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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: 1494139 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-07-21
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: COVID-19 RNA DETECTION BDMAX positive 07/21/2021
CDC Split Type:

Write-up: Pt currently has Covid 19


VAERS ID: 1494181 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-07-21
Onset:2021-07-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Disorientation, Hyperhidrosis, Pallor, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), 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: None disclosed.
Current Illness: None disclosed.
Preexisting Conditions: None disclosed.
Allergies: Patient checked "yes" to "Has the person to be vaccinated ever had a severe allergic reaction (e.g. anaphylaxis) to something? For example, being treat with epinephrine/EpiPen or needing to go to the hospital" on their consent form but specifics of such occurrence not indicated on consent form.
Diagnostic Lab Data: Unknown what specific testing done at ED.
CDC Split Type:

Write-up: Vaccine administered ~7:30pm on 7/21. Patient sat down in observation area to begin medical monitoring. Within 2 minutes patient described feeling sweaty and looked pale. As the nurse began to check on the patient''s status, he began having a seizure for about 10-15 seconds. 911 was called. Patient came to and was somewhat disoriented but responsive and still pale. Police/EMS came and recommended he go to the hospital for evaluation. He refused and did not go in the ambulance. Patient indicated no history of seizures. Nurse followed up with patient 7/22 - he is feeling well and did go to the ED. Treating physician advised that it was a "psychological reaction" and "not life threatening." Patient reported feeling well otherwise and has a follow up appointment with his primary care provider.


VAERS ID: 1494302 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-05-15
Onset:2021-05-29
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dysarthria, Eye movement disorder, Facial paresis, Hypoaesthesia, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune 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: no
Preexisting Conditions: no
Allergies: Penicillin, erythromycin,morphine
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient''s wife called the pharmacy July 19,2021 to inform of the problem. She reported that her husband was feeling excrutiating generalized pain,weakness,numbness and tingling of arms and legs,speech slurring,weakness of left side of the face causing his left eye to remain opened. She reported that they visited the emergency room and his doctor''s office several times but was discharged with no diagnosis.


VAERS ID: 1494394 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-07-01
Onset:2021-07-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821287 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abnormal behaviour, Erection increased
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (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: Clozapine 100mg, Docusate Sodium 200mg, Vitamin E, Vitamin D, Dexilant 60mg, Propranolol 40mg 3 times daily
Current Illness: No
Preexisting Conditions: Schizophrenia, catatonia
Allergies: Seroquel, Lithium, Depakote, Latuda
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Uncontrollable behavior; erection that won''t go away for a long time.


VAERS ID: 1495709 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-25
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram pulmonary normal, Blood test normal, Cardiac stress test normal, Chest X-ray normal, Chest discomfort, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Pulmonary function test normal, SARS-CoV-2 test negative, Ultrasound Doppler
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: no
Diagnostic Lab Data: 2. ER admission April 7 - chest x-ray, vascular ultrasound, EKG, Pulmonary CTA, COVID test in ER. Results all negative for Pulmonary Embolism or cardiac arythmia. 3. Follow up appointments - Follow up primary care, cardiologist and pulmonologist test stress treadmill test, echocardiography, pulmonary breathing test , blood test- ALL RESULTS NEGATIVE
CDC Split Type:

Write-up: I am a very healthy and active person with no prior medical, mental or emotional history. I exercise, eat well and take care of myself. I am 5''9" and 125lbs and not on any medications. Below are the adverse reactions from the J& J vaccine. 1. Severe Shortness of Breath and Chest Heaviness 2. ER admission April 7 - chest x-ray, vascular ultrasound, EKG, Pulmonary CTA, COVID test in ER. Results all negative for Pulmonary Embolism or cardiac arythmia. 3. Follow up appointments - Follow up primary care, cardiologist and pulmonologist test stress treadmill test, echocardiography, pulmonary breathing test , blood test- ALL RESULTS NEGATIVE 3. Severe symptoms lasted - 8hrs on April 7 4. time course: Vaccine - April 7 Symptoms - April 25 - June 20, 2021 5. Symptoms gradually decreased and officially subsided on June 20, 2021


VAERS ID: 1496134 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-15
Onset:2021-06-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Crying, Dizziness, Hyperventilation
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad)

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

Write-up: Per triage nurse, " Pt feeling dizzy and began to cry stated she did not want to pass out, was hyperventilating, given fruit snacks. Pt was helped to the ground, legs were elevated and vitals were taken. Vitals all WNL, oxygen via nasal canula at 2L was applied. Pt was able to answer basic questions, would take a while to answer. Dr. stated that patients vitals were fine and that nursing should keep patient in a calm environment and sit her up. Patient was given juice and fruit snacks, nurse and medic were present on site. Patient unable to tolerate sitting up, medic and nurse transferred patient over to gurney and was taken to ambulance past border."


VAERS ID: 1496313 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-16
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, oxoplatin, flofox
Current Illness: Gastric cancer stage 4, diabetes
Preexisting Conditions: See above
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme shortness of breath. Initially 1 day a week for 15 min. Then every other day, then every day, then twice a day. Length of attacks now ranges 15min-all day.


VAERS ID: 1497159 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Blood pressure measurement, Computerised tomogram, Fatigue, Gait disturbance, Hypertension, Insomnia, Magnetic resonance imaging, Pneumonitis
SMQs:, Peripheral neuropathy (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Eosinophilic pneumonia (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OZEMPIC; GABAPENTIN
Current Illness: Abstains from alcohol; Arthritic pains; Non-smoker; Type II diabetes mellitus
Preexisting Conditions: Medical History/Concurrent Conditions: Multiple sclerosis; Neck surgery (in 90''s); Comments: The patient was not pregnant at the time of reporting and had no history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: CT scan; Result Unstructured Data: Not reported; Test Date: 2021; Test Name: Magnetic resonance imaging; Result Unstructured Data: Not reported; Test Date: 202103; Test Name: Blood pressure; Result Unstructured Data: 200/100 mmHg
CDC Split Type: USJNJFOC20210733674

Write-up: ANXIETY ATTACK; NOT ABLE TO DO WALKING; TIRED/SORE FEELING ALL OVER BODY WHEN WALKS OR DO SOMETHING; PAIN AND SORENESS IN NECK/SHOULDER; BLOOD PRESSURE WAS 200/100; INFLAMMATION AROUND LUNGS; COULD NOT SLEEP; This spontaneous report received from a patient concerned a 73 year old female. The patient''s weight was not reported and height was 65 inches. The patient''s past medical history included neck surgery years ago, and multiple sclerosis diagnosed in 2003, and concurrent conditions included arthritic pain (has not had symptoms since 2010), diabetes type-II, non alcohol user, and non-smoker. The patient was not pregnant at the time of reporting and had no history of drug abuse or illicit drug use. The patient experienced drug allergy when treated with codeine, and influenza vaccine and she had stopped taking vaccines since vaccine made her sick. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, and expiry: UNKNOWN) dose was not reported, 1 total administered on 03-MAR-2021 to left arm for prophylactic vaccination. Concomitant medications included semaglutide for diabetes type-ii, and gabapentin. On 03-MAR-2021, at the night after vaccination she felt pain and soreness in her neck, shoulder, and chest and it escalated for several days. On an unspecified date in the same week of vaccination during a friday or saturday (MAR-2021), the patient could not sleep with hard time breathing. The patient went to emergency room and her blood pressure was 200/100 mmHg (millimeters of mercury). The patient was kept on emergency room and did a lot of unspecified tests and wanted the patient to put on a treatment to bring her blood pressure normal, but the patient did not feel like taking medicine and was hospitalized on an unknown date in MAR-2021. The patient also had a inflammation around her lungs and wanted to treat her. The patient was discharged on an unspecified date in MAR-2021 with a treatment medication of indomethacin 75 mg(milligram) 3 daily for 10 days. The patient felt better towards the end of the medicine. On an unspecified date, the patient had anxiety attack at the night and as a result her chest was hurt and had a hard time breathing. She went to primary care physician and was told to continue taking it. And also was told to call 911 or doctor''s office if something happened. The patient''s neurologist had ordered CT (computerized tomography) scan and MRI (Magnetic resonance imaging) and the results were not came at the time of this report. The primary care physician said it looked okay, but her neurologist said they needed time to talk to her about the results. The patient had residual effects of the vaccine which was dull pain sore in chest. She was walking and she was not able to do her walking without giving out, but was better with that. The residual pain in the chest was not as often. She was having coughing spells and her physician said there might still be some inflammation. The patient was on gabapentin which she only used it a few times, but at the time of this report she was taking it more. The patient also got tired and sore feeling all over her body when she walks or do something. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from pain and soreness in neck/shoulder, and not able to do walking, had not recovered from inflammation around lungs, and tired/sore feeling all over body when walks or do something, and the outcome of anxiety attack, could not sleep and blood pressure was 200/100 was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210733674-COVID-19 VACCINE AD26.COV2.S. Blood pressure was 200/100. 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: 1497162 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-04-07
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Cerebrovascular accident, Deep vein thrombosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Low blood pressure
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210407; Test Name: Body temperature; Result Unstructured Data: 100 F
CDC Split Type: USJNJFOC20210738345

Write-up: SMALL STROKE; PAIN IN RIGHT LEG/BLOOD CLOT IN RIGHT LEG/DVT; ARTHRITIS PAIN IN JOINTS; FEVER; This spontaneous report received from a patient concerned a 50 year old female. The patient''s height, and weight were not reported. The patient''s concurrent condition included low blood pressure. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, expiry: 05-AUG-2021) dose was not reported, 1 total, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, on first night, the patient developed fever of 100 F. On 08-APR-2021, by morning fever was gone. On the same day, she developed arthritis pain in her joints, it stayed for few days then it went away. In MAY-2021, she experienced pain in right leg, the pain elevated, and she wasn''t sure what it was. On 08-MAY-2021, she had small stroke, blood clot in right leg and deep vein thrombosis (DVT) and she was taken to the emergency room (ER) and admitted to the hospital for 1 night. She received treatment with blood thinner Eliquis (apixaban) for DVT. She has blood pressure (BP), her ER doctor was concerned about her BP and her doctor advised her to monitor her BP. She also informed that she uses wheelchair all the time. Also, if her leg remained down for more than 20 minutes it turns, and she tried to elevate it most of the time. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arthritis pain in joints on APR-2021, and fever on 08-APR-2021, and had not recovered from pain in right leg/blood clot in right leg/DVT, and small stroke. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: This spontaneous report received from a patient concerned a 50 year old White (not Hispanic or Latino) female who experienced right leg pain and small stroke and was noted to have deep vein thrombosis 31 days after receiving the Janssen Covid-19 vaccine. The patient''s height and weight were not reported, but patient claims that she was a little overweight. Patient claimed to be in good shape and used to have ''low blood pressure''. Patient has no family history of clotting disorders but she claimed to have history of bleeding/clotting problems even before receiving the vaccine. Information regarding allergy, smoking history, illicit drug use and alcohol abuse were not provided. No concomitant medications reported and patient did not take oral contraceptive pills (OCP''s). Patient had a fever the night day the patient received the vaccine. Fever was gone the following day but patient experienced arthritic pain in her joints (unspecified) but resolved after a few days. Later, patient developed pain on right leg that was progressing. Thirty-one (31) days post vaccine, patient sought consult at the emergency room (ER). She was noted to have blood clot in the right leg and was diagnosed with deep vein thrombosis (DVT) on the right leg. She was also diagnosed with stroke. She was admitted to the hospital for 1 night and treatment with apixaban (Eliquis) was started. As of this report, patient still used wheelchair. She still kept her leg elevated most of the time since it turned purple if left dangling for 20 minutes. The information available precludes a complete and meaningful assessment. The occurrence of DVT and stroke could represent background incidence of such events in the general population. Hence, a relationship with Janssen Covid-19 vaccine cannot be ruled out and thus the relationship is considered indeterminate. Additional information has been requested.


VAERS ID: 1497170 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-05-27
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207AZ1A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Culture stool, Diarrhoea, Frequent bowel movements, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Name: Stool culture; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210741050

Write-up: LOST A LITTLE BIT OF WEIGHT; BOWEL MOVEMENTS HAD BECOME MORE FREQUENT; BOWEL IS VERY LOOSE BATHROOM 7 TIMES BEFORE NOON/DIARRHOEA; This spontaneous report received from a patient concerned a 49 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207AZ1A, and expiry: UNKNOWN) dose was not reported, administered on 25-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-MAY-2021, the subject experienced bowel movements had become more frequent. On 27-MAY-2021, the subject experienced bowel is very loose bathroom 7 times before noon/diarrhoea. On an unspecified date, the subject experienced lost a little bit of weight. Laboratory data (dates unspecified) included: Stool culture (NR: not provided) Negative. Treatment medications (dates unspecified) included: bismuth subsalicylate, and loperamide hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bowel movements had become more frequent, and bowel is very loose bathroom 7 times before noon/diarrhoea, and the outcome of lost a little bit of weight was not reported. This report was non-serious.


VAERS ID: 1497176 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-03-11
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Electromyogram, Fall, Guillain-Barre syndrome, Insomnia, Lumbar puncture, Magnetic resonance imaging, Pain in extremity, Paralysis, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 35 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE
Current Illness: Blood pressure; Cataract (Early stages in left eye); Non-smoker
Preexisting Conditions: Comments: No known drug allergies Generally healthy
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: EMG; Result Unstructured Data: Weakness in left and upper extremity; Test Date: 2021; Test Name: Lumbar puncture; Result Unstructured Data: Not provided; Test Date: 2021; Test Name: MRI; Result Unstructured Data: not provided; Test Name: COVID-19; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210743068

Write-up: PARALYSIS; GUILLAIN BARRE SYNDROME; DIFFICULTY SLEEPING; FELL DOWN; FEVER; SORE ARM; This spontaneous report was received from a patient and concerned a 62 year old female. Initial information was processed with additional information received from the patient via an outreach telephone call on 21-Jul-2021. The patient''s height and weight were not reported. The patient''s concurrent conditions included blood pressure (not specified if high or low), early stages of cataract formation in left eye, no known drug allergies, non-smoker, did not exercise and was generally healthy. She had no infectious illness prior to the vaccination, nor any recent vaccinations or hospitalizations 6 weeks prior to the onset of events. The patient did not have any of the following: common cold, flu, or infection with Epstein-Barr, Herpes simplex, Herpes Zoster, adenovirus infection, cytomegalovirus, respiratory syncytial virus infection, coxsackievirus, diarrhea or bloody diarrhea, or Lyme disease. Her HIV status was negative. There was no history in the patient or her family for any malignancies, neurologic or autoimmune diseases. There was also no recent travel. 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 11-MAR-2021 to her left arm for prophylactic vaccination. Batch number was not reported and has been requested. Concomitant medications included amlodipine for blood pressure. On an unspecified date the patient had the results of a COVID-19 test as negative. On 11-MAR-2021, several hours post vaccination, the patient experienced a little fever and sore arm and took 2 TYLENOL (paracetamol). One week later, (also reported as approximately 22-MAR-2021) the patient started having soreness in the lower left lower arm, felt some weakness and throbbing, "weird sensation", like a circulation issues in her lower left arm. It was not disabling but it kept coming and going for several weeks then it stopped. About 3 weeks post vaccination, she had new onset of symptoms which continued for another few weeks. She had bad fatigue that continued and got worse over time and never stopped. She had difficulty sleeping for more than a hour or two at a time. She started to feel a "weird sensation" in the calf of the right leg then at one point a week or two after, it moved to the back of her thigh (pain and weakness). The patient thought it might be "clotting" but if felt more like a circulatory problem (similar to the feeling she had in the arm) but when she took 2 paracetamol the pain would go away so she didn''t think much of it as she was busy. On 09-MAY-2021, she felt great, had a lot of energy and spend the day with her family. On 10-MAY-2021 (around 1 pm), she suddenly lost the ability to stand up, her legs gave away then later that afternoon, her legs gave away again and she fell down. The patient reported her symptoms started abruptly. On 11-MAY-2021, she called the ambulance and she was admitted to the hospital neurology floor. An electromyogram was performed (date unspecified) with results of subacute progressive weakness in left extremity and now affecting upper extremity. Motor weakness more prominent than sensory. The patient also reported having a magnetic resonance imaging (MRI) and lumbar puncture (dates and results not provided). Her symptoms kept getting worse but did not spread and she reported she had no strength in her legs and deep tendon reflexes (DTR) showed no response. The patient stated she ended up being paralyzed from her mid body down with her upper body being weak and tingling in both hands and finger. The weakness was bilateral. Her feet and ankles were swollen. At one point she was about to lose her ability to talk (she had problems talking). Left eye was blurry (history of early stages of cataract formation); no problems with breathing, chewing and swallowing. She was diagnosed with acute Guillain-Barre Syndrome on an unspecified date. She stayed in the hospital for 5 weeks and received intravenous antibody treatment which didn''t work for her, then received plasma treatment for consecutive 5 days. Few days after receiving the plasma treatment, she was still weak but felt some improvement, so she was transferred to the rehabilitation. At the rehabilitation facility, patient started to stand using a walker and started to walk little by little. She gained her strength to walk. On 10-JUN-2021, the patient was discharged home. At the time of report, she was much better and no longer paralyzed; still saw her doctors and went for outpatient treatment. She still has concerns with balance and always careful when walking. Her right ankle "feels weird" but she regained most of her upper body strength. Parts of her lower body was still a little weak, she was still using a walker outside of her house and made sure that her husband was with her. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm, and fever on 12-MAR-2021, was recovering from Guillain-Barre Syndrome, and paralysis, and the outcome of difficulty sleeping and fell down was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: This spontaneous report was received from a patient concerned a 62-year-old female who experienced Guillain Barre syndrome (GBS) 60 days after vaccine. Concurrent conditions included hypertension. She had no recent infections/vaccinations/hospitalization. Concomitant medications included amlodipine for blood pressure. On an unspecified date the patient had a negative COVID-19 test. On day 59, she felt great. On day 60, she suddenly lost the ability to stand up. She was admitted to the hospital neurology floor. An electromyogram was performed with results of subacute progressive weakness in left extremity and now affecting upper extremity. Motor weakness more prominent than sensory. The patient also reported having a magnetic resonance imaging and lumbar puncture (dates and results not provided). Her symptoms kept getting worse but did not spread and she reported she had no strength in her legs and deep tendon reflexes showed no response. The patient stated she ended up being paralyzed (bilateral) from her mid body down with her upper body being weak and tingling in both hands and finger. No problems with breathing, chewing and swallowing. She was diagnosed with acute Guillain-Barre Syndrome on an unspecified date. She stayed in the hospital for 5 weeks and received intravenous antibody treatment which didn''t work for her, then received plasma treatment for consecutive 5 days. Few days after receiving the plasma treatment, she was still weak but felt some improvement. She gained her strength to walk. At the time of report, she was much better and no longer paralyzed; still saw her doctors and went for outpatient treatment. Information regarding other potential etiologies was insufficient, and the occurrence of 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: 1497195 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Blood test, Burning sensation, Chest pain, Culture stool, Culture urine, Dizziness, Dyspepsia, Exercise tolerance decreased, Feeling cold, Feeling hot, Headache, Hypoaesthesia, Impaired work ability, Muscle spasms, Muscular weakness, Myalgia, Mycobacterium tuberculosis complex test, Pain, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (The patient consumes 2 beers a month.); Food allergy; Gum infection (Patient mentioned that while taking antibiotics for gums'' infection, symptoms got better but as soon as antibiotic treatment stopped, symptoms got worse.); Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (Mild symptoms as per patient (mild headache and mild lower back pain).); Suspected COVID-19; Comments: The patient has no history of drug abuse/illicit drug use.
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Unknown; Comments: As per consumer, physician said everything was fine; Test Name: Tuberculosis test; Result Unstructured Data: False-positive; Test Name: Stool culture; Result Unstructured Data: Unknown; Comments: As per consumer, physician said everything was fine.; Test Name: Urine culture; Result Unstructured Data: Unknown; Comments: As per consumer, physician said everything was fine.
CDC Split Type: USJNJFOC20210745333

Write-up: SHAKY HANDS AND LEGS; CANNOT WORK; CANNOT EXERCISE; MUSCLE PAIN ON FEET AND LEGS; MUSCLE WEAKNESS/WEAKNESS ON FEET AND LEGS; NUMBNESS ON NECK, CHEST, ARMS, FEET AND LEGS; STOMACH PAIN/BURNING SENSATION; COLD SENSATION COMING FROM INSIDE OF BODY LEADING TO HEART; PAIN AROUND HEART, SHOWING UP INTERMITTENTLY; DIZZINESS; HOT SENSATION OVER FEET AND BODY; BACK PAIN ON KIDNEY AND LUNGS AREA; PAIN ON FEET AND HANDS/ PAINS WORSEN AT NIGHT ON FEET, HANDS, LOWER PAIN, AND UNDER ARMPITS; BURNING SENSATION ON FEET AND HANDS; MUSCLES SPASMS; HEADACHE; FEVER; This spontaneous report received from a patient concerned a 41 year old male. The patient''s weight was 134 pounds, and height was 155 centimeters. The patient''s past medical history included covid-19, and covid-19 like symptoms, and concurrent conditions included tomato allergy, alcohol use, non smoker, and gum infection, and other pre-existing medical conditions included the patient has no history of drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced muscles spasms. On 17-APR-2021, the subject experienced pain on feet and hands/ pains worsen at night on feet, hands, lower pain, and under armpits. On 17-APR-2021, the subject experienced burning sensation on feet and hands. On 18-APR-2021, the subject experienced stomach pain/burning sensation. On 18-APR-2021, the subject experienced pain around heart, showing up intermittently. On 18-APR-2021, the subject experienced dizziness. On 18-APR-2021, the subject experienced hot sensation over feet and body. On 18-APR-2021, the subject experienced back pain on kidney and lungs area. On 18-APR-2021, the subject experienced cold sensation coming from inside of body leading to heart. On JUL-2021, the subject experienced numbness on neck, chest, arms, feet and legs. On 01-JUL-2021, the subject experienced muscle weakness/weakness on feet and legs. On an unspecified date, the subject experienced shaky hands and legs, cannot work, cannot exercise, and muscle pain on feet and legs. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Unknown, Stool culture (NR: not provided) Unknown, Tuberculosis test (NR: not provided) False-positive, and Urine culture (NR: not provided) Unknown. Treatment medications (dates unspecified) included: omeprazole, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from numbness on neck, chest, arms, feet and legs on JUL-2021, dizziness on 19-APR-2021, headache on 13-APR-2021, and fever on APR-2021, had not recovered from stomach pain/burning sensation, pain on feet and hands/ pains worsen at night on feet, hands, lower pain, and under armpits, muscle weakness/weakness on feet and legs, pain around heart, showing up intermittently, muscles spasms, hot sensation over feet and body, back pain on kidney and lungs area, shaky hands and legs, burning sensation on feet and hands, and muscle pain on feet and legs, and the outcome of cannot work, cold sensation coming from inside of body leading to heart and cannot exercise was not reported. This report was non-serious.


VAERS ID: 1497943 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-05-01
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Ear pain, Headache, Magnetic resonance imaging, Musculoskeletal stiffness, Neck pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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: Pain killers; muscle relaxer
Current Illness: No
Preexisting Conditions: Asthma
Allergies: No
Diagnostic Lab Data: MRI. Blood work. Cat scan.
CDC Split Type: vsafe

Write-up: Really bad headaches for a long period of time. When I have bad ear pain. I have neck pain and stiff neck.


VAERS ID: 1498026 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / N/A - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Dyspnoea, Fatigue, Headache, Malaise, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: coreg CR, Percocet, fioricet,
Current Illness: none
Preexisting Conditions: hypertension, degenerative disc disease
Allergies: hydromorphone, nitrofurantoin, prednisone
Diagnostic Lab Data: Chest x ray = within normal limits. Head CT = within normal limits.
CDC Split Type:

Write-up: Since receiving vaccine, patient states she has had nausea, fatigue, malaise and some shortness of breath. She also states that she has had a headache that is atypical for her. Patient is treated with diphenhydramine, ketorolac and metoclopramide with improvement.


VAERS ID: 1498096 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia, SARS-CoV-2 test
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: flu shot- flu like symptoms and felt very sick
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: covid test
CDC Split Type:

Write-up: pt states the day he got the vax he was fatigued, nauseated, headaches, body aches and pain with high fever. These symptoms went away and then came back 2 days later and lasted about 2 1/2 weeks. He went to Urgent Care. He was going to be prescribed antibiotics but he didnt have insurance so was told to take over the counter pain relievers. He had an unexclusive Covid test.


VAERS ID: 1498160 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-05
Onset:2021-04-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / N/A - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anion gap, Anion gap normal, Blood glucose normal, Blood potassium decreased, Blood urea normal, Full blood count normal, Headache, Magnetic resonance imaging head normal, Nausea, Photophobia, Vomiting
SMQs:, Acute pancreatitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hypokalaemia (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: none
Current Illness: none
Preexisting Conditions: osteoporosis
Allergies: none
Diagnostic Lab Data: Brain MRI and MRA within normal limits. CBC is normal. BMP = potassium = 3.4, Glucose = 120, BUN = 18, Anion gap = 18.
CDC Split Type:

Write-up: On 4/14/21, patient awoke with a severe headache and nausea and vomiting. She does not have a history of headaches. Some photophobia. Patient is treated with diphenhydramine, prochlorperazine and IV fluids.


VAERS ID: 1498168 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-07
Onset:2021-04-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / N/A - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arteriogram coronary normal, Dyspnoea, Full blood count normal, Metabolic function test normal, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills
Current Illness: none
Preexisting Conditions: none
Allergies: Sulfa
Diagnostic Lab Data: Chest/Thorax CTA = no findings. CBC, BMP = within normal limits.
CDC Split Type:

Write-up: Patient developed shortness of breath and fast heart since receiving vaccine. No tachycardia in the emergency room. Blood pressure = 153-92


VAERS ID: 1498176 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-23
Onset:2021-07-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Hypersensitivity, Throat irritation
SMQs:, Angioedema (broad), 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: unknown
Current Illness: none known
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Recipient of vaccine was observed for 15 minutes post vaccine administration. 2 hours later a coworker came to inform the clinic recipient " had an allergic reaction". She stated she develop a funny feeling in her throat was given Benadryl 50mg at the oncology office where she works and was transported by ambulance to hospital for treatment.


VAERS ID: 1498223 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Unknown  
Location: Kentucky  
Vaccinated:2021-07-20
Onset:2021-07-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816024 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Haematemesis, Injection site pain, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin 300MG, Testosterone Injections, Folic B6 Supplements
Current Illness: n/a
Preexisting Conditions: Nerve damage in left arm
Allergies: Morphine, Eggs
Diagnostic Lab Data: Blood work - normal - 7/21/2021
CDC Split Type: vsafe

Write-up: So it started around 10PM that night of the vaccine 7/20/2021, I started throwing up like 10-15 times and was throwing up blood and around 3:00AM went to the ER. They gave fluids and anti-nausea medication in an IV. I was at the ER for about three hours. I went home and slept the whole next day, then the following day I was okay other than just soreness at the injection site.


VAERS ID: 1498252 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-07-02
Onset:2021-07-17
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: actos, rosuvastatin, synthroid, lisinopril, vitamin d3, aspirin 81mg
Current Illness: none
Preexisting Conditions: htn, hyperlipidemia, dm type 2
Allergies: penicillin
Diagnostic Lab Data: ultrasound left leg 7-20-2021 showed extensive DVT
CDC Split Type:

Write-up: developed extensive blood clotting left leg within 3 weeks after JJ vaccine. no underlying known malignancy or coagulopathy or prolonged travel. placed on eliquis and will be following with vascular


VAERS ID: 1498274 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / N/A - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Magnetic resonance imaging head
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills
Current Illness: none
Preexisting Conditions: none
Allergies: Ibuprofen
Diagnostic Lab Data: Brain MRI and MRA = no findings.
CDC Split Type:

Write-up: Patient with headache to crown of head since 4/12/21. No history of thrombosis. Tylenol resolves the headache for 4 hours, then it comes back. Patient is treated with IV Tylenol and IV fluids.


VAERS ID: 1498276 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-07-06
Onset:2021-07-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Exercise tolerance decreased, Gait disturbance, Pain in extremity, X-ray limb normal
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair Diskus; Singulair; Albuterol; Allegra; Mucinex Flonase; Astelin; Zolpidem; C; VitaFusion MultiV Womans; D3; Iron; Green Superfood capsules; Chamomile
Current Illness: None
Preexisting Conditions: Asthma; Seasonal Allergies (Severe)
Allergies: NKA
Diagnostic Lab Data: X-ray (normal).
CDC Split Type: vsafe

Write-up: (07/20/2021) sharp pain in right heel, usually walks 5 miles/day without pain. Experienced sharp pain (10), during walking. After icing the foot, got it down to a 5 on the pain scale.


VAERS ID: 1498405 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-04
Onset:2021-07-04
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

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

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

Write-up: According to the patient. He received his dose on May 4th and had a stroke on July 4th.


VAERS ID: 1498592 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A1A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Chills, Dehydration, Diarrhoea, Dizziness, Dyspnoea, Hallucination, Hypotension, Laboratory test, Malaise, Migraine, Muscle spasms, Palpitations, Postural orthostatic tachycardia syndrome, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Dystonia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), Hypokalaemia (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: Propranolol, Tylenol
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: N/a
Diagnostic Lab Data: Too many to post, as dozens of tests were given over the course of 3+ months and 5 ER visits, as well as referred visit tests. Will provide if contacted by the CDC.
CDC Split Type:

Write-up: Heart rate 160+ beats per minute, chest pain, heart palpitations, low blood pressure, dizziness, shortness of breath, dehydration, migraines, hallucinations, COVID-like symptoms, chills, muscle spasms, fever of over 103 degrees Fahrenheit, vomiting, diarrhea, POTS. I have gone to the ER 5 times since the date I received the vaccine on April 6, 2021. Symptoms are ongoing. I have been referred to and seen by a cardiologist, gastroenterologist, and mental health practitioners as a result.


VAERS ID: 1498900 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-30
Onset:2021-04-15
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Chest pain, Chills, Deep vein thrombosis, Diarrhoea, Discouragement, Erythema, Fatigue, Headache, Limb discomfort, Malaise, Mammogram, Pain, Pain in extremity, Peripheral swelling, Pruritus, Pyrexia, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Esomeprazole magnesium 20 mg for gastritis
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Monday, Jun 07 2021, 3:00 PM, MAMMOGRAPHY SCREEN DIGITAL BILAT, MAMMOGRAPHY, 30 minutes. Monday, Jun 15 2021, 4:00 PM, US DVT VENOUS UNILAT UP/LOW EXTREMITY, ULTRASOUND, 45 minutes. Thursday, Jul 15 2021, 11:00 AM, GYN CONSULT, 30 minutes. Wednesday, Jul 21 2021, 1:00 PM, MEDICAL FOLLOW UP, MEDICAL NEOPE, 20 MINUTES.
CDC Split Type: 100367496

Write-up: I, patient was vaccinated on March 30, 2021 at the time mentioned above in the form with the Janssen COVID-19 vaccine at a Medical Center hospital, for 24 hours after the vaccination, I am unwell general: (headache, body ache, diarrhea, stomach ache, chills, fever and discouragement), at the hospital they recommended taking tylenol, after 24 hours all symptoms started to improve, then I was able to go back to my work. As the days passed, I began to present discomfort in my legs: (extreme fatigue, pain, swelling, redness and a lot of itching) being the symptoms more severe in the right leg, I also had a headache, chest pain and back. By April 15, 2021, I could no longer bear the By April 15, 2021, I could no longer bear the discomfort and pain so strong and decided to go for emergencies to the Bergen New Bridge Medical Center hospital, where I was hospitalized for two days, on April 15 and 16, 2021, there too. . I was diagnosed with venous thrombosis in my right leg due to the Janssen COVID-19 vaccine. After leaving the hospital, I was prescribed a medicine of (Xarelto) 20 milligrams, for 3 months and 10 days of disability, being able to return to work on April 28, 2021. After 3 months and I finished my medication on July 9, 2021, after 7 days I returned to present the same symptoms that I had presented on April 15, 2021, seeing myself in the obligation to return to the emergency center of the Medical Center hospital, there they gave me medications until July 21, 2021 where I had my follow-up appointment with my general practitioner MD, that day my doctor told me that I had not had any improvement and would have to send me medications again for another month until next month where I will have a follow-up appointment for my illness. Personally I feel that I am not evolving for the better, I feel more and more tired in my legs and the pains and swelling are getting stronger. In advance, I thank you very much for your attention.


VAERS ID: 1499503 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-27
Onset:2021-06-02
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Consciousness fluctuating, General physical health deterioration, Loss of consciousness, Loss of personal independence in daily activities, Mental impairment, Weight decreased
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levithroxin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Many tests have been done since her first hospital stay on June 2, 2021.
CDC Split Type:

Write-up: June 2, 2021 found unconscious in home. Has lost 30+ pounds. Is in and out of conscience mental state since that date. Has been hospitalized 4 weeks since then. Is unable to maintain her own home or drive any longer. Is declining both mentally and physically on a daily basis. Neurologist is researching a Prion disease, which would be caused by the covid vaccine. More testing to come, but these diseases are verified post-mortem. This is devastating to her and our family.


VAERS ID: 1500553 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-07-13
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Blood test, Chest X-ray, Chest pain, Dizziness, Hypoaesthesia, Pain in extremity, Paraesthesia, Pyrexia, Syncope, Urine analysis
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), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker; Pollen allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Birth control (She stopped her birth control 2 months ago); Comments: Patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210716; Test Name: Chest X-ray; Result Unstructured Data: Normal; Test Date: 20210716; Test Name: Urine analysis; Result Unstructured Data: Normal; Test Date: 20210716; Test Name: Blood test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210738815

Write-up: PAIN IN RIGHT ARM; PAIN IN KNEE; CHEST PAIN; TINGLING; NUMBNESS; FEELING LIKE SHE IS GOING TO FAINT; FEVER; FAINTING; This spontaneous report received from a patient concerned a 26 year old White, Non-Hispanic/Latino female. The patient''s height, and weight were not reported. The patient''s past medical history included birth control stopped 2 months ago, and concurrent conditions included pollen allergy, non alcohol user, and non smoker, and other pre-existing medical conditions included patient had no drug abuse or illicit drug usage. The patient experienced drug allergy when treated with benzoyl peroxide. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808986, expiry: UNKNOWN) dose was not reported, 1 total, administered on 13-JUL-2021 in right arm for prophylactic vaccination. No concomitant medications were reported. On 13-JUL-2021, after receiving the vaccine patient reported fainting and fever on the day of injection. On 14-JUL-2021, the day after vaccination patient had chest pain, tingling and numbness and feeling like patient was going to faint. Patient went to the emergency room on the 14-JUL-2021 and patient was told patient was ok. On 16-JUL-2021, patient started feeling pain on the right arm and knee (side of injection). Patient mentioned patient was travelling after few days on a long flight to Germany. Patient mentioned that patient was very healthy. Laboratory data included: Blood test (NR: not provided) Normal, Chest X-ray (NR: not provided) Normal, and Urine analysis (NR: not provided) Normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever, recovered with sequelae from chest pain, and had not recovered from fainting, tingling, numbness, pain in right arm, pain in knee, and feeling like she is going to faint. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210738815-covid-19 vaccine ad26.cov2.s -fainting. 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: 1500566 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-07-17
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Eye swelling, Pruritus, Swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma (Can not see well)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210743241

Write-up: RIGHT EYE STARTED TO BE SWELLING; FACE STARTED TO BE A LITTLE SWELLING/SEMI-FALLEN FACE; WHOLE BODY STARTED TO BE SWELLING; ITCHY FROM SCALP TO TOES; SEVER STOMACH PAIN; This spontaneous report received from a consumer concerned a 72 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included asthma. 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, administered on 17-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-JUL-2021, the subject experienced sever stomach pain. On 20-JUL-2021, the subject experienced right eye started to be swelling. On 20-JUL-2021, the subject experienced face started to be a little swelling/semi-fallen face. On 20-JUL-2021, the subject experienced whole body started to be swelling. On 20-JUL-2021, the subject experienced itchy from scalp to toes. Treatment medications (dates unspecified) included: diphenhydramine hydrochloride, and famotidine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sever stomach pain, and itchy from scalp to toes, and was recovering from right eye started to be swelling, face started to be a little swelling/semi-fallen face, and whole body started to be swelling. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per the standard procedure as the case is assessed as non-serious.


VAERS ID: 1500577 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-07-17
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac stress test, Chills, Coeliac disease, Cold sweat, Gait disturbance, Hot flush, Hyperhidrosis, Hypertension, Malaise, Paraesthesia, Tongue disorder
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Hypoglycaemia (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Ex-alcohol user (Stopped drinking); Nonsmoker
Preexisting Conditions: Comments: The patient had no known drug allergies and had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210719; Test Name: Stress test; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210745177

Write-up: CELIAC DISEASE; COLD SWEATS; TROUBLE WALKING DOWN STEPS; TINGLING TIP OF LEFT HAND; HOT FLASHES; TIP OF TONGUE SWEAT; FEET SWEATING; SHIVERS; OVERALL BODY NOT FEELING WELL; SUDDEN HIGH BLOOD PRESSURE; This spontaneous report received from a patient concerned a 50 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol use (stopped drinking), and nonsmoker, and other pre-existing medical conditions included the patient had no known drug allergies and had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A expiry: UNKNOWN) dose was not reported, 1 total administered on 21-JUN-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 17-JUL-2021, the patient experienced cold sweats, trouble walking down steps, tingling tip of left hand, hot flashes, tip of tongue sweat, feet sweating, shivers, overall body not feeling well and sudden high blood pressure. On 19-JUL-2021 the patient was concerned about sudden high blood pressure and was admitted to the emergency room, the patient undergone stress test and was given lorazepam and was diagnosed with celiac disease. The patient was hospitalized for 1 day and was discharged on 20-JUL-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from cold sweats, shivers, trouble walking down steps, tingling tip of left hand, hot flashes, tip of tongue sweat, feet sweating, overall body not feeling well, and sudden high blood pressure, and the outcome of celiac disease was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20210745177-COVID-19 VACCINE AD26.COV2.S-sudden high blood pressure, celiac disease, cold sweats, trouble walking down steps, tingling tip of left hand, hot flashes, tip of tongue sweat, feet sweating. 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). 20210745177-COVID-19 VACCINE AD26.COV2.S-shivers, overall body not feeling well. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1500579 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Headache, Heart rate increased, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Pain in extremity, Paraesthesia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (once in a while but not in the last 3 months.); Non-smoker
Preexisting Conditions: Comments: No known allergies. No history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: MRI brain; Result Unstructured Data: Unspecified; Test Date: 202105; Test Name: Blood test; Result Unstructured Data: Unspecified; Test Date: 202105; Test Name: Magnetic resonance imaging spinal; Result Unstructured Data: Unspecified
CDC Split Type: USJNJFOC20210745296

Write-up: SWELLING IN SPINE; INCREASED HEART RATE WHICH GOT WORSE WITH PHYSICAL ACTIVITY; PAIN IN LOWER PART OF BOTH LEGS; TINGLING IN LOWER PART OF LEGS/TINGLING IN TOES; HEADACHE; This spontaneous report received from a patient concerned a 40 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol use, and non-smoker, and other pre-existing medical conditions included no known allergies, 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: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced headache. On 23-APR-2021, the subject experienced tingling in lower part of legs/tingling in toes. On 23-APR-2021, the subject experienced increased heart rate which got worse with physical activity. On 23-APR-2021, the subject experienced pain in lower part of both legs. On MAY-2021, Laboratory data included: Blood test (NR: not provided) Unspecified, MRI brain (NR: not provided) Unspecified, and Magnetic resonance imaging spinal (NR: not provided) Unspecified. On 03-MAY-2021, the subject experienced swelling in spine. Treatment medications (dates unspecified) included: prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from increased heart rate which got worse with physical activity on 28-MAY-2021, and headache on 23-APR-2021, was recovering from pain in lower part of both legs, and tingling in lower part of legs/tingling in toes, and had not recovered from swelling in spine. This report was non-serious.


VAERS ID: 1500581 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Alopecia, Biopsy, Colonoscopy, Diverticulitis, Injection site pain, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific inflammation (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: Cigarette smoker (1/2 pack per day); Social alcohol drinker
Preexisting Conditions: Medical History/Concurrent Conditions: Clinical flare reaction; Comments: The patient had no medical history of diagnosed diverticulitis but patient believes that she had two flares up in the past that went up undiagnosed, may had two episode in the last 10 years. The patient was not pregnant at the time of reporting. The patient had no illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210518; Test Name: Biopsy; Result Unstructured Data: Normal; Comments: MD states Normal but her report states precancerous; Test Date: 20210518; Test Name: Colonoscopy; Result Unstructured Data: Normal; Comments: MD states Normal but her report states precancerous
CDC Split Type: USJNJFOC20210745377

Write-up: DIVERTICULITIS; INJECTION SITE PAIN; WEIGHT LOSS 13 POUND; HAIR LOSS/THINNING A LOT IN THE SHOWER; This spontaneous report received from a patient concerned a 50 year old white Hispanic or Latino female. The patient''s weight was 137 pounds, and height was 68 inches. The patient''s past medical history included flares, and concurrent conditions included occasional alcohol user, and cigarettes smoker 1/2 pack per day. The patient had no medical history of diagnosed diverticulitis, but patient believes that she had two flares up in the past that went up undiagnosed, may had two episodes in the last 10 years. The patient was not pregnant at the time of reporting. The patient experienced drug allergy when treated with tetracycline. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, and batch number: 1805031 expiry: UNKNOWN) dose was not reported, 1 total, administered on 01-APR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. The patient reported that since receiving the vaccine on 01-APR-2021, she had 13 pounds weight loss, that was unusual for patient, only dietary change made by the patient was cutting back on sodas, that was not drinking crazy amount before also. On 06-APR-2021, the patient experienced injection site pain. On 07-APR-2021, the patient started symptoms of diverticulitis and started treatment with her primary care prescribed metronidazole for the diverticulitis bloody stools. On 11-APR-2021, patient was treated in the emergency room and diagnosed with diverticulitis. The patient was discharged to home after being treated with fluids for hydration and to continue with the antibiotics. The patient diverticulitis symptoms improved drastically by the 19- APR-2021 but did not fully resolve until the last 3 to 4 weeks before reporting. On unspecified date in APR-2021 patient experienced hair loss and patient described it as she could see thinning, just a lot in the shower, she states this was new and unusual. On 18-MAY-2021, patient underwent to colonoscopy with biopsies, the report was received and Doctor of Medicine states normal, but report states precancerous. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from injection site pain on 08-APR-2021, and hair loss thinning a lot in the shower on MAY-2021, was recovering from diverticulitis with bloody stool, and the outcome of weight loss 13 pound was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210745377-covid-19 vaccine ad26.cov2.s -Diverticulitis. 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: 1500596 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-05-10
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802012 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy (Unknown what the patient is allergic to.)
Preexisting Conditions: Comments: The patient is not pregnant at the time of report.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210748240

Write-up: BACK PAIN WHICH HAS RADIATED TO THE LEGS; LEGS FEEL LIKE THEY ARE SLEEPING; This spontaneous report received from a consumer concerned a 72 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included allergy, and other pre-existing medical conditions included the patient is not pregnant at the time of report. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802012, and expiry: UNKNOWN) dose was not reported, administered on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-MAY-2021, the subject experienced back pain which has radiated to the legs. On 10-MAY-2021, the subject experienced legs feel like they are sleeping. Treatment medications (dates unspecified) included: gabapentin. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from back pain which has radiated to the legs, and legs feel like they are sleeping. This report was non-serious.


VAERS ID: 1500717 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-22
Onset:2021-07-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium normal, Blood potassium decreased, Diarrhoea, Muscular weakness, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (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: None
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: 7/24/21: WBC 10.4 k/uL, Potassium 3.4 mmol/L, magnesium 2.0mg/dL.
CDC Split Type:

Write-up: Patient had diarrhea that started about half a day after the vaccine was received (7/22/21). He presented to the emergency department 7/24/21 with chief complaint of diarrhea and bilateral lower extremity weakness.


VAERS ID: 1500746 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-13
Onset:2021-06-08
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral normal, Anxiety, Blood test, Computerised tomogram head, Dizziness, Echocardiogram, Electrocardiogram ambulatory normal, Electrocardiogram normal, Fatigue, Fear, Feeling abnormal, Headache, Impaired driving ability, Mental impairment, Muscle tightness, Nausea, Ultrasound Doppler, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None. Healthy as a horse.
Preexisting Conditions: None.
Allergies: None, but over 10 years ago, I dealt with idiopathic anaphylaxis for a 3 year period. No triggers were discovered and it resolved itself over time.
Diagnostic Lab Data: June 8th--EKG, CT of brain and blood work June 9th--echocardiogram and blood work June 11th to 12th--holter monitor June 15th--blood work June 19th--MRA of brain July 8th--ultrasound of cartoid arteries
CDC Split Type:

Write-up: On Tuesday, June 8th, I''m driving a car on the highway and a dizzy spell hits me hard with no warning. I got the car pulled off the side of the road but my world was spinning for 2-3 minutes. It scared me enough to go the ER an hour later where I had blood drawn, EKG, CT scan of brain, overnight monitoring, and an echocardiogram. All were normal, but over the course of the next week, I felt the full force of the following symptoms: lightheadedness to the point of almost fainting, brain fog, nausea, neck tightness, headaches, anxiety, and fatigue. I had so many lightheaded moments where I felt I would pass out. My life was affected because I couldn''t do anything without feeling like I would pass out. Driving more than a mile is out of the question. Fortunately, I''m a school teacher and all this started on the 2nd day of summer vacation. I certainly would not be able to teach if school were in session. How bad was my brain fog? I have kids who love to play board games like monopoly. I play 5 or more times a week. My brain fog prevented me from playing monopoly with him. It was too complicated for me to roll the dice, count the dice, move my piece the number of spaces, figure out money amounts, etc. . My family was really worried because they noticed how I couldn''t think. I felt like a 90 year old man with dementia. As far as my lightheadedness, I never actually fainted, but there were many times I had the "sense of doom" feeling where I was going to die. I visited the ER again a week later and they did another EKG with normal readings again and ordered a holter monitor to be worn for 24 hours, which came back normal. When I finally got into my primary care physician on June 17th, he suspected something terminal, so he orders a brain MRA the very next day. That came back clean, so he orders me to see a neurologist. Once I received news that the brain MRA was normal, my anxiety went away for the most part--I was not going to die! The neurologist prescribed gabapentin 100 mg daily (which is anti-migraine/anti-seizure meds) and a carotid artery ultrasound, which came back clean. (Notice a pattern?) Because of the neck tightness/pain/uncomfortability, I visited a chiropractor thinking neck alignment was off. Chiro realigned me but I didn''t feel any better or worse. I have had 2 visits at the chiropractor, specifically for the neck pain and seeking relief. Today, I am 6 weeks from the June 8th out-of-the-blue dizzy spell that changed my life. If I gave a percentage of how good I am today, I would give a 75%. During all this time, I''ve never had a fever and my blood pressure has been normal every time it''s been taken. According to all these tests, I''m the healthiest man in the world--my heart, brain, bloodwork is all great. My episodes are less and less frequent, and I drove today for about 5 miles! Yay! I feel like there''s light at the end of the tunnel. In the last week, I''ve been playing board games much better with less brain fog, but I have my moments with brain fog and lightheadedness. My neurologist and my primary care physician feel like there is no correlation to the vaccine, but the chiropractor I visited has said that he''s treated multiple patients like me who are looking for relief from these symptoms in the past 4 months.


VAERS ID: 1500755 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-03-24
Onset:2021-03-29
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Anion gap, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood cholesterol normal, Blood creatine phosphokinase normal, Blood creatinine normal, Blood folate normal, Blood glucose normal, Blood immunoglobulin G normal, Blood lactate dehydrogenase increased, Blood magnesium increased, Blood osmolarity decreased, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone normal, Blood triglycerides normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Borrelia test positive, C-reactive protein decreased, Carbon dioxide normal, Eosinophil count decreased, Eosinophil percentage, Fatigue, Feeling cold, Gamma-glutamyltransferase normal, Glomerular filtration rate normal, Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal, High density lipoprotein decreased, Hypoaesthesia, Immature granulocyte count, LDL/HDL ratio, Low density lipoprotein normal, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume normal, Monocyte count decreased, Monocyte percentage increased, Muscular weakness, Neutrophil count normal, Neutrophil percentage decreased, Pain, Pain in extremity, Platelet count normal, Protein total normal, Red blood cell count decreased, Red blood cell nucleated morphology, Red blood cell sedimentation rate normal, Red cell distribution width normal, Thyroxine free normal, Very low density lipoprotein normal, Vitamin B12 normal, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Dyslipidaemia (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hyponatraemia/SIADH (broad), Lipodystrophy (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: Vencomicin
Diagnostic Lab Data: 4/30/21 Lyme IgG Negative 1 Blood Lab Lyme IgM Presumptive Pos 2 Blood Lab WBC 6.0 x10(3)/mcL (Normal is 4.5-11.0 x10(3)/mcL) Blood Lab RBC 4.61 x10(6)/mcL (Normal is 4.50-5.90 x10(6)/mcL) Blood Lab Hgb 14.5 gm/dL (Normal is 13.9-16.3 gm/dL) Blood Lab Hct 44.8 % (Normal is 41.0-53.0 %) Blood Lab MCV 97 fL (Normal is 80-100 fL) Blood Lab MCH 31.5 pg (Normal is 26.0-34.0 pg) Blood Lab MCHC 32.4 gm/dL (Normal is 31.0-37.0 gm/dL) Blood Lab RDW 12.4 % (Normal is 11.5-14.5 %) Blood Lab Platelet 156 x10(3)/mcL (Normal is 150-350 x10(3)/mcL) Blood Lab MPV 10.1 fL (Normal is 9.2-12.7 fL) Blood Lab NRBC % 0.0 % (Normal is 0.0-0.2 %) Blood Lab Neutrophil Auto 49.5 % (Normal is 31.0-76.0 %) Blood Lab Lymphocyte Auto 37.0 % (Normal is 24.0-44.0 %) Blood Lab Monocyte Auto 9.4 % (Normal is 2.0-11.0 %) Blood Lab Eosinophil Auto 2.8 % (Normal is 1.0-4.0 %) Blood Lab Basophil Auto 1.0 % (Normal is 0.0-2.0 %) Blood Lab Immature Granulocyte Auto 0 % Blood Lab Neutrophil Absolute 2.95 x10(3)/mcL (Normal is 1.50-7.80 x10(3)/mcL) Blood Lab Lymphocyte Absolute 2.21 x10(3)/mcL (Normal is 1.10-4.80 x10(3)/mcL) Blood Lab Monocyte Absolute 0.56 x10(3)/mcL Blood Lab Eosinophil Absolute 0.17 x10(3)/mcL Blood Lab Basophil Absolute 0.06 x10(3)/mcL Blood Lab Imm Gran Absolute 0.02 /mcL Blood Lab Glucose Level 97 mg/dL (Normal is 74-106 mg/dL) Blood Lab BUN 13 mg/dL (Normal is 7-18 mg/dL) Blood Lab Creatinine 0.8 mg/dL (Normal is 0.6-1.3 mg/dL) Blood Lab Sodium Level 142 mmol/L (Normal is 136-145 mmol/L) Blood Lab Potassium Level 3.8 mmol/L (Normal is 3.5-5.1 mmol/L) Blood Lab Chloride 111 mmol/L (Normal is 98-107 mmol/L) Blood Lab CO2 29 mmol/L (Normal is 21-32 mmol/L) Blood Lab Calcium Level 8.4 mg/dL (Normal is 8.5-10.1 mg/dL) Blood Lab Magnesium 2.3 mg/dL (Normal is 1.6-2.3 mg/dL) Blood Lab Total Protein 6.9 gm/dL (Normal is 6.4-8.2 gm/dL) Blood Lab Albumin Level 3.5 gm/dL (Normal is 3.4-5.0 gm/dL) Blood Lab Bili Total 0.93 mg/dL (Normal is 0.20-1.00 mg/dL) Blood Lab ALT 24 IU/L (Normal is 13-61 IU/L) Blood Lab AST 16 IU/L (Normal is 15-37 IU/L) Blood Lab Alk Phos 45 unit/L (Normal is 45-117 unit/L) Blood Lab BUN/Creat Ratio 16 Blood Lab Osmol Calculated 283 mOsm/kg Blood Lab AGAP 6 Blood Lab A/G Ratio 1.0 Blood Lab eGFR AA $g60 mL/min/1.73 m2 Blood Lab eGFR NAA $g60 mL/min/1.73 m2 Blood Lab Total CK 123 IU/L (Normal is 39-308 IU/L) Blood Lab Chol 177 mg/dL Blood Lab Trig 103 mg/dL Blood Lab HDL 42 mg/dL Blood Lab LDL 114 mg/dL Blood Lab VLDL 21 mg/dL Blood Lab Chol/Trig 1.70 mg/dL Blood Lab Ldl/Hdl 2.7 mg/dL Blood Lab Hgb A1c 5.1 % (Normal is 4.2-5.6 %) Blood Lab T4 Free 0.97 ng/dL (Normal is 0.76-1.46 ng/dL) Blood Lab TSH 2.790 mcIU/mL (Normal is 0.360-3.740 mcIU/mL) Blood Lab 5/27/21 GGT 24 IU/L (Normal is 5-85 IU/L) Blood Lab LDH 219 IU/L (Normal is 87-241 IU/L) Blood Lab Folate Level $g20.0 ng/mL (Normal is 3.1-17.5 ng/mL) Blood Lab Vitamin B12 Level 303 pg/mL (Normal is 193-986 pg/mL) Blood Lab Lyme IgG Negative 1 Blood Lab Lyme IgM Presumptive Pos 2 Blood Lab 7/1/21 Sed Rate 2 mm/hr (Normal is 0-15 mm/hr) Blood Lab CRP 0.37 mg/dL (Normal is 0.00-0.29 mg/dL) Blood Lab
CDC Split Type:

Write-up: Fatigue, Muscle weakness, and soreness primarily in arms. Constant Numbness in arms, numbness in rest of body, washing feeling of numbness (Ice cold) sensation through body, when getting up from a resting state.


VAERS ID: 1500843 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-02
Onset:2021-07-17
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Not applicable. None.
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Cellulitis in the abdomen. Treatment with two antibiotics. No other factors to contribute to cellulitis. In the middle of treatment currently.


VAERS ID: 1500881 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-07-15
Onset:2021-07-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Fatigue, Myalgia, Nausea, Peripheral swelling, Ultrasound Doppler normal, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (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: Multivitamins
Current Illness: None
Preexisting Conditions: Factor V Leiden Latent celiac
Allergies: Pennicilkin, IVP dye
Diagnostic Lab Data: Went to hospital ER 7/23/21 upon concern of blood clot due to symptoms experienced & being a factor V Leiden carrier. Ultrasound performed on legs & confirmed no clot.
CDC Split Type:

Write-up: Lower back pain beginning day after vaccine. Vertigo & nausea beginning days after vaccine, lasting 2-3 days. Fatigue beginning day after vaccine and is improved, but still present. Leg muscle pain and slight swelling beginning 5 days post-vaccine.


VAERS ID: 1500965 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-07-24
Onset:2021-07-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Drooling, Hyperhidrosis, Loss of consciousness, Unresponsive to stimuli, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (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), 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: UNKNOWN
Current Illness: UNKNOWN, NONE THAT MOTHER OR SON EXPRESSED DURING CONSULTATION PRIOR TO VACCINE
Preexisting Conditions: NONE THAT MOTHER OR SON DISCLOSED VERBALLY OR ON CONSENT FORM
Allergies: PEANUTS, GREENUTS, SESAME, SHELLFISH, BLUE CHEESE
Diagnostic Lab Data: UNKNOWN
CDC Split Type:

Write-up: PATIENT CAME IN WITH HIS MOTHER, I ADDRESSED ALL CONCERNS AND QUESTIONS REGARDING JANSSEN VACCINE AND ALLERGIES PATIENT HAD. MOTHER STATED THAT THEY DISCUSSED WITH PCP ABOUT ALLERGIES AND VACCINE OPTIONS, MOTHER STATED SHE HAS HIS EPIPEN ON THEM INCASE OF EMERGENCY. VACCINE WAS GIVEN TO PATIENT, HE SAT DOWN AND WITHIN 10 MINUTES OR SO PATIENT LOSS CONSCIOUSNESS, BEGAN DROOLING, AND COULD NOT BE WOKEN UP AFTER REPEATED ATTEMPTS. EPIPEN 0.3MG (IM) WAS ADMINISTERED TO THIGH AND PATIENT REGAINED CONSCIOUSNESS. 911 WAS CALLED AND PARAMEDICS ARRIVED WITH 5-10 MINUTES. PATIENT VOMITED TWICE, AND WAS SWEATING PROFUSELY. ONCE AWOKEN, HE WAS AWARE OF HIS SURROUNDINGS, WHO I WAS AND HIS MOTHER, APOLOGIZED FOR THE INCIDENT. MOTHER AND SON THEN LEFT WITH PARAMEDICS TO HOSPITAL.


VAERS ID: 1501028 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-19
Onset:2021-07-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dyspnoea, Hyperhidrosis, Hypotonia, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Fire department came in and did some blood pressure and oxygen level. Both levels were within normal range. Patient opted to be brought to the hospital; stayed for a couple of hours and was determined to have severe anxiety.
CDC Split Type:

Write-up: After the vaccination, patient reacted in a couple of minutes. She had stressed breathing, body started to drop and she started to sweat. Patient seemed to have loss consciousness for about a minute so we helped her lie down on the floor.


VAERS ID: 1501081 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-07-23
Onset:2021-07-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Atelectasis, Chest X-ray, Chest pain, Differential white blood cell count, Electrocardiogram, Fibrin D dimer, Full blood count, Laboratory test normal, Metabolic function test, Paraesthesia, Troponin
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: on 7/23/21, multiple test CT angiogram, Comp metabolic, troponin, cbc w/dif, ekg, x ray chest, Posct istat chem, poct cbc, D-dimer,
CDC Split Type:

Write-up: 15-20 minutes after vaccine pain in chest on left side near heart, sharp for 10-15 sec and than tingling constant dull pain, sharp pain happened multiple times since the injection. Went to ER on advice from physician, had multiple tests including blood work, EKG, CT angiogram d-dimer high, did not show heart issues but it did show minimal basilar atelectasis. Currently still having pain and started incentive spirometer.


VAERS ID: 1501266 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-06-25
Onset:2021-06-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood pressure increased, Hypoaesthesia, Muscle twitching, Neuralgia, Ocular discomfort
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: High Blood Pressure, High Cholesterol, PCOS
Allergies:
Diagnostic Lab Data: ER visit no blood clots located in my left leg.
CDC Split Type:

Write-up: Headache lasted two weeks took Tylenol Very bad lower back pain lasted a week saw my chiropractor and applied heat/ice Lower back pain lasted another week Applied heat Sciatic Nerve pain lasted 4 days saw my Chiropractor Phlebitis in both legs went to ER Took a prescription medication for a week. Pain and inflammation lasted a month Elevated Blood Pressure has not lowered will see heart doctor on August 19th for evaluation Left eye twitching has not stopped. Left arm goes numb when elevated like when driving or when sleeping on left side. Still ongoing.


VAERS ID: 1501393 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-07-24
Onset:2021-07-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ventolin HFA, Advair, Singulair
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Egg whites, Mefoxin, Chlorahexadine, Flagyl
Diagnostic Lab Data: None performed - seen in emergency room 7/25/2021
CDC Split Type:

Write-up: Facial swelling


VAERS ID: 1501424 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Acne, Discomfort, Ear discomfort, Headache, Herpes zoster, Lymph node pain, Musculoskeletal stiffness, Neck pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor; Imdur;Toprol XI; 81 mg. aspirin
Current Illness: stage 3 chronic kidney disease; heart disease
Preexisting Conditions: kidney disease
Allergies: Penicillin; Sulfa drugs
Diagnostic Lab Data: My Dermatologist diagnosed Shingles visually. No test needed.
CDC Split Type:

Write-up: While waiting the 15 minutes after shot was given, noticed a tingling sensation that traveled from my left arm, across my left shoulder to the back of my neck. It subsided about 15 minutes later. April 22 - Started mild symptoms of stiff and sore neck; ache in lymph nodes below left ear; pimple at the hairline at the nape of my neck. Discomfort moved to different areas near my left ear. May 5 - Discomfort moved up above my left ear- all other symptoms remained. Became a full blown headache above my ear to my temple. Headache was a sharp, stabbing painwhich moved around on left side. At one point, I timed it at every 16 seconds. May 7- Went to emergency room. Had a full workup. All tests


VAERS ID: 1501429 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-09
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-07-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Diarrhoea, Herpes zoster, Infection, Pain, Pain in extremity, Peripheral swelling, Pyrexia, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zolpidem, Zomig, Praluent, Metoprolol, Cetrizine, Famotidine, Estradiol, Montelukast, Fluticasone, Saline nasal spray mixed with about 10% Afrin (used all my life), baby Aspirin.
Current Illness: None.
Preexisting Conditions: Cerebral palsy, obesity, migraines, neuropathy, anxiety, Hashimoto''s, PVCs, insomnia, allergies.
Allergies: Shellfish, latex, glue on medical sticky pads.
Diagnostic Lab Data: Positive test for herpes 1 and 2.
CDC Split Type:

Write-up: Low grade fever, pain throughout body, localized swelling and infection on right foot of unknown origin, reocurrence of shingles outbreak previously under control by two shingles vaccines, rash on left leg from knee to hip and above right elbow, stomach issues (uncontrolled diarrhea), burning pain on right leg.


VAERS ID: 1501503 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-07-07
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19 pneumonia, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Non-smoker
Preexisting Conditions: Comments: The patient had no underlying condition.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210741011

Write-up: COVID-19 PNEUMONIA; SUSPECTED CLINICAL VACCINATION FAILURE; This spontaneous report received from a consumer via a company representative concerned a 60 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non-smoker. The patient had no underlying condition. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031 expiry: unknown) 0.5 ml, 1 total administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 04-JUL-2021, the patient had exposure to COVID-19. On 07-JUL-2021, the patient had suspected clinical vaccination failure, he started to have symptoms. He was taken to the emergency room and was admitted to the hospital on 13-JUL-2021. The patient had COVID-19 pneumonia with very low oxygen levels and a terrible cough. He was fighting for his life. On 07-JUL-2021, the experienced suspected clinical vaccination failure. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from covid-19 pneumonia, and the outcome of suspected clinical vaccination failure was not reported. This report was serious (Hospitalization Caused / Prolonged). This report was associated with product quality complaint 90000186453. The suspected product quality complaint has been confirmed not to be voided based on the PQC evaluation/investigation performed.; Sender''s Comments: V0- 20210741011-Covid-19 vaccine ad26.cov2.S- Covid-19 Pneumonia. 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. 20210741011- Covid-19 vaccine ad26.cov2. Suspected clinical vaccination failure. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1501522 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-09
Onset:2021-06-07
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Electromyogram, Laboratory test, Magnetic resonance imaging head, Muscle tightness, Sensory level abnormal, Sensory loss
SMQs:, Peripheral neuropathy (narrow), Dystonia (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Electromyogram on 6/7/2021 - diagnosis Sensorimotor axonal polyneuropathy of idiopathic etiology. PROTEIN ELECTROPHORESIS SERUM on June 2, 2021 - Normal electrophoretic pattern. No monoclonal protein is identified. Also folate and vitamin B-12 tested and normal. July 20 MRI of brain 1. A 14 mm extra-axial right paraclinoid mass, almost certainly a meningioma; suspect some impingement on the right optic nerve. 2. Otherwise negative exam. July 22nd lab test for hemoglobin H1Ac, lyme screen, and vitamin D, all normal
CDC Split Type:

Write-up: Sensory issues that started in legs, then went to arms and lower jaw. Tightness, burning, altered sensory. These symptoms started approximately 8 weeks post vaccination and worsened over time. Ongoing and untreated to date. No definitive diagnosis yet.


VAERS ID: 1501537 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-07-16
   Days after vaccination:101
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Asymptomatic COVID-19, Blood creatinine increased, Chest X-ray abnormal, Chest pain, Dyspnoea, Electrocardiogram T wave abnormal, Lung disorder, Pulmonary embolism, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lisinopril
Current Illness:
Preexisting Conditions:
Allergies: No known drug allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: 7/18/2021 Patent presemted to ED with a chief complaint of chest pain for the last 3 days associated with shortness of breath. Refers has been using ibuprofen achieving minimal relief. Received COVID 19 vaccinate in April (Johnson & Johnson). Upon initial evaluation on ED VS: stable. Laboratories revealed elevated creatinine and COVID 19 TEST Positive. EKG: Sinus rhythm, T wave abnormalities. A chest x ray: IMPRESSION: Left lower lung airspace disease. CT angio showed Acute pulmonary embolism, left lower lobe, nonocclusive. COVID-19 infection considered asymptomatic and no treatment required for this. Discharged home on 7/19/21.


VAERS ID: 1501738 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-25
Onset:2021-07-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Thrombophlebitis superficial, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (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: Famotidine, b12, prenatal vitamins, d3, fish oil, baby aspirin
Current Illness: Miscarriage
Preexisting Conditions: Possible Hashimoto?s thyroiditis
Allergies: None
Diagnostic Lab Data: None, triaging PA just looked at it
CDC Split Type:

Write-up: Developed a blood clot in pinky, went to ER and triage PA said it was a superficial venous thrombosis and nothing to worry about. Discharged home with no blood work.


VAERS ID: 1501805 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-07-10
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anosmia, COVID-19, Dysgeusia, Nausea, SARS-CoV-2 test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquis, coreg, digoxin, gabapentin, tramadol, trazodone, zolpidem, furosemide
Current Illness:
Preexisting Conditions: Afib, CHF, HTN, and osteoarthritis
Allergies: No known drug allergies
Diagnostic Lab Data: 7/11/21: tested positive for COVID-19
CDC Split Type:

Write-up: 7/15/2021: Patient presented to the ER due to persistence of COVID symptoms after testing positive on 7/11/2021 with no oxygen requirement & discharged home. Patient developed nausea, was unable to keep anything down, had bitter taste associated with loss of smell. 7/18/2021: Patient medically cleared for discharge, saturating well on room air and tolerating diet with no episodes of nausea or vomiting. 7.26.21: as of today, discharge cleared, awaiting placement. Note: Patient received J&J COVID-19 vaccine in May 2021.


VAERS ID: 1501902 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-30
Onset:2021-07-23
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Laboratory test abnormal, Pain, Sinus disorder
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Morbid obesity.
Allergies: Allergic contact dermatitis due to cosmetics.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Urgent care visit on 7/23/21. Symptoms included fatigue, chills, generalized body aches and sinus problem. Antigen test performed on 7/23/21 and came back detected. Case investigation interview with patient has not been performed as of time of this note.


VAERS ID: 1501967 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-06-29
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Chest X-ray, Computerised tomogram, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (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: Ezetimibe
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: On 7/3/2021: Blood work, CAT scan, lung x-Ray
CDC Split Type:

Write-up: Bells Palsy, anti viral & steroid for one week. Mostly gone within a week. Lingering numb feeling in cheek.


VAERS ID: 1501973 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-23
Onset:2021-07-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Rash pruritic, Throat irritation
SMQs:, Anaphylactic reaction (broad), 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: vit d, lexipro, canasa, delzicol, singular, valtrex
Current Illness: none
Preexisting Conditions: ulcerative colitis,depression,seasonal allergies
Allergies: claratin, codine erythromycin pen sulfa valium
Diagnostic Lab Data: benadrly
CDC Split Type:

Write-up: itch rash about body , then itchiness to throat.


VAERS ID: 1502039 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-28
Onset:2021-04-04
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Antinuclear antibody, Aphasia, Blood test, Computerised tomogram, Dysphagia, Gait inability, Headache, Lumbar puncture, Magnetic resonance imaging, Nausea, Neck pain, Neurological examination, Ocular discomfort, Tremor, Venogram
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (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 (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Arthritis (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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fluoxetine - 20mg + 40mg - capsule; Bupropion - 300mg - 24 hour release tablet
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten and Soy allergy
Diagnostic Lab Data: 4/20/21 - Blood tests, MRI, CT 6/3/21 - MRI/MRV 6/13/21 - Blood tests, MRI,CT 6/14/21 - Lumbar Puncture 6/17/21 - ANA Blood Panel 6/13/21 -6/17/21 - evaluated by Neuro floor and PT/OT and Speech therapists 6/25/21 - Neuro evaluation by Movement Specialist 7/9/21 - Physical therapy evaluation 7/14/21 - Speech Therapy evaluation 7/15/21 - occupation therapy evaluation 7/19/21 - NeuroPsychiatrist evaluation
CDC Split Type:

Write-up: headaches, neck pain, nausea - started on 4/6/2021; First ER Visits on 4/20/21 - Blood tests, MRI, CT; Ongoing symptoms from 4/6/2021 - 6/11/2021 during that time Hematology visits with additional blood tests, Ophthalmology visit due to pressure behind right eye, Neurology visits with MRI/MRV due to neck pain, headaches and nausea; 6/12/21 ER Visit and admitted inpatient for observation - more blood tests, MRI, CT and Lumbar Puncture due to intensified symptoms with Tremors all over body, inability to walk, difficulty swallowing and difficulty speaking - these symptoms have been constant from 6/12/21 up through today 7/26/21


VAERS ID: 1502132 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-11
Onset:2021-07-05
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18089ERE / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Electrocardiogram, Hypoaesthesia, Impaired work ability, Magnetic resonance imaging, Neck pain, X-ray
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (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: losartan 50 mg zytrec
Current Illness: torn ligament in foot
Preexisting Conditions: high blood pressure
Allergies:
Diagnostic Lab Data: EKG first then xray of shoulder on first visit to the ER EKG first then a CAT scan to liver, kidney and lungs and another EKG and blood test on second ER visit Waiting on insurance approval for MRI Family doctor checked all locations of pain and gave muscle relaxer and pain meds and has only dulled the pain at the time of usage.
CDC Split Type:

Write-up: extreme pain in neck, shoulder and arm is numb. Cant'' work.


VAERS ID: 1502143 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-06
Onset:2021-04-22
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis, Neurological examination
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Valsartan 80 mg 1/day; Atorvastatin 80 mg 1/day; Aspirin 81 mg 1/day; Amlodipine Besylate 2.5 mg 1/day; metoprolol Tartrate 25mg 2/day.
Current Illness: None
Preexisting Conditions: Low back pain
Allergies: None
Diagnostic Lab Data: Please contact hospital for a detailed medical report.
CDC Split Type:

Write-up: Woke up the morning of 04/22/2021 unable to control the right side of my face. Fearing it was a result of stroke I went to the emergency room at hospital. I was examined by a neurologist who determined that it was Bell?s Polsy. I was admitted overnight for observation and discharged the following day. The symptoms continue to exist today. I?m reporting it now after reading news reports that Johnson and Johnson might cause Bell?s Polsy.


VAERS ID: 1502209 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-07
Onset:2021-07-10
   Days after vaccination:125
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805032 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Dyspnoea, Pain, Respiratory tract congestion, SARS-CoV-2 test positive, Viral sepsis
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: naproxen, acetaminophen/dextromethorphan/PE
Current Illness:
Preexisting Conditions:
Allergies: No known drug allergies
Diagnostic Lab Data: tested positive for COVID 7/18/2021
CDC Split Type:

Write-up: 7/21/2021 presented to ED for SOB and cough. Patient stated that she developed cough, congestion and body aches 7/14/2021. Patient son tested positive for COVID and she subsequently went to Urgent care to be tested positive for COVID 7/18/2021. Patient stated that she received the Johnson and Johnson vaccine in April 2021. diagnosed with COVID-19 pneumonia and viral sepsis, acute hypoxic resp failure. Remdesivir through 7/26. 7/26: patient still admitted as of the time of this report submission.


VAERS ID: 1502243 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-21
Onset:2021-07-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 AR / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Lip swelling, Swollen tongue
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: -acetaminophen 500mg Q 6H prn; calcium carbonate 1250mg tab QD; Vit D3 2000IU QD; Depakote 500mg QD; Aricept 5mg QD; senna 8.6/50 Qd prn
Current Illness: Alzheimer''s Dementia Osteopenia Insomnia
Preexisting Conditions: Alzheimer''s Dementia Osteopenia Insomnia
Allergies: NKA
Diagnostic Lab Data: Hospitalized at Hospital on 7/22/21 and discharged back to assisted living facility on 7/25/21. Discharge medications: Cetirizine 10mg 1 tab PO BID for 5 days, prednisone 20mg 2 tabs for two days, 1 tab for two days, and 1/2 tab for three days. (7 day total), Benadryl 25mg 1 cap PO TID PRN.
CDC Split Type:

Write-up: lip swelling and tongue swelling 24 hours after vaccine was administered . patient was sent to the hospital


VAERS ID: 1502358 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-18
Onset:2021-06-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201AZ1A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood test, Computerised tomogram, Decreased appetite, Dizziness, Electrocardiogram, Migraine, Nausea, Sinus disorder
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Blood Work 07/13/2021; EKG 07/13/2021; Cat Scan 07/13/2021
CDC Split Type:

Write-up: Pt. states that after receiving the J&J dose 06/18/2021, started experiencing symptoms 06/21/2021, visited Walk-in Clinic 06/28/2021 with severe dizziness, sinus (antibiotics), 06/29/2021 presenting with Migraine. 07/04/2021 ER visit presenting weakness, dizziness, nauseous, and loss of appetite. 07/13/2921 ER Cat Scan


VAERS ID: 1502365 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-26
Onset:2021-06-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein, Computerised tomogram abdomen, Culture urine, Differential white blood cell count, Full blood count, Haematocrit, Haemoglobin, Renal haematoma
SMQs:, Haemorrhage terms (excl laboratory terms) (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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: CT; hemoglobin/Hematocrit; CBC with Auto diff; C Reactive protein; urine culture.
CDC Split Type:

Write-up: Hematoma left Kidney, the patient was transferred via ambulance to a higher lever of care.


VAERS ID: 1502426 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-30
Onset:2021-06-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Pain in extremity, Thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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: Pfizer covid vaccine 3/25/2021 43 years old anaphylactic
Other Medications: Allegra d 24 Yaz birth control Trazedone Singular Breo Lexapro Omeprazole Atrovent Apple cider vinegar Probiotic Fiber Multivitamin Hair, nails, and skin Digestive enzymes Fish oil Turmeric Vitamin d3 B12 Magnesium, zinc, and calcium
Current Illness: Hay fever
Preexisting Conditions: Eosinophilic esophagitis Asthma Hay fever IBS Interstitial cystitis OCD Panic disorder
Allergies: Penicillin Erythromycin Sulfa Tetracycline Gluten intolerant Dairy intolerant Egg intolerant Tree nut allergy
Diagnostic Lab Data: US Doppler Cenous left lower extremity 7/15/2021
CDC Split Type:

Write-up: On 7/14/2021 pain started in left leg. On 7/15/2021 my primary doctor sent me to the ER where tests were performed. On 7/15/2021 diagnosed with DVT blood clot in left leg in the popliteal vein. Prescribed Eliquis 10mg twice a day for 7 days then 5mg twice a day for 3 months. My allergy and primary discussing a CT scan of brain.


VAERS ID: 1502921 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-07-26
Onset:2021-07-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18089878 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor, Somnolence
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Patient passed out minutes after receiving vaccine for approximately 10 seconds, then became very drowsy, pale in color and began to sweat excessively.


VAERS ID: 1502932 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-02
Onset:2021-04-23
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180980 / UNK UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Deep vein thrombosis, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Arthritis (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: sildenafil, Tamsulosin, Aspirin, atenolol, Crestor
Current Illness: none
Preexisting Conditions: Factor V Leiden Mutation, BPH, GERD.
Allergies: none
Diagnostic Lab Data: Ultrasound of leg showing DVT.
CDC Split Type:

Write-up: patient reported having joint pains about 3 or so weeks after the vaccine then was found to have DVT 4 months later.


VAERS ID: 1504952 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-07-13
Onset:2021-07-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Contusion, Haemoglobin decreased, Immunoglobulin therapy, Petechiae, Platelet count decreased, Thrombocytopenic purpura, Ultrasound Doppler normal, White blood cell count increased
SMQs:, Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin C 500mg BID L-Lysine 500mg BID Vitamin D3 50mcg Daily
Current Illness: No Illnesses at time of vaccination or one month prior
Preexisting Conditions: Herpes Simplex Type 1 HSV-1
Allergies: No Allergies
Diagnostic Lab Data: March 2020 Annual Physical (BASELINE) platelets 246,000 Saturday July 17, 2021 - white count 6.7; hemoglobin 16; platelets 7,000; bilateral lower extremity ultrasound negative for thrombi Sunday July 18, 2021 - white count 6.3; hemoglobin 15.6; platelets 29,000 Tuesday July 20, 2021 - white count 14; hemoglobin 13.7; platelets 198,000 Friday July 23, 2021 - white count 8.7; hemoglobin 14.7; platelets 264,000 Monday July 26, 2021 - platelets 45,000
CDC Split Type:

Write-up: Janssen Lot #043A21A COVID-19 vaccine administered Tuesday July 13, 2021 at 12:15pm. Wednesday July 14, 2021 - quarter sized spontaneous bruising to bilateral calves Thursday July 15, 2021 - dollar sized spontaneous bruising to bilateral calves; petechial rash noted to bilateral ankles and calves Friday July 16, 2021 - continued bilateral calf bruising; petechial rash spread from ankles to mid thigh bilaterally and bilateral shoulders and back Saturday July 17, 2021 - patient presented to urgent care and referred directly to Emergency Department; platelets found to be 7,000; bilateral lower extremity ultrasound negative for thrombi; admitted to Hospital Sunday July 18, 2021 - platelets improved to 29,000; patient discharged to home for outpatient follow-up of new diagnosis of Immune Thrombocytopenia Purpura Tuesday July 20, 2021 - outpatient lab (see medical tests and laboratory results) - platelets 198,000 Friday July 23, 2021 - outpatient lab (see medical tests and laboratory results) - platelets 264,000 Monday July 26, 2021 - outpatient lab (see medical tests and laboratory results); platelets 45,000 initiated 40mg daily oral Prednisone


VAERS ID: 1505062 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-05
Onset:2021-06-10
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Computerised tomogram, Dyspnoea, Electrocardiogram, Joint swelling, Pain in extremity, Pulmonary embolism, Ultrasound scan, X-ray
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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? Yes, 27 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole, 40 mg
Current Illness: None
Preexisting Conditions: Acid reflux
Allergies: Latex
Diagnostic Lab Data: I went to the Emergency Room on Thursday June 10 where they performed a CAT scan, X-ray, EKG and ultrasound and found a pulmonary embolism.
CDC Split Type:

Write-up: Symptoms included swelling of both right and left ankles, pain in right leg, shortness of breath 5 days after receiving the vaccine. They put me on oxygen and started administering Lovenox twice a day.


VAERS ID: 1505339 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-13
Onset:2021-04-11
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A LA / UN

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Cerebrovascular accident, Confusional state, Dysarthria, Magnetic resonance imaging head abnormal, Reading disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: carvedilol, vitamin D, Ibandronate sodium tablet 1x a month, magnesium
Current Illness:
Preexisting Conditions: high BP, osteoporosis
Allergies: sulfa
Diagnostic Lab Data: MR brain w/o contrast Blood work
CDC Split Type:

Write-up: on April 11, 2021 I experienced confusion and unable to read or say a few words correctly. I ended up calling my Dr who insisted I go to the ER. I was admitted to the hospital and after 2 days and many tests it was determined I had a small stroke.


VAERS ID: 1505453 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-07-13
Onset:2021-07-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Gait disturbance, Groin pain, Nasal oedema, Pain, Tenderness, Ultrasound scan normal
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Osteonecrosis (broad), Arthritis (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: Methadone - 10mg tablets - Take 1 tablet by mouth every 8hrs as needed Tizanidine - 4mg tablets - Take 1 tablet by mouth every 8hrs as needed Sertraline - 100mg tablets - Take 1 tablet by mouth every day
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 7-19-21 @ Emergency Room, an ultrasound was done on my groin area and hip to check for a blood clot, and the test was negative.
CDC Split Type:

Write-up: After receiving my Covid 19, Johnson and Johnson, shot in my left arm, on 7-13-21 ,I got observed for 15 min and then i was told i was okay to leave. As soon as i stood up from sitting down, my left hip started to hurt. It was a sharp deep pain. I was able to walk with a limp for a couple of days, and then the pain became so intense in my groin area and hip area on the left side, i could no longer use my left leg because of the pain , and was taken to Urgent care on 7-15-21, was seen, and was told that the Covid shot was probably causing the pain in my hip and groin because of the inflammation that the shot causes , and it was my body thinking I actually had covid, which i didn''t, but because of the shot, my body thought so. No medication was prescribe, was told if the pain hasn''t gone away within 3 days to return to the urgent care, or emergency room. Well the pain kept getting worse and by 7-19-21,I was no longer able to put any pressure on my left leg, so I was taken to the emergency room, where they gave me a shot of pain medicine in my top right thigh, and given Robaxin 500mg to help with the pressure in my groin and hip. They also did an ultrasound in the groin area and found no blood clots. Also in the last week my nose on the left side is swollen and tender, never had any issues with my nose before the shot, nor my hip or groin in that much pain until the shot.


VAERS ID: 1505506 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache, Venogram normal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)

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

Write-up: patient presented to this facility ED with dizziness x 2 hours. Patient stated history of intermittent headaches/dizziness/fatigue/brain fog since 4/10/2021 after recieving J&J vaccine. Her symptoms have been intermittent and occur approx 3x/week. patient has been seeing PCP. Patient had a recent negative NRV brain 6/22. Today patient states developed dizziness with headache at her desk. no seizure or LOC, no neck paint/stiffness, no fever/rash, no vision/gait/speech changes. no numbness/tingling/focal weakness. no chest pain, no palpitations, no cough/SOB, no abdominal pain, no vomiting or GI/GU symptoms, No prescription meds, no h/o HTN/HL/DM or tobacco use. Patient was transferred to another facility and stroke ruled out at transferring facility


VAERS ID: 1505582 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-05
Onset:2021-07-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206AZIA / UNK - / -

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

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

Write-up: The patient developed a rash on her thighs two days after her vaccination. On 07/21/2021, her physical exam revealed : "Rash, maculopapular in both thighs which has become confluent, no open areas."


VAERS ID: 1505727 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-22
Onset:2021-07-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / N/A RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: topiramate (TOPAMAX) 50 mg tablet 60 tablet 1/1 6/22/2021 6/22/2022 TAKE 1 TABLET BY MOUTH TWO TIMES A DAY (AM, HS) *MENTAL HEALTH* [SHAFFER] levETIRAcetam (KEPPRA) 250 mg tablet 60 tablet 0/0 6/22/2021 7/22/2021 TAKE ONE TABLET BY MOUTH TW
Current Illness:
Preexisting Conditions: Deliberate self-cutting Z72.89 7/30/2020 - Present Obesity, Class II, BMI 35-39.9 E66.9 11/14/2019 - Present Schizoaffective disorder, bipolar type (MA-HCC) F25.0 11/4/2019 - Present Insomnia G47.00 8/22/2018 - Present BHS Crisis Response Plan GHC.23 7/25/2018 - Present Seizure disorder (MA-HCC) G40.909 3/12/2018 - Present ADHD (attention deficit hyperactivity disorder), inattentive type F90.0 12/27/2017 - Present GAD (generalized anxiety disorder) F41.1 12/27/2017 - Present Grand mal seizure (MA-HCC) G40.409 3/8/2016 - Present Overview Signed 3/8/2016 Only once Seizure, absence (MA-HCC) G40.A09 3/8/2016 - Present Overview Signed 3/8/2016 9:57 AM Since age 14 PTSD (post-traumatic stress disorder) F43.10 3/8/2016 - Present Fetal alcohol spectrum disorder
Allergies: amoxicillin ZONEGRAN [ZONISAMIDE]
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was seen at the treatment center. Patient was receiving covid-19. Patient had gone to the bathroom, and was found in the bathroom floor; had twitching of leg and hands; After that patient appears to stare off into space repeatedly. Vital arPatient developed seizures after covid vaccine; also had repeated what appears to be absence seizure Vitals stable Called 911 for ER transfere stable


VAERS ID: 1505728 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-06
Onset:2021-04-19
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Facial paralysis, Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vit D, Vit C, Prenatal, DHA, Mag, Calcium
Current Illness: No
Preexisting Conditions:
Allergies: Dairy
Diagnostic Lab Data: CT, MRI, ECHO, bloodwork.
CDC Split Type:

Write-up: In late April I began having spells of numbness of the right side of my face and tongue. They would come and go. I''d have slight slumping of the right side when Id raise my eyebrow or smile, but they would resolve themselves. This kept happening through May, June, and July then on July 18th my whole right side went numb, my arm, my leg, my face, and my tongue. I was told to go to the hospital where they ran tests and ruled out a brain bleed or blood clot (stroke). Those were ruled out. The numbness went away, but the full right sided numbness has come back a few more times in the last week.


VAERS ID: 1505765 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-07-24
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Advil cold and sinus
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Covid test 7/27/21 positive results
CDC Split Type:

Write-up: I have been diagnosed with Covid


VAERS ID: 1505779 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-01
Onset:2021-07-15
   Days after vaccination:105
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NA / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose increased, Feeling abnormal, Laboratory test, Muscle spasms, Skin infection, Skin laceration, Thirst, Type 1 diabetes mellitus, Vision blurred, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: wellbutrin spironolactone
Current Illness: No
Preexisting Conditions: PCOS
Allergies: No
Diagnostic Lab Data: Labs from hospital glucose levels were high
CDC Split Type:

Write-up: Hospitalized with weight loss, thirsty, blurry vision, leg cramps, cuts on arm with skin infection and generally feeling bad. Diagnosis: Type 1 Diabetes


VAERS ID: 1505901 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-20
Onset:2021-03-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / UN

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Electrocardiogram, Electroencephalogram, Lumbar puncture, Magnetic resonance imaging, Scan brain, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: no
Current Illness: None
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data: 3 MRIs, Spinnel Tap, Brain Scain, EEG, EKG, blood work
CDC Split Type:

Write-up: in 2 weeks had a seisure and stayed in the Hospital for 5 days


VAERS ID: 1505968 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-07-27
Onset:2021-07-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Hypoaesthesia, Immediate post-injection reaction, Injection site hypoaesthesia, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Sexual dysfunction (broad)

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

Write-up: Immediately after vaccine was given patient felt numbness in arm extending from where shot was given to hand. She said her arm was completely numb but had tingling in hand and fingers. Also complained of tightness in chest, shortness of breath. Patient was able to move hand and fingers. Said tightness in chest was like she felt when her back was out of place. Patient reported no swelling in throat. Observed & followed up with patient for 1 hour. Her tightness in chest improved but was still experiencing numbness in arm and tingling in hand & fingers. She was following up with a medical facility.


VAERS ID: 1506008 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-23
Onset:2021-07-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

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

Write-up: MAY HAVE EXPERIENCE VAGAL SYNCOPE BUT UNABLE TO CONTACT PATIENT TO CONFIRM


VAERS ID: 1506238 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-16
Onset:2021-07-26
   Days after vaccination:132
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Chills, Cough, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin d &c
Current Illness: None
Preexisting Conditions: Diabetic
Allergies: None
Diagnostic Lab Data:
CDC Split Type: 1805020

Write-up: Sore throat, chills , fever, cough,body aches chest pain


VAERS ID: 1507808 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-06-09
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Back disorder, Blood test, Body temperature, Gait inability, Headache, Hypoaesthesia, Loss of consciousness, Magnetic resonance imaging, Muscle spasms, Muscular weakness, Nerve injury, Pain, Pain in extremity, Pyrexia, Sensory loss, Ultrasound scan, Urinary incontinence, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), 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), 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, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: BACLOFEN
Current Illness: Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210609; Test Name: Body temperature; Result Unstructured Data: 104; Test Date: 20210610; Test Name: Blood test; Result Unstructured Data: Unknown; Test Date: 20210612; Test Name: Diagnostic ultrasound; Result Unstructured Data: Unknown; Test Date: 20210614; Test Name: MRI; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210744094

Write-up: FLUID IN THE BACK; HEADACHE; NERVE DAMAGE TO THE RIGHT FOOT; BLADDER INCONTINENCE; DIDN''T FEEL TUNING FORK OR COULD NOT SENSE TEMPERATURE OR SAFETY PIN PRICK; WEAKNESS IN BOTH LEGS; NUMBNESS IN RIGHT LEG; POOR VISION; CANNOT WALK; GENERAL WEAKNESS; SHARP PAIN BEHIND RIGHT KNEE; CRAMPS OF THE RIGHT LEG OR TIGHTNESS OF THE RIGHT LEG; EXCRUCIATING PAIN IN BOTH LEGS; PASSED OUT; PAIN IN THE RIGHT LEG; TEMPERATURE OF 104; This spontaneous report received from a patient concerned a 33 year old female of unknown race and ethnicity. The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin allergy. The patient experienced drug allergy when treated with amoxicillin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1816027 expiry: UNKNOWN) dose was not reported, 1 total, administered at left arm, on 09-JUN-2021 for prophylactic vaccination. Concomitant medications included baclofen 40mg daily blood type O type. On 09-JUN-2021, the patient experienced pain in right leg that worsen throughout evening and that was leading to excruciating pain. Body temperature was taken and it was 104. After that patient passed out and slept through the night. On 10-JUN-2021 patient went to emergency room for pain and cramping in right leg, the healthcare provider at the emergency room was told to the patient the side effects from the vaccine. On next day patient had episodes of sever pain that persisted the entire day. On 12-JUN-2021 patient went back to emergency room with the complaints of severe pain in the right leg in addition to pain in right foot more specifically the last two toes, she was was urged by the healthcare provider to go to the hospital but the healthcare provider sent the her to home. On 13-JUN-2021 patient was continued to experience pain in the right leg as well as sharp pain behind the right knee which persisted all day, she took pain relievers but consumer does not recall how much was taken due to the length of time these events occurred. Next day 14-JUN-2021 she went back to emergency room and underwent to magnetic resonance imaging (MRI) due to experiencing tightness on the right leg, difficulty walking, general weakness and result was normal. On 15-JUN-2021, the patient experienced pain in the toes, burning sensation and she applied a cold pack and she felt shooting pain. She could not feel the temperature because they were numb. On next day 16-JUN-2021, the patient went to a primary care doctor''s appointment and gabapentin was prescribed. The primary care provider also diagnosed consumer with weakness and numbness in right leg, and numbness in right last two toes, and poor vision. Same symptoms was continued to 17-JUN-2021. Next day patient went to neurologist and an assessment was done and she didn''t feel the tuning fork and could not sense temperature or the safety pin prick. Poor vision was diagnosed as well as both legs are weak however it was noted that the right leg was weaker. On 29-JUN-2021 , the patient was admitted into the hospital for 11 days and diagnosed with the fluid in the back ,headache, nerve damage to the right foot. She was discharged to a rehabilitation center, which consumer stayed for one day and one night. On an unspecified date, the patient experienced bladder incontinence and cannot walk at this time. Patient was using wheelchair use. Patient had laboratory tests included, blood test and ultrasound the result were unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from excruciating pain in both legs, had not recovered from poor vision, headache, nerve damage to the right foot, bladder incontinence, weakness in both legs, pain in the right leg, cannot walk, and numbness in right leg, and the outcome of fluid in the back, general weakness, passed out, temperature of 104, sharp pain behind right knee, didn''t feel tuning fork or could not sense temperature or safety pin prick and cramps of the right leg or tightness of the right leg was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0-20210744094-Covid-19 vaccine ad26.cov2.s-Passed out, Nerve damage to the right foot, Fluid in the back.This event(s) is considered unassessable. The event(s) has an 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). 20210744094-Covid-19 vaccine ad26.cov2.s-Headache. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1507816 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-05-28
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dyspnoea, Headache, Increased tendency to bruise, Injection site pain, Pain in extremity, Peripheral swelling, Tachycardia, Ultrasound Doppler, Vision blurred
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (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), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN [ACETYLSALICYLIC ACID]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210606; Test Name: Duplex ultrasound; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210752756

Write-up: SHORTNESS OF BREATH; BLURRED VISION; LEG SWELLING; TACHYCARDIA; EASY BRUISING; LEG PAIN; HEADACHES; INJECTION SITE PAIN; WEAKNESS; This spontaneous report received from a patient concerned a 48 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 24-MAY-2021 for prophylactic vaccination. Concomitant medications included acetylsalicylic acid for drug used for unknown indication. On 28-MAY-2021, the subject experienced shortness of breath. On 28-MAY-2021, the subject experienced blurred vision. On 28-MAY-2021, the subject experienced leg swelling. On 28-MAY-2021, the subject experienced tachycardia. On 28-MAY-2021, the subject experienced easy bruising. On 28-MAY-2021, the subject experienced leg pain. On 28-MAY-2021, the subject experienced headaches. On 28-MAY-2021, the subject experienced injection site pain. On 28-MAY-2021, the subject experienced weakness. On 06-JUN-2021, Laboratory data included: Duplex ultrasound (NR: not provided) Negative. Treatment medications (dates unspecified) included: tramadol, and naproxen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shortness of breath, blurred vision, tachycardia, easy bruising, headaches, injection site pain, and weakness, and had not recovered from leg pain, and leg swelling. This report was non-serious.


VAERS ID: 1507841 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Hawaii  
Vaccinated:0000-00-00
Onset:2021-05-02
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chest X-ray, Dyspnoea, Headache, Heart rate, Heart rate increased, Laboratory test, Nausea, Pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient has no known drug allergies and Patient had no underlying health conditions
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Heart rate; Result Unstructured Data: from 115,120 to125; Test Date: 20210503; Test Name: Body temperature; Result Unstructured Data: Below 100 F; Test Date: 20210503; Test Name: Laboratory test; Result Unstructured Data: unknown; Test Date: 20210503; Test Name: Body temperature; Result Unstructured Data: 102 F; Test Name: Chest X-ray; Result Unstructured Data: Unknown; Test Name: Laboratory test; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210755420

Write-up: TROUBLE BREATHING; A RASH ALONG THE THIGHS LIKE SMALL SPOTS ON THE INNER THIGHS THE SIZE OF HALF DOLLAR WHEN IT FIRST STARTED IT SPREAD DOWN TO CALF TO STOMACH AND TORSO AND UP TO CHEST; NAUSEA; HEADACHE; FEVER SPIKED TO 102 F; BODY ACHES; HEART RATE WENT UP; This spontaneous report received from a parent concerned an 18 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient has no known drug allergies and patient had no underlying health conditions. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A and expiry: 23-JUN-2021) dose was not reported, administered on 02-MAY-2021 15:00 for prophylactic vaccination. No concomitant medications were reported. On 02-MAY-2021, the subject experienced body aches. On 02-MAY-2021, the subject experienced heart rate went up. On 02-MAY-2021, the subject experienced a rash along the thighs like small spots on the inner thighs the size of half dollar when it first started it spread down to calf to stomach and torso and up to chest. On 02-MAY-2021, the subject experienced nausea. On 02-MAY-2021, the subject experienced headache. On 02-MAY-2021, the subject experienced fever spiked to 102 f. Laboratory data included: Heart rate (NR: not provided) from 115, 120 to125. On 03-MAY-2021, the subject experienced trouble breathing. Laboratory data included: Body temperature (NR: not provided) 102 F, Below 100 F, and Laboratory test (NR: not provided) unknown. On 04-MAY-2021, treatment medications included: salbutamol. Laboratory data (dates unspecified) included: Chest X-ray (NR: not provided) Unknown, and Laboratory test (NR: not provided) Unknown. Additional treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from a rash along the thighs like small spots on the inner thighs the size of half dollar when it first started it spread down to calf to stomach and torso and up to chest, and fever spiked to 102 f on JUL-2021, and the outcome of nausea, heart rate went up, trouble breathing, headache and body aches was not reported. This report was non-serious. This case, from the same reporter is linked to 20210755447.


VAERS ID: 1509179 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Amenorrhoea, Anaphylactic reaction, Body temperature, Body temperature decreased, Electrocardiogram, Erythema, Fatigue, Feeling abnormal, Fluid retention, Heavy menstrual bleeding, Hypoaesthesia, Hypomenorrhoea, Infusion site extravasation, Intermenstrual bleeding, Malaise, Menstrual disorder, Menstruation irregular, Oedema peripheral, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Fertility disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (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: Alcohol use; Allergic asthma; Allergic reaction to bee sting; Allergic to cats; Allergic to dogs; Drug allergy; House dust mite allergy; Non-smoker; Pain in arm
Preexisting Conditions: Medical History/Concurrent Conditions: Heavy menstrual bleeding; Swelling; Water retention; Comments: Patient had no menstruation changes since 13 years. Patient was uses medications prn. Patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: EKG; Result Unstructured Data: Normal; Test Name: Body temperature; Result Unstructured Data: Low
CDC Split Type: USJNJFOC20210745140

Write-up: PERIOD NOT AS HEAVY AS NORMAL; SPOTTING CONTINUED FOR 3 WEEKS; LOW BODY TEMPERATURE; DOES NOT FEEL NORMAL OR RIGHT; SWELLING IN LEGS AND FEET; DID NOT FEEL GREAT; FELT FEVERISH; HEAVY MENSTRUAL BLEEDING FOR 2.5 WEEKS; WATER RETENTION IN LEGS AND FEET DAILY; WEIRD BLOATING; PERIOD (BLOOD VOLUME) UP AND DOWN; 28 TO 30-DAY CYCLE ERRATIC, PERIOD WOULD START AND STOP AND MONTHLY CYCLES THROWN OFF; DID NOT HAVE A PERIOD AND PERIOD STOPPED; ANAPHYLAXIS REACTION; HEAD AND NECK NUMB; IV INFILTRATED; RED ARM; SWOLLEN ARM; FATIGUE; This spontaneous report received from a patient concerned a 51 year old white female of not hispanic or latino ethnicity. The patient''s weight was 179 pounds, and height was 64 inches. The patient''s past medical history included 28 to 30-day menstruation cycles with heavy bleeding for the first 4 days then tapers off, water retention, and swelling, and concurrent conditions included daily over the conter medication allergy, allergy related to asthma, flu shot has similar sore arm, bees allergy, dust mites allergy, cats allergy, dogs allergy, alcohol drinker (occasionally, special occasions, 2 per month), and non smoker, and other pre-existing medical conditions included patient had no menstruation changes since 13 years. patient was uses medications prn and patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: UNKNOWN) dose was not reported, 1 total administered on 10-APR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the patient experienced anaphylaxis reaction. Before the needle got out of the patient''s arm the patient experienced hives on wrist and arm on the same arm used for vaccination after that the patient''s throat began to close. On the same day the patient head and neck numb. Patient further described that it was not numbness but rather the blocked of oxygen due to her throat swelling. Soon after patient was taken to the emergency room through ambulance and treated her with diphenhydramine hydrochloride, epinephrine, and prednisone. Patient experienced iv infiltrated while in the ambulance ride. Patient remained in the emergency room for the protocol specified number of hours for monitoring. Patient had electrocardiogram (NR: not provided) Normal. Patient got released from hospital the same day when stable and normalized. On10-APR-2021, the patient experienced common vaccine reaction of a red and swollen arm, the patient did not have a period and period stopped and patient experienced fatigue. On MAY-2021, the patient experienced 28 to 30-day cycle erratic and period would start and stop and monthly cycles thrown off. On JUN-2021, the patient experienced spotting, water retention in legs and feet daily, weird bloating and period (blood volume) up and down. On JUL-2021, the patient experienced heavy menstrual bleeding for 2.5 weeks. On an unspecified date, the patient experienced low body temperature. period not as heavy as normal, spotting continued for 3 weeks, more menstrual bleeding, extensive time frame for period, does not feel normal or right, swelling in legs and feet, did not feel great, and felt feverish. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) Low. Additional treatment medications (dates unspecified) included: hyetellose. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from anaphylaxis reaction, and head and neck numb on 10-APR-2021, period not as heavy as normal, and weird bloating, and fatigue, and felt feverish on 21-JUN-2021, was recovering from did not have a period and period stopped, 28 to 30-day cycle erratic, period would start and stop and monthly cycles thrown off, water retention in legs and feet daily, and swelling in legs and feet, had not recovered from spotting continued for 3 weeks, and period (blood volume) up and down, and the outcome of iv infiltrated, red arm, did not feel great, low body temperature, heavy menstrual bleeding for 2.5 weeks, does not feel normal or right and swollen arm was not reported. This report was serious (Life Threatening). This case, from the same reporter is linked to 20210757746. .; Sender''s Comments: V0: 20210745140- Covid-19 vaccine ad26.cov2.s-Anaphylaxis reaction. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1509184 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-07-05
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Paralysis, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), 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? 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: USJNJFOC20210753159

Write-up: FEEL BLOOD FLOW THROUGH VEIN IN ANKLE; NO STRENGTH IN LEFT LEG/PARALYSIS; This spontaneous report received from a patient concerned a 60 year white old male of unknown ethnicity. 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: 1808978 and expiry: 28-JUL-2021) dose was not reported, 1 total, administered on 19-MAY-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 05-JUL-2021, the patient experienced muscle problems in leg, glutes, thigh quad, hard time standing and supporting self. On 07-JUL-2021, the patient experienced paralysis, pain in the hip when standing, no strength in left leg, pain in the thigh and leg when standing. On 16-JUL-2021, the patient experienced feel blood flow through vein in ankle. On 17-JUL-2021, the patient experienced numb around skin, tingly around left ankle. On an unspecified date, the patient experienced no reflex in left leg. On 19-JUL-2021, the patient visited urgent care and physical therapist. Perform first chiropractor on 21-JUL-2021 at after noon and second chiropractor on 22-JUL-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feel blood flow through vein in ankle, and no strength in left leg/paralysis. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0- 20210753159;covid-19 vaccine ad26.cov2. s- No strength in left leg/paralysis. 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 events.


VAERS ID: 1509491 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Arthralgia, Bell's palsy, Blindness unilateral, CSF test abnormal, Cardiomegaly, Chest X-ray, Chills, Echocardiogram, Facial paralysis, Feeling cold, Hot flush, Immunoglobulins abnormal, Lumbar puncture, Lung disorder, Lyme disease, Magnetic resonance imaging, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal, Neck pain, Oesophageal disorder, Optic nerve disorder, Optic neuritis, Pain, Papilloedema, Paraesthesia, Paraesthesia oral, Renal pain, Scan with contrast, Spinal pain
SMQs:, Cardiac failure (broad), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (narrow), Cardiomyopathy (broad), Demyelination (narrow), Retinal disorders (broad), Hearing impairment (broad), Ocular infections (broad), Hypersensitivity (broad), Arthritis (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: March 09-29: sinus migraine without congestion.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Dates: 21-23JUL2021 MRIs (1) Orbital wwo contrast, (2) Thoracic spine wwo contrast, (3) Cervical spine wwo contrast, (4) MRV head wwo contrast Chest X-ray Lumbar puncture Transthoracic echo with Doppler for suspected cardiomegaly Results: 1. Findings consistent with left optic neuritis. Edema and enhancement of the left optic nerve and edema and enhancement in the fat surrounding the left optic nerve. 2. Equivocal similar patchy increased enhancement in the right optic nerve sheath and possibly in the right optic nerve, although to a much lesser degree. No right-sided symptoms. 3. No venous sinus thrombosis detected. Evidence of acute ischemia or infarction: No Evidence of intracranial hemorrhage or mass effect: No OLIGOCLONAL BANDS: The patient''s CSF contains multiple restriction bands that are also present in the patient''s corresponding serum sample. We are unable to define whether these gammaglobulins are of systemic or intracerebral origin.
CDC Split Type:

Write-up: 01APR - Vaccine 02APR - Chills, 2 hours 12APR - Onset hot/cold flashes, paresthesia 23APR - Onset bilateral Bell''s Palsy, loss of taste, pain in kidney area; continuation of hot/cold flashes and paresthesia in arms, legs, mouth area, esophagus and lungs 23APR - Antivirals, prednisone, 1 week + XS Tylenol for pain 23APR-02MAY - severe pain, over time moving up the spine and into the shoulders and neck. Stopped after 02MAY. 01MAY - Suspect Lyme, begin 3 weeks antibiotics; hot/cold flashes cease. 01MAY-09JUL - gradual improvement of paresthesia, return of taste, and facial paralysis 09JUL - partial loss of vision in left eye 21-24JUL - hospitalization


VAERS ID: 1509592 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-12
Onset:2021-07-27
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: COVID-19 RNA DETECTION BDMAX positive 07/27/2021
CDC Split Type:

Write-up: Currently has Covid 19


VAERS ID: 1509656 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-04-04
Onset:2021-07-24
   Days after vaccination:111
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / UN

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Borrelia test
SMQs:, Hearing impairment (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
Current Illness:
Preexisting Conditions: Hypothyroid, hypertension (treated)
Allergies: Shellfish
Diagnostic Lab Data: Tested for Lyme
CDC Split Type:

Write-up: Bell''s Palsy


VAERS ID: 1509836 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-24
Onset:2021-07-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain lower, Body temperature increased, Ear pain, Lip swelling, Oral herpes, Periorbital swelling, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies: Food allergies e.g. Tree, roaches, raspberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: Temperature of 103.6 - Vomiting, Lower abdomen pain, Cold Sore outbreak on 7/27 at eyes, nose, mouth Complaint of ear ache. Cold sore eruption increase to around both eyes, under nose, bottom lip. Bottom lip swollen, eyes puffy


VAERS ID: 1509931 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-07
Onset:2021-04-21
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Diplegia, Gait inability, Hypoaesthesia, Laboratory test, Lip swelling, Neurological symptom, Pain in extremity, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypersensitivity (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? No
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: None
Allergies: Hypersensitivity to meds.
Diagnostic Lab Data: Various Test Ran
CDC Split Type:

Write-up: Pain and numbness is injection arm, face went numb, tingling and numbness in extremities, paralysis in arms and legs for about 10 minutes, swelling in lips, had stroke like symptoms, unable to walk on her on for a few days. Unable to balance herself, pain in arm and back has became numb.


VAERS ID: 1509972 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-22
Onset:2021-07-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820096 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Electrocardiogram, Full blood count, Hyperhidrosis, Metabolic function test, Palpitations, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: lisinopril/hctz, savella, topiramate
Current Illness: N/A
Preexisting Conditions: Migraines, hypertension, hypothyroid, fibromyalgia, osteoarthritis
Allergies: N/A
Diagnostic Lab Data: EKG, CBC, BMP, chest x ray
CDC Split Type:

Write-up: Tachycardia, profuse sweating, lightheaded, dizziness, aggressive heart palpitations, Shortness of breath


VAERS ID: 1510005 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-02
Onset:2021-07-28
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Blood gases, Brain natriuretic peptide, Coagulation test, Computerised tomogram abdomen, Computerised tomogram thorax, Dehydration, Differential white blood cell count, Electrocardiogram, Full blood count, Melaena, Metabolic function test, Occult blood positive, Troponin, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Gastrointestinal haemorrhage (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT abdomen and chest, EKG, fecal testing, urinalysis, blood gases, troponin, BNP, CBC with diff, BMP, coagulation testing
CDC Split Type:

Write-up: dehydration with acute kidney injury, melanotic stool that is hematest positive


VAERS ID: 1510102 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-03-14
Onset:2021-05-22
   Days after vaccination:69
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1B05018 / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Investigation normal, Magnetic resonance imaging spinal, Nervous system disorder, Spinal X-ray normal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Liiothyronine, Levothyroxine, Fluoxetine, Ampheta/Dextro Combo, Hydrochlorothizide Supplements: Homocysteine Supreme, Thyroid Synergy, Vitamin D, SAMe, UltraFlora Spectrum, Pro Omega 2000, Ashwagandha
Current Illness: None
Preexisting Conditions: Hypothyroidism, High Blood Pressure
Allergies: Penicillin
Diagnostic Lab Data: Multiple tests run in the Emergency Room that were found to be negative Back X-ray done 6/28/21 looked good Back MRI done 7/2/21
CDC Split Type:

Write-up: I was unsure whether to enter this information as I do not think it is connected to the vaccine since it didn''t happen until 2 months later, but after talking to the lady on the phone and also seeing neurological issues connected to the Johnson & Johnson vaccine, I decided it wouldn''t hurt. I am still not sure what the issue has turned out to be as I am still undergoing treatment, but I went to the ER on 5/23/21, then again 5/29/21 for pain in my thoracic as well as URQ of abdomen. Many tests run, but my best guess right now is that it is a pinched nerve. I have seen 6 doctors, had many tests, and tried many medications, and we know it is neurological as Gabapentin is the only medicine to help. This issue is still ongoing.


VAERS ID: 1510108 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-07-27
Onset:2021-07-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Back pain, Discomfort, Headache, Nausea, Pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Over night and into next day. Body aches, headache, no energy, nausea, sore arm, amplification of lower back pain, discomfort.


VAERS ID: 1510149 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-07-28
Onset:2021-07-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Full blood count, Human chorionic gonadotropin, Loss of consciousness, Metabolic function test, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (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: None listed
Current Illness: none
Preexisting Conditions: none
Allergies: nkda
Diagnostic Lab Data: HCG/cmp/CBC
CDC Split Type:

Write-up: Pt is a 21-year-old female who presents as a rapid response from the: Vaccination clinic. Patient reports that she received her covid vaccine and then sat in the chair while sitting in the chair waiting out her observation. She started to feel lightheaded, noted stars, noted everything started to go black and then slumped over in her chair. According to the nurse/pharmacist that was there they were able to catch her and slowly side or down so there was no head injury. She was brought immediately to the emergency room. She reports that she still is feeling dizzy and lightheaded. She denies any chest pain or shortness of breath No feeling of chest tightness or throat tightness No feeling of swelling or throat closing No swelling to her lips or face No rash, urticarial or hives


VAERS ID: 1510165 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-03
Onset:2021-04-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Food interaction, Pain, Pruritus, Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin; Protonic; Micardis; Arrunity Nasal Steroid; Vitamin C; Vitamin D; Calcium; Multivitamin; Biotin; Vitamin B12; Align
Current Illness:
Preexisting Conditions: Arthritis; Pacemaker; Seasonal Asthma; Hypertension
Allergies: Penicillin; Multiple antibiotics; Latex; Chlorodyne HCL; Levaquin; Lactose; Betadine
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: Within two hours of the vaccine, I started to have itching all over my body under my skin. There was no rash that was visible. I took some Zyrtec for one month and the itch was present the whole time for four weeks. It seemed to be worse some days than others. I got sores in my mouth on the same day. Over time these became rough areas on the top of my mouth and all around my mouth. They were painful and certain foods irritate the sores. I still have the rough patches in my mouth after 12 weeks. My doctor prescribed Clotrimazole Lozenges which I take 4 times daily and it seems to help.


VAERS ID: 1510198 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-05
Onset:2021-05-19
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Cardiac monitoring normal, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram normal, Fatigue, Fibrin D dimer, Laboratory test normal, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), 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: lorazepam, valacyclovir, propranolol, naproxen, famotidine, trazodone, Trintellix, ginger root, MVI
Current Illness: none.
Preexisting Conditions: Chronic pelvic pain Palpitations Pelvic floor dysfunction Generalized Anxiety Disorder ADHD
Allergies: No known drug allergies.
Diagnostic Lab Data: ED evaluations at Medical Center on 6/23/21 and 6/26/21 with negative d-dimer, normal labs, normal echo, normal EKG. Holter monitor normal.
CDC Split Type:

Write-up: 2 weeks after vaccine pt developed increased anxiety, shortness of breath, fatigue and palpitations. She has associated chest pain and cannot complete her usual exercise routines.


VAERS ID: 1510207 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-07-16
Onset:2021-07-18
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Chills, Computerised tomogram, Cough, Dyspnoea, Fall, Headache, Increased viscosity of upper respiratory secretion, Oxygen saturation decreased, Productive cough, Pulmonary congestion, SARS-CoV-2 test, Sinus congestion, Wheezing
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (broad), Infective pneumonia (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: Propafenone SR 225 mg Warfarin 5 mg Magnesium 500 mg Potassium 99 mg Loratadine 10 mg
Current Illness: None
Preexisting Conditions: Seasonal allergies High blood pressure
Allergies: NKDA
Diagnostic Lab Data: COVID-19 PCR 7/24 Chest x-ray 7/24 CT scan 7/26
CDC Split Type:

Write-up: Chills, headache, sinus congestion began 7/18/2021 Chest congestion and cough began 7/19/2021 Chest congestion, productive cough with thick mucus and hard white chunks began 7/21/2021 Difficulty breathing , wheezing, and continued cough 7/22/2021 First Emergency Room visit on 7/24/2021 for worsening Congestion, cough, and decreased 02 saturation. Second Emergency Room visit on 7/25/2021 for same complaint Third Emergency Room visit on 7/26/2021 for above complaints and fall from LOC


VAERS ID: 1510265 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-19
Onset:2021-07-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 213A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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: yes, facial paralysis
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Assessment by general physician, determining the diagnosis, treatment with Aciclovir corticoids and anti-inflammatory
CDC Split Type:

Write-up: Facial paralysis 8 days ago, right side of the face.


VAERS ID: 1510690 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-06
Onset:2021-04-12
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Electromyogram, Hypoaesthesia, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Nerve conduction studies, Spinal X-ray, Ultrasound Doppler
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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: April 2021: Doppler of leg MRI of brain Bloodwork May 2021: X-ray of back June: MRI of cervical spine MRI of thoracic spine EMG Nerve conduction study Blood work
CDC Split Type:

Write-up: Numbness in right foot and right leg, then spread to right hand. Began in April and still ongoing.


VAERS ID: 1510704 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-08
Onset:2021-05-21
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 200A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cough, Dizziness, Influenza virus test, Pain, Pyrexia, SARS-CoV-2 test negative, Tinnitus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (narrow), Vestibular disorders (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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: levaquin
Diagnostic Lab Data: 20210524 PCR test 20210525 result NEGATIVE COVID 20210526 blood work and rapid pc, flu test and PCR done at emergency dept
CDC Split Type:

Write-up: 5/8/2021 buzz /dizzyness 2:30-7Pm. no fever,no aches. 5/21/2021 woke with body aches and slight fever 99. tylenol . 5/22/2021 slight fever 99 , no body aches . no tylenol 5/23/2021 fever 101, body aches . tylenol 2 tab every 6 hrs 5/24/2021 fever 102.5 no body aches tylenol 2 tab every 6hrs 5/24/2021 PCR test 5/25/2021 fever 101, no body aches , tyelnol 2 tab every 6hrs. started coughingduring day 5/25/2021 received results .negative pcr 5/26/2021 fever 102, coughing went to emergency dept


VAERS ID: 1511096 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-07-22
Onset:2021-07-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / IM

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

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

Write-up: BODYACHES, HEADACHE, TEMP 100.3


VAERS ID: 1511545 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Bell's palsy, Fatigue, Illusion, Magnetic resonance imaging, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Mental impairment, Migraine, Muscular weakness, Myalgia, Paraesthesia, Sleep deficit
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hearing impairment (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: Test Name: Magnetic resonance imaging brain; Result Unstructured Data: No significant findings; Test Name: Magnetic resonance imaging; Result Unstructured Data: No significant findings; Test Name: Magnetic resonance imaging spinal; Result Unstructured Data: No significant findings
CDC Split Type: USJNJFOC20210739148

Write-up: BELL''S PALSY; AFFECTING ABILITY TO THINK CLEARLY; DEPRIVATION OF SLEEP; PAIN IN THE BACK; TINGLING SENSATION OVER THE BODY BUT MORE IN THE EXTREMITIES; PERCEPTION OF HEAT AND COLD REVERSED OR DELAYED; MIGRAINE HEADACHES; MUSCLE WEAKNESS IN THIGHS AND LOWER BACK; CONTINUOUSLY EXHAUSTED WHICH IS AFFECTING ABILITY TO THINK CLEARLY; MUSCLES PAIN IN THE THIGHS AND LOWER BACK; This spontaneous report received from a patient via a company representative concerned a 52 year old male of unknown race and ethnicity. 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: 205A21A expiry: unknown) dose was not reported, 1 total, administered on 11-APR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. After several weeks of vaccination on an unspecified date, the patient developed muscle pain and muscle weakness in his thighs and lower back, and the pain extended to his back. Patient experienced tingling sensation over the body but more in the extremities. He experienced perception of heat and cold reversed or delayed. The development migraine headaches increased dramatically, but as per reporter it was possible to had consequence of exhaustion from being sleep deprived. While brushing teeth patient discovered that he had partial paralysis of the left side of face and he was unable to spit, purse his lips, whistle, smile, twitch nose, or raise his eyebrow and the face area was mostly numb. Patient went to emergency room and where he had been told that he had Bell''s palsy, but they did not know what to think about the non-facial symptoms and asked him to see a neurologist. The patient was prescribed with prednisone and an antiviral. By the end of the same day, he lost most sense of taste. Patient later saw a neurologist who ordered Magnetic resonance imaging (MRIs) of brain, sinuses, and upper spine to look for signs of neuronal demyelination, but there were not any significant findings. During follow up appointment on 15-JUL-2021 with the neurologist, they discussed potential association between vaccine and Guillain barre syndrome. He ordered patient to do nerve conduction test to look for evidence of peripheral nerve damage. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pain in the back, and muscles pain in the thighs and lower back, had not recovered from deprivation of sleep, tingling sensation over the body but more in the extremities, bell''s palsy, lost most sense of taste, continuously exhausted which was affecting ability to think clearly, and muscle weakness in thighs and lower back, and the outcome of perception of heat and cold reversed or delayed and migraine headaches was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210739148-COVID-19 VACCINE AD26.COV2.S -Bell''s palsy and affecting ability to think clearly. These events are considered unassessable. The events have a compatible/suggestive temporal relationship, are unlabeled, and have unknown scientific plausibility. There is no information on any other factors potentially associated with the events.


VAERS ID: 1511548 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blindness, COVID-19, Cerebrovascular accident, Fall, Musculoskeletal stiffness, Thrombosis, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Arthritis (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Concussion
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210746650

Write-up: BLOOD CLOTS (BRAIN/CEREBELLAR); SUFFERED TWO STROKES; LOST THE VISION IN RIGHT EYE; FELL TO THE FLOOR; SUSPECTED COVID-19 INFECTION; STIFF NECK; SUSPECTED CLINICAL VACCINATION FAILURE; This spontaneous report received from a patient via a company representative concerned a male of unspecified age. The patient''s height, and weight were not reported and concurrent conditions included concussion. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose, frequency 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified day of Jun-2021, the patient experienced suspected covid-19 infection in location (medically significant), suspected clinical vaccination failure and came back to location and stayed at home. On an unspecified date, the patient experienced really stiff neck and as soon as I recovered from the code that and went straight to the chiropractor see if put me on the table and patient was just in my back and correct it one way and which was fine, had already cracked it the other way. It was like something like that. It never happened before so, like world just went in words and lost the vision in his right eye and in his left eye was like this tunnel vision and got pins and needles down the right side of his body, and which was bloody scary, called the ambulance and took to hospital where could turned he had a stroke, induced by the chiropractor for the sect in the of the main arteries that feed his brain. whether code that directly or indirectly caused that, you know, the more swelling or more inflammation and experienced blood clots (brain/cerebellar). The patient also was recovering at home, and turned his neck slightly and was fell to the floor. This court went to the part of the brain that deals with gravity and which it did in about 45 seconds to a minute and just rush straight to the hospital. The patient hospitalized due to stroke, blood clots (brain/cerebellar), suspected covid-19 infection, right eye vision loss and fell down. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovered from stiff neck, had not recovered from lost the vision in right eye and outcome of suspected clinical vaccination failure, suspected covid-19 infection, suffered two strokes, blood clots (brain/cerebellar) and fell to the floor was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20210746650-Covid-19 vaccine ad26.cov2.s- Blood clot (Brain/cerebellar),Suffered two strokes ,suspected covid-19 infection, lost the vision in right eye and fell to the floor. 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). 20210746650-Covid-19 vaccine ad26.cov2.s- Suspected clinical vaccination failure. 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: SPECIAL SITUATIONS


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