Johnson Covid vaccine yesterday 1330 Chest hurts, nasal congestion, chills last night after the vaccine Pt had negative covid test 5 days ago pt had screening while in the hospital for chest pain pt had normal ekg then Pt has achy and tingling in chest and body aches denies fever states does have chills also c/o diarrhea one to two episodes last night and not today is drinking water well Pt states was very tired last night Since yesterday patient has worsening symptoms, Today she has increased her oxygen use and continues to feel that she cannot breathe, she presents with chest pain, fatigue, nose is running, chills, cold sweats, cough, abdominal pain and dizziness. She received the Johnson Covid vaccination four days ago and is concerned this is related to her blood clotting disorder. She needs transportation to the ED. Hospital admission on 4/16/21 - remains inpt. Diagnosis patient iss is a 51 y.o. female with complex past medical history. Including chronic obstructive pulmonary disease currently on 4 L nasal cannula at night. Active tobacco use, remote history of alcohol and polysubstance abuse she has been in remission for 20-25 years from crack cocaine and alcohol. She used methamphetamine 6 months ago. Benign essential hypertension and insulin dependant diabetes mellitus, gastroparesis, bipolar disorder, schizoaffective disorder, psychogenic nonepileptic seizure. Presented to the emergency department with chief complain of worsening shortness of breath along with right side lower abdominal pain and urinary symptoms including dysuria and burning sensation. Upon arrival to the emergency department patient was hypertensive and her oxygen saturation was 87 on room air, with moderate respiratory distress. Initial ABG showed pH of 7.25 with pCO2 of 98 following ABG showed 7.1 and pCO2 of 104 she was placed on BiPAP which has improved her breathing and respiration follow-up ABG showed pH of 7.3 with pCO2 of 73. CT angiogram was negative for pulmonary embolism, showed finding of acute bronchitis/aspiration, CT of the abdomen and pelvis was unremarkable. Urinalysis was negative. Patient was giving 125 mg Solu-Medrol along with magnesium and DuoNeb breathing treatment, and admitted for further management.


VAERS ID: 1222328 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prograf, rapamune, azithromycin, prednison, septra, lexapro, buspar, (all are lost lung transplant protocol) Mutivitamin, calcium, DHEA
Current Illness: Immunocompromised due to bilateral lung transplant on 07/10/2011
Preexisting Conditions: See above plus osteoarthritis
Allergies: Mucinex
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5 days. Arm is still painful with large warm, red knot at injection site.


VAERS ID: 1222503 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling hot, Hyperhidrosis, Loss of consciousness, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE REPORTED
Preexisting Conditions: NONE REPORTED
Allergies: NO KNOWN DRUG ALLERGIES
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving injection patient walked out of pharmacy and sat in chair in front of pharmacy. About 8 minutes or so later, patient fell back in the chair and passed out. I ran over and called the patient''s name who came to, and he felt warm and sweaty. Patient was able to recall his name, the day of the week, and where he was. About 2 or 3 minutes later after coming out to the patient, he vomit into a trash can and then stated he felt much better.


VAERS ID: 1222634 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dry throat, Feeling abnormal, Feeling hot, Paraesthesia, Skin burning sensation
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Dehydration (broad)

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

Write-up: After patient received vaccine they reported they felt "off", said there was tingling and burning sensation down arm. After 5 minutes patient said they still felt off, 10 minutes no change, 15 minutes patient said they felt hot and their throat was dry, offered antihistamine (Benadryl) and asked if the patient could have someone pick them up, the called their physician on base and they physician stated for the patient to come in for observation. Patient refused Benadryl but arranged for a family friend pick him up at my request because I did not feel comfortable releasing the patient without observation. 45 minutes later the patient was picked up and they went to their physician to be observed. Called patient at 7pm to check in and they stated they "felt better but still off".


VAERS ID: 1222738 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye inflammation, Neck pain, Ocular hyperaemia, Pain, Pain in extremity, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Corneal disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: We received a call at the pharmacy at 4:30 pm on April 17. During the call, patient reports that the same day she was vaccinated she had inflammation and redness of the eyes, for which she took Zyrtec 10 mg. These symptoms were alleviated with the medication. The next day and for the past 5 days she has experienced pain in the left arm and leg, tingling in all extremities and pain at the back of the neck that radiates to the head. The symptoms interfere with her daily activities and they are very annoying according to patient.


VAERS ID: 1222756 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Vertigo positional
SMQs:, Anticholinergic syndrome (broad), Vestibular 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: DIZZNESS/ BPV STARTED ONE DAY AFTER VACCINATION REQUIRING HOSPITALIZATION. WAS DIAGNOSED WITH BPV.


VAERS ID: 1222924 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Delaware  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Confusional state, Fatigue, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Arm pain, excessive fatigue, nausea, confusion, dizziness, sweats, cold, pain in joints. started Monday and continues today, 5 days later


VAERS ID: 1223164 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Injection site pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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: Prenatal vitamins, DHA, Viactiv Calcium Chews, Coenzyme 10, Occasional Ibuprofen for headache, not taken at least a week prior to vaccine.
Current Illness: None
Preexisting Conditions: Multiple Sclerosis
Allergies: Shrimp allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Low grade fever started around between 6:30-7pm the day of the vaccination. I took an Ibuprofen around 7pm and went to bed. By 1am my fever had broken. The next day, 4/13/2021, I had a mild headache from 8am-1pm. I took another Ibuprofen and was headache free by 3pm. On 4/14/2021, I had a slight headache, I did not take medication for it, and by late afternoon, it had dissipated. I also have muscle soreness in the arm that I received the vaccination that started the morning after, 4/13/2021, it is still present today, 4/17/2021.


VAERS ID: 1223261 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Decreased appetite, Diarrhoea, Injection site pain, Pain, Paraesthesia, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, chills, severe body aches and vomiting in first 24 hours. Soreness in upper arm around injection site, loss of appetite, diarrhea, intermittent chills, and tingling in the fingertips from 48 hours on (still ongoing)


VAERS ID: 1223347 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Electrocardiogram, Headache, Hypoaesthesia, Musculoskeletal discomfort, Nervousness, Pain in extremity, Palpitations, Platelet count
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: High pressure recovered
Allergies: No
Diagnostic Lab Data: Electrogram 04/13/2021 Plate 04/13/2021 Blood test 04/13/2021 Supposedly normal No improvement
CDC Split Type:

Write-up: Since the day 12, I feel bad with headaches, neck, accelerated palpitations, I feel nervous, my hands go numb, my left foot hurts up to the calf, I do not feel much improvement despite the medication, I do not have peace of mind


VAERS ID: 1223507 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK LA / IM

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

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

Write-up: skin rash with red, raised bumps. Initially at ankles, then thigh, next day on arms, belly. Lasted one full day. Treated with hydrocortizone cream, then with benadryl. Three adult doses of benadryl were taken until resolution


VAERS ID: 1223564 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Feeling hot, Hot flush, Injection site discomfort
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: Men''s Multi-vitamin supplement / Cialis
Current Illness: none
Preexisting Conditions: none
Allergies: Beef, that I am aware of
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA Within the first minute after injection, I started to feel dizzy and I felt like I was having a hot flash. For a few minutes I continued to get warm and at about the 10 minute point I was taken to the waiting room where I got a drink of water. After drinking the water I felt much better and soon felt normal with the exception of discomfort at the injection site. (My left upper arm just below my shoulder) After six days now, I still feel fine overall however, if I message the injection site, I can still feel a little bit of discomfort.


VAERS ID: 1223745 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Epileptic
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had a mild seizure several hours after receiving the J&J vaccine. She is epileptic and generally has two seizures a year that would last 30 minutes or longer. The seizure she had after receiving the vaccine only lasted around 40 seconds. She had her last regular seizure in January so she stated she was not due to have a seizure anytime soon based on her previous medical history. Her father was present and able to keep her safe during seizure so no medical treatment was received.


VAERS ID: 1223753 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hypoglycaemia, Injection site pain, Loss of consciousness, Petit mal epilepsy
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (narrow)

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

Write-up: after approximately 10 minutes of receiving Covid-19 vaccine, the patient fell out of chair in which he was seate. patient was unconscious for approximately 1 minute while I rolled him over and checked for pulse. his eyes were wide open and he seemed to have had an absensence seizure lasting upto a minute before regaining consciousness. he was quickly cognizant and I asked if he had any history of seizures or if he might be hypoglycemic. He did say that he had not eaten and it was 3:00pm. paramedics soon arrived and removed the patient from the scene. I did text patient the next day and he said only that he had a sore arm and symptoms consistent with having a vaccine administered.


VAERS ID: 1223892 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 2 LA / IM

Administered by: Private       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: Vitamin D, Multi vitamin, Restasis
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxcyllian, eurythromyacin, clarinex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 101.3 fever developed around 9 pm. Headache lasted about 24 with inset around 7 pm. Tylenol reduced fever, headache, vaccine paused next day caused anxiety. Anxiety is what caused me to call dr. Dr was more concerned about fever. He explained what to look for with clots. Reaffirmed rareness.


VAERS ID: 1223907 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline, bupropion, birth control pill
Current Illness:
Preexisting Conditions:
Allergies: Codeine, doxycycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: 102 degree fever, lasting 4 hours Dizziness, lasting 6 hours Muscle aches, lasting 14 hours Headache, lasting 6 hours Fatigue, 14 hours


VAERS ID: 1224238 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042G21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Fibrin D dimer, Pain in extremity, Thrombosis, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: D-dimer negative Acute left posterior tibial vein clot on Ultrasound
CDC Split Type:

Write-up: Left leg pain Mild Chest pain (resolved)


VAERS ID: 1224253 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

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

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

Write-up: Severe headache started second day after vaccination. Treated with OTC pain medication. Headache subsided on 6th day.


VAERS ID: 1225176 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Blood test, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (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: Albuterol, ibuprofen, Percocet, losartan, metoprolol, pantoprazole
Current Illness: None
Preexisting Conditions: Heterozygous mutation for factor V Leiden, essential hypertension, hyperlipidemia, chronic back pain, narcotic dependence, morbid obesity, diffuse lipomas, GERD
Allergies: Cephalexin, erythromycin, Toradol
Diagnostic Lab Data: Bloodwork and CTA Chest
CDC Split Type:

Write-up: Pulmonary embolism


VAERS ID: 1225199 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Euthyrox 112mgr VitaminD VitaminB12
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Migraine, shore arm, chills, muscle pains at 4/12/2021 from 12.00pm till 10.00pm.


VAERS ID: 1225305 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast tenderness, Headache, Heavy menstrual bleeding, Menstruation irregular, Mood altered
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Fertility disorders (broad)

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

Write-up: Early menstrual cycle, including breast tenderness, headache, mood change, heavier flow


VAERS ID: 1225415 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Enuresis, Foaming at mouth, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Convulsions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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: Unknown
Preexisting Conditions: Unknown
Allergies: None reported
Diagnostic Lab Data: None
CDC Split Type:

Write-up: When the patient enbered the observation area within a few minutes she fell to the ground and appeared unresponsive. When I arrived I noticed foaming around her mouth and she urinated on herself. No clonal movements noted. Pulse could not be felt so CPR was initiated. She woke up in about 30 seconds. Paramedics called and arrived within 5 minutes. Patient was awake and oriented. When asked she indicated that she had a history of a seizure many years ago. Paramedics transported her to a Medical Center.


VAERS ID: 1225862 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dizziness, Headache, Muscular weakness, Musculoskeletal stiffness, Nausea, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi Vitamin
Current Illness: Seasonal Allergies with Pollen
Preexisting Conditions: Chloestrol over the normal limits
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 1st day: 2hours after the shot, felt dizzy for rest of the day, low grade fever. 2nd day: low grade fever, body aches, muscle weakness 3rd day : low grade fever, body aches, muscle weakness, right fore arm and lower right leg bottom half felt little stiff, moved leg around to avoid getting stiff. 4thday : general weakness , Headache started in the night. 5th day: Nausea, dizziness , head ache 6th day, head ache, dizziness, little stiff right leg bottom half ( as if muscle is become stiff ) 7th day: dizziness , as if I move head one side whole body moves that side ( dizziness still there as of this reporting day)


VAERS ID: 1225987 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Chills, Fatigue, Hyperhidrosis, Impaired work ability
SMQs:, Neuroleptic malignant 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: Pepcid ac, daily multivitamin, seasonal allergy medication over the counter
Current Illness: Seasonal allergies
Preexisting Conditions: Gastritis
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Extreme fatigue began within 1st 24 hours after shot. Fatigue became worse after 24 hours an continued from 04/12/21 through 4/16/21. Fatigue was so severe it kept patient home from work 4/13/21 through 4/16/21. Patient took B complex vitamin supplements, but they had little to no effect. Patient also experienced chills with sweating on 4/12/21 through 4/14/21. Fatigue became less starting 4/17/21 but still continued on 4/18/21.


VAERS ID: 1226046 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dehydration, Headache
SMQs:, Hyperglycaemia/new onset diabetes mellitus (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mild headache and dehydration from approximately 10 PM on 04/11/21 until approximately 4 PM on 04/12/21


VAERS ID: 1226080 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-03-23
Onset:2021-04-12
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NA
Preexisting Conditions: NA
Allergies: Phinothyzephine
Diagnostic Lab Data: 4/14/2021 seen by a doctor
CDC Split Type:

Write-up: I have shingles now and my doctor told me to report this.


VAERS ID: 1226082 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

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

Life Threatening? Yes
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: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: A healthcare worker was setting up and approached me and asked if I wanted a free J&J vaccine. I was very hesitant . I told him that I had a flight later that night and didn?t want to have any side effects on the plane. He assured me hardly anyone ever has bad reactions to it and was very salesy, not seeming concerned much for my health or my questions, more like he needed to meet a quota. Against my better judgment, I got the shot and was absolutely miserable on the flight and that whole night. I developed a fever, body aches, headache, chills, and fatigue around 8 hrs after receiving my shot. It was one of the worst nights of my life with a fever reaching 103.5, and that was with Tylenol in my system to try to keep the fever down. I didn?t feel normal for 3 days.


VAERS ID: 1226144 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Diarrhoea, Fatigue, Migraine, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: pneumothorax in 1999, lung scarring from pneumothorax
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: 6/11-6/14 : Extreme migraine, fever, extreme chills, fever, extreme body aches, extreme fatigue, diarrhea 6/14-present: moderate migraines, moderate fatigue, moderate body aches, moderate fatigue, diarrhea


VAERS ID: 1226246 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-11
Onset:2021-04-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / SYR

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

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

Write-up: Lightheaded and feeling weak for one week total so far. Immediate symptoms were headache, lightheaded, fatigue, some nausea.


VAERS ID: 1227226 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Headache, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Mmr: 16 years old, headache for 2 days
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, headache, nausea, chills, loss of appetite, achy right knee, soreness at injection site, exhaustion


VAERS ID: 1227230 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Ophthalmic migraine, Tension headache
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Tylenol
Diagnostic Lab Data: Have not seen Dr yet.
CDC Split Type:

Write-up: Ocular migraine day 5 Tension headaches day 5-9 Dizzy spells day 6-9 Sinus pressure (but no sinus issues) day 5-9 On day 9 today and symptoms are waning/waxing


VAERS ID: 1227236 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-05
Onset:2021-04-12
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / N/A RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tessalon, Robitussin, trulicity, zithromax, Lantus, albuterol, claritin, lipitor, protonix, aspirin, ferosul, trandate, cozaar, triumeg, norvasc
Current Illness: Cough, congestion that started on 03/29/2021
Preexisting Conditions: Blind, diabetes type 2, GERD, Hypertension, sickle cell trait, obesity, Chronic kidney disease stage IV, nephrotic range proteinuria, secondary hyperparathyroidism.
Allergies: Penicillin''s
Diagnostic Lab Data: COVID Test on 04/16/2021.
CDC Split Type:

Write-up: Patient had symptoms of a cough and congestion reported on 03/29/2021. Symptoms have been continuing since. Loss sense of taste and smell, cough, congestion, and shortness of breath.


VAERS ID: 1227829 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Asthenia, Computerised tomogram, Electrocardiogram, Fatigue, Headache, Hyperhidrosis, Laboratory test, Loss of consciousness, Muscle spasms, 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), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), 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: OTC Advil, OTC Mucinex, vitamin B3
Current Illness: none
Preexisting Conditions: none
Allergies: eurythomiacin
Diagnostic Lab Data: 12 Apr 2021, blood pressure, blood work, temperature, EKG, and CAT scan.
CDC Split Type:

Write-up: I received the Janssen COVAX on Monday morning, 5 Apr 2021. A week later, on Monday evening, 12 Apr 2021, I experienced extremely painful leg cramps and broke out in a sweat. I felt extremely nauseous, and weak, this was followed by a sever pain in my head that was so extreme that I passed out. After coming to, the pain in my head finally began to subside, along with the leg cramps. My husband indicated that I was unconscious for just under a minute. For the next two days, I had bouts of nausea, headaches, sweats, and was extremely tired. On Wednesday, 14 Apr, after learning of the issues related to the Janssen vaccine, and the symptoms described being what I experienced, I contacted the advice (cont''d)..Additional information for Item 18: Line and was told to go to Emergency Room at the hospital, which I did. I do not feel that they addressed my concerns or the symptoms that I was experiencing, and at no time did they try to determine if it was due to the vaccine. The discharge papers did not even address the "event" and the "symptoms" that I described. They did not take any information down related to the vaccine, lot number, etc., that I had received. They seemed to go through a set routine: blood pressure, blood work, temperature, EKG, and CAT scan. 21. (continued)...Visited Emergency Room, however, was requested by ER to go to Primary Care as follow-up, however, as a Employee we cannot be seen by Primary Care on THIS site. Instead , we have to go on the local clinic to receive care. The issue is that this was a vaccine that I was scheduled by my leadership to receive, with no choice in choosing which vaccine I could receive, and without follow-up care for adverse reactions. The hospital did not indicate to me that I should report this incident, however, I am concerned as a result of the "event" that I experienced, that it should be reported. Furthermore,we should have a choice as to which vaccine we want to receive, just as everyone does. Your form does not allow for input addresses Also, your form does not allow for a phone number. I am out of the country.


VAERS ID: 1227971 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic reaction, Dizziness, Pharyngeal swelling, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to nuts; COVID-19
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021405684

Write-up: Anaphylaxis; Lightheaded/Dizziness; Throat Swelling; Scratchy Throat; This is a spontaneous report from a contactable consumer (patient). A 24-year-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EP6955), via an unspecified route of administration, administered in left arm on 12Apr2021 at 09:30 (at 24-year-old, not pregnant at the time of vaccination) at single dose for COVID-19 immunisation. Medical history included known allergies: tree nuts. The patient had Covid-19 prior vaccination. The patient''s concomitant medications were not reported. No other vaccine was received in four weeks. No other medications were received in two weeks. On 12Apr2021 at 10:00 AM, the patient experienced anaphylaxis; lightheaded/dizziness; scratchy throat; throat swelling. The events resulted in emergency room/department or urgent care, life threatening illness (immediate risk of death from the event). Therapeutic measures were taken as a result of the events included epinephrine and steroids to prevent swelling. The outcome of the events was recovered on an unspecified date in Apr2021. The patient did not have covid test post vaccination.


VAERS ID: 1228193 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Chest X-ray, Chest discomfort, Chest pain, Dizziness, Dyspnoea, Full blood count, Hot flush, Metabolic function test, Pharyngeal swelling, Rash, Troponin
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ritalin, Magnesium, Vitamin C, Mirena, Tramadol, Medical Marijuana
Current Illness: NO
Preexisting Conditions: Mitchell''s Disease, Chronic generalized pain
Allergies: Acetaminophen, Oxycodone, Desoxycortisone, Ibuprofen, PRegablin
Diagnostic Lab Data: pt had CMP, CBC, troponin levels, chest xray on 4/12/21 per ER reports. Not able to get more information at this time.
CDC Split Type:

Write-up: per patients mother: pt had complained of dizzyness right after leaving clininc. Mother was driving, she said that about 5 minutes later pt started getting hot flashes and had developed a rash across chest, decided to drive to hospital on the way there she progressively got worse she started to complaine of chest tightness/pain. once at ER she double over from severe stomach pain-said it felt like she had to go to the bathroom. Mom said that things quickly worsened. She started to have throat swelling. Epinepherine was administered and IV benedryl, pt stayed in ER and was observed for several hours. Mom reports they were sent home around 4pm and around 7320pm that night pt started feeling tightness in her chest and difficulty breathing mom gave epinephirine and called 911. EMT''s transported her back to ER. She was stablized and sent home. pt continued to have these episodes of Chest tightening and difficulty breathing resulting in several more visits to the ER and one over night stay. Last visit to the Hopsital was on 4/15/21


VAERS ID: 1228301 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

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

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

Write-up: Body aches, fever, chills, headache. Came on approximately 6 hours after vaccination, subsided approximately 24 hours after vaccination.


VAERS ID: 1228302 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: carbidopa, citalopram, fluconazole, gabapentin, metformin, metoprolol, myrbetriq, omeprazole, triamcinolone
Current Illness: NA
Preexisting Conditions: hypertension, neuropathy, osteoarthritis, hypercholesterolemia, sleep apnea, type 2 diabetes
Allergies: ciprofloxacin, levofloxacin, penicillin
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Patient developed pruritic rash on her legs five hours after receiving the moderna vaccine. Patient was seen by physician and given topical steroid and OTC antihistamine for symptom relief.


VAERS ID: 1228318 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

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

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

Write-up: Body aches, fever, chills, headache. Came on approximately 4 hours after vaccination, subsided approximately 24 hours after vaccination.


VAERS ID: 1228401 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Pharmacy       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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuvaring
Current Illness: None
Preexisting Conditions: None
Allergies: Yeast and bananas
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea for 7 days


VAERS ID: 1228492 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Heavy menstrual bleeding, Hyperacusis, Hyperaesthesia, Migraine, Pain, Photophobia, Pyrexia, Skin warm, Tremor
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion Hcl XL 150 mg; iron with cofactors supplement
Current Illness: None
Preexisting Conditions: Endometriosis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: No pain at site of injection. (A) Onset around 8:00 pm on day of injection: chills, shaking, fever (no thermometer was available -- legs, stomach and head were very hot to the touch for about an hour, despite strong chills); strong migraine; sensitivity to light, sound, touch; mild body aches. (B) Menstrual cycle began on time about 2 days after injection, but persisted for 3 days longer than usual. Normal bleeding occurs over 2.5 days, but light bleeding occurred much longer than any time in the previous decade. TREATMENT: (A) Tylenol, warm blankets, heat pad; (B) Ibuprofen 400mg, heat pad (normal treatment)


VAERS ID: 1228672 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-30
Onset:2021-04-12
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension, hyperlipidemia
Allergies:
Diagnostic Lab Data: Physical exam on 4/19/2021
CDC Split Type:

Write-up: Approximately 12 days after vaccination, he developed a soft tissue growth at the area of injection. No signs of induration, infection, or inflammation. No signs of clot. Presents as a lipoma, but was not present previously. It does cause him to have some discomfort.


VAERS ID: 1228686 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avapro 300mg (branded) Lipitor 10mg (branded) Calan 240mg (branded) Vit C tablet 1000mg (Finest nutrition OTC) Vit D3 2000ui (Nature Made OTC) Vit E 400ui ( vitamin world OTC) Cinnamon with chromium 1000mg (Vitamin world OTC) Turmeric Cur
Current Illness: GFR 52
Preexisting Conditions: CKD
Allergies: Zyrtec Shrimp
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Headache Joint pain Back pain Eye pain Fever shaking chills Fatigue Tiredness After a week tiredness still present and moderate fatigue


VAERS ID: 1228795 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 10-5495 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Cough, Fatigue, Heavy menstrual bleeding, Menstrual disorder, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I had all the symptoms of the Flu for 3 days, fever, muscle pains, cough, fatigue, and on the 4th day I started having horrible cramps, felt like labor/contractions, followed by my period, which wasn''t due for another 3 weeks. I''m still having a very heavy flow and horrible cramping a week later.


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