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From the 11/12/2021 release of VAERS data:

Found 130 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Manufacturer is JANSSEN and Symptom is Myocarditis or Pericarditis

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Case Details

This is page 6 out of 13

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VAERS ID: 1459756 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-10
Onset:2021-04-21
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Autopsy, Death, Histology, Pericarditis, Vasculitis
SMQs:, Systemic lupus erythematosus (broad), Vasculitis (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-02
   Days after onset: 11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Diabetes
Allergies: Unknown
Diagnostic Lab Data: Autopsy and histology as above
CDC Split Type:

Write-up: Pericarditis, large vessel vasculitis, death


VAERS ID: 1459911 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-06
Onset:2021-05-28
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Electrocardiogram, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin D3 supplement
Current Illness: No
Preexisting Conditions: No
Allergies: Sulpha base
Diagnostic Lab Data: Ekg, blood work, echo cardio, cat scan, heart monitor.
CDC Split Type: vsafe

Write-up: She developed Pericarditis treated by doctor.


VAERS ID: 1460161 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-01
Onset:2021-04-30
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Pericarditis, Tachycardia, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (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), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies: NKA
Diagnostic Lab Data: ECHO, US,
CDC Split Type:

Write-up: PRESENTED WTIH CHEST PAIN, SOB, TACHYCARDIA; WAS ADMITTED TO A FACILITY WITH DX WITH PERICARDITIS. SENT BACK HOME, REHOSPITALIZED FOR FOUR DAYS


VAERS ID: 1460236 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-03
Onset:2021-04-10
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Antinuclear antibody positive, C-reactive protein increased, Chest pain, Computerised tomogram thorax, Pericarditis, Pyrexia, Rheumatoid factor negative
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: turmerick, black pepper
Current Illness: psoriatic arthritis
Preexisting Conditions:
Allergies: methotrexate
Diagnostic Lab Data: 6/26/21 CRP 11.7, 5/26 ANA 1:320, RF 14 CT chest 6/28 with small pericardial fluid greater attenuation than simple fluid
CDC Split Type:

Write-up: Prolonged fevers, chest pains for 2-3 months post vaccine. Imaging suggested pericarditis.


VAERS ID: 1463682 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-06
Onset:2021-07-10
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Electrocardiogram, Palpitations, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Chronic kidney disease (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Doctor told me and an EKG scan I had Pericarditis and prescribed me Presnisone and Colchicine
CDC Split Type:

Write-up: After I finished a light jog, I felt a pulse type feeling near my heart. It dropped my too my knees, but I did it lose consciousness. Early on that same day I felt light headed,?but nothing serious.


VAERS ID: 1464455 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chest X-ray, Chest pain, Computerised tomogram thorax, Condition aggravated, Echocardiogram, Heart rate increased, Malaise, Mobility decreased, Neck pain, Oxygen saturation decreased, Pain, Pericarditis, Pulmonary function test abnormal, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Arthritis (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: T3 and T4 compound medication for hypothyroidism, magnesium supplement, prescription progesterone, vitamin D3, vitamin C.
Current Illness: None.
Preexisting Conditions: Hypothyroidism.
Allergies: Tetracycline, morphine.
Diagnostic Lab Data: The pulmonologist ran several tests (chest CT scan, chest X-ray, pulmonary function, echocardiogram). He concluded I have post-COVID syndrome. He says that there is already lung damage; he believes that the damage began when I had COVID in March-April 2020 and that it has been exacerbated by the vaccine. He won''t know if it''s an autoimmune reaction until he follows my situation further; if the damage progresses, that indicates that it is an autoimmune reaction. The cardiologist examined the results of the tests performed by the pulmonologist, and he believes I have pericarditis, which is common among people who have had COVID and gotten the vaccine. More tests are pending.
CDC Split Type: vsafe

Write-up: On the same day I got the vaccine and the next day, I had fever, body aches, and malaise; I was in bed for 2 days. I had a lack of energy that was worse than it had been before the vaccine. On or about 4/14/2021, I woke up at about 2:00AM with chest pain, pain in the left shoulder and in the left side of the neck. The symptoms subsided after some time. I had low oxygen saturation levels; I knew this, because I used a pulse oximeter that had been used by my late husband. The low oxygen saturation levels have been ongoing ever since, and I have had periods of rapid heart rate and oxygen levels that are even lower than the low levels I have experienced since the vaccine. I have also had periods of chest pains at times, so my PCP referred me to both a pulmonologist and a cardiologist.


VAERS ID: 1464673 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-03-18
Onset:2021-04-19
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 10805020 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Myocarditis, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D, Vitamin C , Tumeric , Hydroxychloroquin, zinc
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Mia, EKG, Echogram etc.
CDC Split Type:

Write-up: Myocarditis and periocarditis


VAERS ID: 1465771 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Atrial enlargement, Bundle branch block right, Chest pain, Dyspnoea, ECG signs of myocardial ischaemia, Echocardiogram abnormal, Electrocardiogram ST segment abnormal, Electrocardiogram T wave abnormal, Exercise tolerance decreased, Fatigue, Headache, Heart rate irregular, Hyperhidrosis, Impaired work ability, Loss of consciousness, Malaise, Myocarditis, Nausea, Palpitations, Pericarditis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Other ischaemic heart disease (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin 500mg; Rinvoq 15mg Rosuvastin 10mh Nexletol180mg Farxia 10mg Trulicity 1.5 Vit C Vit D Zinc Vascepa
Current Illness: Diabetes
Preexisting Conditions: Diabetes Wolfe Parkinson white syndrome Arthritis
Allergies: Pecans Banana Olive Trees Walnuts
Diagnostic Lab Data: EKG -Bilateral Enlargement, Incomplete right bundle branch block ,ST and T wave Inferior Ischemia Echo- Myocarditis and Pericarditis
CDC Split Type:

Write-up: I did not feel well for several days following the injection. I was tired and had a headache. However as the days went bye I stopped exercising and did not feel like working or even leaving the house. On the night of May 24 I began to have the worst headache of my life, my heart was beating irregular. By the morning of the 25th I got up and passed out. I was sweating, heart pounding, nauseous, chest pain, shortness of breath, pain in my shoulder blades.


VAERS ID: 1466553 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-06-21
Onset:2021-06-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arteriogram normal, Blood test, Chest discomfort, Chest pain, Chills, Dyspnoea, Echocardiogram, Electrocardiogram, Hyperhidrosis, Injection site pain, Magnetic resonance imaging, Myocarditis, Pain, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: 06/25/2021 - Blood work, EKG, echocardiogram, arteriogram 06/26/2021- Blood work, EKG 06/30/2021- Blood work, EKG, Echocardiogram 07/06/2021- MRI
CDC Split Type:

Write-up: Woke up the next morning feeling sore at shot site and as the day progressed my body started to ache all over. For the next 2 days after this, I will alternate between having the chills and having intense sweats. On Friday 06/25/2021, I woke up to my chest hurting , I could not catch my breath, it felt like I had a very heavy weight on my chest . I went to the emergency room which is a part of the Hospital. After the initial tests the physician told me with 99% certainty that I had had a heart attack. Soon after this they rushed me by ambulance from hospital to hospital which is about 20 miles or so. They rushed me in and completed an arteriogram within minutes of arriving at the hospital. They confirmed with this test that is was not a heart attack and after several more test, the doctor that I had developed Myocarditis due to the vaccine shot. The admitted me into the hospital on 06/25/2021 for observation and to run more test until I was stable enough to go home. I stayed in the hospital for 1 evening and was discharged on 06/26/2021 at about 1:00 or 2:00 that afternoon. The doctor prescribed several medications for me to take for my heart for the next foreseeable future. On 06/30/2021 I had a visit to my new cardiologist in which he ran several test and stating that I was looking better, but he had ordered an MRI to take place on 07/06/2021 at Hospital. I have a follow up visit for my cardiologist slated for 07/19/2021 in which I will find out more information.


VAERS ID: 1466865 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-07
Onset:2021-06-28
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Pericardial effusion, Pericarditis, Sinus tachycardia
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 50mg
Current Illness: hypothyroidism
Preexisting Conditions: Polimiositis and hypothyroidism
Allergies: Dipirona
Diagnostic Lab Data: Echocardiogram date: 07/08/2021 ECG date: 07/08/2021
CDC Split Type:

Write-up: 3 weeks and a few days after the day I got my shot, i started experiencing tachycardia and shortness of breath. I went to my cardiologist and he prescribed and Echocardiogram and ecg. The Echocardiogram showed that I was experiencing pericarditis with Pericardial effusion and my eco showed a sinus tachycardia.


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