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From the 9/10/2021 release of VAERS data:

Found 7,242 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit



Case Details

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VAERS ID: 1415509 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-06-10
Onset:2021-06-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Blood test normal, Electrocardiogram normal, Heart rate increased, Impaired work ability, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus congestion, Sneezing, Throat irritation, Upper respiratory tract infection, X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Dehydration (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C; Vitamin D; Vitamin A; Prenatals and Zinc
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Upper respiratory infection diagnosis June 17th heart rate was still high and they did blood work; x-ray; EKG; rapid Covid test and PCR negative result; everything came out fine
CDC Split Type: vsafe

Write-up: On Sunday, the 13th, I started to have scratchy throat; felt like sand in my throat every time I swallow. The following day, I started to have sinus congestion and sore throat and sneezing. Then the following day, the symptoms continued and I had to leave work early. That Tuesday, I lost my sense of taste and smell for a couple of hours but the next day they came back. I started to get better. Thursday I had high pulse and oxygen levels were a little high for the normal down to 95 and 96 and my usual is 100. I had a doctor I work with listen to my lungs and he couldn''t hear anything. 15th I had a visit not with Primary care whoever was covering that day, they prescribed me with a nasal spray. ER heart rate was still high and they did blood work; X-ray; EKG; rapid Covid test and PCR negative result; everything came out fine. No treatment. But diagnosis of Upper Respiratory Infection. I had another visit with dr after ER visit for follow up.I still have the cough.


VAERS ID: 1415946 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Fall, Loss of consciousness, Muscle twitching, Seizure, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Patient was given the vaccination and asked to remain in the consultation area for 15 mins. The pharmacy student that administered the vaccination walked turned to walk away when he heard bumping on the wall of the room. He turned to see the patient with his head back and eyes wide open. He returned to the room and called the patient''s name with no response. The patient at this point had his eyes shut and seemed to slump in the chair. His breathing was labored and then seemed to stop. His pulse was still felt. The patient was unconscious and seemed to be seizing. An Epipen administered in the right thigh. The patient seemed to twitch and immediately regained consciousness. At this point the EMT arrived and took over. The patient seemed unaware of the events and was fully recovered.


VAERS ID: 1415948 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-03-12
Onset:2021-05-31
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Depression, Diarrhoea, Feeling abnormal, Generalised tonic-clonic seizure, Headache, Increased viscosity of upper respiratory secretion, Lethargy, Ocular hyperaemia, Petit mal epilepsy, Tonsillolith
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Depression (excl suicide and self injury) (narrow), Generalised convulsive seizures following immunisation (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One-A-Day Men''s Daily multivitamin and metformin (500 MG BID)
Current Illness: Seasonal allergies about two weeks prior
Preexisting Conditions: Non-insulin required diabetes
Allergies: Azithromycin
Diagnostic Lab Data: 5/31/21 - Full Blood Panel (All within normal range) Haven''t had money since admission event to see a doctor.
CDC Split Type:

Write-up: Current ongoing symptoms in order of severity include: lethargy/brain fog (daily since), thick mucus buildup (nose and back of throat throughout the day), regular headaches, depression, loose stool, eye redness, and tonsil stones (couched up daily). Events/symptoms after vaccine: tonic-clonic seizure (twice admitted to Hospital last event on 5/31/2021), petite-mal seizure (not admitted to hospital but noted by others in household), severe pounding headache (on and off in middle and back of cranium)


VAERS ID: 1415958 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821287 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nausea, Presyncope
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Neusea, almost collaspe


VAERS ID: 1416448 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-10
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Laboratory test, Petechiae
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE; ALPRAZOLAM; SELEGILINE
Current Illness: Depression (Since 15 years); Generalized anxiety disorder (since 15years); Hypothyroidism
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210611; Test Name: Laboratory test; Result Unstructured Data: Normal; Test Date: 20210615; Test Name: Laboratory test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210643110

Write-up: PETECHIAE ON MY SKIN, MORE ON ARMS; This spontaneous report received from a patient concerned a 51 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included depression, hypothyroidism, and generalized anxiety.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, expiry: UNKNOWN) dose was not reported, administered on 07-JUN-2021 for prophylactic vaccination. Concomitant medications included selegiline for depression, alprazolam for generalised anxeity, and levothyroxine for hypothyroidism. On 10-JUN-2021, the subject experienced petechiae on my skin, more on arms. On 11-JUN-2021, Laboratory data included: Laboratory test (NR: not provided) Normal. On 15-JUN-2021, Laboratory data included: Laboratory test (NR: not provided) Normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from petechiae on my skin, more on arms. This report was non-serious.


VAERS ID: 1416833 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Fall, Musculoskeletal stiffness, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

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

Write-up: 22 year old male patient stood after vaccination, walked a short distance towards recovery area, and fell face forward to the ground, hitting his face on the floor. Provider turned patient to a supine position and noted eyes wide open, upper extremities stiffened, and unresponsive to verbal questions. Napkin saturated with alcohol solution held under patient''s nares. Shortly thereafter, approximately 15 seconds after falling, patient began verbal communication. Patient was initially A&Ox1; remembered his name but could not remember the date, his location, the event, or getting the vaccine. Members of the team arrived to assist. EMS team arrived and continued assessment.


VAERS ID: 1417067 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-26
Onset:2021-04-05
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Diverticulitis, Headache, Large intestine perforation, Pain, Pain in extremity, Pyrexia, Scan with contrast
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation (narrow), Gastrointestinal nonspecific inflammation (broad), Ischaemic colitis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: CAT Scans with contrast April 8th and 12th at hospital
CDC Split Type:

Write-up: Body aches, head ache, low grade fever. Sore arm. 10 days later diverticulitis/colon perforation after never having any symptoms, in patient hospital x5 days


VAERS ID: 1417095 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-03-20
Onset:2021-03-22
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site swelling, Lymphadenopathy, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Same day on the vaccine I noticed swelling on the vaccine site. Two days later I started feeling my throat swollen I had my lymph node swollen on my neck & under the jaw line everything was on the left side as the vaccine. It started to become very painful 6 days later I went to the urgent care and they gave me antibiotics to treat it. It was a 2 week treatment once I finished it about 5 days later I had to go again because it started to happen again I went in to get more. Now a couple a weeks ago its starting again but I have not gone to the urgent care anymore I''m just watching it and hoping it goes away. If it does get worst then I will be going again.


VAERS ID: 1417169 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Fluid replacement, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol, altace, otc zyrtec, otc potassium, ibuprofen, humulin 70/30 insulin
Current Illness:
Preexisting Conditions: diabetes, supra-ventricular-tachycardia she has had longterm problems with kidney and bladder infections she has had trouble with bladder and bowel control at times
Allergies: beef, talwin, versed, levaquin, most narcotics (she can tolerate dilaudid and morphine) She said she has gone into anaphylactic reactions on these medicines specifically four times she has had anaphylactic reaction to meds she said she has never had a problem with an injectable medicine
Diagnostic Lab Data:
CDC Split Type:

Write-up: within about one hour after getting vaccine she started having severe nausea and vomiting and it would not stop. Daughter called me after 20 minutes after vomting started. I told her to take her mom to the emergency room. When there, the ER gave her IV fluids, zofran, and told her to take benadryl. She said she was a little confused as well. She said she does not know if they gave her anything else by IV. She was feeling much better about 7pm after I called her. I checked on her the next morning and she was doing good.


VAERS ID: 1417191 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-03-08
Onset:2021-03-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Night sweats
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: apidra 100 units 10, lantus 100 units , lrvesartan 150mg, atorvastatins 40 mg, prednisone 10 mg , lansoprazole 30 mg, zafirlukast 20mg, wellbrtrin xl 200 mg, mometasone-furoate spray, calcitonin-Falmon 200 unit, lidocaine patch 700mg, floug
Current Illness: none
Preexisting Conditions: Copd, asthma, type two diabetes, ulcers ,depression, bone density ,nerve damage left side. reflux
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: night sweats,


VAERS ID: 1417230 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-09
Onset:2021-04-27
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocodone for back pain
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: Penicillin
Diagnostic Lab Data: Not sure
CDC Split Type:

Write-up: Possible vasqualitus of the brain. Severe Headaches


VAERS ID: 1417305 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fall, Hyperhidrosis, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none per pt
Current Illness: none per pt
Preexisting Conditions: none per pt
Allergies: none per pt
Diagnostic Lab Data: blood pressure 125/81 at about 1:00pm
CDC Split Type:

Write-up: PT received the Janssen covid vaccination, after about 5 mins the pt fainted and then regained consciousness. Pt had hit his face on the floor, 911 was called to the pharmacy. 911 indicated not to give anything to the pt to eat or drink. Event occurred around 12:50/12:55. When EMS arrived a few minutes later and pt blood pressure was 125/81 , pt was feeling lightheaded and sweating profusely. Patient was also given an ice pack for his face, EMS took the pt to medical facility for further follow up


VAERS ID: 1417364 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821287 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Haemorrhage, Head injury, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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), Accidents and injuries (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: NONE KNOWN
Current Illness: NONE REPORTED
Preexisting Conditions: NONE REPORTED
Allergies: NONE REPORTED
Diagnostic Lab Data: NONE AVAILABLE
CDC Split Type:

Write-up: PATIENT RECEIVED JANSSEN VACCINE AND FELT FINE BUT WHILE WAITING FOR THE 15 MINUTE TIME PERIOD AFTER SHE PASSED OUT AT 11:57 AM AND FELL FROM THE CHAIR TO THE FLOOR AND HIT HER HEAD CAUSING A WOUND ABOVE HER LEFT EYEBROW WITH SIGNIFICANT BLEEDING. 911 WAS CALLED AS WELL AS THE PATIENTS MOTHER WHO WAS STILL IN THE STORE. HER MOTHER CAME OVER IMMEDIATELY AND EMS ARRIVED AT 12:15 PM AND TOOK HER TO THE HOSPITAL FOR EVALUATION. WHILE WAITING FOR EMS WE GAVE THE PATIENT MOIST AND DRY PAPER TOWELS UPON REQUEST AS WELL AS SEVERAL SMALL CONE CUPS OF WATER AND THEN A WATER BOTTLE. EMS LEFT WITH THE PATIENT AT 12:24 PM.


VAERS ID: 1417673 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-27
Onset:2021-05-30
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 270A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Herpes zoster, Influenza like illness, Myalgia, Neuralgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: daily multivitamin, Levothyroxine
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Visited Urgent Care center and had physical exam. Patient is still recovering.
CDC Split Type:

Write-up: After 3 days of flu like symptoms (fever, chills, muscle aches) patient (myself) developed a rash on hand which spread up arm, along with intense nerve pain. Visited Urgent Care on 06/08/2021 and was diagnosed with Shingles. Treated with Valtrex.


VAERS ID: 1417725 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Confusional state, Immediate post-injection reaction, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)

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

Write-up: 06/22/2021 @ 1000 Patient was given J&J vaccine. 1010: Patient had seizure under a min. Patient was placed on side lying position and safety measures 1015: VS WNL 102/72 68 HR. Patient was still confused but alert. 1025: Patient was transferred by EMS. Injection site was free from itching, redness, patient denies any respiratory problems, or history of seizures.


VAERS ID: 1417823 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Chills, Dyspnoea, Electrocardiogram abnormal, Fatigue, Headache, Inflammation, Pain, Pericardial effusion
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Tramadol, EKG - had inflammation, fluid around heart.
CDC Split Type:

Write-up: Sharp chest pains, chills, short of breath, body aches, fatigue, headaches.


VAERS ID: 1417921 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-06-02
Onset:2021-06-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Arthralgia, Atelectasis, Atrial enlargement, C-reactive protein increased, Cardiac monitoring, Chest pain, Diastolic dysfunction, Discomfort, Dyspnoea, Echocardiogram, Ejection fraction normal, Electrocardiogram abnormal, Lung consolidation, Lung opacity, Myalgia, N-terminal prohormone brain natriuretic peptide increased, Pericarditis, Pleuritic pain, Red blood cell sedimentation rate increased, Supraventricular tachycardia, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Interstitial lung disease (narrow), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: One month earlier had norovirus symptoms with nausea, vomiting, diarrhea and chills for 24 hours.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 6/20/21: - NT Pro BNP 320 - High sensitivity troponin 195, 2 hours later 212, 18 hours later 268 - CRP 15.90 - ESR 50 - CTA chest without evidence of PE though with consolidation of the inferior lingular segment and LLL felt to be reactive inflammatory change and atelectasis. - TTE with normal LV function, EF 70%. Diastolic dysfunction. Mild biatrial enlargement. No hemodynamically significant valvular disease. No visible pericardial effusion. - EKG NSR, EKG #2 paroxysmal with rate of 142.
CDC Split Type:

Write-up: Developed myalgias and joint pains approximately 48 hours after the injection, then improved. Then about a week after the injection, developed severe myalgias and joint pains. Treated with Medrol dose pack (6 days) with improvement. 3 days later developed pleuritic chest pain as well as shortness of breath. Presented 48 hours after this started for medical care and was diagnosed with acute pericarditis. Started on ibuprofen 600 mg TID and colchicine 0.6 mg BID with significant improvement in discomfort. Discharged from the hospital after 48 hours of observation. Did develop paroxysmal SVT which was felt to be 2/2 to the acute pericarditis. Started on metoprolol tartrate 50 mg BID to help with rate control and sent home with zio patch for additional cardiac monitoring.


VAERS ID: 1417975 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-28
Onset:2021-05-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ammonia normal, Blood bilirubin, Computerised tomogram normal, Drug screen negative, Epstein-Barr virus antibody positive, Full blood count normal, Hepatitis B DNA assay negative, Hepatitis B core antibody positive, Hepatitis B surface antigen positive, Hyperbilirubinaemia, Jaundice, Lethargy, Lipase normal, Metabolic function test, Nausea, Pruritus, Transaminases increased, Ultrasound abdomen normal, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Liver infections (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol, omeprazole DR, ranitidine
Current Illness: Obesity
Preexisting Conditions: History of Hepatitis B (treatment in 2007), knee surgery and arthroscopy of knee
Allergies: No known allergies
Diagnostic Lab Data: US abd and CT AP unremarkable, no evidence of gallbladder pathology, Hep B surface antigen and Hep B core antibody positive. UTox negative except cannabis, neg for alcohol, ammonia wnl, CBC, lipase, BMP wnl. GI consulted, found o have recurrent acute Hep B with $g700k DNA quant, acute EBV and history of CMV. Additional workup pending. Patient was clinically improving with downtrending TBili and so was deemed stable for discharge with instructions to follow up with PCP and GI regarding the results of these lab tests and future treatment course.
CDC Split Type:

Write-up: Presented with 1 month of nausea and occasional vomiting for the past 4 weeks since receiving J&J vaccine with acute worsening 2-3 days prior to admission with multiple episodes of emesis daily. Patient has history of GERD and cataracts. Complaint of lethargy and itchiness for the last month. Patient sought treatment at ER and was admitted. Wife noticed jaundice on morning of admission. Found to have transaminitis and hyperbilirubinemia on admission with some improvement after IV fluids. Patient admitted to hospital for 4 days. Note: Patient had been treated for Hep B infection for 6 months in 2007 with tenofovir


VAERS ID: 1417994 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-17
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A211A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dizziness, Headache, Magnetic resonance imaging, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 30 mg Remeron 150 mg Zoloft 10 mg Loratadine
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 5/17/21 - severe endless headache 5/22/21 - doctor visit - Toradol shot 5/28/21 - doctor visit - Toradol pills 6/1/21 - doctor visit - Imitrex 6/7/21 - doctor visit - Fioricet 6/15/21 - spinning headache with severe dizziness 6/16/21 - emergency room visit - bloodwork, CT scan 6-18-21 - neurologist visit - referral for MRI
CDC Split Type:

Write-up: 5/17/21 - severe endless headache 5/22/21 - doctor visit - Toradol shot 5/28/21 - doctor visit - Toradol pills 6/1/21 - doctor visit - Imitrex 6/7/21 - doctor visit - Fioricet 6/15/21 - spinning headache with severe dizziness 6/16/21 - emergency room visit - bloodwork, CT scan 6-18-21 - neurologist visit - referral for MRI


VAERS ID: 1418055 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-01
Onset:2021-06-20
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-06-21
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Oral contraceptives
Current Illness: anxiety
Preexisting Conditions: anxiety; herpes simplex
Allergies: clarithromycin; penicillins
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pulmonary Embolism


VAERS ID: 1418132 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-03
Onset:2021-06-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft,losartan,Alantis,simvastatin,alprazolam,nifedical,hctz,vitamin c, calcium,b-12
Current Illness:
Preexisting Conditions:
Allergies: Ammoxacilin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tremors in left arm and left leg


VAERS ID: 1418794 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Dysphonia, Dyspnoea, Interchange of vaccine products
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Medication errors (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: see previous note. Received Pfizer vaccine on 1/21/21 with anaphylaxis reaction
Other Medications: hydroCHLOROthiazide (ESIDRIX/HYDRODIURIL) 25 mg Oral Tab Potassium Chloride (Klor-Con M20) 20 mEq Oral SR DIS Tab Omeprazole (PriLOSEC) 20 mg Oral CPDR SR Cap Montelukast (SINGULAIR) 10 mg Oral Tab predniSONE (DELTASONE) 5 mg Oral Tab traMA
Current Illness: none in chart
Preexisting Conditions: ASTHMA HTN (HYPERTENSION) MIGRAINE POLYMYALGIA RHEUMATICA SEVERE OBESITY ALLERGIC RHINITIS IRRITABLE BOWEL SYNDROME VERTIGO LOW BACK PAIN CERVICAL RADICULOPATHY CERVICAL DISC DEGENERATION DJD/OSTEO, FOOT/ANKLE.. HYMENOPTERA ANAPHYLAXIS HX OF TOTAL HYSTERECTOMY HX OF COLONOSCOPY BENIGN ESSENTIAL TREMOR LEFT KNEE JOINT PAIN GASTROINTESTINAL COUNSELING
Allergies: Codeine Covid-19 Vaccine, Mrna, Bnt162b2, Lnp-s (pfizer)
Diagnostic Lab Data: none known
CDC Split Type:

Write-up: 73 yo female, had reaction 1 hour after Pfizer Covid-19 vaccine 1/21/21- facial swelling, redness and respiratory symptoms- seen at ER, no epi given. Discussed with allergist, determined that receiving Janssen as an option (with risk involved), advised 1 hour observation in clinic. Pt received Janssen vaccine today. After 30 mins, pt complained of SOB, dry cough and sensation of losing her voice. Pt transported to ED with RN.


VAERS ID: 1419021 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-03
Onset:2021-05-14
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 2054214 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood magnesium decreased, Blood potassium decreased, Chest pain, Computerised tomogram thorax, Dizziness, Dyspnoea, Electrocardiogram, Electrocardiogram normal, Fatigue, Feeling drunk, Hot flush, Hypersomnia, SARS-CoV-2 test negative, Sleep disorder, Troponin normal, Vertigo, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine 75 mg/day Flonase 100 mcg/nostril/day Cetirizine 10 mg/day Montelukast 10 mg/day Promethazine 6.25 mg/night Ubrogepant 50 mg as needed 500 mg vitamin C 10 mg melatonin ImmunoStim 2 capsules/day containing: ? 250 mg beta glucan
Current Illness: Post-COVID syndrome
Preexisting Conditions: Vestibular migraine Myalgic Encephalomyelitis/chronic fatigue syndrome Orthostasis
Allergies: None
Diagnostic Lab Data: 5/14: EKG: Sinus tachycardia. ST and T wave abnormality, consider inferior ischemia. T wave inversion now evident in Inferior leads. Nonspecific T wave abnormality now in Lateral leads. 5/14: SARS-COV-2: Negative 5/14: CT scan chest: normal, no embolism or cardiopulmonary disease 5/14: CBC: Potassium low, Magnesium low. WBC count high 5/14: Troponin normal 5/25: Normal ECG
CDC Split Type:

Write-up: I got Johnson & Johnson ?Janssen? on May 3. For reference, I have moderate to severe ME/CFS and vestibular migraine. I had COVID in December, was bedridden for two months, and almost recovered to baseline before the jab. Here?s my V timeline: Day 1: May 3 Several mins after J&J: Huge hot flash and vertigo spin that went away immediately 30 mins after: Felt drunk Rest of evening: Extra sleepy Day 2-3: Extra dizziness and fatigue, mostly in bed. Definitely felt like I was fighting something. Day 4: Vertigo attack. Days 5-11: Felt better than I had since before having COVID! Less dizziness, more energy. My post-Covid symptoms such as orthostasis had greatly improved.? My resting heart rate was sometimes in the 70s!? Day 12: ADVERSE EVENT: I felt like I got COVID all over again, but less severe. Nevertheless, my feeling of breathlessness was enough to send me to urgent care. I also had chest pain/heaviness, extra dizziness, and increased heart rate (117 resting). EKG at urgent care showed abnormalities similar to EKG I had in December when I first had Covid. So, I ended up in the emergency room. No clot or heart blockage. Doctor seemed to think either I was having a delayed reaction to the vaccine, or this was somehow Covid related.??? Day 13: Woke up feeling better until I had breakfast and had to poop. After doing that, I got so exhausted I landed back in bed all afternoon. This was another problem I had during Covid.? At least my resting heart rate was more normal, 98. Day 14: ??Vertigo kicks in on top of everything else. Xanax is the only thing that helps my vertigo so I took that and was in bed all day. Day 15: Didn?t sleep well but a little better. Day 16: Chest pain and breathlessness are worse again. They got worse after I took a shower upon waking up.??? Day 51 (Today, 6/22/21): Chest pain and breathlessness are much better. Still have extra dizziness. Resting heart rate is usually between 88-100 now. Orthostasis has improved but not gone.


VAERS ID: 1419732 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-03-25
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 15029 PATIENT C / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Biopsy, Body temperature, Chills, Colitis, Colonoscopy, Diarrhoea, Dizziness, Fatigue, Gastric ulcer, Haematemesis, Haemorrhoids, Headache, Intestinal congestion, Nausea, Oesophagitis, Pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 101; Test Name: Biopsy; Result Unstructured Data: congested mucosa, non bleeding internal hemorrhoids; Test Name: Colonoscopy; Result Unstructured Data: congested mucosa, non bleeding internal hemorrhoids
CDC Split Type: USJNJFOC20210626711

Write-up: SEVERE ABDOMINAL PAIN; DIARRHEA; PERSISTENT VOMITING WITH BLOOD COMING OUT; NON BLEEDING GASTRIC ULCER; NON BLEEDING HEMORRHOIDS; COLITIS; ESOPHAGITIS; ACHES; CONGESTED MUCOSA; RASH ON STOMACH; CHILLS; FEELING OF WEAKNESS; HEADACHE; NAUSEA; FEVER; FATIGUE; DIZZINESS; This spontaneous report received from a consumer concerned a 53 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 15029 Patient couldn''t read lot, and expiry: unknown) dose was not reported, 1 total administered on 25-MAR-2021 on right arm for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the patient experienced dizziness right away after vaccination. Within couple of days she started to had the other symptoms. On 26-MAR-2021, the patient experienced diarrhea. On an unspecified date, the patient experienced severe abdominal pain (seems to be chronic), persistent vomiting with blood coming out, non bleeding gastric ulcer, non bleeding hemorrhoids, colitis, esophagitis, congested mucosa, rash on stomach, chills, headache, nausea and fever. Some symptoms were on and off but had persistent aches, feeling of weakness and fatigue. On 02-JUN-2021, the patient was hospitalized and discharged on 04-Jun-2021. Laboratory data (dates unspecified) included: Biopsy (NR: not provided) congested mucosa, non bleeding internal hemorrhoids, Body temperature (NR: not provided) 101, and Colonoscopy (NR: not provided) congested mucosa, non bleeding internal hemorrhoids (was banded in the colonoscopy). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from colitis, rash on stomach, persistent vomiting with blood coming out, non bleeding gastric ulcer, non bleeding hemorrhoids, esophagitis, diarrhea, severe abdominal pain, aches, dizziness, congested mucosa, chills, feeling of weakness, headache, nausea, fever and fatigue. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: 20210626711-covid-19 vaccine ad26.cov2.s-Diarrhea, Severe abdominal pain, Persistent vomiting with blood coming out, Non bleeding gastric ulcer, Non bleeding hemorrhoids . This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1419736 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Utah  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210631698

Write-up: CLOTTING PAIN STUFF IN CHEST; THE SHORT ITSELF HURT; This spontaneous report received from a consumer concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced clotting pain stuff in chest, and the short itself hurt. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from clotting pain stuff in chest, and the short itself hurt. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1419744 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, Pyrexia, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Medication errors (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210634102

Write-up: CONVULSION; FEVER; INAPPROPRIATE SCHEDULE OF VACCINE ADMINISTERED; This spontaneous report received from a consumer via social media by company representative concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose (1 total), start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 14-JUN-2021, the patient received second dose of covid-19 vaccine ad26.cov2.s vaccine (inappropriate schedule of vaccine administered), On 14-JUN-2021, the patient experienced convulsion after a couple of hours of getting the vaccine and was hospitalized. On JUN-2021, the patient experienced fever, and was hospitalized (date unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and the outcome of convulsion and inappropriate schedule of vaccine administered was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210634102-covid-19 vaccine ad26.cov2.s-convulsion. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210634102-covid-19 vaccine ad26.cov2.s-fever. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1419755 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:2021-04-27
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Ageusia, Anosmia, Diarrhoea haemorrhagic, Dyspepsia, Dyspnoea, Endoscopy, Feeding disorder, Headache, Malaise, Nausea, Oral pain, Oropharyngeal pain, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Taste and smell disorders (narrow), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Endoscopy; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210642487

Write-up: UNABLE TO BREATHE; STOMACH ON FIRE; NAUSEOUS; UNABLE TO EAT; LOSS OF TASTE UNRELATED TO COVID-19; BLOATING; THROAT PAIN; LOSS OF SMELL UNRELATED TO COVID-19; MOUTH PAIN; THROAT SWELLING; BLOODY DIARRHEA; NOT FEELING GOOD; SEVERE HEADACHES; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and expiry: UNKNOWN) 1 total, dose was not reported, administered on left arm on 27-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-APR-2021, the patient had severe headaches that were not resolved with narcotic and migraine medication. On 05-MAY-2021 (8 days after vaccination), the patient had bloody diarrhea which lasted 3 days. On 16-JUN-2021, the patient was hospitalized for the stomach being on fire and would be getting an endoscopy to rule out an ulcer. The patient also had throat and mouth pain as well as bloating. It was reported that, the patient was unable to breathe because of throat swelling. The patient had visited emergency room on 17-JUN-2021 and 18-JUN-2021. The patient was discharged on 18-JUN-2021. It was reported that, the patient had not felt good since vaccination. On an unspecified date, the patient was being nauseous, unable to eat, loss of taste/smell unrelated to COVID-19. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from bloody diarrhea on 08-MAY-2021, had not recovered from severe headaches, and not feeling good, and the outcome of nauseous, unable to eat, loss of taste unrelated to covid-19, bloating, throat pain, loss of smell unrelated to covid-19, mouth pain, throat swelling, stomach on fire and unable to breathe was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition). This case, from the same reporter is linked to 20210643383.; Sender''s Comments: V0: 20210642487-covid-19 vaccine ad26.cov2.s-bloody diarrhea, stomach on fire, unable to breathe. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1419769 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-20
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210644639

Write-up: DIZZINESS; SLEEPY ALL DAY; This spontaneous report received from a consumer concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 19-JUN-2021 18:50 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 20-JUN-2021, the subject experienced dizziness. On 20-JUN-2021, the subject experienced sleepy all day. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sleepy all day on 20-JUN-2021, and had not recovered from dizziness. This report was non-serious.


VAERS ID: 1420113 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:2021-03-25
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Colonoscopy, Headache, Insomnia, Irritable bowel syndrome
SMQs:, Noninfectious diarrhoea (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (2 drinks per week); Lactose intolerance; Smoker (1 pack per 2 week)
Preexisting Conditions: Medical History/Concurrent Conditions: Bowel resection; Comments: The patient had no known allergies. The patient had no any drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Name: Colonoscopy; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210629309

Write-up: IRRITABLE BOWEL SYNDROME; DIFFICULTY SLEEPING; HEADACHES; This spontaneous report received from a patient concerned a 60-year-old white and not Hispanic or Latino male. The patient''s weight was 280 pounds, and height was 71 inches. The patient''s past medical history included upper/lower GI (gastrointestinal) done take some bowels removed, and concurrent conditions included lactose intolerance, alcohol user (2 Drinks per week), and smoker (1 pack per 2 week). Patient had no known allergies. He had no any drug abuse or illicit drug usage. On an unspecified date colonoscopy was done and result was unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802072 and expiry: UNKNOWN) dose was not reported,1 total administered on 17-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 25-MAR-2021, the patient experienced IBS (irritable bowel syndrome)/stomach pain/constipation/nausea. On same day patient experienced difficulty sleeping and headaches. On an unspecified date, he was admitted to hospital emergency room for several days. His physician was aware of his situation and patient was advised to take Miralax and fiber and was also prescribed morphine during hospital visit. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from difficulty sleeping, IBS (irritable bowel syndrome), headaches. This report was serious (Hospitalization Caused / Prolonged). This case, from the same reporter is linked to 20210629530.; Sender''s Comments: V0: 20210629309-covid-19 vaccine ad26.cov2.s-irritable bowel syndrome. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1420166 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-17
Onset:2021-06-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Ageusia, Anosmia, Rash
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benicar 25mg Lo Loesterin
Current Illness: none
Preexisting Conditions: High Blood Pressure
Allergies: none
Diagnostic Lab Data: went to ER where I was told I had an allergic reaction to the vaccine.
CDC Split Type:

Write-up: Rash all over hands, arms and chest area that appeared the next day and has remained. Also since the vaccine I have had no taste or smell.


VAERS ID: 1420225 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Confusional state, Electrocardiogram, Headache, Hypoaesthesia, Retching, Seizure, Unresponsive to stimuli
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: flu vaccine- hives, vomiting, trouble breathing. youth. Hep A 2nd dose - hives, nausea, 2018
Other Medications: prozac, singulair, claritin, testosterone
Current Illness: none
Preexisting Conditions: asthma, allergies
Allergies: eggs, nuts, ibuprofen, ceclor, penicillin
Diagnostic Lab Data: blood work, ekg, ct scan - 6.21.21
CDC Split Type:

Write-up: seizure reaction within 5 minutes of receiving vaccine. dry heaving, unresponsive, seizure, numbness in both arms, confusion, headache for 24+ hours.


VAERS ID: 1420499 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-05
Onset:2021-05-19
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram, Dizziness, Gait disturbance, Magnetic resonance imaging head abnormal, Speech disorder
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: codiene - allergic
Diagnostic Lab Data: Hospital - CT scan Hospital - MRI, Physical, Speech, and Occupational Tehrapies
CDC Split Type:

Write-up: Stroke, dizziness, speech, and walking inhibitions


VAERS ID: 1420532 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-12
Onset:2021-04-25
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 04A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Computerised tomogram, Headache, Heavy menstrual bleeding, Injection site pain, Injection site reaction, Vertigo
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironolactone, aczone, Retin-A, sprintec
Current Illness:
Preexisting Conditions: Anemic, POTS, Scoliosis, IBS
Allergies:
Diagnostic Lab Data: CT scan 4/25/2021
CDC Split Type:

Write-up: 4/25/2021 went to ER with headache that was over 24 hours, CT scan showed nothing was sent home where head still persisted in total over 48 hours. Veritgo the immediate week after was horrible. Shoulder pain at injection site persisited for 8 weeks. Random burning spots of pain began in injected right arm a couple days after, random burning pain spread to both thighs and continued in thighs and arm for 6-8 weeks after. Periods are heavier than ever before.


VAERS ID: 1420573 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-08
Onset:2021-06-20
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Anticoagulant therapy, Chest pain, Computerised tomogram, Echocardiogram, Flank pain, Laboratory test, Pulmonary embolism, Ultrasound Doppler
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fentanyl patch, oxycodone, lunesta
Current Illness:
Preexisting Conditions: Autoimmune pancreatitis
Allergies: Penicillin, Ceclor, Biaxin, Flagyl
Diagnostic Lab Data: 6/21/21- received lab work, cat scan, echocardiogram and Doppler.
CDC Split Type:

Write-up: Chest pain, abdominal pain and right flank pain 12 days after vaccination. Admitted to the hospital for a pulmonary embolism 13 days after receiving vaccine and discharged the following. Prescribed blood thinner and will be following up with my doctor in a week.


VAERS ID: 1420576 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Hospitalisation, Loss of consciousness, Loss of control of legs
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After getting home, pt lost all control of his arms/legs and body, then blacked out. Neighbor found him passed out in hallway and called ambulance to take to ER. Kept in hospital for 3 days. Patient still has problems with legs as of today not wanting to function


VAERS ID: 1420621 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-09
Onset:2021-05-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Computerised tomogram, Dysgeusia, Ear pain, Eye discharge, Impaired driving ability, Lymphadenopathy, Middle ear effusion, Nausea, Neck pain, Reading disorder, Tinnitus, Visual impairment
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu vaccine in my 20''s I got very sick with flu like symptoms.
Other Medications: I take 25mcg Levothyroxine. I take Dong quai, Rhodiola, Evening primrose oil
Current Illness: None
Preexisting Conditions: None
Allergies: Cipro, Wheat, Latex
Diagnostic Lab Data: 06/23/2021 On my way to urgent care.
CDC Split Type: vsafe

Write-up: Since last report the chemical taste in my mouth went away. I managed to get bac my balance, ability to read, drive and my left and right side are working together again, vision has improved, pain continues at base of neck. I still have some nausea with the ear issue. The tinnitus has gotten worse but only on left ear, It was buzzing but now it is loud ringing. On 06/14/2021 I started getting a fullness of fluid and pain in left ear. I am also having runny eye in left eye, almost allergy like, the eye thing has cleared but the ear thing has not, lymph nodes still very swollen. I did get a cat scan before to rule out a clot and stroke symptoms so they did rule out stroke symptoms. I am redhead and I have heard that people with red hair are more sensitive to the vaccine and I am also small in stature so possibly the dose might be too high. I am also very sensitive to most meds.


VAERS ID: 1420628 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-07
Onset:2021-06-01
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram, Computerised tomogram abnormal, Influenza like illness, Pneumonia, Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: no
Allergies: n/a
Diagnostic Lab Data: got cat scan done at the ER which showed blood clots on his lungs.
CDC Split Type:

Write-up: June 15th he developed flu like symptoms turn into pneumonia


VAERS ID: 1420695 (history)  
Form: Version 2.0  
Age: 1.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-23
Onset:2021-06-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822186 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Dizziness, Feeling abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none known
Current Illness: none know
Preexisting Conditions: none known
Allergies: none known
Diagnostic Lab Data: patient was taken away to er. I don''t know anything about what was done after he left the store except that he was going to get checked out at the ER
CDC Split Type:

Write-up: Patient was sitting down about 5 minutes after the shot. He said his vision was almost black and he felt faint. He requested EMS to be called so I called 911 and ambulance came down. His vision improved alot but he still didn''t feel ok so EMS took him to hospital.


VAERS ID: 1420705 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Lip swelling, Oropharyngeal discomfort
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Received immunization 9:13am. Approximately 10 minutes later, patient complained of a feeling of her lower lip swelling. Also complained of chest tightness and clearing her throat. 9: 27am patient was given 0.30cc epinephrine at the doctor''s office. She was then sent to the emergency room where she was given Benadryl and sent home.


VAERS ID: 1421022 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-25
Onset:2021-06-21
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 048B21A / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrophy, Basophil count decreased, Basophil percentage, Bilirubin urine, Blood glucose, Blood urine, Computerised tomogram, Electrocardiogram, Eosinophil count decreased, Eosinophil percentage, Feeling hot, Full blood count, Haematocrit decreased, Haemoglobin decreased, Hypoaesthesia, Immature granulocyte count, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin, Mean cell haemoglobin decreased, Mean cell volume normal, Mean platelet volume normal, Monocyte count decreased, Monocyte percentage, Neutrophil count normal, Neutrophil percentage, Nitrite urine, Platelet count normal, Protein urine, Red cell distribution width decreased, Specific gravity urine increased, Tremor, Urine analysis, Urine ketone body, Urine leukocyte esterase, Urobilinogen urine, Vitamin C, White blood cell count normal, pH urine
SMQs:, Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Proteinuria (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: pcn
Diagnostic Lab Data: Urinalysis with reflex to culture, if indicated [252485784] Collected: 06/23/21 1309 Order Status: Completed Specimen: URINE,CLEAN CATCH (CCMS) Updated: 06/23/21 1315 Glucose UA PENDING NEGATIVE MG/DL Protein UA PENDING <30 MG/DL Bilirubin UA PENDING NEGATIVE Urobilinogen UA PENDING <2 MG/DL pH UA PENDING <7.0 Blood UA PENDING NEGATIVE Ketones UA PENDING NEGATIVE MG/DL Nitrite UA PENDING NEGATIVE Leukocyte Esterase UA PENDING NEGATIVE UR Appearance PENDING CLEAR Specific Gravity UA PENDING <1.036 Color PENDING YELLOW Clinitest PENDING Ascorbic Acid PENDING MG/DL Site PENDING Comment, Urine Culture PENDING CBC w Auto Diff [252485780] (Abnormal) Collected: 06/23/21 1255 Order Status: Completed Specimen: Blood Updated: 06/23/21 1305 White Blood Cell Count 8.3 4.3 - 10.5 THOUS/uL Red Blood Cell Count 4.11 3.93 - 5.07 MIL/uL Hemoglobin 11.5 Low 11.8 - 14.8 GM/DL Hematocrit 36.2 35.6 - 45.0 % Mean Corpuscular Volume 88.1 83.5 - 95.9 FL Mean Corpuscular Hemoglobin 28.0 27.4 - 32.0 PG Mean Corpuscular Hemoglobin Conc 31.8 31.5 - 34.7 G/DL Rdwcv 13.9 11.8 - 14.2 % Rdwsd 44.9 37.2 - 47.8 FL Platelet Count 295 167 - 402 THOUS/uL Mean Platelet Volume 10.3 8.8 - 12.0 FL Nucleated Red Blood Cells 0.0 0.0 /100 WBC''S Abs NRBC 0.0 0.0 THOUS/uL Differential Type AUTO Neutrophils 65.1 34.0 - 67.9 % Lymphs 20.0 Low 20.4 - 48.6 % Monocytes 8.1 5.0 - 11.5 % Eos 5.0 1.0 - 5.4 % Basos 1.3 0.2 - 1.3 % Neutrophils Absolute Count 5.4 2.1 - 6.6 THOUS/uL Lymphocytes Absolute Count 1.7 1.2 - 3.9 THOUS/uL Monocytes Absolute Count 0.7 0.3 - 0.8 THOUS/uL Eosinophils Absolute Count 0.4 0.1 - 0.4 THOUS/uL Basophils Absolute Count 0.1 0.0 - 0.1 THOUS/uL Imm Gran 0.5 0.1 - 0.7 % Abs Imm Gran 0.04 0.0 - 0.1 THOUS/uL EKG [252485788] Resulted: 06/23/21 1303 Order Status: Completed Updated: 06/23/21 1304 CT Head wo Contrast [252485783] Collected: 06/23/21 1251 Order Status: Completed Updated: 06/23/21 1301 Narrative: EXAMINATION: CT Head without Contrast, Axial Imaging with 2-D Coronal and Sagittal Reconstruction. INDICATION: "Seizure" COMPARISON: None FINDINGS: No mass, midline shift, intracranial hemorrhage, areas of acute macrovascular ischemia, or acute osseous abnormality. No extra-axial fluid collections. Mild bilateral parietal cortical atrophy. Ventricles are normal for age. Slightly dilated Virchow-Robin CSF spaces in the inferior basal ganglia/capsule region. Minimal if any chronic periventricular and deep cerebral white matter microvascular disease in the cerebral hemispheres. Normal gray-white differentiation, with brain parenchyma otherwise unremarkable. Visualized orbits are unremarkable. No significant disease in the partially visualized paranasal sinuses or mastoid air cells. IMPRESSION: 1. No acute intracranial abnormality. 2. Minimal if any chronic periventricular and deep cerebral white matter microvascular disease in bilateral cerebral hemispheres. 3. Mild bilateral parietal cortical atrophy. This CT exam was performed using one or more of the following dose reduction techniques: automated exposure control, adjustment of the mA and/or kV according to patient size, and/or use of iterative reconstruction technique. Radiation Dose: 1118.3 mGy*cm total DLP
CDC Split Type:

Write-up: ER: PT STATES SHE THINKS SHE MAY BE HAVING SEIZURES. PT STATES 2 DAYS AGO SHE HAD AN EPISODE WHERE HER FEET GET HOT THEN GETS NUMB, THEN TRAVELS UP THE REST OF HER BODY. HER LEG GOES STRAIGHT OUT AND THEN HER ARM WRAPS AROUND HER HEAD AND SHE STARTS SHAKING. PT STATES HAD 4 EPISODES 2 DAYS AGO AND 2 EPISODES TODAY.


VAERS ID: 1421148 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-12
Onset:2021-03-21
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: School       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? Yes
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: I was seen at the Hospital in the Emergency Room for a steroid shot and heavy dose of allergy medication. Then the next day I was seen at the Dermatology office to look at my rash - which was related to the J&J vaccine.
CDC Split Type: 1805018

Write-up: Broke out in rash on both legs - from the knee down to ankle


VAERS ID: 1421161 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-22
Onset:2021-03-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Blepharospasm, Blood test, Chills, Computerised tomogram, Disturbance in attention, Headache, Impaired driving ability, Nausea, New daily persistent headache, Pain, Pharyngeal swelling, Photopsia, Sleep disorder, Swelling face, Tremor
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Retinal disorders (narrow), Depression (excl suicide and self injury) (broad), Periorbital and eyelid disorders (narrow), Ocular motility 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? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram
Current Illness:
Preexisting Conditions:
Allergies: Aspirin-anaphylaxis; ibuprofen-anaphylaxis
Diagnostic Lab Data: MRI-ordered, MRD-ordered, MRA-ordered, CT scan-ER, blood work-ER.
CDC Split Type: vsafe

Write-up: Six hours after the vaccine I got chills, headache, stomach upset and swelling in my lower face and throat. I had body aches all over my body but no fever or pain at the injection site. Those symptoms lasted for ten days. I went to ER. I was given medication for the nausea and pain. The chills were a little better by then. The medication helped with everything but the headache. The headache is constant at the back right of my head. I then get other head pain at the same time in my temples on the left. It is a sharp shooting pain. I get flashes of light in my eyes and my eyes start twitching at the sides. I also get pain at the top of my head on the left hand side on occasionally which comes after the temple pain. I sometimes get head pain on the right side with deep concentration. I have recently started to get tremors in my right hand. Sometimes the headache wakes me up at night. I wake up every day with a headache and it has been thirteen weeks. I can not drive or concentrate. I have seen a neurologist but I am still having trouble scheduling scans. I have tried some prescription pain medication and it did not work. I have taken two courses of steroids.


VAERS ID: 1421231 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-04
Onset:2021-05-26
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthropod bite, Blood pressure increased, Erythema, Gait disturbance, Induration, Oedema, Pain in extremity, Pain of skin, Peripheral swelling, Rash macular, Scan abnormal, Skin atrophy, Skin fragility, Skin injury, Skin mass, Skin tightness, Thrombosis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Normal Hydrochorothirozide; Levothyroxine; Loratadine; Iron Supplement
Current Illness: no
Preexisting Conditions: Rheumatoid Arthritis; anemia; asthma; fibromyalgia
Allergies: no
Diagnostic Lab Data: Vein doctor - ran a scan for bloodclots - said it was a clot but not one of concern.
CDC Split Type: vsafe

Write-up: I started with getting red, hard knots in my leg. They were hard, hard knots. Almost felt like blood clot. My blood pressure rose extremely high like never before. Then I got edema. I went to the vein doctor. I saw the nurse assistant and they said it wasn''t a blood clot. Finally, I got to see him at another visit and he thought it was bug bites. But it sounded odd like that I would have these red splotches up and down my legs and they were hard and he put me on Prednisone. The symptoms disappeared completely. About 4 -6 days after the medication was over, all the symptoms re-appeared. At some point, I went to the ER - because I was worried about blood clots. They gave me Cephlex - as they thought it was bug bites - so I was on that for 6 or 7 days. And the symptoms got better with this medication - made it better but not disappear like Prednisone did. Then after that, it was horrible again - the symptoms. I have an appt tomorrow to get checked again. I have never have had this stuff before in my life. My blood pressure is elevated but not so high as it was in the beginning. My legs are in pain - I can''t even touch them. My skin so red - it looks like it''s on fire. I went to Orthopedic doctor thinking it was related to a previous injury or sprain. But they said it wasn''t related to that at all .The skin so tight gets so tight and sore that I can barely walk. The skin is broken like it''s thin and very fragile. My left leg is significantly worse than the right leg in the calf area (it''s two times the size as the right calf). Still have edema I can''t hardly wear shoes. At the end of the day, it''s worse, but still in the morning now they are still swollen.


VAERS ID: 1421234 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-03-26
Onset:2021-03-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Unresponsive to stimuli, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine given to patient at 1302. At 1304 patient began to report being light headed. Patient became unresponsive at 1306. At 1307 epipen was used on patient. Patient then moved to the floor from a chair where they became responsive and began asking what was going on. EMS arrived as patient was moved to the floor and noted that patient had hives on her chest. Patient was taken to hospital where they were observed and sent home with no further complications.


VAERS ID: 1421349 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-18
Onset:2021-03-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Dermatitis contact, Feeling abnormal, Headache, Impaired work ability, Pain, Pain in extremity, Pruritus, Rash, Sluggishness
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Headache for first 24 hours and feeling achy. I felt sluggish around 8:00PM. My mom woke me up in the morning because I was burning up and I took a Tylenol. When I woke up, I had a massive headache and feeling achy all over. Had the headache for about 24 hours and feeling achy. I did go to work later that day, still, I was just a bit sluggish, brain-foggish and achy. I had the brain fog for a few days. I have been having a headache most days - not every day though. Right now she has me taking some magnesium and some Riboflavin to see if that will help. I hydrate quite a bit. June 8th, Rash on my neck - itchy and burning sensation. I applied Cortisone but it wouldn''t go away. On the 11th, I called doctor because it was getting bigger and going across my neck. She told me to stop taking that and she prescribed for me some Clotrimazole but I stopped taking it - it seemed to make the rash worse and one day my throat was closing up and I went to the ER and I took Benadryl before I went in. By time that I got there to see the doctor, it wasn''t so bad. Diagnosed at ER with Contact dermatitis - is diagnosis - and they prescribed a medicine for it - Prednisone and to continue taking Benadryl until the rash disappeared/healed. After about 3 days of that, it seemed to be going away. Right now, it''s healed but there''s still marks from it. There is still a small patch of the rash that is on my neck (where it originated) there and my doctor said to leave it alone for right now. Recently, I have been experiencing some leg pain on my left leg. It''s been hurting lately. Doctor has prescribed an ultrasound to look at my calf and my foot.


VAERS ID: 1421381 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-17
Onset:2021-05-05
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Dehydration, Diarrhoea, Dizziness, Fall, Fluid replacement, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor (generic); flax seed pill; multivitamin
Current Illness: No
Preexisting Conditions: No
Allergies: Broccoli
Diagnostic Lab Data: ER-they gave me intravenous fluid, I was dehydrated.
CDC Split Type: vsafe

Write-up: Right after the vaccine, I experienced no symptoms. I had stomach problems and I felt very woozy and had diarrhea, and I also fainted. I hit my head but not bad at all. I went to the ER. I was dehydrated and they gave me IV. They told me drink liquids and Gatorade. It did help with symptoms. They said that it could have been a virus that was going around or it was food poisoning, one or the other.


VAERS ID: 1421438 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-23
Onset:2021-06-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Feeling cold, Feeling hot, Hyperhidrosis, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient received the J&J vaccine in her L arm at 1:11 pm. Patient was sitting in the observation area and started to complain of feeling warm and dizzy, began at 1:19 pm. Vital signs taken at 1:22 pm, BP 108/66, HR 50, T 97.0, RR 16, O2 99% RA. Patient stated she felt sweaty, cool/clammy and dizzy. She appeared pale and diaphoretic. Patient ambulated indeendently into the seccluded first aid room. Patient lied down onto the cot. Vital signs taken again at 1:28 pm, BP 102/58, HR 54, RR 15, O2 98% RA. Patient said her baseline BP was "normal" but couldn''t remember the numbers. Legs elevated, patient stated she was starting to feel better. Denied dizziness or nausea. At 1:38 HR was 43, 911 called at that time.


VAERS ID: 1421473 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-03
Onset:2021-04-17
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808078 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, Chills, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Electrocardiogram, Fibrin D dimer, Intensive care, Malaise, Mental impairment, Nasopharyngitis, Pain, Painful respiration, Pulmonary thrombosis, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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: Nexium, compounded hormones, Vitamins, Thyroid, Fleuromethelone eye drops, Vita D3, Zinc, Vita C, , Allegra, Flonase
Current Illness: possibly a mild cold
Preexisting Conditions: Osteoarthritis, seasonal allergies, hypothyroidism
Allergies: None
Diagnostic Lab Data: d-dimer, EKG, CT scan of lungs,
CDC Split Type:

Write-up: On Apr 17, 2021 I had COVID symptoms of cold like symptoms, then a night of chills and coughing, followed by aches then weeks of what I thought may be allergies, but not feeling good. I continued to cough, but thought it was attributed to GERD. I wasn''t thinking it could be COVID because I had been vaccinated. By May 18, I was having trouble breathing as it was painful to inhale. I thought I might be having a heart attack so went into the emergency room at Hospital. I tested positive in ER. No heart problem. There were also at least 5 blood clots found in my lungs. It felt like what I imagine it would feel like if my ribs were broken and I was trying to take a deep breath. I continued to have difficulty inhaling because of the pain of doing so into the next day (19th) and part of the 20th. I was administered oxygen and pain meds for the first day. I was put on Eliquis, which I am ordered to take for 6 more months. I was released from ICU on the 20th, which appeared to be a quick turnaround. I still have no energy, lack of clarity of thought, and easily out of breath a month later. In the hospital, I had no fever. The only time I think I did was on April 19th when I had the chills and cough.


VAERS ID: 1421496 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-19
Onset:2021-03-25
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest pain, Computerised tomogram head, Computerised tomogram thorax, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Headache, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (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: Aciphex, Reglan, Baclofen, Alvesco, Albuterol
Current Illness: none
Preexisting Conditions: Fibromyalgia
Allergies: Morphine, Cipro, warfarin, keflex,doxycycline
Diagnostic Lab Data: Complete blood work-up, CT of head and chest, EKG, and echocardiogram. Did not find anything on most tests, but some are still pending results.
CDC Split Type:

Write-up: Shortness of breath, elevated heart rate, chest pain, severe fatigue, headache and dizziness. These symptoms were intermittent,but some occurring every day to differing severities. It is now been over 3 moths and still have symptoms on a regular basis. Most debilitating symptom at this point is the severe fatigue.


VAERS ID: 1421512 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-23
Onset:2021-06-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Anxiety, Asthenia, Diplopia, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Ocular motility 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: Unknown
Current Illness: nausea and vomiting
Preexisting Conditions: Anemia, Asthma
Allergies: Shell fish, peanuts(analphylactic) Cantalope
Diagnostic Lab Data: See above
CDC Split Type:

Write-up: Resident received the vaccine around 1:40PM on 6/23/2021. She waited in the office where vaccine was given with no adverse symptoms reported at end of 15 minute monitoring. She went to work as CNA for her shift and at 2:30PM began to complain of dizziness, double vision, anxiety, weakness and nausea without vomiting. Vital signs where taken. Vital signs at 2:30 were BP=138/48, P=86. T=98.1 and 02 sat=99%. Vitals at 2:45: BP=149/98, P=77, T=98.1, 02sat=99, Vitals at 3:00PM: BP=141/92, P=98, T=97.6, 02sat=94. Resident was encouraged to go the urgent care. Her mother picked her up around 3:15PM.


VAERS ID: 1421571 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Alabama  
Vaccinated:1991-03-25
Onset:2021-05-27
   Days after vaccination:11021
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Autoimmune disorder, Blood test abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram ambulatory, Fatigue, Infusion, Iron deficiency anaemia, Orthostatic hypotension, Osteoarthritis, Pulmonary mass, Pyrexia, X-ray of pelvis and hip abnormal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Multiple rounds of Cm blood work positive for autoimmune disorder (4/21-current), chest CT with nodules on my lung, 2 iron infusions, currently wearing heart monitor and to have stress test on 7/1. X-rays of my hip for osteoarthritis.
CDC Split Type:

Write-up: Symptoms started with fever. Exhaustion and shortness of breath continues now. I have since been diagnosed with an autoimmune disorder and am on at least 5 new medications , iron deficiency anemia for which I have to have iron infusions, and autonomic hypotension.


VAERS ID: 1421826 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-06-23
Onset:2021-06-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood pressure increased, Crying, Dyspnoea, Eyelid function disorder, Hyperhidrosis, Malaise, Muscle strength abnormal, Skin discolouration
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: The patient stated they were fine for the first 15 minutes after the injection, but as they were getting up to leave I could see her color was not good and I made her continue waiting . I got out an ice pack and put on the back of her neck and she leaned forward on another chair to try to get the blood to her head. She started breathing heavier and complaining of her stomach hurting and not feeling well. She was sweating and crying. We called 911 and laid her on the floor with a cushion under her head until they arrived. The patient continued to cry and complain of stomach pain and could not open her eyes. She also had no strength to stay upright. Her blood pressure was elevated at 163/100. The patient was taken by ambulance to the hospital.


VAERS ID: 1422043 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood test, C-reactive protein, Myalgia, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin b, c, d, Coq10, tumeric
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Blood test 4 June 2021. C-reactive protein 3.3
CDC Split Type:

Write-up: Muscle pain starting 3 days after injection of vaccine increasing week after week until a pain level of 9 was reached. First left arm then right arm then neck then both upper legs then lower back.


VAERS ID: 1422050 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-05-11
Onset:2021-06-23
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None known
Current Illness: None known
Preexisting Conditions: None known
Allergies: Acetaminophen with codeine
Diagnostic Lab Data: CTA - 6/23/21 D-Dimer - 3,640
CDC Split Type:

Write-up: Shortness of breath that started on 6/23/21. CT revealed extensive bilateral pulmonary embolisms.


VAERS ID: 1422833 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-08
Onset:2021-06-22
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Chest pain, Dyspnoea, Fibrin D dimer, Laboratory test normal, Neck pain, Pain, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad)

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

Write-up: The patient came to ED c/o sudden onset constant right anterior chest pain radiating to axilla and lateral neck. Sudden sharp pain 10/10 at rest and worse when supine with associated Short of Breath. Troponin was elevated at 0.18, d-dimer <200. All other lab values were normal. The patient is getting admitted for a cardiac workup and further evaluation.


VAERS ID: 1423009 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Axillary pain, Chest pain, Computerised tomogram, Dry eye, Headache, Neck pain, Ocular hyperaemia, Pain in extremity, Parosmia, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Allergy to vitamin B12; Fish allergy; Non-smoker
Preexisting Conditions: Comments: Patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: CT scan; Result Unstructured Data: Normal; Test Name: Diagnostic ultrasound; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210634660

Write-up: NECK PAIN; UNDER ARM PAIN; PAIN IN THE ARMS RADIATES FROM ONE ARM TO THE OTHER (BOTH ARMS); CHEST PAIN; BURNING SMELL; STOMACH PAIN; DRY EYE; RED EYE; HEADACHE; This spontaneous report received from a patient concerned a 59 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non alcoholic, non smoker, vitamin b12 allergy, and fish product allergy, and other pre-existing medical conditions included patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced dry eye. On 10-APR-2021, the subject experienced red eye. On 10-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced stomach pain. On 12-APR-2021, the subject experienced burning smell. Laboratory data included: CT scan (NR: not provided) Normal. On 19-APR-2021, the subject experienced chest pain. On 19-APR-2021, the subject experienced pain in the arms radiates from one arm to the other (both arms). On 22-APR-2021, the subject experienced under arm pain. On 27-APR-2021, the subject experienced neck pain. Laboratory data (dates unspecified) included: Diagnostic ultrasound (NR: not provided) Normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dry eye, and red eye, was recovering from stomach pain, and had not recovered from chest pain, pain in the arms radiates from one arm to the other (both arms), headache, neck pain, burning smell, and under arm pain. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as case was assessed as non-serious.


VAERS ID: 1423014 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-14
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210643538

Write-up: LEG PAIN; This spontaneous report received from a patient concerned a 50 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-APR-2021, the subject experienced leg pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from leg pain on 28-APR-2021. This report was non-serious.


VAERS ID: 1423019 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-03-14
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Computerised tomogram, Headache
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcoholic (Glass of wine very occasionally.); Non-smoker
Preexisting Conditions: Comments: Patient had no known drug allergies. Patient did not take any medication.
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: CT scan; Result Unstructured Data: Not reported; Test Date: 20210414; Test Name: CT scan; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210645489

Write-up: STOMACH ACHE; HEADACHE; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcoholic, and non smoker, and other pre-existing medical conditions included patient had no known drug allergies. patient did not take any medication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-MAR-2021, the subject experienced stomach ache. On 14-MAR-2021, the subject experienced headache. On 14-APR-2021, Laboratory data included: CT scan (NR: not provided) Not reported, Not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from stomach ache, and headache. This report was non-serious.


VAERS ID: 1423029 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-22
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210648219

Write-up: ITCHY THROAT/SCRATCHY THROAT (VERY UNCOMFORTABLE); ANXIETY; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 22-JUN-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 22-JUN-2021, the subject experienced itchy throat/scratchy throat (very uncomfortable). On 22-JUN-2021, the subject experienced anxiety. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from itchy throat/scratchy throat (very uncomfortable), and the outcome of anxiety was not reported. This report was non-serious.


VAERS ID: 1423193 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-06
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Amnesia, Angiogram, Angiogram pulmonary, Angiogram pulmonary abnormal, Anosmia, Balance disorder, Blood gases, Blood magnesium, Blood phosphorus, Blood thyroid stimulating hormone, COVID-19, Chest X-ray, Chest pain, Computerised tomogram, Computerised tomogram head, Computerised tomogram neck, Computerised tomogram thorax, Dizziness, Dysarthria, Dyspnoea, Echocardiogram, Electrocardiogram, Electroencephalogram, Exposure to SARS-CoV-2, Fibrin D dimer, Full blood count, Full blood count normal, Glomerular filtration rate, Glycosylated haemoglobin, Hypoaesthesia, Lipids, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Magnetic resonance imaging thoracic, Metabolic function test, Paranasal sinus discomfort, Presyncope, Pulmonary embolism, Rhinorrhoea, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test negative, SARS-CoV-2 test, SARS-CoV-2 test positive, Scan with contrast, Scan with contrast abnormal, Sneezing, Speech disorder, Transient ischaemic attack, Troponin, Troponin I, Urine analysis, Vaccination failure, Vitamin D
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: High cholesterol
Preexisting Conditions: Comments: The patient had no known allergies. The patient had no current illness at the time of vaccination.
Allergies:
Diagnostic Lab Data: Test Date: 20210406; Test Name: Angiogram; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Angiogram pulmonary; Result Unstructured Data: Abnormal; Test Date: 20210406; Test Name: Blood gases; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Blood magnesium; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Blood phosphorus; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Blood thyroid stimulating hormone; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Chest X-ray; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Computerised tomogram; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Computerised tomogram head; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Computerised tomogram thorax; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Echocardiogram; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Electrocardiogram; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Electroencephalogram; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Fibrin D dimer; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Full blood count; Result Unstructured Data: Normal; Test Date: 20210406; Test Name: Glomerular filtration rate; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Glycosylated haemoglobin; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Lipids; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Magnetic resonance imaging head; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Magnetic resonance imaging spinal; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Metabolic function test; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: SARS-CoV-2 antibody test; Result Unstructured Data: Negative; Test Date: 20210406; Test Name: SARS-CoV-2 test; Result Unstructured Data: Positive; Test Date: 20210406; Test Name: Scan with contrast; Result Unstructured Data: Abnormal; Test Date: 20210406; Test Name: Troponin; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: Angiogram pulmonary; Result Unstructured Data: Not reported; Test Date: 20210406; Test Name: COVID-19 virus test; Result Unstructured Data: Positive; Test Date: 20210411; Test Name: SARS-CoV-2 PCR test; Result Unstructured Data: Positive; Test Date: 20210413; Test Name: Basic metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210413; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210413; Test Name: EKG; Result Unstructured Data: Normal; Test Date: 20210415; Test Name: Phosphorus; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: Magnesium; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: TSH; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: Troponin I; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: Urine analysis; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210415; Test Name: SARS-CoV-2 IgG antibody test; Result Unstructured Data: Negative; Test Date: 20210415; Test Name: EKG; Result Unstructured Data: Normal; Test Date: 20210415; Test Name: Chest X-ray; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: CT scan; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Computerised tomogram thorax; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Basic metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Phosphorus; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Magnesium; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: HbA1C; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Echocardiogram; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Lipids; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Vitamin D; Result Unstructured Data: Not reported; Test Date: 20210416; Test Name: Troponin I; Result Unstructured Data: Not reported; Test Date: 20210417; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210417; Test Name: Fibrin D dimer; Result Unstructured Data: Not reported; Test Date: 20210418; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: Basic metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: Estimated glomerular filtration rate; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: Troponin I; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: Chest X-ray; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: EKG; Result Unstructured Data: Not reported; Test Date: 20210421; Test Name: Computerised tomogram thorax; Result Unstructured Data: Pulmonary embolism w/ IV contrast; Test Date: 20210424; Test Name: Computerised tomogram head; Result Unstructured Data: Not reported; Test Date: 20210424; Test Name: Arterial blood gases; Result Unstructured Data: Not reported; Test Date: 20210424; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210424; Test Name: SARS-CoV-2 IgG antibody test; Result Unstructured Data: Positive; Test Date: 20210424; Test Name: Troponin I; Result Unstructured Data: Not reported; Test Date: 20210424; Test Name: EKG; Result Unstructured Data: Not reported; Test Date: 20210424; Test Name: Chest X-ray; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Phosphorus; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Magnesium; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: HbA1C; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: MRI brain; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Echocardiogram; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Chest CT; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Computerised tomogram head; Result Unstructured Data: Not reported; Test Date: 20210425; Test Name: Computerised tomogram neck; Result Unstructured Data: Not reported; Test Date: 20210426; Test Name: Lipids; Result Unstructured Data: Not reported; Test Date: 20210426; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210427; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210427; Test Name: EEG; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Magnetic resonance imaging spinal; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: SARS-CoV-2 IgG antibody test; Result Unstructured Data: Positive; Test Date: 20210428; Test Name: Fibrin D dimer; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Phosphorus; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Magnesium; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Basic metabolic panel; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Magnetic resonance imaging spinal; Result Unstructured Data: Not reported; Test Date: 20210428; Test Name: Magnetic resonance imaging thoracic; Result Unstructured Data: Not reported; Test Date: 20210430; Test Name: SARS-CoV-2 PCR test; Result Unstructured Data: Positive; Test Date: 20210430; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210501; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210501; Test Name: Phosphorus; Result Unstructured Data: Not reported; Test Date: 20210501; Test Name: Magnesium; Result Unstructured Data: Not reported; Test Date: 20210503; Test Name: CBC; Result Unstructured Data: Not reported; Test Date: 20210503; Test Name: Phosphorus; Result Unstructured Data: Not reported; Test Date: 20210503; Test Name: Magnesium; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210609990

Write-up: ANGIOGRAM PULMONARY ABNORMAL; SCAN WITH CONTRAST ABNORMAL; SARS-COV-2 TEST POSITIVE; FULL BLOOD COUNT NORMAL; SARS-COV-2 ANTIBODY TEST NEGATIVE; ANGIOGRAM; ANGIOGRAM PULMONARY; BLOOD GASES; BLOOD MAGNESIUM; BLOOD PHOSPHORUS; BLOOD THYROID STIMULATING HORMONE; CHEST X-RAY; COMPUTERISED TOMOGRAM; COMPUTERISED TOMOGRAM HEAD; COMPUTERISED TOMOGRAM THORAX; ECHOCARDIOGRAM; ELECTROCARDIOGRAM; ELECTROENCEPHALOGRAM; FIBRIN D DIMER; GLOMERULAR FILTRATION RATE; GLYCOSYLATED HAEMOGLOBIN; MAGNETIC RESONANCE IMAGING HEAD; MAGNETIC RESONANCE IMAGING SPINAL; METABOLIC FUNCTION TEST; SCAN WITH CONTRAST; TROPONIN; LIPIDS; PULMONARY EMBOLISM; TRANSIENT ISCHAEMIC ATTACK; AGEUSIA; AMNESIA; ANOSMIA; BALANCE DISORDER; CHEST PAIN; COVID-19; DIZZINESS; DYSARTHRIA; DYSPNOEA; EXPOSURE TO SARS-COV-2; PRESYNCOPE; RHINORRHOEA; SNEEZING; PARANASAL SINUS DISCOMFORT; HYPOAESTHESIA; SPEECH DISORDER; CONFIRMED CLINICAL VACCINATION FAILURE; This spontaneous report received from a patient via a Regulatory Authority, VAERS (Vaccine Adverse Event Reporting System) (VAERS ID 1347147), concerned a 38 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high cholesterol. The patient had no known allergies. The patient had no current illness at the time of vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1802070 expiry: UNKNOWN) dose was not reported, 1 total administered to left arm on 03-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the patient experienced pulmonary embolism, ageusia, amnesia, anosmia, balance disorder, chest pain, dysarthria, dyspnoea, paranasal sinus discomfort, presyncope, rhinorrhoea, scan with contrast abnormal, sneezing, speech disorder, dizziness, hypoaesthesia, angiogram, angiogram pulmonary, angiogram pulmonary abnormal, blood gases, blood magnesium, blood phosphorus, blood thyroid stimulating hormone, chest x-ray, computerised tomogram, computerised tomogram head, computerised tomogram thorax, echocardiogram, electrocardiogram, electroencephalogram, exposure to sars-cov-2, fibrin D dimer, full blood count normal, glomerular filtration rate, glycosylated haemoglobin, lipids, magnetic resonance imaging head, magnetic resonance imaging spinal, metabolic function test, sars-cov-2 antibody test negative, sars-cov-2 test positive and troponin. More than 30 days after receiving the Janssen vaccine (on 06-APR-2021) the patient tested positive for COVID-19 (Confirmed COVID-19 Infection) and was confirmed Clinical Vaccination Failure, the patient experienced symptoms runny nose, sneezing, and sinus pressure/burning. Laboratory data included: Angiogram (NR: not provided) Not reported, Angiogram pulmonary (NR: not provided) Not reported, Angiogram pulmonary (NR: not provided) Abnormal, Blood gases (NR: not provided) Not reported, Blood magnesium (NR: not provided) Not reported, Blood phosphorus (NR: not provided) Not reported, Blood thyroid stimulating hormone (NR: not provided) Not reported, Chest X-ray (NR: not provided) Not reported, Computerised tomogram (NR: not provided) Not reported, Computerised tomogram head (NR: not provided) Not reported, Computerised tomogram thorax (NR: not provided) Not reported, Echocardiogram (NR: not provided) Not reported, Electrocardiogram (NR: not provided) Not reported, Electroencephalogram (NR: not provided) Not reported, Fibrin D dimer (NR: not provided) Not reported, Full blood count (NR: not provided) Normal, Glomerular filtration rate (NR: not provided) Not reported, Glycosylated haemoglobin (NR: not provided) Not reported, Lipids (NR: not provided) Not reported, Magnetic resonance imaging head (NR: not provided) Not reported, Magnetic resonance imaging spinal (NR: not provided) Not reported, Metabolic function test (NR: not provided) Not reported, SARS-CoV-2 antibody test (NR: not provided) Negative, SARS-CoV-2 test (NR: not provided) Positive, Scan with contrast (NR: not provided) Abnormal, Covid-19 virus test (NR: not provided) Positive and Troponin (NR: not provided) Not reported. On 11-APR-2021 tested for COVID-19 (nasal swab, PCR test) after a family member tested positive (confirmed covid-19 infection). Laboratory data included: SARS-CoV-2 PCR test (NR: not provided) Positive. On 13-APR-2021, Laboratory data included: Basic metabolic panel (NR: not provided) Not reported, CBC (NR: not provided) Not reported, and EKG (electrocardiogram) was normal. On 12-APR-2021 symptoms worsened including shortness of breath, chest pain, complete loss of taste and smell. On 13-APR-2021 the patient received sought treatment for breathing difficulty at ER (emergency room) and was instructed to rest at home. On 14-APR-2021 the patient received sought treatment for breathing difficulty at PCP (primary care physician) medical center and was prescribed prednisone. On 15-APR-2021 symptoms worsened including shortness of breath, chest pain, numbness in face/arms/legs, dizziness, loss of balance, memory and speaking difficulty, near fainting and patient received sought treatment at emergency room. The patient was held in hospital for three days and was treated with remdesivir (3 doses) and supplemental oxygen. Laboratory data included: CBC (complete blood count) Not reported, Chest X-ray (NR: not provided) Not reported, Comprehensive metabolic panel (NR: not provided) Not reported, EKG (electrocardiogram) Normal, Magnesium (NR: not provided) Not reported, Phosphorus (NR: not provided) Not reported, SARS-CoV-2 IgG antibody test (NR: not provided) Negative, TSH (thyroid stimulating hormone) Not reported, Troponin I (NR: not provided) Not reported, and Urine analysis (NR: not provided) Not reported. On 16-APR-2021, Laboratory data included: Basic metabolic panel (NR: not provided) Not reported, CBC (complete blood count) Not reported, Computerised tomogram scan (NR: not provided) Not reported, Computerised tomogram thorax (NR: not provided) Not reported, Echocardiogram (NR: not provided) Not reported, HbA1C (Glycated hemoglobin) Not reported, Lipids (NR: not provided) Not reported, Magnesium (NR: not provided) Not reported, Phosphorus (NR: not provided) Not reported, Troponin I (NR: not provided) Not reported, and Vitamin D (NR: not provided) Not reported. On 17-APR-2021, Laboratory data included: Comprehensive metabolic panel (NR: not provided) Not reported, and Fibrin D dimer (NR: not provided) Not reported. On 18-APR-2021 the patient was discharged from hospital. The patient reports that the symptoms did not improve following discharge. On 18-APR-2021, Laboratory data included: Comprehensive metabolic panel (NR: not provided) Not reported. On 21-APR-2021, the patient undergone sought treatment for ongoing symptoms and was instructed to rest at home. Laboratory data included: Basic metabolic panel (NR: not provided) Not reported, CBC (complete blood count) Not reported, Chest X-ray (NR: not provided) Not reported, Computerised tomogram thorax was found to be pulmonary embolism with contrast, EKG (electrocardiogram) Not reported, Estimated glomerular filtration rate (NR: not provided) Not reported, and Troponin I (NR: not provided) Not reported. On 24-APR-2021 the patient reports that the symptoms were continued to worsen including shortness of breath, chest pain, numbness in face/arms/legs, dizziness, loss of balance, memory and speaking difficulty, near fainting, and slurred/incoherent speech. Laboratory data included: Arterial blood gases (NR: not provided) Not reported, Chest X-ray (NR: not provided) Not reported, Comprehensive metabolic panel (NR: not provided) Not reported, Computerised tomogram head (NR: not provided) Not reported, EKG (electrocardiogram) Not reported, SARS-CoV-2 IgG antibody test (NR: not provided) Positive, and Troponin I (NR: not provided) Not reported. On 25-APR-2021 the patient received sought treatment at emergency room and admitted to hospital on the same day again, patient was diagnosed with probable TIA (transient ischaemic attack) and was treated with Optiflow high-flow oxygen therapy, nebulizer, and steroids. Laboratory data included: CBC (complete blood count) Not reported, Comprehensive metabolic panel (NR: not provided) Not reported, Computerised tomogram head (NR: not provided) Not reported, Computerised tomogram neck (NR: not provided) Not reported, Computerised tomogram thorax (NR: not provided) Not reported, Echocardiogram (NR: not provided) Not reported, HbA1C (Glycated hemoglobin) Not reported, Magnetic resonance imaging brain (NR: not provided) Not reported, Magnesium (NR: not provided) Not reported, and Phosphorus (NR: not provided) Not reported. On 26-APR-2021, Laboratory data included: CBC (complete blood count) Not reported, and Lipids (NR: not provided) Not reported. On 27-APR-2021, Laboratory data included: CBC (NR: not provided) Not reported, and electroencephalogram (EEG) (NR: not provided) Not reported. On 28-APR-2021, Laboratory data included: Basic metabolic panel (NR: not provided) Not reported, CBC (complete blood count) Not reported, Fibrin D dimer (NR: not provided) Not reported, Magnesium (NR: not provided) Not reported, Magnetic resonance imaging spinal (NR: not provided) Not reported, Magnetic resonance imaging thoracic (NR: not provided) Not reported, Phosphorus (NR: not provided) Not reported, and SARS-CoV-2 IgG antibody test (NR: not provided) Positive. On 30-APR-2021, Laboratory data included: CBC (NR: not provided) Not reported, and SARS-CoV-2 PCR test (NR: not provided) Positive. On 01-MAY-2021 The patient was transferred to in-patient rehabilitation for physical and occupational therapy, Laboratory data included: CBC (complete blood count) Not reported, Magnesium (NR: not provided) Not reported, and Phosphorus (NR: not provided) Not reported. On 03-MAY-2021, Laboratory data included: CBC (complete blood count) Not reported, Magnesium (NR: not provided) Not reported, and Phosphorus (NR: not provided) Not reported. On 06-MAY-2021 patient was discharged from in-patient rehabilitation and was prescribed with out-patient physical and occupational therapy to resolve remaining dizziness, balance, and endurance deficits. The patient was hospitalized for 16 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from ageusia, amnesia, angiogram pulmonary abnormal, anosmia, balance disorder, blood gases, chest pain, dysarthria, dyspnoea, paranasal sinus discomfort, presyncope, pulmonary embolism, rhinorrhoea, scan with contrast abnormal, sneezing, speech disorder, transient ischaemic attack, blood magnesium, blood phosphorus, blood thyroid stimulating hormone, chest x-ray, computerised tomogram, computerised tomogram head, computerised tomogram thorax, covid-19, dizziness, echocardiogram, electrocardiogram, electroencephalogram, exposure to sars-cov-2, fibrin d dimer, full blood count normal, glomerular filtration rate, glycosylated haemoglobin, hypoaesthesia, lipids, magnetic resonance imaging head, magnetic resonance imaging spinal, metabolic function test, sars-cov-2 antibody test negative, sars-cov-2 test positive, troponin, angiogram, angiogram pulmonary, and scan with contrast, and the outcome of confirmed clinical vaccination failure was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition). The case is associated with Product Quality Complaint number: 90000181966. The suspected product quality complaint has been confirmed to be not confirmed. The reported allegation was not confirmed and the root cause was determined to be not manufacturing related, based on the PQC evaluation/investigation performed. Additional information was received from Central Complaint Vigilance on 21-JUN-2021. The following information was updated and incorporated into the case narrative: Product complaint investigation result was added.; Sender''s Comments: V1. The follow-up information in this version updates Product complaint investigation result. This updated information does not alter causality of previously reported events. 20210609990 -covid-19 vaccine ad26.cov2.s - Pulmonary embolism , transient ischaemic attack, Ageusia, amnesia, angiogram pulmonary abnormal, angiogram pulmonary , anosmia, balance disorder, blood gases, chest pain,dysarthria, dyspnoea, paranasal sinus discomfort, presyncope, rhinorrhoea, scan with contrast abnormal, sneezing, speech disorder, blood magnesium, blood phosphorus, blood thyroid stimulating hormone, chest x-ray, computerised tomogram, computerised tomogram head, computerised tomogram thorax, covid-19, dizziness, echocardiogram, electrocardiogram, electroencephalogram, exposure to sars-cov-2, fibrin d dimer, full blood count normal, glomerular filtration rate, glycosylated haemoglobin, hypoaesthesia, lipids, magnetic resonance imaging head, magnetic resonance imaging spinal, metabolic function test, sars-cov-2 antibody test negative, sars-cov-2 test positive, troponin, and angiogram. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). 20210609990-covid-19 vaccine ad26.cov2.s-Confirmed clinical vaccination failure. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1423434 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-06-22
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207821A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram normal, Headache, Tension headache, Urine analysis
SMQs:, Hearing impairment (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: Sertraline, 100mg
Current Illness:
Preexisting Conditions: Anemia.
Allergies: Penicillins
Diagnostic Lab Data: Stroke diagnostic, CAT scan showed clear, urine sample taken.
CDC Split Type:

Write-up: Two weeks of sporadic headaches followed by four days of constant tension headaches behind ears, followed by Bell?s Palsy of the right side of the face.


VAERS ID: 1423594 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-08
Onset:2021-06-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Decreased activity, Impaired work ability, Inflammation, Laboratory test
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: I started feeling intense chest pain a couple of days after vaccination. I went to the ER for the pain. Later I was referred to a cardiologist where they conducted additional testing. They found inflammation. I cant do any strenuous activity and they have to do further testing on my heart, which is interfering with my job. I''m still having the chest pain.


VAERS ID: 1423605 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-08
Onset:2021-06-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Impaired work ability, Inflammation
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: I started feeling intense chest pain a couple of days after vaccination. I went to the ER for the pain. Later I was referred to a cardiologist where they conducted additional testing. They found inflammation. I cant do any strenuous activity and they have to do further testing on my heart, which is interfering with my job. I''m still having the chest pain.


VAERS ID: 1423703 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-20
Onset:2021-05-29
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Bell's palsy, Chest X-ray, Dysstasia, Facial paralysis, Gait disturbance, Guillain-Barre syndrome, Headache, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture, Magnetic resonance imaging spinal, Muscular weakness, Neuralgia, Pain in extremity, Viral infection, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: finasteride
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: June 3, 2021 - Chest X-Ray June 7, 2021 - Lumbar Puncture June 8, 2021 - Lumbar MRI Final Diagnoses - DVT Prophylaxis, Facial neuropathy, Guillain-Barre Syndrome, Headache, Neuropathic pain, Weakness,
CDC Split Type:

Write-up: Beginning on May 29, 2021, symptoms began with persistent headache and numbness in legs and feet. By June 2, 2021, severe pain in legs, arms, abdomen with throbbing headache, barely able to stand up or walk. Went to emergency room evening of June 2, 2021, but was released with suspected viral infection and was told symptoms should subside. Symptoms got worse, with the addition of full facial paralysis and revisited same emergency room on June 6, 2021. Admitted to hospital and diagnosed with Guillian-Barre Syndrome. Spent six days in hospital receiving IGIV treatment over five nights. Released on June 12, 2021 with severe upper body weakness, limited leg weakness, constant headaches, Bell''s palsy and deteriorated vision. After two weeks of recovery, including doctor''s visits and physical therapy, still weakness in limbs and Bell''s palsy with deteriorated vision.


VAERS ID: 1423736 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-03-22
Onset:2021-04-13
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Atrial fibrillation, Injection site swelling, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Supraventricular tachyarrhythmias (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losaratan, hydrocholothiazide, tylenol, advil, alavert, nasacort
Current Illness: High Blood Pressure
Preexisting Conditions: High Blood Pressure, obesity
Allergies: Levequin
Diagnostic Lab Data: A-Fib
CDC Split Type:

Write-up: Injection site swelling under arm for 2 weeks, 3 weeks after injection had an A-Fib event, now on blood thinners and heart meds, no issues BEFORE vaccination


VAERS ID: 1424235 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-25
Onset:2021-06-15
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain of skin, Pruritus, Skin burning sensation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Androgel 1.62
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient first displayed hives in a localized area just above the beltline. Within 6 hours, the hives spread across the patient''s entire body from head to foot. Hives were itchy, burning and painful. Hives were evaluated by healthcare professionals and determined not to be shingles or some other known condition. The hives have waned through several courses of treatment, but still remain present.


VAERS ID: 1424278 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-24
Onset:2021-06-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Diabetes mellitus, Dyspnoea, Hyperhidrosis, Skin warm, Tongue pruritus, Tremor
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: the patient came back med opts 1 shaky, warm, and slightly sweaty. she said her tongue was itchy and had slightly labored breathing. Patient also said she was diabetic and was given apple juice. Vitals- TIME: 4:37 HR: 116 RESP: 14 BP:168/100 SP02: 94%


VAERS ID: 1424366 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-06
Onset:2021-06-22
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chest discomfort, Computerised tomogram thorax abnormal, Differential white blood cell count, Dyspnoea, Electrocardiogram, Full blood count, Metabolic function test, Neck pain, Pulmonary embolism, Thrombosis, Troponin I
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CBC w/ differential (6/24/2021) CMP (6/24/2021) Troponin 1 (6/24/2021) CT Scan (6/24/2021) ECG (6/24/2021)
CDC Split Type:

Write-up: Shortness of breath, chest tightness, pain in shoulder, neck, and lower back. Symptoms started on 6/22/2021. Went to ER on 6/24/2021. Diagnosed with pulmonary embolism (multiple clot in left lung). Labs and imagining done, now on medication.


VAERS ID: 1424381 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-20
Onset:2021-05-21
   Days after vaccination:62
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Heart rate increased, Injection site pain, Supraventricular tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Extravasation events (injections, infusions and implants) (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Tetanus vaccine- experience a fever of 102F when I received this vaccine.
Other Medications: Nortriptyline 150mg, Neurontin 2700mg, Hydrocodone 30mg, OTC Tylenol
Current Illness:
Preexisting Conditions: Rheumatoid arthritis, Hypermobile EDS
Allergies:
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I experienced two months after my J&J vaccine- soreness to my left arm with pain that lasted two weeks. I also experienced SVT, supraventricular tachycardia, my heart rate went up to 103 bpm and my heart rate could not go down. I went to ER where they helped my heart rate go down and I am still being monitored for SVT.


VAERS ID: 1424401 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-21
Onset:2021-06-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Headache, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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: Unknown
Preexisting Conditions: Unknown
Allergies: Penicllin
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Pt stated she went to ER the day after the vaccination (on 6/22/21) complaining of headache, fever, rash, and shortness of breath. She went to the ER a second time on 6/24/21 again complaining of shortness of breath. In pharmacy she stated she was concerned about blood clots because she has family history with them. She was prescribed albuterol inhaler and prednisone. She has an appointment to see her primary care physician.


VAERS ID: 1424406 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-07
Onset:2021-04-01
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Blood test, Pruritus, Skin tightness, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol, Amlodipine, Hydrochlorzide
Current Illness: No
Preexisting Conditions: Arthritis
Allergies: Penicillin, Sulfa
Diagnostic Lab Data: Blood work
CDC Split Type: vsafe

Write-up: It started with my left palm exp warm to touch(felt like slight fever around some areas) and itching all over skin.The symptoms will come and go after touching items causes whelps to appear. Around a week ago it was hard to make a fist(both hands) from the continuous itching on my hands. I have went to the doctor was prescribed Cetirizine and prescribed hydroxyzine by the ER. I have appt on 7/12 to see a Dermatologist.


VAERS ID: 1424409 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-06-17
   Days after vaccination:71
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram, Balance disorder, Blood test, Cerebrovascular accident, Chest X-ray, Computerised tomogram head, Echocardiogram, Electrocardiogram, Facial paralysis, Hypoaesthesia, Magnetic resonance imaging head, Malaise, Perfusion brain scan
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Vestibular disorders (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol tar 25mg 1 tab 2x daily Amlodipine 2.5mg 1 tab in morning Atorvastatin 10mg 1 tab at bedtime Vitamin D3 Vitamin B-12
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfur Codeine
Diagnostic Lab Data: Blood panel CT Head w/o contrast CT Brain perfusion add-on CTA Head CTA Neck XR chest MRI head w/o contrast EKG 12-lead Carotid duplex bilat Echo complete with bubble
CDC Split Type:

Write-up: My mom had a stroke on 6/17/2021 and was hospitalized. A week or so before the stroke, my mom lost feeling in the fingers of her right hand and didn?t feel well...but she didn?t feel sick, just not her normal self. The stroke spidered out over both sides of her brain. Mom is off balance, her mouth droops on the right and that side of her face is numb. The doctors in hospital could see what happened to my mom but were puzzled why because she?s so healthy with no prior issues which would cause a stroke. We saw mom?s primary care doctor after release from hospital. She was very surprised that mom had a stroke as nothing in blood work, her health or family history would indicate that this would happen. Doctor said it was probably the COVID-19 vaccine.


VAERS ID: 1424438 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-05-21
Onset:2021-05-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Eye pain, Lacrimation increased, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Lacrimal disorders (narrow), Hypoglycaemia (broad)

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

Write-up: left eye painful, watering, blurry, er visit antibiotic drops,


VAERS ID: 1424440 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-06-18
Onset:2021-06-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Bacterial infection, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Product administered to patient of inappropriate age, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pediatric patient presented to Covid vaccination clinic for scheduled second dose of Pfizer. Inadvertently patient received 0.3ml of Janssen vaccine instead of 0.3 ml of Pfizer vaccine. Patient has had fever, headache, nausea, vomiting, muscles aches, fatigue and diarrhea off and on since vaccination. On 6/24/21 at 12:30AM went to ER due to headache, vomiting, diarrhea and weakness. Diagnosed with a bacterial infection in his stool. Given medicine for pain and vomiting. Per mom, all tests done including for concerns with blood, heart and brain were all normal.


VAERS ID: 1424452 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure measurement, Heart rate decreased, Mydriasis, Pallor, Peripheral coldness
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypotonic-hyporesponsive episode (broad)

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

Write-up: After I administered the vaccine the patient''s pupils became dilated right after I finished injecting vaccine. On my question whether he was doing ok he answered yes, then stood up and walked out of the immunization room. While walking he walked directly into the end cap of the aisle. I rushed to him and with another customer and his mom was able to handle to make him sit on a chair. I kept talking to him while tried to keep him alert waiting for EMT. Another customer turned out to be EMT healthcare professional so he was helping me to keep the patient alert as he was losing his conscience, and we tried by any means to prevent this to happen. I pour a cold water on the back of his neck and put on the fan. His pulse was slow as well as his blood pressure as his whole body became very pale and cold to touch. However, he was alert as he was able to answer questions of how old he was, what type of education he was about to get and at what location he was pursuing his career. So, it was sort of a "zombie" state of mind which scared me the most. I have been practicing as a Pharmacist for six years as well as immunize people according to NYS Department of Health authorization and I never ever saw such a reaction before.


VAERS ID: 1424453 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-24
Onset:2021-06-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Gait disturbance, Hyperhidrosis, Lacrimation increased, Nasal congestion, Tunnel vision
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Retinal disorders (narrow), Vestibular disorders (broad), Lacrimal disorders (narrow), Hypoglycaemia (broad)

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

Write-up: Pt received JJ vaccination, sat in the observation area for 15 minutes, when his 15 minute observation time lapsed the patient got up to leave and I noted pt walking towards the exit with a staggered gait. I immediately asked the patient if he was ok and got him seated. Pt noted to be diaphoretic with no signs of distress. Pt was breathing and speaking in clear complete sentences and denied chest pain, shortness of breath and swelling to the mouth/ throat. Pt stated he started to experience tunnel vision when he got up and felt dizzy. Its vitals were taken and noted to be stable. I offered to call EMS which patient declined. Pt drank water and ate chips while being observed and vitals were repeated approximately 10 mins later at which time patients vitals were stable and diaphoresis resolved. While patient was being monitored I noted he seemed to be experiencing nasal congestion and left eye watering. Pts lungs remained clear to auscultation bilaterally. I offered to call EMS again and pt agreed. I called EMS who arrived approximately 4 mins later. Pt was evaluated by EMS and taken to local hospital with a stable disposition.


VAERS ID: 1424458 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-24
Onset:2021-06-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Hives


VAERS ID: 1424580 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-06
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Shrimp, radish, ginger
Diagnostic Lab Data:
CDC Split Type:

Write-up: AIDP


VAERS ID: 1425195 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-09
Onset:2021-06-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cardiac flutter, Computerised tomogram head, Electrocardiogram, Magnetic resonance imaging head, Oscillopsia, Vertigo, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Ehler-Danlos hyper mobility
Allergies: None
Diagnostic Lab Data: 6/22 EKG, brain CT, Brain MRI during ER visit blood work on 6/17 and 6/22
CDC Split Type:

Write-up: Heart fluttering for 7 days after than vertigo and jumpy/blurry vision from day 4 post vaccination through today-day 15


VAERS ID: 1425761 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-18
Onset:2021-06-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820096 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray normal, Chills, Cold sweat, Dehydration, Dizziness, Fatigue, Muscular weakness, SARS-CoV-2 test negative, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (narrow), COVID-19 (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: Gabapentin, Effexor, inositol, birth control, fluconazole
Current Illness: Valley fever (no symptoms, clear chest X-ray)
Preexisting Conditions: Asthma, eczema, migraines, PCOS, endometriosis
Allergies: Coconut, nuts, fish, macrobid, imitrex
Diagnostic Lab Data: COVID-19 test (negative), chest X-ray (clear), blood tests (no sign of infection), urinalysis (elevated ketones)?6/23/2021
CDC Split Type:

Write-up: Chills, cold sweats, dizziness, fatigue, muscle weakness, other dehydration symptoms


VAERS ID: 1425819 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Haemorrhage, Pain
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210644813

Write-up: This spontaneous report received from a consumer via social media (Facebook) concerned a patient of unspecified age and sex with unknown ethnicity and race.The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received COVID-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, two weeks later the vaccination, patient was in emergency room with severe pain and bleeding in upper leg. On discharge paper, it was mentioned that patient had probable exposure to COVID-19. The action taken with COVID-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe pain and bleed in upper leg was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 20210644813-covid-19 vaccine ad26.cov2.s-Bleeding upper leg. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1425853 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Not reported; Test Name: Blood test; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210649091

Write-up: THROMBOCYTOPENIA; This spontaneous report received from a patient concerned a 35 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) 1 total, dose was not reported, administered on 15-JUN-2021 12:00 PM for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 20-JUN-2021 at 21:30, the patient had a bruise with a radius of 15 centimeters on forearm and not on the site of vaccination. On an unspecified date, the patient had thrombocytopenia. The patient visited emergency room for a blood test, but he was in the category of normal thrombocytopenia and thrombosis-related levels. At the time of this report, the patient''s thrombocytopenia trend was being monitored by taking blood tests every day. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of thrombocytopenia was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210649091 - Covid-19 vaccine ad26.cov2.s- thrombocytopenia. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1425908 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram abnormal, Embolism arterial, Peripheral swelling, Pulmonary embolism, Right ventricular dysfunction, Thrombosis, Ultrasound Doppler abnormal, Venous occlusion, Venous thrombosis limb, Ventricular hypertrophy
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CT Chest PE protocol 5/2/21 multiple pulmonary thromboemboli with right heart strain US Venous Doppler 5/12/21- Multiple occlusive clots right leg TTE- Mild left ventricular wall thickening
CDC Split Type:

Write-up: After receiving , approx. next day, patient noted shortness of breath which worsened over the course of a few weeks. Right leg began to swell with some chest pain approx. 2 days before admission. He presented to ER, CT Chest Protocol showed multiple pulmonary thromboemboli, distal left and right main pulmonary arteries and several segmental branches. and had right heart strain. Venous Doppler of right leg revealed complete occlusion of multiple veins. He was admitted to hospital for anti-coagulation.


VAERS ID: 1426459 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-06
Onset:2021-06-16
   Days after vaccination:71
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041AZIA / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aleve, Premarin
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CT scan, MRI,
CDC Split Type:

Write-up: ischemic stroke, tPA, no lasting physical effects detected


VAERS ID: 1426467 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-10
Onset:2021-06-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Erythema, Pruritus, Rash, Skin burning sensation, Skin weeping
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan Potassium 100 ml, Ezetimbe 10 ml, Aspirin 81ml, B12 2500 ml, Vitamin C 500ml, Zertec 10ml, Calcium 600ml, Vitamin D3 800 IU, Zinc 50ml, Botin 1000 mgc,
Current Illness:
Preexisting Conditions: High blood pressure, high chlestrolol, Gilbert syndrome
Allergies: Bactirim, Doxycycline, Hydrochlorothiazide, Penecilin, Statins, Vancmycin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: While working in garden, notice two purple dot. No puncture, no itching, no swelling,. Dot had lasted 3l lasted 3 weeks. Then four days after the shot, itching, oozing, blisters, rash, burning, grew to 6in by 2in purple "road rash." Went to demetologist, Urgent care, ER within 4 days. Follow up with with dermetologist.


VAERS ID: 1426481 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-25
Onset:2021-06-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Feeling abnormal, Hypoaesthesia, Malaise, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NOT KNOWN
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: AMOXICILLIN
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT RECEIVED THE VACCINE AT 9:00AM, SAT IN STORE FOR 15 MINUTES AND LEFT THE BUILDING. AT ABOUT 9:20 SHE CAME BACK TO THE PHARMACY SAYING SHE IS NOT FEELING WELL AND FELT WEIRD. PHARMACIST ASKED HER TO DESCRIBED THE FEELING, PATIENT SAID SHE JUST FEEL WEIRD LIKE NAUSEA AND NUMBNESS AROUND HER LEGS AND HER CHEST FELT TIGHT. PHARMACIST OFFERED HER TO SIT DOWN AGAIN AND ASKED HER IF SHE HAS ANY HISTORY OF ALLERGIES OR REACTIONS TO OTHER VACCINES BEFORE. PATIENT SAID NO REACTION TO HER YEARLY FLU SHOTS AND NEVER FELT LIKE THIS BEFORE AND STATED SHE''S ALLERGIC TO AMOXICILLIN ONLY. PHARMACIST OFFERED TO CALL THE AMBULANCE FOR HER AND GAVE HER SOME WATER. AMBULANCE CAME IN AROUND 9:40AM AND ASKED PATIENT SOME QUESTIONS AND TOOK HER TO THE ER.


VAERS ID: 1426748 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-24
Onset:2021-06-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Asthenia, Body temperature increased, Dizziness, Headache, Hyperhidrosis, Hypoglycaemia, Malaise, Nausea, Syncope
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), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Known to not have any current medical history
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: A-Team member stated they didn''t feel good this morning and last night after taking the J&J vaccine. Around 8 am looked for the employee health nurse to get medication for nausea and headache. She was then making tea and was noted not to be feeling well and fainted. Another employee found her on the floor, and her heart rate was 115, and BP was 112/64 with a 100-degree temp Fahrenheit. A couple of hours prior, her temp was 97 degrees Fahrenheit. She looked diaphoretic, hypoglycemic, and was too weak to get off the floor, there was a maxi lift used to transfer to a wheelchair, and she was very dizzy. The only medicine taken was Pepto Bismol for nausea.


VAERS ID: 1427034 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-06-25
Onset:2021-06-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood glucose normal, Dizziness, Hyperhidrosis, Sinus bradycardia, Syncope, Unresponsive to stimuli, Vertigo
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies: NONE
Diagnostic Lab Data: Glucose 103 (6/25/21)
CDC Split Type:

Write-up: About 5 minutes after vaccination, patient complained of dizziness/spinning. It continued for several minutes when he became syncopal and briefly unresponsive. Heart rate 40. Glucose 103. BP 108/60. Respiratory rate 20 and sonorous. Placed on monitor which showed sinus bradycardia. 20 minutes after vaccination, patient recovering and able to talk but diaphoretic and weak. Taken to ER by paramedics.


VAERS ID: 1427446 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-03-19
Onset:2021-06-23
   Days after vaccination:96
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Haematemesis, Nausea, SARS-CoV-2 test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Medicine for high blood pressure and for GI issues
Current Illness: None
Preexisting Conditions: Gastrointestinal complications; varicose veins, varices were recently exposed and operated on; He also has varicose veins in his stomach
Allergies: Unknown
Diagnostic Lab Data: COVID-19 Rapid Test - 6/23/21 - Negative - Nasopharynx - Lab Specimen ID: 2021174000784 COVID-19 PCR Test - 6/23/21 - Positive - Nasopharynx - Lab Specimen ID: 2021174000785 COVID-19 PCR Test - 6/24/21 - Positive - Nasopharynx - Lab Specimen ID: 2021175000501 Hospital selected: MEDICAL CENTER Test Provider Listed as: MEDICAL CENTER
CDC Split Type:

Write-up: The individual tested positive for COVID-19 on 6/23 with a PCR test that was done at Medical Center, when the case arrived because he was experiencing nausea and vomiting and there was blood in his vomit. He vomited twice and the first time the blood was lighter, and the second time it was darker, so he decided to seek emergency medical treatment at the hospital. The patient continues to be currently hospitalized (today is 6/25/21). His primary care doctor. And the Hospital Doctor seeing him is a GI specialist.


VAERS ID: 1427716 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-07
Onset:2021-06-07
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN J8J204A21A / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Ear discomfort, Magnetic resonance imaging head, Tinnitus, Vertigo
SMQs:, Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Finasteride 5mg Hydrochlorothiazide 25 mg Amlodipine Besylate 10 mg
Current Illness: None
Preexisting Conditions: High blood pressure Reactive arthritis Prostate/urination
Allergies: None
Diagnostic Lab Data: Head Mri scan Blood tests
CDC Split Type:

Write-up: Have developed constant plugged up ears, with non stop tinnitis and vertigo episodes since 6/7/2021 and symptoms are constant and ongoing


VAERS ID: 1427790 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-16
Onset:2021-05-16
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN EL9269 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Cough, Headache, Hyperhidrosis, Irritability, Parosmia, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin E
Current Illness: No
Preexisting Conditions: Diabetes 2 Asthma Obesity Spinal Issues
Allergies: Gabapentin
Diagnostic Lab Data: ER
CDC Split Type:

Write-up: Horrid smells since March 2021. Recurrent headaches. Coughing spells. Weak spells. Irritability. Sweating. Chills. Rash. Spontaneous and various times every day.


VAERS ID: 1427902 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-22
Onset:2021-06-22
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / SC

Administered by: Work       Purchased by: ?
Symptoms: Arthralgia, Oedema peripheral, Pain in extremity, Thrombophlebitis superficial, Thrombosis, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Gilbert''s Syndrome
Allergies: None
Diagnostic Lab Data: Ultrasound including Doppler to verify blood flow, and manual examination of affected area, both performed on 6/22/2021 in emergency department setting.
CDC Split Type:

Write-up: Superficial thrombophlebitis in left medial lower calf, along with edema in foot and ankle on same leg and pain in calf, foot, and ankle. No explicit treatment prescribed. Symptoms are ongoing as of 6/25/2021, but have reduced in intensity. The was the first blood clot I''ve ever experienced.


VAERS ID: 1428027 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-05
Onset:2021-05-28
   Days after vaccination:53
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Gait disturbance, Hypoaesthesia, Pain in extremity, Ultrasound scan
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loryna
Current Illness: Nobe
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ultrasound for blood clot in lower left extremity. 6/21/21
CDC Split Type:

Write-up: Calf pain for weeks, like a strain. Walking with limp. Numbness in foot and leg.


VAERS ID: 1428096 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Acoustic stimulation tests, Ear discomfort, Ear pain, Ear swelling, Headache, Hypoacusis, Lymphadenopathy, Nausea, Pruritus, Vertigo
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: gluten intolerance, asthma, seasonal allergies
Allergies: Gentimicin eye drops allergy, gluten intolerance
Diagnostic Lab Data: 6/25 audiology tests for fluid in ears and hearing check
CDC Split Type:

Write-up: The evening after getting the vaccine I had intense vertigo, nauseau and headache. These symptoms continued for a week and then I went to an urgent care to be checked on April 17th. The doctor thought it could be swimmer''s ear and prescribed ear drops for 10 days. Over the course of the 10 days the vertigo lessened and headache went away but ear pain, swollen glands and swelling under ears remained. Ear pressure, popping/crackling when yawning/swallowing, ear pain and a feeling of fullness in the ear with muffled hearing continued. I went back to the doctor May 17th and was put on amoxicillin for assumed ear infection. Symptoms did not resolve after antibiotics, except that hearing was less muffled. It tooks weeks to see an ENT who checked my hearing and checked for fluid in the ears, both are normal but ear pain/pressure remains along with itch sensation in ears, ENT thinks inflammation from vaccine and prescribed steroids.


VAERS ID: 1428257 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-22
Onset:2021-06-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN #291A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Bell's palsy, Dyskinesia, Eyelid disorder, Facial paralysis, Hypoacusis, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Periorbital and eyelid disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No medication was being taken prior to the adverse event.
Current Illness: No other illnesses prior to the adverse event.
Preexisting Conditions: None known.
Allergies: None known.
Diagnostic Lab Data: None provided as of this writing.
CDC Split Type:

Write-up: Visited Urgent Care, Healthcare provider advised that the event was likely "Bells Palsy". Symptoms were left-side of the face drooping, inability to operate eyelid or mouth on that side of the face as well. Additional side effects are limited touch sensitivity, and sensitivity to some sounds in left ear.


VAERS ID: 1429278 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-05-12
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Guillain-Barre syndrome, Magnetic resonance imaging, Neurological examination, SARS-CoV-2 test, X-ray
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: Patient had no known allergies and no prior or underlying medical history or past medications
Allergies:
Diagnostic Lab Data: Test Name: X-ray; Result Unstructured Data: Not reported; Comments: unknown; Test Name: MRI; Result Unstructured Data: Not reported; Comments: unknown; Test Name: Neurological examination; Result Unstructured Data: Not reported; Comments: unknown; Test Name: Blood test NOS; Result Unstructured Data: Not reported; Comments: unknown; Test Name: COVID-19 virus test; Result Unstructured Data: Not reported; Comments: unknown
CDC Split Type: USJNJFOC20210637243

Write-up: GUILLIAN BARRE; This spontaneous report was received from a consumer (the patient''s wife) and concerned a 42 year old male. The patient''s weight was 170 pounds and his height was 76 inches. The patient was a non-smoker, a non-drinker, had no known allergies and no prior or underlying medical history or past medications. The patient received COVID-19 vaccine Ad26.CoV2.S (suspension for injection, route of admin not reported, batch number reported as unknown), dose not reported administered once in total to the left arm on 12-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-MAY-2021 (same day post-vaccination), the patient felt tired, but felt better on the second day (13-MAY-2021). On 14-MAY-2021, two days post vaccination, the patient went to work (works as a landscaper) where he fell over and twisted his ankle. This happened again later during the day and after a few days, he felt that his feet were not picking up (like Frankenstein syndrome). Patient could not move his toes and his feet felt sloppy like a drop foot. After 2 weeks, on 26-MAY-2021, the patient started experiencing tingling and numbness in his arms and had to wake up in the middle of the night to shake his arm. The patient''s physician referred him to a neurologist, the neurologist thought that it could be a case of transverse myelitis and asked him to go to the emergency room (ER) immediately. At the ER, all his tests were run such as x-rays, magnetic resonance imaging (MRI), coronavirus disease (COVID-19) test, together with unspecified blood work and neurological tests, the results of which were not provided. The patient was diagnosed with Guillain-Barre syndrome and was hospitalized on 04-JUN-2021 where he was being treated with immunoglobulins (product unspecified) and was discharged on 08-JUN-2021 (duration of hospitalization: 5 days). On 17-JUN-2021 in the morning, patient fell in his garage. At the time of reporting, patient couldn''t lift his toes. Patient was perfectly healthy prior to the shot. Patient was getting mentally affected as everything felt like labor and work seemed burdensome. At the time of the report, all his symptoms were ongoing. The action taken with COVID-19 vaccine Ad26.CoV2.S was not applicable. The patient had not recovered from Guillain-Barre syndrome. This report was serious (caused/prolonged hospitalization). This case, from the same reporter is linked to 20210637283.; Sender''s Comments: V0: This spontaneous report received from the patient''s wife concerns a 42-year-old male who was hospitalized for Guillain-Barre syndrome (GBS) 23 days after receiving Janssen Covid-19 vaccine. He does not smoke or drink alcohol, does not have underlying medical conditions, and was not taking concomitant medications. Two days post vaccination, he fell and injured his ankle twice while at work as a landscaper. After a few more days, he felt difficulty lifting his feet and could not move his toes. Fourteen days post-vaccination, tingling and numbness began in his arms, and he was referred to a neurologist who then referred him to the emergency room (ER) out of concern for possible transverse myelitis. At the ER, x-rays, MRI, Covid-19 tests, and other unspecified blood & neurologic tests were performed; results not reported. Twenty-three days post-vaccination, he was diagnosed with GBS and hospitalized. He was treated with immunoglobulins and was discharged 4 days later. Nine days after discharge, the patient fell in his garage and could not lift his toes. At the time of this report, the patient had not recovered. Information regarding potential etiologies of GBS is insufficient, and the occurrence of the events could represent background incidence of such events in the general population. Considering the temporal relationship, the events are assessed to have an indeterminate relationship with vaccination.


VAERS ID: 1429288 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-07
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Biopsy artery, Computerised tomogram, Feeling drunk, Giant cell arteritis, Ultrasound scan, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Vasculitis (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: Ultrasound scan; Result Unstructured Data: temporal arteritis; Test Date: 202105; Test Name: CT scan; Result Unstructured Data: temporal arteritis; Test Date: 20210528; Test Name: Biopsy artery; Result Unstructured Data: Negative to giant cell
CDC Split Type: USJNJFOC20210645483

Write-up: MEDICATION CAUSED FEELING OF SEVERELY DRUNK; TEMPORAL ARTERITIS; WEAK VOMITTING; This spontaneous report received from a patient via a company representative concerned a 50 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-APR-2021, the subject experienced temporal arteritis. On 07-APR-2021, the subject experienced weak vomiting. On MAY-2021, Laboratory data included: CT scan (NR: not provided) temporal arteritis, and Ultrasound scan (NR: not provided) temporal arteritis. On 28-MAY-2021, Laboratory data included: Biopsy artery (NR: not provided) Negative to giant cell. On an unspecified date, the subject experienced medication caused feeling of severely drunk. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from weak vomiting on 10-APR-2021, was recovering from temporal arteritis, and had not recovered from medication caused feeling of severely drunk. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1429308 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Body temperature decreased, Chills, Condition aggravated, Feeling abnormal, Headache, Lethargy, Pain
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210615; Test Name: Body temperature; Result Unstructured Data: 95.5 F
CDC Split Type: USJNJFOC20210651147

Write-up: BODY ACHES; BODY TEMPERATURE 95.5 F; LETHARGY; NOT FEELING LIKE HIMSELF; CHILLS; HEADACHE; FEELING WORSE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1821286, expiry: 23-JUL-2021) dose was not reported, administered on 14-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, the subject experienced feeling worse. On 15-JUN-2021, the subject experienced body aches. On 15-JUN-2021, the subject experienced body temperature 95.5 f. On 15-JUN-2021, the subject experienced lethargy. On 15-JUN-2021, the subject experienced not feeling like himself. On 15-JUN-2021, the subject experienced chills. On 15-JUN-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 95.5 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body temperature 95.5 f on 17-JUN-2021, and had not recovered from headache, body aches, chills, lethargy, not feeling like himself, and feeling worse. This report was non-serious. This case, from the same reporter is linked to 20210651363.


VAERS ID: 1429309 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-06
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient was healthy and had no underlying diseases.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210651351

Write-up: ISCHAEMIC STROKE; HEADACHE; FATIGUE; This spontaneous report received from a patient concerned a 63 year old female of unspecified race and ethnic origin. The patient''s weight and height were not reported. The patient was healthy and had no underlying diseases. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total administered on 06-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 06-APR-2021, the patient experienced headache and fatigue for the first 24 hours. On 16-JUN-2021, the patient experienced ischaemic stroke and had visited emergency room (ER).The patient was treated with TPA and the stroke symptoms were resolved The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from ischaemic stroke, and the outcome of headache and fatigue was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0- 20210651351, covid-19 vaccine ad26.cov2.s, Ischaemic stroke-This event is considered Un assessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1429512 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-22
Onset:2021-06-16
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808600 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deep vein thrombosis, Peripheral swelling, Ultrasound scan abnormal, X-ray limb normal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid - 125 mcg; Vitamin D Supplement, Magnesium Supplement; Fish Oil, Flonase, and Aleve (as needed if a headache).
Current Illness: Generally in good health, no illnesses.
Preexisting Conditions: none
Allergies: Biaxin, Cipro, Sulfur, Amoxicillin,
Diagnostic Lab Data: June 23rd, at approximately 10:45 am is was examined by Orthopedic Surgeon at a HCF. 6 sets of x-rays confirmed no injury, no trauma, no fractures, no bruising of the left leg or ankle. I reported to the Orthopedic group that I was a recipient of the J&J COVID-19 Vaccine. Dr. recommended an Ultrasound, and the appointment was scheduled immediately. At 1:30 pm I proceed to the Ultrasound appt. The Ultrasound technician proceed to check the leg and radiologist confirmed blood clots in lower left calf and I was instructed immediately to proceed to the hospital emergency room. local Hospital was just up the road and I went to the Emergency Room and checked in at approximately 3:00 PM.
CDC Split Type:

Write-up: Starting on or about June 16th - slight swelling noticed in left ankle, and left calf. Swelling continued in left ankle and left calf even after ice and elevating foot. June 21st scheduled doctor appointment with orthopedic thinking perhaps leg or ankle injury.


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