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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: 1470735 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Anxiety, Back pain, Blood test, Chest X-ray, Chest discomfort, Chest pain, Chills, Condition aggravated, Decreased appetite, Dyspnoea, Electrocardiogram abnormal, Feeling cold, Fibrin D dimer, Headache, Heart rate abnormal, Hyperaesthesia, Hypertension, Hypoaesthesia, Muscle twitching, Nasopharyngitis, Nausea, Pain, Pain in extremity, Panic attack, Paraesthesia, Peripheral swelling, Poor quality sleep, Presyncope, Sensory overload, Tension, Ultrasound Doppler normal, Ventricular extrasystoles
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Hypokalaemia (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: Ortho tri cyclen lo Vitamin D
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Slight Kiwi allergy
Diagnostic Lab Data: ER visit 4/15- ran blood work and d-dimer, chest X-ray Dr visit - 4/26- blood work, did an EKG. The EKG showed I had Premature ventricular contractions most likely caused by stress. Scheduled a leg ultrasound Ultrasound 4/27- nothing showed up Dr 6/29- still determining next step
CDC Split Type:

Write-up: Had all side effects within 24 hours of vaccine- went to bed with a headache and chills, had body aches and slight nausea the next day. Then it all went away aside from some lingering arm pain. A few days after the shot I had tingling and numbness in all 4 limbs. I also had random sharp pains in my right leg. I woke up Friday morning and my right arm felt like ice cold water was dripping down (but wasn?t). My husband took my blood pressure and it was really high and my chest felt tight. Given that the vaccine was just paused for blood clots we went to the ER. They ran labs and said I didn?t have any clots. Here is the timeline of what happened after: Saturday & Sunday & Monday: Felt normal again Tuesday: Felt short of breath Tingles started to come back Wednesday: Leg and arm numbness Thursday thru the next few days were the worst: Thursday: Random sharp pains, back, thigh, ab Right calf felt a bit swollen and more sensitive Tingling on back of head Tingling in leg and arm High anxiety pain in chest No appetite High blood pressure Friday: Muscle twitching in thigh, sides and random places Random tightness/sharp pain in thigh Blood pressure and heart rate went back to normal High anxiety pain in chest before bed Didn?t sleep well keep panicking awake (not normal) No appetite Saturday: Right calf slightly swollen after walking around Still had muscle twitches and it?s always in the same spot in my thigh Did a teledoc appt which was totally unhelpful High anxiety pain in chest- felt like I was going to pass out at one point and we took my blood pressure in that moment and it was high ?happened after dinner No appetite Note: anxiety is not something I?ve ever had Sunday: Swelling in leg returned Sharp pains randomly A little heavy to breath at times Tension in my head ? felt cold After I ate dinner chest heaviness returned Sensory overload- watching tv couldn?t do. Sound of humidifier plus tv gave me major anxiety. Turned humidifier off and it instantly got better No appetite Next few days Leg feels numb tingly in morning Slightly tingling in my right hand Light headache Some random twitches and sharp pains in thigh still The next month all seemed fine. It wasn?t until I got a small cold that the tingling flared up again. Right leg continues to be a problem-tingling and numbness comes and goes daily. I?ve also had a few episodes of chest tightness out of the blue. Last night I woke up to find my right arm also tingly and numb.


VAERS ID: 1470743 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-23
Onset:2021-06-29
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Central nervous system inflammation, Nervous system disorder
SMQs:, Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: IB
Current Illness: none
Preexisting Conditions: none
Allergies: Penicillin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: woke up on June 29, 2021, with the worst back pain ever. email the doctor but he was not there this week. Emailed back on 6.30.2021 and still waiting on the doctor to return. The VA sent me to urgent care for help. They gave me a shot for the pain and prednisone for the inflation on the nerve. They said it was the sciatic nerve going the Peroneal nerve. This didn''t help. I contacted the VA on July 2 2021 and they mail out more prednisone. Emailed VA July 7 2021 Told them the perinsone wasn''t working and they moved me to tramadol 10mg and lidoderm patches. Contact Va on July8 July 12 July13 still the same


VAERS ID: 1470745 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-03-31
Onset:2021-06-24
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood gases normal, Blood lactic acid normal, Blood magnesium normal, Computerised tomogram head normal, Dyspnoea, Endotracheal intubation, Full blood count normal, Guillain-Barre syndrome, Influenza virus test negative, Intensive care, Metabolic function test, Mobility decreased, Muscular weakness, SARS-CoV-2 test negative, Urine analysis normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Demyelination (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cetirizine Albuterol Iron supplement (oral) Vit C
Current Illness: Nio
Preexisting Conditions: Iron deficiency anemia GE Reflux 1997: rheumatic heart disease-monthly bicillin Severe obesity, BMI=54
Allergies: Vancomycin
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: Guillain Barre suspected Area Hospital Admitted Admit date: 06/27/2021 Admitting Diagnosis: Worsening generalized weakness-secondary to possible Guillian Barr? Syndrome History of Present Illness: This is a 34-year-old female patient that presented at sells emergency department with a medical history of recent upper respiratory infection, obesity, asthma who stated she is short of breath. She has generalized muscular weakness x3 days and per mother''s report, the patient was unable to get out of bed and required max assist. The patient had a CT of the head, influenza swab, COVID-19 swab, CBC, CMP, magnesium level, lactic acid, venous blood gas and urinalysis. All imaging and diagnostic lab work were negative and within normal limits. Due to worsening weakness, the ED provider in hospital intubated the patient for transfer to Hospital ICU for further evaluation and treatment.


VAERS ID: 1470773 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-07-08
Onset:2021-07-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, Chest X-ray, Dyspnoea, Electrocardiogram, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Chest X-ray 07/11/2021 EKG 07/11/2021
CDC Split Type:

Write-up: Pt. states after receiving the J&J Janssen 07/08/2021 started experiencing shortness of breath and arm pain. Urgent Care visit 07/11/2021 diagnosed with Bronchitis and prescribed Inhaler (Albuterol). Another visit planned for 07/15/2021 still experiencing shortness of breath.


VAERS ID: 1470777 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-09
Onset:2021-06-13
   Days after vaccination:96
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Acoustic stimulation tests normal, Angiogram, Antibody test, Blood cholesterol increased, Blood test, Chest X-ray, Computerised tomogram, Computerised tomogram abnormal, Diplopia, Discomfort, Electromyogram, Eye disorder, General physical health deterioration, Hypersensitivity, IVth nerve paralysis, Lumbar puncture, Magnetic resonance imaging head, Ophthalmological examination, Sinusitis, Tympanometry abnormal, Vision blurred
SMQs:, Angioedema (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Lipodystrophy (broad), Ocular motility disorders (narrow), Hypersensitivity (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril, Cod Liver oil, Multivitamin, Vit D,Vit C
Current Illness: NA
Preexisting Conditions: Marginally high blood pressure
Allergies: NA
Diagnostic Lab Data: MRI of the brain and Occular orbit with and without Contrast, MRA , Chest xray and CT scan , EMG test, Lumbar Puncture, multitude of Blood tests including tests for antibodies. The
CDC Split Type:

Write-up: End of May i had some vision issues seeing double but did not think much about it . Went to my PCP for annual physical exam where he did the bloodwork and everything came back normal except Cholesterol which was marginally higher. The issue was not causing much discomfort for me and it sort of went away the best i recall or dont recall. Around June 14th 2021 I started having trouble focusing with my eyes again. It was causing me more discomfort than before so i visited my PCP Dr June 15th. Dr mentioned there was slight difference in ear pressures and maybe it was that. Not totally satisfied with that i visited my Optometrist Dr the next day and he suspected 4th nerve Palsy and asked me to


VAERS ID: 1470805 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-12
Onset:2021-04-29
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Colitis, Colitis ulcerative, Colonoscopy abnormal, Computerised tomogram abdomen, Condition aggravated, Gastrointestinal pain, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal ulceration (narrow), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: flu shot 2019, it made me have high blood pressure for a while
Other Medications: Fiber pill in the morning, probiotic at night
Current Illness: None
Preexisting Conditions: I had issues with insomnia and anxiety and used to have over weight issues
Allergies: I do not respond well to Percocet
Diagnostic Lab Data: CAT scan- ulcerative colitis that flared
CDC Split Type: vsafe

Write-up: Around 9, I came down with fever, aches, chills, that lasted through the night so I took and Advil at 1 am, then at noon I took another Advil. The aches and chills without Advil lasted for 2 nights. For a while I was fine but on 04/29/2021 I was having sharp pains in my gut that kept coming and going. I googled it and I thought it was my colitis or a blood clot. I went to the ER they did an CAT scan in my gut and they said it was definitely ulcerative colitis, which I have had for years but without any flare ups for 21 years. They sent me to a GI doctor and they did a colonoscopy. They confirmed that it was colitis but not that severe and that I should be fine. After that I have been doing ok. I have had like two incidents since then but not as bad as the time I had to go to the ER.


VAERS ID: 1471007 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-06
Onset:2021-04-21
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Laboratory test, Lip swelling, Swelling face, Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (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: amlodipine valsartan hydrochlorothiazide Vit D
Current Illness: none
Preexisting Conditions: high blood pressure
Allergies: none
Diagnostic Lab Data: I have a $18,772 bill that details the hospital tests from 4/23/21 .
CDC Split Type:

Write-up: I woke up with severe face swelling it continued to my lips and then my tongue . I went to hopital . I was there for around 14 hours until they could monitor swelling and ensure my throat was. not obstructed . I was referred to an allergist that did blood tests and determined i have no allergies. He prescibed an EPI PEN and steroid to use if it occurred again . Symptoms did not go away for about 5 days . Since then I have had 8-10 episodes of severe swelling and welts all over my body.TodayI woke with the left side of my face very swollen and welts on my thigh. I am taking the benadryl and steroid he prescribed. The


VAERS ID: 1471034 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-05-05
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphagia, Eye pain, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Lens disorders (broad), Retinal 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: multivitamin, allegra d, prevacid
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Have not been tested
CDC Split Type:

Write-up: Began having trouble swallowing about a month later until present. Also had pain behind the right eye and blurring vision. The pain has subsided but the blurry vision persists.


VAERS ID: 1471042 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-21
Onset:2021-07-11
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Headache, Laboratory test, Magnetic resonance imaging head abnormal, Transverse sinus thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

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

Write-up: severe HA, localized to Right side of head; MRI confirmed Right transverse dural sinus thrombosis


VAERS ID: 1471263 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-09
Onset:2021-06-22
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Dizziness, Fatigue, Nerve injury, Pain in extremity, Paraesthesia, Peripheral swelling, Spinal X-ray, Thrombosis, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Buspar, Pantoprazole, Duloxetine, Vitamin D, Amlodipine, Losartan, Lamotrigine, Vitamin B-1, Folic Acid
Current Illness: Barrett''s Esophagus
Preexisting Conditions: Barrett''s Esophagus, Prostate Cancer, High Blood Pressure
Allergies: None
Diagnostic Lab Data: Ultrasound-June 21, 2021-legs diagnosed with blood clots. June 25, 2021-appointment with primary care physician concerning tingling, burning and pain in arms and legs. CT Scan-June 27, 2021 to rule out blood clots in lungs. Ultrasound-July 1, 2021-on arms to rule out blood clots. X-ray-July 13, 2021of lower spine to rule out pinched nerve. Appointment scheduled with Neurologist on September 2, 2021 for nerve issues.
CDC Split Type:

Write-up: June 17-swelling of hands and arms, pain, tingling, burning sensations in arms and legs. Dizziness and fatigue.


VAERS ID: 1471266 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-25
Onset:2021-06-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Blood test, Chills, Computerised tomogram, Dizziness, Eye haemorrhage, Eye pain, Fatigue, Headache, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft 100mg Omeprazole 20mg
Current Illness: No
Preexisting Conditions: Anxiety, Panic attacks.
Allergies: No
Diagnostic Lab Data: 07/08/2021 CT scan 07/08/2021 Blood Test
CDC Split Type:

Write-up: Muscle pain (up to 7 days after vaccination) Joints and body pain (up to 11 days after vaccination) Weakness and dizziness (after vaccination until now) Tiredness (after vaccination until now) Chills (after vaccination until now) Headaches (after vaccination until now) I took Tylenol Eye pain (after vaccination until now) A blood vessel burst in my left eye on 7/7/21 and I still recovering from that.


VAERS ID: 1471286 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-12
Onset:2021-04-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram, Blood test, Computerised tomogram, Eye pain, Headache, Magnetic resonance imaging, Neurological examination, Ophthalmological examination, Pupil dilation procedure, Visual impairment, Vitamin B12 deficiency
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (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: Sprintec, daily multi-vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: April 2021: Eye dialation and exam, neuro-exam, CT scan, bloodwork May 2021: Neurologist appointment, eye angiogram, MRI scan, bloodwork
CDC Split Type:

Write-up: Visual disturbances began. "Sunspot" like symptoms began and an increase in headaches/eye soreness began. I have been seen by multiple medical professionals (my primary care physician, a neurologist, an opthamologist, and a retina specialist). I have had multiple blood test work ups and the only "solution" anyone was able to provide to me is that I was slightly vitamin B12 deficent. I have been taking supplements for the past month and have not seen a significant increase in my symptoms. It has been three months and I still have the visual disturbances, and no answers. Prior to the vaccine, I was a healthy young women without health issues.


VAERS ID: 1471476 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-06-08
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20GA21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Computerised tomogram abdomen, Decreased appetite, Gastrointestinal inflammation, Injection site pain, Ultrasound scan
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (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: Tamsulosin 0.4mg Cap Lisinopril 10mg Tablet Amlodipine 10mg Tab Metformin 500mg Tab Rosuvastatin 10mg Tab OTC Medications Aspirin 81mg Tab Ibuprofen 200mg Tab x 2 Three times a day
Current Illness:
Preexisting Conditions: Diabetes II Arthritis Asbestos Exposure
Allergies: Shell Fish,
Diagnostic Lab Data: Ultra Sound Cat Scan no contrast
CDC Split Type:

Write-up: Minor discomfort following Shot at first Following with pain at injection point. I took it more it was cause by person giving shot as it was central to the injection site. Was given by a Pharmacist On May 24th 2021 went for quarterly Dr visit and was put on Jardiance 10mg Tab my weight was 388. I started to get a loss of apatite and abdominal pain. On June 8th it became severe Contacted PCP. PCP ordered a ultra sound ended up going to Went to ER on June 19th. had a cat scan run to look at intestinal and found swelling


VAERS ID: 1471480 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-07-14
Onset:2021-07-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Disorientation, Dizziness, Loss of consciousness, Musculoskeletal stiffness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: Past Adverse Reaction to Chemotherapy treatment
Diagnostic Lab Data: BP taken several times for 30 min after vaccine and was 81/50
CDC Split Type:

Write-up: Several minutes after vaccines patient became light headed, he then passed out for several minutes and became very stiff. When patient came to he was disoriented (didn''t know where he was or who I was). Patient felt nauseous. Patients blood pressure was 81/50. Patient was taken to ED for further evaluation.


VAERS ID: 1471654 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-10
Onset:2021-07-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal distension, Arthralgia, Chills, Pyrexia, Rash, Rash macular, Rash papular, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: losartan, atorvastatin, atenolol, flomax, plavix, aspirin
Current Illness:
Preexisting Conditions: CAD s/p stent x5, HLD, HTN
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.


VAERS ID: 1471825 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-14
Onset:2021-03-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JOHNSON & JOHNS / UNK LA / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Alopecia, Arthralgia, Asthenia, Autoimmune disorder, Blood test, Cold sweat, Cyst, Decreased appetite, Dental examination normal, Eye discharge, Eye disorder, Eye operation, Eye pain, Fatigue, Feeling abnormal, Feeling of body temperature change, Hyperhidrosis, Hypersomnia, Injection site pain, Laboratory test abnormal, Lymphadenopathy, Malaise, Migraine, Mobility decreased, Nausea, Neck pain, Ophthalmological examination abnormal, Optic nerve disorder, Pain, Paraesthesia, Pyrexia, Swelling face, Swelling of eyelid, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (narrow), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (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: Ursodiol
Current Illness: Healthy
Preexisting Conditions: Gallbladder low performing
Allergies: Sulfa
Diagnostic Lab Data: Yes Urgent care Chiropractor Doctor Dentist Lots and lots of blood work Optometrist and emergency eye surgery
CDC Split Type:

Write-up: I got my shot. It lightly sting nothing bad. - About 40 min later on both sides of my back I felt tingling right below my shoulder blades and then this spread out like a waterfall going down my back . - about an hour later it was like someone turned my power off. I was so tired I could barely open the car door and walk inside - laid down and slept maybe 3 hours ? - woke up hurting and puking - hot and cold and exhausted - slept next day . Not hungry but husband bright oatmeal and coffee. I ate a bite and threw it all up - my body get like it had become broken glass . It hurt . It hurt to walk to the kitchen . My eyelashes hurt , my nails hurt . Stayed in bed. Ate a TV dinner and threw it up . Feverish . Sweating hot cold . Felt like a migraine headache I guess around my forehead and eyes - and I have never had one . - day 3 - nauseous. Took shower and big clumps of my hair fell out . Feet hurt and tingled. Felt like a spike gong through my right side off and on . Day 4 - slept all day and had to drive 8 hours home. My left eye hurt and was draining . When I got home I looked in the mirror and the left side of my face was swollen really badly and eye about swollen shut. Felt bad . Achy and stabbing side pain . Went to Urgent Er care due to face swelling . They had no explanation . Had a cyst like pimple on left side under eye that went back up to eye lid Could not turn my neck and really sore . Went to Chiropractor doctor. He and his assistant examined me and said I was not out of alignment but my lymph nodes around my neck area and left side of my spleen were very swollen . He said to go to dentist over face swelling and I probably had an infected tooth Went to dentist . Teeth were fine but he said to go to the eye doctor . Still feeling sick and very achy . Hurt to walk . Knees hurt . Felt like I was 100 years old Went to eye doctor . He examined my eye then had me go to another room and machine . Then a variety of students came in to look at my eye . I asked why and one said because they only read about this in text book. Doctor came bAck and said I had acute narrow angle eye closure and had to do emergency surgery . Still feel horrible Labs now coming back with odd things . Doctor sending me to rheumatoid / endocrinologist and integrative doc but can?t get appointments til October Now have holes in my iris to relieve the pressure and other auto immune things going on . Doctor said tissue swelled on optic nerve . Saw glitter like out of side of eye . He said I?d loose my eyesight if I did not have the emergency surgery


VAERS ID: 1474046 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-07-01
Onset:2021-07-10
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Blood test, Chest X-ray abnormal, Chest pain, Dyspnoea, Electrocardiogram, Pleurisy
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Infective pneumonia (broad)

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

Write-up: Shortness of breath, chest pain, pleurasy


VAERS ID: 1474266 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-03-01
Onset:2021-04-05
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Loss of personal independence in daily activities, Paralysis
SMQs:, Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: 7 knee surgeries and a double hernia surgery
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 2 weeks after I received my shot I became almost lifeless ,my wife had to do every thing for me my body shut down never see or had anything like this before,I had extreme temporarily poleralisysis


VAERS ID: 1474295 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-10
Onset:2021-07-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK UN / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Laboratory test normal, Neurological examination normal, Paraesthesia, Platelet count normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: Patient presents with tingling to right sided face and right arm, Johnson and Johnson covid vaccine recieved 7/9/2021. no other neuro deficits. equal bilateral hand grips, equal facial symmetry, negative arm drift. Patient is also complaining of chest pain. Patient states that 4 days ago they received a Johnson & Johnson vaccination at clinic, and since then they have been experiencing the symptoms. He states that he called the clinic advice nurse and he was advised to come to the ED for evaluation. He denies any nausea, vomiting, fever, or diarrhea. On exam, patient moves bilateral upper and bilateral lower extremities with 5 out of 5 strength. Her neurologic exam is unremarkable. Laboratory studies are within normal limits, platelets are 323.


VAERS ID: 1474312 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-06
Onset:2021-07-08
   Days after vaccination:93
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Protein total increased
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

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

Write-up: numbness in right leg progressively loss feeling, high protein,


VAERS ID: 1474332 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-23
Onset:2021-07-12
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Cardioversion, Condition aggravated
SMQs:, Supraventricular tachyarrhythmias (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? No
Previous Vaccinations: Atrial fibrillation on June 27, 2021 after the same vaccine. Separate report filed.
Other Medications: Metoprolol (25mg), Levothyroxine (25mg)
Current Illness: N/A
Preexisting Conditions: I have a history of rare atrial fibrillation (once every few years), but have had it twice since receiving the vaccination.
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Second episode of atrial fibrillation since receiving Janssen COVID-19 vaccine. I had a heart rate of 180 BPM and again needed to be cardioverted.


VAERS ID: 1474357 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-19
Onset:2021-05-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Insomnia, Mobility decreased, Muscular weakness, Sitting disability, Walking aid user, Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Elequis, Metformin, acyclovir, amlodipine, flomax
Current Illness: Probable enlarged prostate making it necessary to use catheter
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None at this time. He will see his primary care doctor on July 22 and will request a referral to a neurologist.
CDC Split Type:

Write-up: Two nights after receiving vaccine patient was unable to sleep for two nights. Then the following week, about 10 days after the vaccine he went to using a walker and then a wheelchair and now has no use of his legs, his core strength is very limited, and one arm is affected. He also cannot sit unassisted.


VAERS ID: 1474395 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-06
Onset:2021-06-24
   Days after vaccination:79
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Cough, Ear infection, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Paroxetine, Zyrtec, D3, Flonase
Current Illness: Sinus congestion and seasonal allergies that are year round for me.
Preexisting Conditions: Anxiety, seasonal allergies
Allergies: Penicilin and Sulfur
Diagnostic Lab Data: Covid test=negative 6/30 and Strep test=negative on 6/30.
CDC Split Type:

Write-up: head congestion, sore throat, severe cough, chills,low grade fever, lower back pain and fatigue. I had been having these symptoms that started with the sore throat on 6/24 and by 6/30 it was getting worse so I went to Urgent care and received a negative covid and strep test. Diagnosed with sinus infection and double ear infection. Antibiotic and cough syrup given. Felt better by 7/6 or 7/7 and cough nearly gone by 7/12 and returned to office. By 7/6 husband had same symptoms with same start with sore throat and congestion/cough that got worse. Family member visited with inside his home for 2-3 hours reported he became sick around 7/5 or 7/6 and was beginning to feel better by 7/10 when I checked on him. He also had the J&J vaccine he mentioned during that visit.


VAERS ID: 1474427 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-30
Onset:2021-04-27
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Antinuclear antibody positive, Asthenia, Blood test, Haemangioma of skin, Red blood cell nucleated morphology present, Ultrasound abdomen normal
SMQs:, Systemic lupus erythematosus (narrow), Guillain-Barre 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, Vitamin D, Vitamin C, Vitamin B-12, Elderberry
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 5/13/2021 positive Absolute Nucleated RBC (72H) and postiive Nucleated RBC (1H)
CDC Split Type:

Write-up: Eruptive Cherry Angiomas beginning less than one month after vaccination. Blood test collected 5/13/2021 showed positive Absolute Nucleated RBC (72H) and postiive Nucleated RBC (1H). No other abnormal test results at that time other than postitive ANA that has been positive for many years without autoimmune disease or issues. Further tests and followup with hematologist have not shown any reason for the postitive Nucleated RBC. Hematologist diagnosed patient as having possible allergic drug rash. Abdominal ultrasound was also performed and showed no abnormalities. Patient feels weak but no other test abnormalities. New cherry angiomas are still appearing.


VAERS ID: 1474428 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-05-16
Onset:2021-05-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Abdominal pain upper, Arthralgia, Blood test, Feeding disorder, Flank pain, Hepatic enzyme increased, Hypoaesthesia, Hypotonia, Impaired work ability, Mobility decreased, Pain, Pain in extremity
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Simple bloodwork at the ER but only showed elevated liver enzymes but the ER team seemed unconcerned with helping me as I do not have health insurance.
CDC Split Type:

Write-up: 5/17/21 - general body soreness, didn''t leave bed 5/18/21 - Extreme abdominal pain, couldn''t eat, didn''t leave bed 6/9/21 - Severe side pains and bloating below rib cage 6/16/21 - Woke up to 10/10 pain in my abdominal region, felt like knives were being stuck directly under my rib cage, around this same time, I noticed that both of my inner legs, from roughly my ankles up was going numb to the touch, severe stomach bloating as well 7/6/21 - Everything described for 6/16/21 progressively getting worse to the point where my legs were so sore that I can barely climb up stairs, can''t eat much so went to the ER. During the visit they didn''t address my leg issues, released me with diuretics to deal with bloating (which have not helped). My stomach is generally bloated anywhere from 50-75% and I have pain in my stomach , legs, and shoulders and seem to be losing muscle and a rapid rate. I''m a healthy eater so all of this is very unusual and extremely concerning. I cannot work as well.


VAERS ID: 1474458 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-04-02
Onset:2021-06-28
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abortion spontaneous, Haemorrhage in pregnancy, Maternal exposure before pregnancy, Pregnancy
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prentatal vitamin Vitamin D Calcium / magnesium Zinc Zyrtec (generic)
Current Illness: N/a
Preexisting Conditions:
Allergies: Amoxicillin, Percocet, zoloft
Diagnostic Lab Data: Fetus was sent for pathology on 7/8. I am unaware if this has been completed as of 7/15.
CDC Split Type:

Write-up: I became pregnant shortly after receiving the vaccine. I spotted the entire pregnancy and bleeding increased during the week of 6/28. Bleeding became alarming over the holiday weekend. OB ordered an ultrasound and it was scheduled for 7/9. I went to OB triage on 7/8 around 4:30 pm. I delivered (miscarriage) on 7/8/2021 at 11 weeks 6 days gestation. Bleeding has greatly reduced since 7/8.


VAERS ID: 1474465 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-22
Onset:2021-06-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Urgent care visit on Wed. 7/14; referred to neurology and orthopedic specialists
CDC Split Type:

Write-up: Left forearm and finger tingling, slight numbness akin to a "dead arm" when one falls asleep; Every 15-30 min. the first 4-5 days after injection; has become less intense and less frequent over the last 3 weeks; still occurs 5-7 times a day and is more localized to the left pointer finger (most intense) and left hand


VAERS ID: 1474504 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Dyspnoea, Impaired work ability, Oxygen saturation decreased
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad)

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

Write-up: Patient was taken to the ER by his wife, on 4/12/21 with shortness of breath. He was sent home on continuous O2, which was never needed prior to his vaccination. Wife denies any chronic health conditions and reports that pt has been to more that one specialist because of his continued need to be on O2. She reports his saturation drops with minimal exertion and that the client has not even been able to return to work. When asked what the doctors had said, she reported that they blamed it on his weight. She reports that his weight has been the same since well before the vaccination.


VAERS ID: 1474546 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-06
Onset:2021-04-13
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram normal, Arrhythmia, Blood test normal, Cardiac stress test normal, Dyspnoea, Electrocardiogram abnormal, Heart rate increased, Sinus rhythm
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Dehydration (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: none reported
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: none reported
Diagnostic Lab Data: CTA, blood work, and stress test in ED: normal EKG on follow-up visit: sinus rhythm
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA: patient in clinic to establish care. COVID-19 infection in January 2020. Reports one week after immunization experienced increased heart rate and shortness of breath while on vacation out of state. Patient went to emergency department (ED) and diagnosed with heart arrhythmia. Patient left hospital before heart echo could be performed. Continues to have some shortness of breath at times but no palpitations.


VAERS ID: 1474547 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Aphasia, Erythema, Hyperhidrosis, Loss of consciousness, Malaise, Memory impairment, Musculoskeletal stiffness, Pallor, Vision blurred, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: patient received J & J vaccine at 1050 am patient was talking with nurse and suddenly stiffened his body with clenching fists curled upward to chest. He had bright red skin color, and could not speak. this lasted 10 seconds at most. Afterward the patient was sitting in chair had turned very pale and did not realize what had happened. one of the other nurses asked him if he knew where he was, he stated "In the Hospital", the nurse repeated that he was not in hospital, that he was at the health department getting a Covid shot. He stated "oh yeah.. I forgot," patient stated he was going to be sick, patient grabbed garbage can that was sitting next to him Patient was hooked up to oximetry, reading was 99% on RA, attempted Blood pressure 3 times but was unable to attain a reading, patient was holding garbage can tightly. patient had emesis 3x''s that was clear in color, cold packs were placed on the nape of the neck and under armpit, patient was sweating and white in color. patient stated he had blurred vision, and noted that he was unconscious for approx. 25-30 seconds. 911 was called at 10:57. Nursing supervisor was notified at 10:58. Patient stated that he had nothing to eat today, and his mother stated that he had been anxious about getting the vaccine and that she made her son get it. Epinephrine was available but not given. no issues with breathing. EMS came in did a quick evaluation and transported patient to the hospital. Mother was with patient during the entire incident.


VAERS ID: 1474561 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-03-20
Onset:2021-07-10
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax, Subclavian vein thrombosis, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (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: Tylenol, Calcium, vitamin D, Celebrex, Bentyl, Tylenol PM, Flonase, Atrovent nasal, Synthroid, metoprolol, omeprazole, pravastatin
Current Illness: None
Preexisting Conditions: HTN, GERD, IBS, hypothyroid, HLD, OA, Sjogren''s, insomnia, post-nasal drip
Allergies: None
Diagnostic Lab Data: CT chest/US PVL 7/10/21
CDC Split Type:

Write-up: L subclavian thrombosis diagnosed 7/10/21


VAERS ID: 1474692 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-18
Onset:2021-04-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Angina pectoris, Fatigue, Feeling abnormal, Laboratory test normal, Malaise, Nervousness, Pain
SMQs:, Dementia (broad), Other ischaemic heart disease (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamins, and cholesterol medication
Current Illness: 7/04/21 I experienced more pain and hospitalized for 5 days.
Preexisting Conditions: n/a
Allergies: seafood allergy
Diagnostic Lab Data: 7/11/21 I went to the hospital and they run tests which to be them nothing was wrong, but I don''t feel well still and after the vaccination I felt these symptoms.
CDC Split Type:

Write-up: After five days, I experienced a lot of pain and was hospitalized. The pain returned and I was recently hospitalized as well. I feel heart pains and don''t feel the same, fatigue and extreme nervous.


VAERS ID: 1474694 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-24
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Balance disorder, Bell's palsy, Bladder catheterisation, Blood test, Facial paralysis, Magnetic resonance imaging, Mobility decreased, Muscle spasms, Neurological examination, Pain in extremity, Paraesthesia, Urinary retention
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: MRI Blood Test and Neurological tests
CDC Split Type:

Write-up: April 24 rush to ER because of urine retention then april 28 he started with facial paralisis wich the doctor said it was bellpalsy but 1 week after all that he lost all the strenght on his legs he was using Foley cateter sin april 24 thrue may 21 and now he could barely move he has limited balance i have to take him out of bed hold him he could not be seat because he feel sever pain on his legs an feets and sever cramps and tingling


VAERS ID: 1474710 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-06
Onset:2021-04-04
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Blood bilirubin increased, Cholecystitis acute, Cholelithiasis, Computerised tomogram abdomen abnormal, Transaminases increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Infectious biliary disorders (narrow), Biliary system related investigations, signs and symptoms (narrow), Gallbladder related disorders (narrow), Gallstone related disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: R10.11 - Right upper quadrant pain R74.01 - Transaminitis R93.5 - Abnormal CT of the abdomen R17 - Elevated bilirubin K80.66 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis without obstruction


VAERS ID: 1474727 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-09
Onset:2021-04-26
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood test normal, Electrocardiogram, Ultrasound scan, 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? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Methocarbamol,Cyclobenzaprine, Atorvastatin, Ondansetron, Losartan, Aspirin, Ibuprofen.
Current Illness: No!
Preexisting Conditions: Yes:Back spinal surgery, right knee surgery, right hip surgery and Electric stimulator surgery.
Allergies: Banana.
Diagnostic Lab Data: Negative blood ,ekg,,sonogram, I got the hives from the vaccine Johnson &Johnson.
CDC Split Type:

Write-up: None stated.


VAERS ID: 1474746 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-01
Onset:2021-07-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Cerebral haemorrhage, Computerised tomogram head, Contusion, Full blood count, Headache, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (narrow), 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: CBC, CTH, CTangio
CDC Split Type:

Write-up: Patient presented with 1 week of headache. She had some spontaneous bruising. She is thrombocytopenic in the 50s with a large intraparenchymal hemorrhage.


VAERS ID: 1474795 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood glucose normal, Deafness, Dizziness, Dyspnoea, Electrocardiogram normal, Hyperventilation, Hypoaesthesia, Immediate post-injection reaction, Loss of consciousness, Pallor, Paraesthesia, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Sexual dysfunction (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: 911 was called and BP, glucose and EKG were checked which were normal. Patient was cleared to go home.
CDC Split Type:

Write-up: Right after the vaccine was administered, patient complained about dizziness, temporary blurred vision & loss of hearing. Patient became pale, hyperventilating and complaining of shortness of breath. Soon after, he passed out for 20 seconds. When he gained consciousness, he felt tingling and numbing on both hands.


VAERS ID: 1474991 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-31
Onset:2021-04-12
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Electrocardiogram normal, Gait disturbance, Heart rate abnormal, Laboratory test normal, Loss of personal independence in daily activities, Magnetic resonance imaging normal, Muscular weakness, Nausea, Nerve stimulation test normal, Neuralgia, Paraesthesia, Reflex test normal, Temperature regulation disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Once a daily women''s multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: injected iodine
Diagnostic Lab Data: 4/19: urgent care clinic then ER -- given benadryl and prednisone -- EKG, blood work normal 4/20: primary care physician then ER -- MRI, blood work normal 4/22: neurologist -- reflex/nerve/muscle testing normal
CDC Split Type:

Write-up: Developed neurological systems starting 4/12/31, worsening over 2 weeks -- face tingling, leg tingling, full body nerve pain, muscle weakness (developed difficulty walking, grasping, etc), nausea, inability to regulate body temperature, heart rate fluctuations


VAERS ID: 1475168 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-12
Onset:2021-04-24
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Magnetic resonance imaging, Myasthenia gravis
SMQs:, 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? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Alprazolam Atorvastatin calcium Carvedilol Ergocalciford Levemir
Current Illness:
Preexisting Conditions: Diabetic High blood pressure
Allergies: Unknown
Diagnostic Lab Data: CT scan, MRI,
CDC Split Type:

Write-up: Myasthenia Gravis. Impacted the eyes, mouth, and throat


VAERS ID: 1475178 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-09
Onset:2021-07-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Dyspnoea, Headache, Hypoaesthesia, Influenza like illness, Muscle tightness, Throat irritation
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient felt fine day of shot. Next day started to experience muscle tightening, flulike symptoms, scratchy throat, leg numbness, dizziness, cold sweats, shortness of breath and headaches. She was seeking care today, 7/15. I advised patient to go to hospital.


VAERS ID: 1475203 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-30
Onset:2021-04-12
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Cardiac monitoring, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram thorax, Differential white blood cell count, Electrocardiogram, Full blood count, Guillain-Barre syndrome, Laboratory test, Metabolic function test, Troponin, Troponin I
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown-received information via essence reporT
Current Illness: unknown-received information via essence report
Preexisting Conditions: unknown-received information via essence report
Allergies: unknown-received information via essence report
Diagnostic Lab Data: LAB1748 CBC WITH AUTO DIFFERENTIAL;LAB17 COMPREHENSIVE METABOLIC PANEL;RIS1259 XR CHEST 1V PORTABLE;ECG1 EKG 12-LEAD;IVT3 INSERT PERIPHERAL IV;NUR586 CONTINUOUS PULSE OXIMETRY;NUR342 ED NASAL CANNULA OXYGEN;NUR7021 CARDIAC MONITORING;LAB6953 TROPONIN 0; 1; 3 HR HIGH SENSITIVITY;LAB6386 *CBC WITH AUTO DIFFERENTIAL; LAB GENERATED ORDER;LAB6896 *TROPONIN I HS 0 HR (LAB GENERATED ORDER);LAB6956 *TROPONIN I HS 1 HOUR (LAB GENERATED ORDER);LAB1778 LIGHT GREEN TOP;RIS3218 CTA CHEST ABDOMEN PELVIS;LAB6957 *TROPONIN I HS 3 HOUR (LAB GENERATED ORDER)
CDC Split Type:

Write-up: Admitted for HTN, diagnosed with GBS and discharged on 13 April.


VAERS ID: 1475860 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-08
Onset:2021-04-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Disorientation, Dizziness, Ear pain, Fatigue, Herpes zoster, Hypoaesthesia, Magnetic resonance imaging head, Ocular discomfort, Oropharyngeal pain, Pharyngeal ulceration, Tinnitus, Vertigo
SMQs:, Agranulocytosis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Opportunistic infections (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: Prozac
Current Illness: None
Preexisting Conditions:
Allergies: Erythromycin, Codeine
Diagnostic Lab Data: Brain MRI June 16th 2021, bloodwork done on June 15 2021.
CDC Split Type:

Write-up: Shingles in throat. Vertigo, dizziness, half of head numb. Disoriented, Throat and ear pain, eye pressure on face and in eye, tinnitus, tired. Most symptoms since April 12th. Took two doses of antiviral because I got sores in my throat twice three to four weeks apart. Vertigo, dizziness, disoriented persists.


VAERS ID: 1477782 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-23
Onset:2021-06-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Biopsy skin, Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (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? 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: Skin biopsy (6/14/2021): H&E consistent with linear IgA or neutrophilic dermatosis but DIF negative
CDC Split Type:

Write-up: Bullous skin disease (clinically consistent with Linear IgA, however DIF negative), began 10 days after vaccination (no new medications or recent illness otherwise). Stabilized with prednisone but has not resolved as of 7/16/2021


VAERS ID: 1478029 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-17
Onset:2021-04-06
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: CSF protein increased, Guillain-Barre syndrome, Lumbar puncture, Red blood cell count increased, White blood cell count normal
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? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: sisingulair ramipril phenobarbital lipitor coumadin aspirin
Current Illness: N/A
Preexisting Conditions: cervical spine cord compression
Allergies: carbamazepine dilantin
Diagnostic Lab Data: Lumbar puncture - 2 WBC, <1000 RBC, protein 1960
CDC Split Type:

Write-up: Patient was hospitalized for Guillain Barre Syndrome


VAERS ID: 1478081 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-04-28
Onset:2021-05-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Bundle branch block left, Cardiac failure congestive, Catheterisation cardiac, Computerised tomogram thorax, Echocardiogram, Ejection fraction decreased, Left ventricular dysfunction, Magnetic resonance imaging heart, Muscle twitching
SMQs:, Cardiac failure (narrow), Conduction defects (narrow), Dyskinesia (broad), Dystonia (broad), Cardiomyopathy (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aleve, vit B complex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 9 MAY 21 - echo/ heart CT/ blood tests 12 MAY 21 - echo/ blood test. 14 MAY 21 - catherization (maine med) 17 MAY 21 - heart MRI
CDC Split Type:

Write-up: congestive heart failure, left bundle branch blockage, left ventricle wont dialate, EF of 20%. water pills 160mg a day, beta blocker, 1/2 a day. muscle twitch while sleeping or rest.


VAERS ID: 1478118 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-07-09
Onset:2021-07-14
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Blood test, Computerised tomogram abdomen
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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Airborne
Current Illness:
Preexisting Conditions:
Allergies: Gluten, lactose, seasonal allergies
Diagnostic Lab Data: CT Scans and blood lab work done by dr at hospital on July 14th in the Emergency Room.
CDC Split Type:

Write-up: Appendicitis, Surgically removed, currently recovering


VAERS ID: 1478128 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-05-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Disturbance in attention, Dizziness, Echocardiogram, Electrocardiogram ambulatory, Heart rate increased, Magnetic resonance imaging head, Paraesthesia, Syncope, Tinnitus, Visual acuity tests
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: paroxysmal atrial tachycardia
Allergies: none
Diagnostic Lab Data: Full vision test, MRI of brain, vertigo assessment, chest X-ray, echo cardio, halter monitor.
CDC Split Type:

Write-up: Unexplainable dizziness, lightheadedness, body tingling, ringing in ears, fainting, rapid heart beat, unable to focus. All began a few weeks after shot and have not gone away.


VAERS ID: 1478150 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-12
Onset:2021-06-21
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Lumbar puncture
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (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? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: gemfibrozil metoprolol metformin losartan fiorcet asa coQ10 magnesium zyrtec
Current Illness:
Preexisting Conditions: hypertension hyperglycemia hyperlipidemia migrains hx of melanoma
Allergies: no known allergies
Diagnostic Lab Data: spinal tap proved dx
CDC Split Type:

Write-up: pt was diagnosed with Guillian Barre syndrome 06/22/2021


VAERS ID: 1478169 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-17
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Cardiac stress test, Electrocardiogram, Feeling abnormal, Intensive care, Magnetic resonance imaging, Neuropathy peripheral, Pain in extremity, X-ray
SMQs:, Peripheral neuropathy (narrow), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: Tetnus as a child
Other Medications: Liniapril,
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: None
Diagnostic Lab Data: EGK, stress test, x-rays, MRIs
CDC Split Type:

Write-up: Felt severe pain in leg for over week. Went to hospital. Hospital reported nothing wrong. A week later, ER, Afib, In ICU for 4 days. Developed completely neuropothy, starting with legs. Feel like "electrical system is fried."


VAERS ID: 1478227 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-07
Onset:2021-05-01
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test, Dysstasia, Groin pain, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Osteonecrosis (broad), Arthritis (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: took blood test yesterday
CDC Split Type:

Write-up: Severe muscle weakness, joint pain in shoulders hips, groin area. worse in morning , or long seated period. Can''t stand up from kneeling position


VAERS ID: 1478241 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-06-12
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Catheterisation cardiac normal, Chest discomfort, Discomfort, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Magnetic resonance imaging normal, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D, Pro bio Gold probiotic
Current Illness: None
Preexisting Conditions: Mitral Valve Prolapse
Allergies: Penicillin and Augmentin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Experienced chest heaviness and shortness of breath after exercise on June 12, 20201. Discomfort continued. On June 15, I went and was found to have elevated levels of Troponin. I was taken in an ambulance to where they said I may have suffered a heart attack however there were no blockages found after repeated EKG, Echocardiogram, and cardiac cath procedure, and MRI with contrast.


VAERS ID: 1478265 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-18
Onset:2021-07-08
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral, Blood magnesium, Blood phosphorus, Computerised tomogram head, Computerised tomogram thorax, Echocardiogram, Electrocardiogram, Fibrin D dimer, Full blood count, Headache, Hyperacusis, International normalised ratio, Metabolic function test, Photophobia, Prothrombin time, Ultrasound Doppler, Vena cava filter insertion
SMQs:, Embolic and thrombotic events, venous (narrow), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: IUD
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NKA
Diagnostic Lab Data: CT of Head, Doppler of upper and lower extremities, IVC filter placement, CT of chest with runoff, EKG, CBC, CMP, Mag, Phos, D-Dimer, PT/INR, PTT, Diagnostic Cerebral Angiogram, Echocardiogram
CDC Split Type:

Write-up: Pt has severe headaches with no specific area and problems with bright lights and noises. This started approximately 7/6/2021


VAERS ID: 1478284 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-24
Onset:2021-07-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arterial thrombosis, Cerebrovascular accident, Magnetic resonance imaging abnormal, Thrombosis
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Venlafaxine
Current Illness: No
Preexisting Conditions: High cholesterol
Allergies: No
Diagnostic Lab Data: hospitals 7-5-21 conformed strokes from blood clots with MRI Also 7-9-21 blood clot is wedged in one of artery in back of neck
CDC Split Type:

Write-up: I ended up having a stroke after having blood clots Dr could not find cause of blood clots and this is only thing different I introduced into my body


VAERS ID: 1478290 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180892 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Blood test normal, Chest pain, Dyspnoea, Fatigue, Headache, Loss of personal independence in daily activities, Panic reaction
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood work, normal
CDC Split Type: vsafe

Write-up: I had the dose on 04/09/2021 and on 04/12/2021 I started having some symptoms and on Tuesday I started having a lot of anxiety and panic and chest pain. I could not breathe. I ran outside and my husband behind me. I told him I was not feeling well. We called an ambulance and they checked me at home. They told me my vitals were ok but they said if I wanted to go to the hospital I could but I did not. I have felt changes in me. I always have headaches and anxiety. Sometimes I do not do my house chores because I get tired. I still have the chest pain. Sometimes I cannot take care of my kids because the symptoms do not let me. I have not taken any medication. My doctor did some blood work and it was normal.


VAERS ID: 1478293 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-18
Onset:2021-06-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Chest pain, Condition aggravated, Cough, Dyspnoea, Fatigue, Headache, Hypertension, Hypoaesthesia, Night sweats, Thrombosis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: No
Preexisting Conditions: NA
Allergies: Allergic to Sulfa
Diagnostic Lab Data: 06/25/2021
CDC Split Type:

Write-up: Hard headaches Tiredness Numbness up to this moment 76% Blood clots Short breath up to this moment Chest pain comes and go up to this moment Hard coughing up to this moment Sweating while sleeping at night up to this moment. High blood pressure at the time I visited the ER. Made my Anxiety worse since I took the vaccine.


VAERS ID: 1478296 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-12
Onset:2021-03-24
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain, Angiogram, CSF protein increased, Discomfort, Dyskinesia, Eyelid function disorder, Facial paralysis, Facial paresis, Flatulence, Gastrointestinal motility disorder, Guillain-Barre syndrome, Immunoglobulin therapy, Lumbar puncture abnormal, Magnetic resonance imaging head normal, Muscular weakness, Pain, Pain in extremity, Scan with contrast
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dyskinesia (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Noninfectious diarrhoea (broad), Tendinopathies and ligament disorders (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? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin, Glipizide, Atorvastatin, Lisinopril
Current Illness: none
Preexisting Conditions: High blood pressure, High Cholesterol, Type II diabetes
Allergies: none
Diagnostic Lab Data: MRI, MRA and MRI with Contrast - Test date were approx. 5-1-2021 to 5-9-2021 Spinal Tap - Test date were approx. 5-1-2021 to 5-9-2021
CDC Split Type:

Write-up: On March 24 I began experiencing severe pain in my right arm. The er thought it might have been a pinched nerve or something along those line. March 28, noticed a lack of muscle control on the right side of my lips while drinking from a straw. This time I was admitted as a possible stroke. Two different MRI sessions revealed no stroke. They performed a lumbar puncture and discovered that I had extremely high protein levels. After having been admitted, for the next couple of days my face slowly lost the ability to close my eyes fully and a complete lack of control of my lips (total paralysis on my face). I also began to experience bouts of stabbing pain throughout my body and weakness in my limbs. After the after th


VAERS ID: 1478335 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-30
Onset:2021-03-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041AZ1A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Cough, Dyspnoea, Fatigue, Inflammatory marker test, Laboratory test, Myalgia, Pulmonary function test abnormal, Pulmonary function test decreased, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament 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: Birth Control; olmesartan
Current Illness: No other illnesses at the time of vaccination.
Preexisting Conditions: Hypertension; Asthma after vaccination.
Allergies: Procardia.
Diagnostic Lab Data: Basic labs were performed at the ER and a lung function test was also performed. I also had a COVID test and it was negative. The ER physician also ordered a inflammation testing. The results stated my inflammation was very high.
CDC Split Type: vsafe

Write-up: The same day I received the vaccination after 45 minutes I began to drive home I became very fatigue. I also began to experience muscle burning in several parts of my body legs, arms wrist. The 4th day after vaccination I began to have a chronic cough. The cough was so severe I could not catch my breath. I then visited the ER and was given breathing treatments which did not work. I was referred to an Allergist and a pulmonary function test was performed and it was stated my lungs was only performing at 50 percent. I was diagnosed with asthma and a nebulizer is required daily. I can no longer walk from my home office to my bedroom with shortness of breath.


VAERS ID: 1478336 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-13
Onset:2021-03-27
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states that he was at the Janssen COVID-19 Clinic on 3/13/21 hosted by Pharmacy and received his single dose of the vaccine. Two weeks later, he noticed leg pain and numbness in both arms. He went to the hospital and then to see his regular practitioner with no answers. Patient is convinced that these symptoms are due to the vaccine and would like some answers.


VAERS ID: 1478363 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-07-14
Onset:2021-07-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dysphonia, Feeling abnormal, Hypoaesthesia, Paraesthesia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Sexual dysfunction (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: Nuts-anaphylaxis, Sulfa drugs-hives
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient began feeling tingling in her arm, felt left side of face go numb. Stated she just didn''t feel right. Then stated her throat was starting to close up and became hoarse. EPI was administered x 1 at clinic and patient transported to ED where she was observed and discharged on Prednisone.


VAERS ID: 1478366 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-14
Onset:2021-06-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JINJ / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac disorder, Chest pain, Dyspnoea, Fatigue, Headache, Impaired work ability, Investigation, Myalgia, Oropharyngeal pain, Pericarditis, Pyrexia, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (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? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril/Hydraclorathorazide; Multivitamin; Vitamin D
Current Illness: Absolutely none! I have been healthy most of my life.
Preexisting Conditions: High blood pressure (treated).
Allergies: Allergic to hay.
Diagnostic Lab Data: I had daily tests 7/7/21 through 7/9/21 and again on 7/13/21. I will have them weekly for at least the next 2 weeks. You will have to get the medical reports from the facility.
CDC Split Type:

Write-up: June 14, I had the vaccine. June 25, I started having muscle aches, severe headache and sore throat. This continued through the next week along with being extremely tired. July 5, I went to the ER due to severe chest pains (I have NEVER had chest pains before). They sent me home that same day. By July 7th, I felt like my heart was seizing and went back to the ER this time also with shortness of breath and a fever. I was admitted on July 7th and discharge on July 9th, with diagnosis of Pericarditis--a SIDE EFFECT OF THE VACCINE. I am now currently on sick leave as I cannot work. I was told by medical staff to report this so that is what I am doing.


VAERS ID: 1478433 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-16
Onset:2021-07-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Hypotension, Loss of consciousness, Nausea, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: Patient received J&J COVID 19 vaccine and proceeded to waiting area for required 15 minutes with his family. After a couple minutes, he starting getting dizzy, pale, nauseated and lost consciousness briefly. 911 was called and patient was transported to a hospital due to low blood pressure.


VAERS ID: 1478440 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-11
Onset:2021-05-24
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Blood test normal, Energy increased, Fatigue, Feeling abnormal, Headache, Hypoaesthesia, Magnetic resonance imaging head normal, Migraine, Muscle contractions involuntary, Muscular weakness, Neck pain, Pain in extremity, SARS-CoV-2 test negative, Spinal pain, Tinnitus, Tremor, Urine analysis normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), COVID-19 (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: Atorvastatin 10mg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: A COVID test was performed on 5/27 and came out negative. All blood and urine tests on June 1st and June 8th came out normal. An MRI of brain was taken on 6/18 due to headache; appeared "normal". Neurologist prescribed Rizatriptan, Riboflavin and Magnesium Oxide for migraine, but none have helped alleviate the overall symptoms- which continue to this day.
CDC Split Type:

Write-up: No effect for approx. 6-weeks; then, headache, complete body fatigue and muscle weakness developed overnight. A "charged-nerve"/anxious-energy feeling developed throughout body. Then- over the next couple-weeks- numbness in hands/fingers, feet/toes, tremors in head, neck, face hands and fingers and shakiness in arms and legs, developed and continue until today. The headache and charged-nerve feeling has continued, and pain in neck and mid/lower-spine has developed. Muscles in legs especially continue to be weak and some pain has developed in thighs. A ringing in ears is continuous and fasciculations have developed throughout entire body.


VAERS ID: 1478442 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-01
Onset:2021-06-19
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Catheterisation cardiac, Electrocardiogram, Laboratory test, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft, Wellbutrin, protonix
Current Illness: None
Preexisting Conditions: Gerd
Allergies: None
Diagnostic Lab Data: Full labs, ekg, and cardiac cath
CDC Split Type:

Write-up: 100% LAD MI, no cardiac history


VAERS ID: 1478470 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-04-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / N/A - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary normal, Chest pain, Dyspnoea, Electrocardiogram normal, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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: iburprofen, acetaminophen
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: CT angiography = no PE, EKG = sinus rhythm. 12-lead-- $g unremarkable.
CDC Split Type:

Write-up: Chest pain in left upper chest described as sharp, shortness of breath, myalgias.


VAERS ID: 1478481 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Cardiac monitoring normal, Chest X-ray normal, Electrocardiogram normal, Electroencephalogram abnormal, Epilepsy, Laboratory test, Loss of consciousness, Magnetic resonance imaging head normal, Seizure, Snoring, Somnolence
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: On April 12th and ecg and blood panel were run. Nothing remarkable found in the tests. On April 26th in the ER more extensive tests were run including an MRI of his brain with contrast and chest X-ray to rule out J&J clotting issues. Additionally more blood and Jennie samples were pulled. Nothing of note detected during the ER visit and he was released back to PCP to follow up with neurologist and cardiologist. Wore a heart chest monitor for one week that turned up normal. EEG completed by neurologist showed abnormal activity in all states of consciousness; awake, drowsy and asleep. Results from EEG from June 9th: Through the recording, there is frequent burst of generalized high amplitude theta slowing, each lasting 2 to 4 seconds. Impression This EEG is abnormal for the awake, drowsy and sleep states. A frequent generalized epileptiform activity is seen through the recording, which could be epileptic in origin. Pt was prescribed anticonvulsant meds and began taking them on July 6th.
CDC Split Type:

Write-up: 6 days after vaccine Pt suffered a seizure on April 12th. He had no prior history of seizures or epilepsy. He was found unconscious on the floor of his home office by his wife, laying on his stomach making a snoring sound and she was unable to wake up. The event lasted under 2 mins and he regained consciousness. He was taken to urgent care same day. He suffered two more events on April 25 & 26th. He was taken to the ER on the 26th for testing. On July 6th he suffered back to back seizures and on July 16th he suffered another. With no prior history he is being diagnosed with epilepsy post vaccination


VAERS ID: 1478486 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Biopsy brain, Confusional state, Dizziness, Fall, Headache, Insomnia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Brain Lymphoma Biopsy done at hospital.
CDC Split Type:

Write-up: Dizziness, Confusion, Falling, insomnia, headaches.


VAERS ID: 1478495 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-07-13
Onset:2021-07-16
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Military       Purchased by: ?
Symptoms: Aspartate aminotransferase increased, Blood calcium decreased, Blood creatine phosphokinase increased, Chest pain, Electrocardiogram ST segment elevation, Laboratory test, Pyrexia, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Tumour lysis syndrome (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: The patient presented with EKG abnormalities and an elevated troponin on 7/16/2021. Notable labs are presented below. afebrile, HR 110, respirations 19, BP 115/75 mmHg. calcium 8.3, AST 80, CPK 1,121, and troponin 32.30. EKG noted normal sinus rhythm with ST elevations
CDC Split Type:

Write-up: Patient presented to the ED for evaluation of chest pain. About 24-48 hours after receiving vaccination he started having left sided chest pain that worsened over the next 3-4 days. The pain intensified and he also reports having low grade fevers.


VAERS ID: 1478554 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-09
Onset:2021-05-16
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Pregnancy, Uterine dilation and curettage
SMQs:, Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: Fructose
Diagnostic Lab Data: D&C surgery
CDC Split Type:

Write-up: I got pregnant the month after that resulted in a miscarriage (after having a normal pregnancy in the past). At week 6 the baby stopped developing and the pregnancy was lost at week 9. After having a D&C my Doctor, notified me of the amount of miscarriages he?s been seeing in vaccinated women just at his office and asked that I report it.


VAERS ID: 1478863 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Computerised tomogram head normal, Fatigue, Hemiparaesthesia, Hyperventilation, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging head normal, Nausea, Pain, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (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), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Ulcerative Colitis, Generalized Anxiety
Allergies: Neurontin
Diagnostic Lab Data: CT brain - normal; MRI brain - normal; Labs normal
CDC Split Type:

Write-up: He received his Johnson & Johnson vaccine around 1500 today in his left arm. At 2300 today he started feeling fatigue. He was last seen normal by his wife at 1045. He had a syncopal episodes in the shower. His wife helped him down. EMS was activated. He was hyperventilating and complaining of nausea and was given 4 of Zofran. He is also complaining of chest pressure that radiates to the right side of his body. He is complaining of right sided numbness from his ear all the way down to his feet. He denies any focal weakness or neck pain. Denies any back pain or abdominal pain. Patient does not take any blood thinners. In route with EMS, patient another syncopal episode. For EMS patient was febrile to 100.9. Notes relative numbness involving RUE and RLL. All imaging, including brain MRI have come back reassuring. Fluctuating paresthesias on the right hemibody. Imaging studies are negative for acute stroke or other concerning findings. Neurological exam was normal on day of discharge but patient continued to report subjective sensory changes intermittently.


VAERS ID: 1479276 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-16
Onset:2021-07-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dry skin, Fall, Head injury, Headache, Heart rate decreased, Hyperhidrosis, Immediate post-injection reaction, Pallor, Skin laceration, Skin warm, Tenderness, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: 1616- Patient received injection and immediately fell forward from chair and struck plastic chair with right forehead while falling to floor. Staff called for help. 1617- Patient lying on side, not responding to voice or tactile stimulation for 30-60 seconds. Patient spontaneously opened eyes, sat up, and asked ''where...what''. Pulse ox placed on patient HR 50, O2 sat 99% on RA. Code team arrived. BP 86/45 HR 50. Patient pale, diaphoretic. MD advised lowering head between knees. COld pack placed on back of neck. Pt offered juice, patient drinking juice. Patient with small closed laceration above right eyebrow. 1620 HR decreased to 48. This NP advised patient to lay down, feet elevated. Band-aid placed on laceration. MAE, Ice pack placed on forehead. Patient reports mild pain on forehead that increases when pressure placed on forehead. 1622- A&O x4, pale. BP 109/67 HR 58, O2 sat 100%. Patient consented to notifying spouse of his condition. Staff member sent outside to notify spouse. 1627- A&Ox 4, skin pink, BP 114/75, HR 54, 02 sat 98%.. Patient offered more juice. Denies dizziness, reports mild HA. Dsg to forehead clean, dry and intact. Spouse and children at patients side. Patient interacting. Spouse reports patient "didn''t eat much and was very nervous". 1632- A&Ox4, skin pink, dry. BP 119/79, HR 55, O2 sat 100%.. Discussed plan with patient to gradually have patient sit up and that we advise following up at urgent care today. Worked with staff to find urgent care. Spouse states she will drive patient. 1634- A&Ox4, skin pink, warm, and dry. Patient sitting up. BP 120/76, HR 61, O2 sat 98%. Patient denies dizziness, or nausea. Reports MIld HA and forehead pain. 1640- A&Ox4 skin pink, warm, and dry. Patient sitting up. BP 108/73, HR 65, O2 sat 98%. 1646 HR 62. Patient denies dizziness, or nausea. Reports MIld HA and forehead pain. Patient wanting to stand up. Patient assisted to feet, denies dizziness, gait steady. Standing BP 123/70, HR 54, O2 sat 99%. 1650- transported via wc to private vehicle. Patient ambulated and seated in car without c/o. Address for Urgent Care provided to patient''s spouse. Patient and spouse state understanding of recommendation for further follow up at urgent care.


VAERS ID: 1479427 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-07-16
Onset:2021-07-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Headache, Loss of consciousness, Urticaria
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (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), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Hives, headache, passing out


VAERS ID: 1479434 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-12
Onset:2021-07-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Passed out 2+ times for at least 30 sec and more over the course of about an hour. Signs were feeling light headed, dizzy, nauseous, chest pains, and clammy.


VAERS ID: 1481049 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Blood sodium, Cerebral haemorrhage, Cerebral venous sinus thrombosis, Coma scale, Computerised tomogram head, Fibrin D dimer, Headache, Heparin-induced thrombocytopenia test, Hypernatraemia, International normalised ratio, Laboratory test, Loss of consciousness, Photophobia, Platelet count, Prophylaxis of nausea and vomiting, SARS-CoV-2 test, Seizure, Thrombocytopenia, Venogram
SMQs:, Torsade de pointes/QT prolongation (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Embolic and thrombotic events, venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ARIPIPRAZOLE; WELLBUTRIN; FIORICET; FLUOXETINE; INDERAL; RISPERDAL; TOPIRAMATE
Current Illness: Chronic thrombocytopenia; Depression; Drug allergy; Migraine
Preexisting Conditions: Comments: Patient had no adverse events following any previous vaccine. no recent abortive therapy
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Venogram; Result Unstructured Data: normal; Test Date: 202104; Test Name: CT brain scan; Result Unstructured Data: normal; Test Date: 202104; Test Name: Laboratory test; Result Unstructured Data: not reported; Test Date: 202104; Test Name: Platelet count; Result Unstructured Data: 10 10*3/uL; Test Date: 202104; Test Name: Sodium; Result Unstructured Data: 170; Test Date: 202104; Test Name: CT brain scan; Result Unstructured Data: see results; Test Date: 202104; Test Name: Glasgow coma scale; Result Unstructured Data: 1; Test Date: 202104; Test Name: Platelet count; Result Unstructured Data: 114 10*3/uL; Test Name: Heparin-induced thrombocytopenia test; Result Unstructured Data: ELISA test result was positive (2.2); Test Name: SARS-CoV-2 PCR test; Result Unstructured Data: negative; Test Name: APTT; Result Unstructured Data: 24.1 sec; Test Name: International normalized ratio; Result Unstructured Data: 1.2; Test Name: Fibrinogen; Result Unstructured Data: 128 mg/dL, nadir; Test Name: Platelet count; Result Unstructured Data: 9 10*3/uL, nadir; Test Name: Fibrin D dimer; Result Unstructured Data: 13.47 mcg/mL peak
CDC Split Type: USJNJFOC20210444496

Write-up: CEREBRAL HEMORRHAGE; DURAL VENOUS SINUS THROMBOSIS; THROMBOCYTOPENIA; seizure; LOSS OF CONSCIOUSNESS; SEVERE FRONTAL HEADACHE, OCULAR HEADACHE; NAUSEA, VOMITING; PHOTOPHOBIA; SODIUM LEVEL HIGH; This spontaneous report received from a health care professional via a Regulatory Authority the VAERS (Vaccine Adverse Event Reporting System) concerned a 35 year old female. Additional information was also received on 22-JUN-2021 from a literature article: The patient''s height, and weight were not reported. The patient''s concurrent conditions included codeine allergy, migraines, depression, and chronic thrombocytopenia. Patient had no adverse events following any previous vaccine and no recent abortive therapy. The patient had no cerebral venous sinus thrombosis risk factors. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 1805025) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. Concomitant medications included aripiprazole, bupropion hydrochloride, butalbital/caffeine/paracetamol, fluoxetine, propranolol hydrochloride, risperidone, and topiramate. On an unspecified date in APR-2021 around 8 PM, patient presented to emergency room (ER) with a severe frontal headache since around 2 PM. She took TYLENOL and marijuana candy for relief at 4 PM with no help. Patient had computerized tomography (CT) venogram and CT head at 10:19 PM with normal results. She was given Toradol, Compazine, Decadron, and magnesium and discharged at 2 AM. Her platelet count at that time was 114 x10*3/mcL and was consistent with the patient''s description of chronic thrombocytopenia. On an unspecified date in APR-2021 at 2 AM, the patient presented to ER. She again had an ocular headache that was different and clearly more severe than her typical migraines. Still had significant nausea and vomiting along with photophobia. Unspecified laboratory results and imaging were reviewed. She again received morphine, Toradol, Reglan, Benadryl, dexamethasone. She was discharged at 06:00 feeling a little bit better. On 15-APR-2021 at 22:30, the patient had an acute worsening of headache and experienced loss of consciousness. At 23:30, her husband found her unresponsive and called EMS. The patient presented to emergency room at 01:30 after sustaining a seizure in route and was subsequently intubated on arrival. She had a Glasgow coma scale of 1 with fixed pupils and no gag reflex. Platelet count was 10 x10*3/mcL and reached a nadir of 9 x10*3/mcL. The D-dimer peak value was 13.47 mcg/mL, the fibrinogen nadir was 128 mg/dL, international normalized ratio (INR) was 1.2 and the activated partial thromboplastin time (aPTT) was 24.1 seconds. The result of a SARS-CoV-2 polymerase chain reaction (PCR) test was negative, and Heparin-platelet factor (PF)4 test result was positive (value of 2.2). CT head without contrast was performed which revealed intraparenchymal and subarachnoid hemorrhage with significant sulcal and cisternal effacement and mild migration of the cerebellar tonsils below the level of the foramen magnum. Intracranial hemorrhage locations were also reported as the right temporal lobe and left cerebellar hemisphere within the literature article. Increased density within the right transverse, sigmoid and superior sagittal sinus and questionably with in the sagittal sinus may reflect underlying dural venous sinus thrombosis. The patient was also found to have sigmoid sinus thrombosis. Neurology and neurosurgery evaluated the patient around 03:00 in person. Independently, imaging and clinical presentation was deemed to be incompatible with life. Because of the sedating medications required for intubation and subsequently her sodium rising to 170, the brain death physical examination by neurology was not performed. Repeat imaging to evaluate central nervous system vasculature was under consideration by the clinical team. Action taken with vaccine was not applicable. The outcome was recovering for severe frontal headache, ocular headache, nausea, vomiting, and photophobia, and the outcome of seizure, thrombocytopenia, cerebral hemorrhage, dural venous sinus thrombosis, loss of consciousness and sodium level high was not reported. This report was serious (Hospitalization Caused / Prolonged, Life Threatening, and Disability Or Permanent Damage). This case, from Same Literature article is linked to 20210354798, 20210408478, 20210428484, 20210407314, 20210416236, 20210444498, 20210415297, 20210439653, 20210444501, 20210444497 and 20210448310. Additional information was received on 22-JUN-2021 from a literature article. The following information was updated and incorporated into the case narrative: no cerebral venous sinus thrombosis risk factors, additional late signs/symptom included loss of consciousness (added as event), additional location of sigmoid sinus thrombosis and (intra)cerebral hemorrhage locations of the right temporal lobe and left cerebellar hemisphere, timeline of events, platelet nadir, other laboratory results, and linked case numbers.; Sender''s Comments: V3: Follow-up from literature confirms no CVST risk factors, symptoms, anatomic location of CVST, and lab tests. This case concerns a 35-year-old white female with a history of migraines, depression, and chronic thrombocytopenia who was hospitalized for cerebral venous sinus thrombosis (CVST) and thrombocytopenia 7 days after vaccine. Concomitant medications included aripiprazole, bupropion hydrochloride, butalbital/caffeine/paracetamol, fluoxetine, propranolol, risperidone, and topiramate. On an unspecified date the patient presented to the emergency department (ED) with a severe frontal headache. A computerized tomography (CT) venogram and CT of the head were unremarkable. She was given Toradol, Compazine, Decadron, and magnesium and discharged. Her platelet count at that time was 114, thought to be consistent with the patient''s description of chronic thrombocytopenia. The patient later presented again to the ED with a severe ocular headache. She was evaluated and discharged again with morphine, Toradol, Reglan, Benadryl, dexamethasone. On day 7, the patient had an acute worsening of headache and was found unresponsive that night. She was taken back to the ED by EMS, sustained a seizure in route and was intubated on arrival. She had no gag reflex. Sodium was 170, platelet nadir was 10, D dimer was 13.47 mcg/mL, Anti-PF4 ELISA was 2.2 and COVID test was negative. A CT revealed intraparenchymal and subarachnoid hemorrhage with mild migration of the cerebellar tonsils below the level of the foramen magnum as well as a suggestion of an underlying dural venous sinus thrombosis. She was determined to have brain death. Based on evolving knowledge of Thrombosis with Thrombocytopenia Syndrome (TTS, per definition from Brighton Collaboration), the low platelet count and temporal relationship to vaccination, we consider the events to have a plausible relationship with vaccination.


VAERS ID: 1481064 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-06-16
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Cough, Dyspnoea, Lethargy, Lymphadenopathy, Malaise, Migraine, Pyrexia
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), 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: Abstains from alcohol; Non-smoker; Type 1 diabetes mellitus
Preexisting Conditions: Comments: No known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210709161

Write-up: FELT SICK; SWOLLEN LYMPH NODES; INTERMITTENT FEVER; MIGRAINE; SHORTNESS OF BREATH; CHEST PAIN; CHEST PRESSURE / LUNG PRESSURE; COUGH; LETHARGY; This spontaneous report received from a patient concerned a 47 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included type 1 diabetic, non-alcohol user, and non-smoker, and other pre-existing medical conditions included no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 15-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-JUN-2021, the subject experienced migraine. On 16-JUN-2021, the subject experienced shortness of breath. On 16-JUN-2021, the subject experienced chest pain. On 16-JUN-2021, the subject experienced chest pressure / lung pressure. On 16-JUN-2021, the subject experienced cough. On 16-JUN-2021, the subject experienced lethargy. On 16-JUN-2021, the subject experienced intermittent fever. On 19-JUN-2021, the subject experienced swollen lymph nodes. On 21-JUN-2021, the subject experienced felt sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from swollen lymph nodes, and had not recovered from migraine, shortness of breath, chest pain, cough, lethargy, intermittent fever, chest pressure / lung pressure, and felt sick. This report was non-serious.


VAERS ID: 1481071 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Fatigue, Headache, Pain in extremity, Renal infarct, Urine analysis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Renovascular disorders (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: IBUPROFEN; EFFEXOR
Current Illness: Menopausal symptoms; Non-smoker; Seasonal allergy; Social alcohol drinker
Preexisting Conditions: Comments: No history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210703; Test Name: EKG; Result Unstructured Data: not specified.; Test Date: 20210703; Test Name: Blood test; Result Unstructured Data: not specified.; Test Name: EKG; Result Unstructured Data: not specified.; Test Name: CAT scan; Result Unstructured Data: Less density in right kidney indicating acute renal infarction.; Test Name: Blood test; Result Unstructured Data: not specified; Test Name: CT scan; Result Unstructured Data: not specified; Test Name: Urinalysis; Result Unstructured Data: not specified.
CDC Split Type: USJNJFOC20210710956

Write-up: ACUTE RENAL INFARCTION; ARM SORENESS; LITTLE TIRED; SLIGHT HEADACHE; This spontaneous report received from a patient concerned a 54 year old female. The patient''s weight was 170 pounds, and height was 67 inches. The patient''s concurrent conditions included seasonal allergies, non-smoker, social alcohol drinker (monthly and special occasions), and menopausal symptoms, and other pre-existing medical conditions included no history of 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: 201A21A, and expiry: UNKNOWN) dose was not reported,1 total administered on 09-APR-2021 between 13:00 to 15:00 to left arm for prophylactic vaccination. Concomitant medications included venlafaxine hydrochloride for menopausal symptoms, and ibuprofen for relief of regular aches and pains. On 10-APR-2021, the patient experienced arm soreness, was little tired, and had slight headache. The patient recovered within 2 days from these events. On an unknown date in JUN-2021, the patient was on vacation and had stomach pain, and thought it was something minor like constipation. On 03-JUL-2021, the patient experienced pain again, around 18:00 in the evening and became severe. By 20:00 the patient went to the emergency room where she underwent laboratory test including unspecified blood test and EKG (electrocardiogram) to rule out cardiac issues. At the emergency room, patient was given medication for gastritis as the pain had subsided and the patient left the emergency room at 23:00. The pain started again at 3:00 am when she got back home. Patient once again went back to the emergency room at around 14:00 due to constant and severe pain. In the emergency room patient underwent laboratory test including unspecified blood test, computerized tomogram (CT) scan, EKG (electrocardiogram), and urinalysis. The computerized tomogram (CAT) scan revealed less density in right kidney indicating acute renal infarction. The patient was treated fentanyl for pain and unknown intravenous (IV) medications. Emergency room physician and two kidney specialists and vascular surgeons looked at the scan and the patient was told that the edges of the infarction are smooth indicating that this could have happened sometime in the past and not recently. Laboratory data included: Blood test (NR: not provided) not specified, and EKG (NR: not provided) not specified. Laboratory data (dates unspecified) included: Blood test (NR: not provided) not specified, CAT scan (NR: not provided) Less density in right kidney indicating acute renal infarction, CT scan (NR: not provided) not specified, EKG (NR: not provided) not specified, and Urinalysis (NR: not provided) not specified. Treatment medications (dates unspecified) included: fentanyl. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arm soreness, little tired, and slight headache on 12-APR-2021, and had not recovered from acute renal infarction. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210710956-COVID-19 VACCINE AD26.COV2.S -Acute Renal Infarction. 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: 1481087 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Chills, Dyspnoea, Electrocardiogram, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 Date: 20210708; Test Name: Chest X-ray; Result Unstructured Data: Not reported; Test Date: 20210708; Test Name: EKG; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210716713

Write-up: SHORTNESS OF BREATH-A LITTLE; CHEST PAIN; CHILLS; NAUSEA; FEVER; MUSCLE PAIN; This spontaneous report received from a patient concerned a 23 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, batch number: Unk) dose was not reported, administered on 06-JUL-2021 18:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-JUL-2021, the subject experienced shortness of breath-a little. On 07-JUL-2021, the subject experienced chest pain. On 07-JUL-2021, the subject experienced chills. On 07-JUL-2021, the subject experienced nausea. On 07-JUL-2021, the subject experienced fever. On 07-JUL-2021, the subject experienced muscle pain. On 08-JUL-2021, Laboratory data included: Chest X-ray (NR: not provided) Not reported, and EKG (NR: not provided) Normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea, fever, chills, muscle pain, shortness of breath-a little, and chest pain. This report was non-serious.


VAERS ID: 1481119 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-05-26
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Eating disorder symptom, Headache, Injection site rash, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210723097

Write-up: FAINTNESS/FELT LIKE PASSED OUT; DIFFICULTY EATING; RED MARK/DOT ON VACCINATED ARM; JOINT SORENESS; MUSCLE SORENESS; NAUSEA/FELT TO VOMIT WHILE EATING; HEADACHE; This spontaneous report received from a patient concerned a 40 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient experienced throat swelled up when treated with amoxicillin. 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 25-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 26-MAY-2021, the subject experienced faintness/felt like passed out. On 26-MAY-2021, the subject experienced difficulty eating. On 26-MAY-2021, the subject experienced red mark/dot on vaccinated arm. On 26-MAY-2021, the subject experienced joint soreness. On 26-MAY-2021, the subject experienced muscle soreness. On 26-MAY-2021, the subject experienced nausea/felt to vomit while eating. On 26-MAY-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea/felt to vomit while eating, joint soreness, headache, faintness/felt like passed out, red mark/dot on vaccinated arm, difficulty eating, and muscle soreness. This report was non-serious.


VAERS ID: 1481121 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Blood test, Computerised tomogram, Feeling abnormal, Hypoaesthesia, Nausea, Pain, Pain in extremity, Urine analysis, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no reaction to vaccines previously.
Allergies:
Diagnostic Lab Data: Test Date: 20210708; Test Name: Blood test; Result Unstructured Data: not reported; Test Date: 20210708; Test Name: CAT scan; Result Unstructured Data: not reported; Test Date: 20210708; Test Name: Urine analysis; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20210723452

Write-up: HANDS, ARMS AND FACE BECAME FUZZY; HANDS, ARMS AND FACE BECAME NUMB; LOST 2 POUNDS IN 4 HOURS; SEVERE SORENESS IN HIS LEFT ARM; SORENESS IN SHOULDERS AND DOWN BACK; NAUSEA; SEVERE STOMACH PAIN; SEVERE VOMITING; SORENESS ALL DAY; This spontaneous report received from a parent concerned a 21 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no reaction to vaccines previously. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: unknown) dose was not reported, 1 total administered on 07-JUL-2021 10:30 to left arm for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021 around 23.00 after vaccination, the patient developed severe soreness on left arm, shoulders and down back; it was reported that the patient had soreness all the day. The patient had severe vomiting to which patient lost two pounds in four hours. On 08-JUL-2021, patient was taken to ER (emergency room) at 5:45 and he continued to have severe stomach pain (stomach was moving), nausea and vomiting. The patient''s hands, arms and face became fuzzy and then numb. The patient was given multiple unspecified medications to ease symptoms, along with an unspecified IV (intravenous). The patient also had tests of blood, urine and a CAT (computerized tomography) scan and the results were not reported. The patient was treated with morphine and was discharged from ER (emergency room) around noon on 08-JUL-2021. The patient''s stomach was still not all the way well at the time of this report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe stomach pain, and the outcome of severe vomiting, soreness all day, nausea, hands, arms and face became fuzzy, hands, arms and face became numb, severe soreness in his left arm, soreness in shoulders and down back and lost 2 pounds in 4 hours was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0- 20210723452- covid-19 vaccine ad26.cov2.s- severe stomach pain, severe vomiting, soreness all day, hands, arms and face became fuzzy, hands, arms and face became numb, lost 2 pounds in 4 hours . 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). 20210723452- covid-19 vaccine ad26.cov2.s- nausea, severe soreness in his left arm, soreness in shoulders and down back. This event(s) is labeled per Agency and is therefore considered potentially related.


VAERS ID: 1481135 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-05-16
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Blood glucose, Blood glucose increased, Chills, Headache, Hyperhidrosis, Laboratory test, Migraine, Pain, Pain in jaw, Sensitive skin, X-ray of pelvis and hip
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Osteonecrosis (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: Arthritic pains (As the patient had an accident at 16 and had been experiencing arthritis pain since then); Diabetic (under control with diet and exercise till now); Skin lesion
Preexisting Conditions: Medical History/Concurrent Conditions: Accident (when the patient was at 16); Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210516; Test Name: Blood glucose; Result Unstructured Data: 228 mg/dL, increased; Test Date: 20210609; Test Name: Laboratory test; Result Unstructured Data: did not find anything wrong; Test Date: 20210609; Test Name: Hip X-ray; Result Unstructured Data: did not find anything wrong; Test Date: 20210712; Test Name: Blood glucose; Result Unstructured Data: 179 mg/dL, increased; Test Name: Blood glucose; Result Unstructured Data: 115 mg/dL, Normal; Comments: while the patient''s usual blood glucose value is 115
CDC Split Type: USJNJFOC20210725167

Write-up: SLIGHT MIGRAINE; RECURRENT SWEATING; ACHES AND PAIN; JAW HURT; FEELS SENSITIVE IN THE SKIN AND THE NECK ON THE RIGHT SIDE OF THE FACE; BLOOD GLUCOSE LEVEL OUT OF WHACK; RECURRENT SHIVERING; WEAKNESS; HEADACHE/RIGHT TEMPLE IS SENSITIVE ALONG WITH THE VEINS ON THE RIGHT SIDE ABOVE THE EYE BROW; This spontaneous report received from a patient concerned a 60 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included accident, and concurrent conditions included diabetic, arthritis pain, and lesion on his hip, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A, expiry: 07-AUG-2021) dose was not reported, administered on 28-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-MAY-2021, the subject experienced slight migraine. On 16-MAY-2021, the subject experienced recurrent sweating. On 16-MAY-2021, the subject experienced aches and pain. On 16-MAY-2021, the subject experienced jaw hurt. On 16-MAY-2021, the subject experienced feels sensitive in the skin and the neck on the right side of the face. On 16-MAY-2021, the subject experienced blood glucose level out of whack. On 16-MAY-2021, the subject experienced recurrent shivering. On 16-MAY-2021, the subject experienced weakness. On 16-MAY-2021, the subject experienced headache/right temple is sensitive along with the veins on the right side above the eye brow. Laboratory data included: Blood glucose (NR: not provided) 228 mg/dL. On 09-JUN-2021, Laboratory data included: Hip X-ray (NR: not provided) did not find anything wrong, and Laboratory test (NR: not provided) did not find anything wrong. On 12-JUL-2021, Laboratory data included: Blood glucose (NR: not provided) 179 mg/dL. Laboratory data (dates unspecified) included: Blood glucose (NR: not provided) 115 mg/dL. Treatment medications (dates unspecified) included: cefalexin. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from weakness, headache/right temple is sensitive along with the veins on the right side above the eye brow, recurrent sweating, jaw hurt, aches and pain, recurrent shivering, slight migraine, feels sensitive in the skin and the neck on the right side of the face, and blood glucose level out of whack. This report was non-serious.


VAERS ID: 1481136 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-06-17
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Blood test, Computerised tomogram thorax, Deep vein thrombosis, Dizziness, Dyspnoea, Erythema, Fibrin D dimer, Hypoaesthesia, Muscular weakness, Pain in extremity, Paraesthesia, Peripheral swelling, Spinal X-ray, Ultrasound scan
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness: Blood pressure high
Preexisting Conditions: Comments: Patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210621; Test Name: Blood pressure; Result Unstructured Data: blood pressure spike; Test Date: 20210622; Test Name: Fibrin D dimer; Result Unstructured Data: elevated; Test Date: 20210622; Test Name: Diagnostic ultrasound; Result Unstructured Data: DVT, blood clot on left leg and no blood clot on the right leg; Test Date: 20210625; Test Name: Blood test; Result Unstructured Data: negative; Test Date: 20210627; Test Name: Chest CT; Result Unstructured Data: negative; Test Date: 20210701; Test Name: Diagnostic ultrasound; Result Unstructured Data: negative; Test Date: 20210709; Test Name: Spine X-ray; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210725185

Write-up: PAIN OF THE LEG AND ARMS; WEAKNESS OF LEGS AND ARMS; DIZZINESS/ FEELING LIGHT HEADEDNESS; TINGLING AND NUMBNESS OF THE LEG AND ARMS; BREATHING DIFFICULTY; TINGLING AND NUMBNESS OF THE LEG AND ARMS; REDNESS OF THE RIGHT HAND; DVT, BLOOD CLOT, IN THE LEFT LEG; SWELLING OF THE RIGHT HAND AND LOWER PART OF THE ARM/ LEFT ARM SWOLLEN; This spontaneous report received from a patient concerned a 55-year-old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, and the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 207A21A expiry: unknown) dose was not reported, one total administered on right arm on 09-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-JUN-2021, the patient woke up in morning and experienced swollen right hand and the lower part of his arm. On the same day in the evening, nurse (from country jail) gave antibiotic due to redness and swelling of the right hand. On 18-JUN-2021, the patient experienced feeling light headedness, dizziness, continue to feel worse, breathing difficulty, weakness of legs and arms and continue to feel worse throughout the weekend. On 21-Jun-2021 on the afternoon, he took the last dose of antibiotic and noticed swelling went down. On the same day in the evening, he was taken to the hospital emergency room (ER) from the jail due to continued pain and tingling of the arms and legs, swelling, and blood pressure spike. Lab work was done, unable to finish the computer tomography (CT) scan of the chest due to left arm intravenous (IV) line blew out and dye went to the left arm. He was discharged back to the jail and left arm was swollen but was fine the next morning (22-JUN-2021). On 22-JUN-2021, he again returned to the hospital ER to get a chest CT scan but unable to perform the chest CT scan due to unable to get an IV line started. Laboratory work done from the night before resulted elevation of the d-dimer. Ultrasound performed on both legs and deep vein thrombosis (DVT), blood clot, was found on the left leg and no blood clot on the right leg. ER health care professional (HCP) prescribed blood thinner Xarelto (rivaroxaban 15mg) the first 3 weeks and fourth week started 20mg. (He was on his nineteenth dose at the time of reporting). After discharged from the ER on 22-JUN-2021, he was discharged from the county jail due to the current medical conditions. On same day at 17.47, he went to the local ER near home due to same symptoms, swelling and tingling of the arms and legs. ER HCP reviewed the medical records from the prison and agreed with the diagnosis of DVT from the above hospital ER visits. On 25-JUN-2021, he went to see his primary physician. HCP reviewed the medical records and verified the DVT on his left leg. HCP ordered the chest CT scan, ultrasound of both arms, and more blood work. On 27-JUN-2021, CT scan of chest resulted negative finding. On 01-JUL-2021, ultrasound of the arms resulted negative as well. On 09-JUL-2021, follow-up visit with primary physician, confirmed DVT and requested him to continue Xarelto for 3 months. He ordered the spine x-ray due to the pain and tingling of the arms and legs to find out the cause. Primary HCP follow-up appointment scheduled for 17-SEP-2021, Comprehensive Metabolic Panel (CMP), D-dimer test, ultrasound of the left leg due to DVT, B-12 test for the numbness and tingling of the legs and arms ordered to be completed prior to the follow-up appointment on 17-SEP-2021. HCP ordered X-ray of the spine. Tingling and numbness of the arms and legs are still severe at the time of report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness/ feeling light headedness on 25-JUN-2021, was recovering from breathing difficulty, and had not recovered from DVT, blood clot, in the left leg, swelling of the right hand and lower part of the arm/ left arm swollen, weakness of legs and arms, tingling and numbness of the leg and arms, tingling and numbness of the leg and arms, redness of the right hand, and pain of the leg and arms. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0-20210725185-covid-19 vaccine ad26.cov2.s-DVT, Blood clot, in the left 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: 1481143 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-05-26
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Biliary dilatation, Blood test, Colonoscopy, Computerised tomogram, Hepatic enzyme, Hepatic steatosis, Oesophagogastroduodenoscopy, Pain, Ultrasound scan
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Biliary tract 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: Cerebral palsy
Preexisting Conditions: Comments: The patient did not have any prior problems. The patient had no gall bladder.
Allergies:
Diagnostic Lab Data: Test Date: 20210531; Test Name: Alanine aminotransferase; Result Unstructured Data: Normal; Test Date: 20210531; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210531; Test Name: Aspartate aminotransferase; Result Unstructured Data: Normal; Test Date: 202106; Test Name: Esophagogastroduodenoscopy; Result Unstructured Data: esophagus, stomach is bright red; Test Date: 202106; Test Name: Diagnostic ultrasound; Result Unstructured Data: Dilation of bile duct; Test Date: 202106; Test Name: Colonoscopy; Result Unstructured Data: found nothing; Test Date: 202106; Test Name: Computerized tomogram; Result Unstructured Data: not provided; Test Date: 20210615; Test Name: Hepatic enzyme; Result Unstructured Data: Abnormal; Test Date: 20210629; Test Name: Aspartate aminotransferase; Result Unstructured Data: 41; Test Date: 20210629; Test Name: Alanine aminotransferase; Result Unstructured Data: 59
CDC Split Type: USJNJFOC20210725320

Write-up: DILATION OF BILE DUCT; ACHING ALL OVER; FATTY LIVER; This spontaneous report received from a parent concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included cerebral palsy. The patient did not have any prior problems. The patient had no gall bladder. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 204A21A) dose was not reported, 1 total, administered on 25-MAY-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. The patient was very very ill, described as on 26-MAY-2021, the patient experienced severe pain all over radiating into breast bone. On 31-MAY-2021, the patient was taken to emergency room (ER) as pain was so severe that patient could hardly breath. By then it was more than aching all over. The blood work looked good as of 31-MAY-2021. She had normal ALT/AST (Alanine aminotransferase/ Aspartate aminotransferase) as of 31-MAY-2021. By 06-JUN-2021, the patient was taken at ER because she had pain all over, was given ibuprofen and Tylenol and she did not get any better. The pain was so severe that it was up into her breast bone. The hospital did Computerized tomogram Scan and thought it was colitis. Then she had a Esophagogastroduodenoscopy and colonoscopy to see what was going on. The colonoscopy found nothing, though esophagus and stomach was bright red, might be they thought it was gastritis. She was given medicine for it. The ultrasound found that she had dilation of bile duct on 17-JUN-2021, and since she had no gall bladder that was odd. In JUN-2021, the gastrologist doctor diagnosed her to have a fatty liver which they did not know about. By the 15-JUN-2021, her liver enzymes were way up (abnormal liver enzymes). On 29-JUN-2021, ALT was 59 and AST was 41 which was double what it should be. Her liver had been totally affected. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dilation of bile duct, and aching all over, and the outcome of fatty liver was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210725320-covid-19 vaccine ad26.cov2.s-dilation of bile duct. 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: 1481152 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-06-06
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Haematuria, Haemorrhage urinary tract, Headache, Renal pain, SARS-CoV-2 test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Routine health maintenance
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: COVID-19 virus test; Result Unstructured Data: NEGATIVE
CDC Split Type: USJNJFOC20210725558

Write-up: BLOOD CLOTS IN URINE; BLOOD IN URINE; STABBING BACKPAIN IN THE KIDNEY AREA ON THE RIGHT SIDE; SEVERE HEADACHE; This spontaneous report received from a patient concerned a 72 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included healthy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, expiry: 09-JUL-2021) dose was not reported, frequency 1 total administered on 05-JUN-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 6-Jun-2021 the patient complaint of a severe headache at 2 am, followed by severe stabbing back pain in the kidney area on the right side and blood in urine. The blood started to clot after an hour. The patient went to the hospital emergency room (ER) twice once at night and the other in the evening. After four days due to persistent clotting, he visited a urologist where a catheter was inserted to help to empty the clots. On 18-Jun-2021, he was admitted to another hospital ER because the bleeding could not be stopped. He was hospitalized for 9 days. In order to stop the bleeding and clotting, a stent was placed in the kidney by a surgeon. On unspecified date in JUN-2021 Laboratory data included: Laboratory test COVID-19 virus test (NR: not provided) negative. The patient was discharged from hospital and came home on 26-Jun-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood clots in urine, and stabbing backpain in the kidney area on the right side on 26-JUN-2021, and was recovering from blood in urine, and severe headache. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0 20210725558-covid-19 vaccine ad26.cov2.s-Blood clots in urine, Blood in Urine ,Stabbing back pain in the kidney area on the right side. 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: 1481163 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Utah  
Vaccinated:0000-00-00
Onset:2021-03-18
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Chills, Guillain-Barre syndrome, Headache, Laboratory test, Magnetic resonance imaging, Nerve conduction studies, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hearing impairment (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug allergy (Erythromycin, sulfa)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210527; Test Name: Laboratory test; Result Unstructured Data: Guillen Barre Syndrome; Test Name: Blood test; Result Unstructured Data: not reported; Test Name: Nerve conduction studies; Result Unstructured Data: GBS and chronic inflammatory; Test Name: MRI; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20210726161

Write-up: GUILLEN BARRE SYNDROME; BELLS PALSY/FACE DROOPING; CHILLS; HEADACHES/EXCRUCIATING HEADACHES; FEVER; This spontaneous report was received from a consumer and concerned a 55 year old male. The patient''s height and weight were not reported. The patient''s concurrent conditions included drug allergy. Other relevant history included general good health and a marathon runner. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805025, expiry: 09-JUL-2021) dose was not reported, administered on 17-MAR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the patient experienced fever, chills and headaches. On 14-APR-2021, patient thought he had eaten something that had burned his lip. On 18-APR-2021, the patient experienced bells palsy/face drooping. His "lip going numb" then "face started drooping". He went to the emergency room. The doctors proceeded with an MRI and "all sorts of bloodwork." Patient also had "leg started to have twitching" and then started to have excruciating headaches ", "back started hurting on around the 22nd or 23rd of April" and "his legs and feet were numb" and "just couldn''t get his utensils", "body weakness and headaches." He went to a neurologist and had a nerve conducting study and "it looked like it was GBS and chronic inflammatory." On 27-MAY-2021, Guillen Barre syndrome was diagnosed. Treatment medications included: ibuprofen, gabapentin, sodium chloride, paracetamol, naproxen, and plasma infusions to help with GBS. At the neurologist, the patient had 5 treatments of plasma. He was having reactions with the infusion including "light headedness or headaches." He was given saline and the doctors told him to "stay hydrated and also was suggested acetaminophen and ibuprofen." He was also having "extreme weakness" with the plasma therapy. The neurologist was looking into the diagnosis and determined as it "is a reaction to the vaccine". The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of Guillen Barre syndrome was not reported. The patient recovered from Bells Palsy/face drooping on 23-APR-2021, and fever and chills on an unspecified date, and had not recovered from headaches/excruciating headaches. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210726629.; Sender''s Comments: V0: This spontaneous report received from a consumer concerns a 55 year old male, who was noted to have bell''s palsy and diagnosed with Guillain-Barre syndrome (GBS) 32 and 71 days, respectively, after receiving the Janssen Covid-19 vaccine. Patient''s height and weight were not reported. The patient''s past medical/surgical history, concurrent conditions and concomitant medications were not reported. Information on smoking history, illicit drug use and alcohol abuse were not provided. Patient has drug allergy, unspecified. Patient had fever, chills and headache one day after receiving the vaccine. Thirty-two (32) days post vaccine, the patient''s face started to droop and was noted to have bells palsy. He sought consult at the emergency room and was worked up on. No results provided. Patient started experiencing twitching of his legs, excruciating headaches and back pains. Later, his legs and feet started to get numb, described as not being able to get his utensils. His body started to get weak and he still was experiencing headaches. He went to a neurologist and had a nerve conducting study. Seventy-one (71) days after receiving the vaccine, patient was diagnosed with Guillain-Barre Syndrome (GBS). Treatment medications included: ibuprofen, gabapentin, sodium chloride, paracetamol, naproxen, and plasma infusions. Information regarding other potential etiologies was insufficient, and the occurrence of Bells Palsy and GBS could represent background incidence of such events in the general population. Considering the temporal relationship, the event is assessed to have an indeterminate relationship with vaccination.


VAERS ID: 1481176 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-05-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cellulitis, Localised infection, Loss of consciousness, Magnetic resonance imaging, Neurodevelopment test, Seizure, Syncope, Thrombosis
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension; Hyperthyroidism
Preexisting Conditions: Medical History/Concurrent Conditions: Clot blood; Comments: patient had no known allergies
Allergies:
Diagnostic Lab Data: Test Name: Neurodevelopment test; Result Unstructured Data: unknown; Test Name: MRI; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210726614

Write-up: FAINTING; SEIZURES; INFECTION ON LEG; BLOOD CLOT IN LOWER LEFT LEG; BLACKOUT; CELLULITIS; This spontaneous report received from a consumer concerned a 77 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included old blood clot history, and concurrent conditions included hypertension, and hyperthyroidism, and other pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, expiry: unknown) frequency 1 total dose was not reported, administered at left arm on 27-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. 22-MAY-2021, Patient went to emergency room for fainting/blacking out and on 05-JUN-2021, blood clot was discovered in lower left leg. Also had infection, they said cellulitis in the right leg. Seizures at the end of MAY-2021. Patient was admitted on 05-JUN-2021 to hospital until 09-JUN-2021. Patient was hospitalized for 5 days. Vertigo medication from primary care provider. Patient went back to hospital for infection on leg from 16-JUN-2021 to 21-JUN-2021. Patient was hospitalized for 6 days. Neuro testing last week (results was unknown). Physician 12- JUL-2021 called them seizures and prescribed the Magnetic resonance imaging (MRI) results was unknown. Treatment medications (dates unspecified) included: (Xarelto) rivaroxaban. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from blood clot in lower left leg, and blackout, and the outcome of cellulitis, seizures, fainting and infection on leg was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0 - 20210726614- covid-19 vaccine ad26.cov2.s-Blood clot in lower left leg. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY 20210726614-covid-19 vaccine ad26.cov2.s-Blackout, Cellulitis, Seizures, Fainting, Infection on 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: 1481187 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Blood test, Decreased appetite, Depression, Injury, Insomnia, Muscle spasms, Myalgia, Nausea, Panic reaction, Urine analysis, Vision blurred, Visual field defect, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dystonia (broad), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Cholesterol low; Food allergy; Non-smoker; Prediabetes; Seasonal allergy
Preexisting Conditions: Comments: No drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210425; Test Name: Weight loss; Result Unstructured Data: lost 8lb in the first 2 months; Test Date: 20210430; Test Name: Blood test; Result Unstructured Data: Samples okay; Test Date: 20210430; Test Name: Urine analysis; Result Unstructured Data: Samples okay
CDC Split Type: USJNJFOC20210727678

Write-up: TRAUMA; DESPERATION; DEPRESSION; CRAMPS ON HAND; NAUSEA; ANXIETY; INSOMNIA; WEIGHT LOSS (LOST 8LB IN THE FIRST 2 MONTHS); LOSS OF APPETITE; BLURRED VISION; DARK SPOTS ON VISUAL FIELD (RIGHT EYE); CRAMPS ON SOLE OF FEET; MUSCULAR PAIN IN BOTH LEG PAIN AND LOWER BACK; This spontaneous report received from a patient concerned a 39 year old female. The patient''s weight was 148 pounds, and height was 157 centimeters. The patient''s concurrent conditions included low cholesterol, prediabetes, non alcoholic, non smoker, seasonal allergies, and shrimps and sea food allergy, and other pre-existing medical conditions included no drug abuse or illicit drug usage. The patient was previously treated with Pfizer vaccine (BNT 162) as per workplace policies for prophylactic vaccination. 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, one total, vaccinated at right arm on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the patient experienced muscular pain in both leg pain and lower back. Pain worsen after consumer soaked feet and lower legs in warm water and Epson salts for 20 min. Patient went 5 times in 3 months to ER due to pain. Patient went to doctor who referred to a physical therapist who ordered an MRI, patient had not done it because of anxiety. Pain caused patient to stop working. Patient described situation as trauma and desperation, depression. On 14-APR-2021, the patient experienced cramps on sole of feet that wouldn''t let her walk at times. On 21-APR-2021, the patient experienced blurred vision and dark spots on visual field (right eye) that started about a week and half after inoculation. Patient will be seeing an eye specialist this month. On 25-APR-2021, the patient experienced anxiety, insomnia. weight loss (lost 8lb in the first 2 months), loss of appetite, nausea. Laboratory data included: Weight loss (NR: not provided) lost 8lb in the first 2 monthsPatient Took drops to sleep once to help insomnia. On 30-APR-2021, Laboratory data included: Blood test (NR: not provided) Samples okay, and Urine analysis (NR: not provided) Samples okay. On 22-JUN-2021, the patient experienced cramps on hand. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from insomnia, loss of appetite, and cramps on sole of feet, had not recovered from muscular pain in both leg pain and lower back, anxiety, blurred vision, dark spots on visual field (right eye), and cramps on hand, and the outcome of weight loss (lost 8lb in the first 2 months), nausea, trauma, desperation and depression was not reported. This report was serious (Other Medically Important Condition). .; Sender''s Comments: V0:20210727678-covid-19 vaccine ad26.cov2.s-Muscular pain in both le and lower back. This event(s) is labeled per Agency and is therefore considered potentially related.


VAERS ID: 1481201 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthroscopy, Asthenia, Computerised tomogram, Fatigue, Muscular weakness, Nephrolithiasis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Fatigue; Hypertension; Penicillin allergy; Sulfonamide allergy; Weakness
Preexisting Conditions: Medical History/Concurrent Conditions: Hip replacement
Allergies:
Diagnostic Lab Data: Test Date: 2020; Test Name: Arthroscopy; Result Unstructured Data: Not reported; Test Date: 20210520; Test Name: CAT scan; Result Unstructured Data: Kidney stone
CDC Split Type: USJNJFOC20210727924

Write-up: KIDNEY STONE; WEAKNESS IN BOTH LEGS, LOWER BACK AND PELVIC AREA; MORE FATIGUE/TIRED; MORE WEAKNESS; This spontaneous report received from a patient concerned a 73 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included right hip replacement, and concurrent conditions included hypertension, penicillin allergy, and sulfur allergy, weakness and fatigue. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, and expiry: Unknown) dose was not reported, 1 total, administered on 27-MAR-2021 for prophylactic vaccination on left arm. No concomitant medications were reported. On 2020, Laboratory data included: Arthroscopy (NR: not provided) Not reported. The patient stated that she had been experiencing more weakness and fatigue than usual since Apr-2021 three weeks after taking vaccine. Further, the patient reported that in APR-2021, the pain intensified along with the weakness in both legs, pelvic area, and lower back 2-3 weeks after vaccination. On 20-MAY-2021, she went to emergency room for kidney stone. The patient was referred to pain specialist and stated that she felt about the same and wanted her leg to work. The patient was tired and fatigued. Laboratory data included: CAT scan (NR: not provided) Kidney stone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from more fatigue/tired, weakness in both legs, lower back and pelvic area, and more weakness, and the outcome of kidney stone was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210727924-Ccovid-19 vaccine ad26.cov2.s-kidney stone. 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: 1481203 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-05-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back disorder, Blood test, Dizziness, Hypokinesia, Influenza like illness, Menopausal symptoms, Muscle spasms, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: Blood test; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210727962

Write-up: MENOPAUSAL SYMPTOMS; DELAYED CRAMPS; COULD NOT BEND DOWN IN A SQUAT; DIZZINESS; BACK ISSUE; ACHY LIKE FLU SYMPTOMS; TINGLING IN LEGS; This spontaneous report received from a female patient of an unspecified age. Race and ethnicity not reported. Local reference number EZR20210104013. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. It was reported that the patient works and has children and is a busy person. The patient has a new puppy in house. 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 06-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. At some timepoint after vaccination, the patient experienced dizziness. About 6-8 weeks after vaccination in late MAY-2021, the patient began to experience tingling in her legs. She initially proceeded with an urgent care visit and then primary care provider to have blood work done. The primary care provider attributed the tingling in her legs to restless leg syndromes. Later the patient saw a neurologist who advised her that she did not have restless leg syndrome but attributed her events to an issue with her back because she could not bend down and squat when at work without holding onto something to get back up. The patient returned back to her primary care provider who attributed her events to menopause as she reported delayed cramping. The patient reported that she must grab a hold of something to go over the puppy gate. The patient reported that affected areas were back and hands but not arms. As of 13-JUL-2021, the patient felt achy-like flu symptoms which she feels are related to to her immune system being affected from vaccine and that she may have Guillain-Barre since her events are in time with potential onset of Guillain-Barre. The patient wants to reach out to her care provided and get tested for Guillain-Barre and/or for Covid-19 infection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from achy like flu symptoms, and the outcome of tingling in legs, back issue, menopausal symptoms, delayed cramps, could not bend down in a squat and dizziness was not reported. This report was non-serious.


VAERS ID: 1481210 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-03-24
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anhedonia, Asthma, Blood test, Cardiovascular evaluation, Diarrhoea, Flatulence, Gastrocardiac syndrome, Helicobacter infection, Presyncope, Psychiatric evaluation, Weight decreased
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Opportunistic infections (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: Abstains from alcohol; Caffeine allergy; Childhood asthma; Non-smoker
Preexisting Conditions: Comments: The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Name: Helicobacter pylori infection; Result Unstructured Data: Negative; Test Name: Cardiovascular evaluation; Result Unstructured Data: Not reported; Test Name: Psychiatric evaluation; Result Unstructured Data: Not reported; Test Name: Blood test; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210728107

Write-up: FEELING OF ALMOST PASSING OUT; ROEMHELD SYNDROME; ANHEDONIA; WEIGHT LOSS AROUND 10 POUNDS/ LOST 40 POUNDS; SEVERE GAS; DIARRHEA; LIGHT ASTHMA; This spontaneous report received from a patient concerned a 36 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included childhood asthma, caffeine allergy, non alcohol user, and non smoker, and other pre-existing medical conditions included the patient had no drug abuse or illicit drug usage. The patient experienced drug allergy when treated with prednisone. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and expiry: UNKNOWN) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 24-MAR-2021, the subject experienced light asthma. On 29-MAR-2021, the subject experienced anhedonia. On 29-MAR-2021, the subject experienced weight loss around 10 pounds/ lost 40 pounds. On 29-MAR-2021, the subject experienced severe gas. On 29-MAR-2021, the subject experienced diarrhea. On 18-MAY-2021, the subject experienced roemheld syndrome. On an unspecified date, the subject experienced feeling of almost passing out. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Not reported, Cardiovascular evaluation (NR: not provided) Not reported, Helicobacter pylori infection (NR: not provided) Negative, and Psychiatric evaluation (NR: not provided) Not reported. Treatment medications (dates unspecified) included: macrogol 3350, and omeprazole. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from anhedonia on 05-APR-2021, and light asthma on 25-MAR-2021, had not recovered from diarrhea, roemheld syndrome, severe gas, and weight loss around 10 pounds/ lost 40 pounds, and the outcome of feeling of almost passing out was not reported. This report was non-serious.


VAERS ID: 1481211 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-05-27
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram, Contusion, Diaphragmalgia, Diplopia, Discomfort, Dyspnoea, Erythema, Eye discharge, Feeling abnormal, Feeling hot, Fluid retention, Freezing phenomenon, Heart rate increased, Hypersensitivity, Insomnia, Laboratory test abnormal, Malaise, Muscle spasms, Pain, Pain assessment, Rales, Somnolence, Spinal X-ray, Vision blurred, Weight increased
SMQs:, Anaphylactic reaction (narrow), Angioedema (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), Dementia (broad), Dystonia (broad), Parkinson-like events (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (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: VALIUM; TORADOL; TYLENOL 3
Current Illness: Alcohol use (weekly: wine with dinner.); Non-smoker
Preexisting Conditions: Comments: Caller stated that she does not have any chronic medical conditions. She takes 2-2.5 mg Ativan daily, she stated this is half of the dose she was on 1 year ago. Patient had no any drug abuse/ illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210610; Test Name: Laboratory test abnormal; Result Unstructured Data: unknown; Test Date: 20210610; Test Name: Pain scale; Result Unstructured Data: 9/10; Test Date: 20210610; Test Name: Chest X-ray; Result Unstructured Data: Normal; Test Date: 20210610; Test Name: CT scan; Result Unstructured Data: Normal; Test Date: 20210709; Test Name: Spine X-ray; Result Unstructured Data: could not find anything in the series; Test Name: Pain scale; Result Unstructured Data: 8-10/10; Test Name: Water retention; Result Unstructured Data: gained 25 pounds
CDC Split Type: USJNJFOC20210728112

Write-up: LEFT EYE COVERED WITH VASELINE MUCOUS; DOUBLE VISION; FOGGY VISION/ EYE GLASSES DON''T WORK AS WELL FOR LEFT EYE; MUSCLE SPASMS; WATER RETENTION; DISCOMFORT; CRACKLES IN LUNG; SLEEP FOR LONGER THAN 2 TO 3 HOURS; WEIGHT GAIN; RIGHT FORE ARM BRUISE; BACK PAIN AND PRESSURE; BACK FREEZING UP; PAIN AT THE DIAPHRAGM; FELT SLEEPY; FELT REALLY HOT IN NECK; HEART BEATING REALLY FAST; FELT REALLY WEIRD; SWOLLEN AND RED FACE/ PUFFING UP LITTLE BIT; TROUBLE BREATHING; UNWELL FEELING (GROSS AND CRAPPY); ALLERGIC REACTION; This spontaneous report received from a patient concerned a 60 year old female. The patient''s weight was 150 pounds, and height was 64 inches. The patient''s concurrent conditions included alcohol user, and non-smoker, and other pre-existing medical conditions included caller stated that she does not have any chronic medical conditions. she takes 2-2.5 mg ativan daily, she stated this is half of the dose she was on 1 year ago. Patient had no any drug abuse/ illicit drug use. The patient experienced drug allergy when treated with medroxyprogesterone acetate. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1816022, and expiry: UNKNOWN) dose was not reported, administered on 27-MAY-2021 for prophylactic vaccination. Concomitant medications included diazepam, ketorolac tromethamine, and paracetamol. On 27-MAY-2021, the subject experienced felt sleepy. On 27-MAY-2021, the subject experienced felt really hot in neck. On 27-MAY-2021, the subject experienced heart beating really fast. On 27-MAY-2021, the subject experienced felt really weird. On 27-MAY-2021, the subject experienced swollen and red face/ puffing up little bit. On 27-MAY-2021, the subject experienced trouble breathing. On 27-MAY-2021, the subject experienced unwell feeling (gross and crappy). On 27-MAY-2021, the subject experienced allergic reaction. On 10-JUN-2021, the subject experienced back pain and pressure. On 10-JUN-2021, the subject experienced back freezing up. On 10-JUN-2021, the subject experienced pain at the diaphragm. Laboratory data included: CT scan (NR: not provided) Normal, Chest X-ray (NR: not provided) Normal, Laboratory test abnormal (NR: not provided) unknown, and Pain scale (NR: not provided) 9/10. On 08-JUL-2021, the subject experienced right fore arm bruise. On 09-JUL-2021, Laboratory data included: Spine X-ray (NR: not provided) could not find anything in the series. On an unspecified date, the subject experienced left eye covered with vaseline mucous, double vision, foggy vision/ eye glasses don''t work as well for left eye, muscle spasms, water retention, discomfort, crackles in lung, sleep for longer than 2 to 3 hours, and weight gain. Laboratory data (dates unspecified) included: Pain scale (NR: not provided) 8-10/10, and Water retention (NR: not provided) gained 25 pounds. Treatment medications (dates unspecified) included: lorazepam, succinate sodium, methylprednisolone, methocarbamol, naproxen sodium, and methylprednisolone sodium succinate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swollen and red face/ puffing up little bit, and trouble breathing on 27-MAY-2021, and left eye covered with vaseline mucous, double vision, and foggy vision/ eye glasses don''t work as well for left eye, had not recovered from back pain and pressure, back freezing up, pain at the diaphragm, right fore arm bruise, water retention, and weight gain, and the outcome of felt sleepy, felt really hot in neck, heart beating really fast, felt really weird, unwell feeling (gross and crappy), crackles in lung, sleep for longer than 2 to 3 hours, allergic reaction, muscle spasms and discomfort was not reported. This report was non-serious.


VAERS ID: 1481245 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-07-03
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Headache, Muscular weakness, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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 Date: 20210703; Test Name: Body temperature; Result Unstructured Data: 101 F
CDC Split Type: USJNJFOC20210729174

Write-up: LEG GIVING OUT; HEADACHE; FEVER OF 101 F; This spontaneous report received from a patient concerned a 67 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, batch number: 207A21a, expiry: 07-AUG-2021) dose was not reported, administered on 03-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 03-JUL-2021, the subject experienced headache. On 03-JUL-2021, the subject experienced fever of 101 f. Laboratory data included: Body temperature (NR: not provided) 101 F. On 12-JUL-2021, the subject experienced leg giving out. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from leg giving out, and the outcome of headache and fever of 101 f was not reported. This report was non-serious.


VAERS ID: 1481253 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dyspnoea, Myalgia, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; LEVOTHYROXINE 88MCG; SPIRONOLACTONE HCTZ 25 MG /25 MG
Current Illness: Blood pressure high; Hypothyroidism (For a long time); Post-traumatic stress disorder
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Not reported; Test Name: CT scan; Result Unstructured Data: Not reported; Test Name: X-ray; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210729396

Write-up: MUSCLE PAIN TOOK HER BREATH AWAY WHEN SHE NEEDED TO LAY DOWN AND GET UP; BAD MUSCLE PAIN IN UPPER BACK; 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 hypothyroidism, post-traumatic stress disorder, and high blood pressure. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203a21a, and expiry: 07-AUG-2021) dose was not reported, administered on 19-MAY-2021 for prophylactic vaccination. Concomitant medications included hydrochlorothiazide/spironolactone for high blood pressure, levothyroxine for hypothyroidism, and sertraline hydrochloride for ptsd. On JUN-2021,the subject experienced muscle pain took her breath away when she needed to lay down and get up. On JUN-2021, the subject experienced bad muscle pain in upper back. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Not reported, CT scan (NR: not provided) Not reported, and X-ray (NR: not provided) Not reported. Treatment medications (dates unspecified) included: meloxicam, cyclobenzaprine, and tramadol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bad muscle pain in upper back, and muscle pain took her breath away when she needed to lay down and get up. This report was non-serious.


VAERS ID: 1481271 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN T308612 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Muscular weakness, Pain in extremity, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PRIMIDONE; TYLENOL
Current Illness: Abstains from alcohol; Arthritis; Essential tremor; Non-smoker; Rosacea; Seasonal allergy (Seasonal allergies - start around April and run until July); Tennis elbow
Preexisting Conditions: Comments: The patient have no history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Name: X-ray; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210730868

Write-up: WEAK ARM; SORENESS ON INNER ASPECT OF ARM/TENDER ARM; This spontaneous report received from a patient concerned a 70 year old female. The patient''s concurrent conditions included arthritis, non-alcohol user, non-smoker, rosacea, essential tremors at right side only, tendonitis/tennis elbow, and seasonal allergies, and other pre-existing medical conditions included the patient have no history of drug abuse or illicit drug use.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: T308612, expiry: UNKNOWN) dose was not reported, administered on 26-MAR-2021 for prophylactic vaccination. Concomitant medications included primidone for for essential tremors, and paracetamol. On 2021, treatment medications included: diclofenac, and paracetamol. On APR-2021, the subject experienced soreness on inner aspect of arm/tender arm. On an unspecified date, the subject experienced weak arm. Laboratory data (dates unspecified) included: X-ray (NR: not provided) Not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the soreness on inner aspect of arm/tender arm and weak arm was not reported. This report was non-serious.


VAERS ID: 1481292 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-06-27
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Muscle strain, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness: Abstains from alcohol; Cigarette smoker (in process of cessation 1/2 pack/day.); Marijuana use; Neurological disorder NOS (Not fully diagnosed.); Seasonal allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210732039

Write-up: TINGLING FROM SHOULDER DOWN THROUGH THE ARM; NUMBNESS IN HAND (SIDE OF INJECTION); MUSCLE STRAIN (CONSTANT AND INTENSE SHOULDER PAIN, MUSCLE NOT RELAXED AT ALL, COULD NOT LIFT ARM, COULD NOT TURN HEAD, COULD NOT BALANCE BETWEEN HEAD AND SHOULDER, COULD NOT CARRY PURSE, IT HURTS TO DRIVE); FEVER; This spontaneous report received from a patient concerned a 38 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included neurological, seasonal allergy, medical marijuana, non alcohol user, and cigarettes smoker. The patient experienced drug allergy when treated with bupropion hydrochloride. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1816022, expiry: UNKNOWN) dose was not reported, administered on 27-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-JUN-2021, the subject experienced fever. On 29-JUN-2021, the subject experienced tingling from shoulder down through the arm. On 29-JUN-2021, the subject experienced numbness in hand (side of injection). On 29-JUN-2021, the subject experienced muscle strain (constant and intense shoulder pain, muscle not relaxed at all, could not lift arm, could not turn head, could not balance between head and shoulder, could not carry purse, it hurts to drive). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered with sequelae from fever on 29-JUN-2021, and had not recovered from tingling from shoulder down through the arm, numbness in hand (side of injection), and muscle strain (constant and intense shoulder pain, muscle not relaxed at all, could not lift arm, could not turn head, could not balance between head and shoulder, could not carry purse, it hurts to drive). This report was non-serious.


VAERS ID: 1481305 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 22 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: Spinal tap; Result Unstructured Data: confirmed Guillain-Barre syndrome
CDC Split Type: USJNJFOC20210733585

Write-up: GUILLAIN-BARRE SYNDROME; This spontaneous report was received from a patient via news media article, via a company representative and concerned a female of unspecified age, race and ethnicity. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) " about three months ago", dose and vaccination site were not reported, for prophylactic vaccination. Batch number was not reported. Company unable to conduct follow up to obtain batch number. No concomitant medications were reported. On an unspecified date in JUN-2021, the patient experienced Guillain-Barre syndrome and was hospitalized (date unspecified). In JUN-2021, patient started feeling numbness and tingling in her hands and feet; "it was pretty fast moving up the legs to my hips where I was numb from the waist down and then your arms and your fingers". The patient went to different doctors and were told ''you are dehydrated'' and ''you are fine''. Patient was told she had anxiety. Patient condition worsened, eventually affecting her ability to walk. She started falling and eventually ended up being paralyzed from the waist down. She went to the emergency room twice before she found out that she had Guillain-Barre syndrome. After a spinal tap confirmed her diagnosis, she was hospitalized for 22 days, treated with unspecified medications and slowly regained feeling in her lower body. Patient underwent physical therapy "to learn how to walk again and how to sit". At the time of report, she was still using a walker to get around and still had numbness and tingling in her hands and feet. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from Guillain-Barre syndrome. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: This spontaneous report from a patient via news media concerns a female of unknown age who was hospitalized and diagnosed with Guillain-Barre Syndrome (GBS) approximately 2 months after receiving the Janssen Covid-19 vaccine. Medical history and concomitant medications were not reported. Symptoms started with numbness and tingling in her hands and feet which moved quickly up the legs to her hips and she became numb from the waist down. She consulted different doctors but did not receive a diagnosis. Her condition worsened to point of affecting her ability to walk. She started falling and became paralyzed from the waist down. She went to the emergency room twice and received a spinal tap which confirmed her diagnosis of GBS. She was hospitalized for 22 days and received unspecified treatment. She also underwent physical therapy to learn how to walk again and how to sit. At the time of report, she was still using a walker to get around and still had numbness and tingling in her hands and feet. Information is limited in this case (e.g. missing age, medical history, concomitant medications, diagnostic test results, corrective treatment). Therefore, the relationship of the event to vaccination is considered unclassifiable due to insufficient information.


VAERS ID: 1481413 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-01
Onset:2021-03-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac failure, Conjunctival haemorrhage, Dyspnoea, Fibrin D dimer, Headache, Petechiae, Pyrexia, Splinter haemorrhages, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Conjunctival disorders (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Subconjunctival hemorrhage. Petechiae. Headache. Cardiac insufficiency. SOB. Syncope. Fever. Splinter hemorrhages.


VAERS ID: 1481435 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-17
Onset:2021-07-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Immediate post-injection reaction, Pharyngeal swelling, Swelling face
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? 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: Patient with swelling of face, throat, Immediately after getting Johnson and Johnson COVID vaccine, improved with epinephrine.


VAERS ID: 1481464 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-27
Onset:2021-04-16
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Coagulopathy, Deep vein thrombosis, Limb discomfort, Ultrasound scan abnormal
SMQs:, Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (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: Zolpidem , Prilosec
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Asprin , shellfish
Diagnostic Lab Data: DVT in arm
CDC Split Type:

Write-up: 3 weeks later left arm felt tight , they took ultrasound and found a clot in arm


VAERS ID: 1481544 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

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

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

Write-up: Tongue started swelling about 7 hours after injection; swelling worsened after biting it; unable to eat, take medication and have trouble breathing when lying down. Presented to hospital 07/17 with lymphadenopathy and enlarged tongue; VSS. Treatments included epinephrine IM, solu-medrol IV; Benadryl IV; and famotidine IV


VAERS ID: 1481635 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-07-04
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bacterial test negative, Infected bite, 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? 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: Lyme panel - results were negative
CDC Split Type:

Write-up: Significant rash following an insect bite that required antibiotic treatment


VAERS ID: 1481640 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-11
Onset:2021-05-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Loss of consciousness, Paraesthesia oral, Syncope, Taste disorder
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Janssen COVID-19 Vaccine EUA Per POD First Aid provider syncope episode, complaint of tingling to lips and difficulty breathing, patient experienced a syncopedic reaction when returning from bathroom, was unconscious for 1 minute, complained of dizziness, odd taste in her mouth and difficulty breathing. 12:15 PM B/P 150/82 Pulse 68 Respirations 16 Pulse ox 98% 12:20 PM B/P 122/72 Pulse 64 Pulse ox 100% Benadryl administered @ 12:20 PM, patient transported to A Medical Center for evaluation.


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