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From the 10/8/2021 release of VAERS data:

Found 7,946 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit



Case Details

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VAERS ID: 1511567 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
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 UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Heart rate, Heart rate increased, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? 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: Heart rate; Result Unstructured Data: elevated
CDC Split Type: USJNJFOC20210755400

Write-up: ELEVATED HEART RATE; RASH ON THIGH; PERSISTENT FEVER; This spontaneous report received from a consumer concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot number. No concomitant medications were reported. On an unspecified date, the subject experienced elevated heart rate, rash on thigh, and persistent fever. Laboratory data (dates unspecified) included: Heart rate (NR: not provided) elevated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the rash on thigh, elevated heart rate and persistent fever was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1511593 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Maine  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arteriogram carotid, Asthenia, Blood test, Cardiac disorder, Dizziness, Electrocardiogram, Head discomfort, Hypoaesthesia oral, Magnetic resonance imaging
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Heart valve disorders
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Electrocardiogram; Result Unstructured Data: Unknown; Test Name: Blood test; Result Unstructured Data: Unknown; Test Name: Carotid angiogram; Result Unstructured Data: Unknown; Test Name: Magnetic resonance imaging; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210758129

Write-up: LESS ENERGY; FEELING LIGHT HEADED OFF AND ON; PRESSURE IN HEAD OR FEELING OF PRESSURE; NUMBNESS OF THE TONGUE; FELT THE CONDITION (HEART VALVE DISORDER) WORSENED SINCE RECEIVING THE VACCINE; This spontaneous report received from a patient concerned a 56 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hx heart valve disorder. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: 07-AUG-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced felt the condition (heart valve disorder) worsened since receiving the vaccine. On 08-APR-2021, the subject experienced numbness of the tongue. Treatment medications included: diphenhydramine hydrochloride. On 18-APR-2021, the subject experienced feeling light headed off and on. On 18-APR-2021, the subject experienced pressure in head or feeling of pressure. On 18-MAY-2021, the subject experienced less energy. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Unknown, Carotid angiogram (NR: not provided) Unknown, Electrocardiogram (NR: not provided) Unknown, and Magnetic resonance imaging (NR: not provided) Unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from numbness of the tongue on 08-JUL-2021, had not recovered from feeling light headed off and on, and the outcome of pressure in head or feeling of pressure, less energy and felt the condition (heart valve disorder) worsened since receiving the vaccine was not reported. This report was non-serious.


VAERS ID: 1512179 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Arkansas  
Vaccinated:0000-00-00
Onset:2021-07-18
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Blood test, Body temperature, Influenza, Limb discomfort, Pneumonia, SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Drug allergy; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Heart valve replacement (Heart valve replacement last year, No pertinent medical condition); Comments: Patient did not have drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210719; Test Name: Influenza; Result Unstructured Data: not reported; Test Date: 20210719; Test Name: Blood test; Result Unstructured Data: not reported; Test Date: 20210719; Test Name: Body temperature; Result Unstructured Data: 99-100 degree Fahrenheit; Test Date: 20210719; Test Name: Pneumonia; Result Unstructured Data: not reported; Test Date: 20210723; Test Name: COVID-19 virus test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210753055

Write-up: HEAVY FEELING ON HIS BOTH ARMS; CONFIRMED CLINICAL VACCINATION FAILURE; SUSPECTED COVID 19 (TEST UNSPECIFIED); This spontaneous report received from a consumer concerned a 64 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included heart valve replacement last year, and concurrent conditions included allergic reaction to anesthesia, non-alcohol user, and non-smoker, and other pre-existing medical conditions included patient did not have 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: 042A21A, and expiry: 21-JUN-2021) dose was not reported, 1 total administered to left arm (deltoid) on 21-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 18-JUL-2021 (last Sunday) patient started to develop dry cough towards the end of the day. On 19-JUL-2021 (Monday) patient started to experience weakness, heavy feeling on his both arms, fever with a temperature between 99-100 degree Fahrenheit, achiness all over the body, chills, headache and nausea. Patient decided to visit to the hospital. Patient undergone a series of blood test, flu test, pneumonia and Covid-19 test. On 23-JUL-2021, patient clinically tested positive of COVID-19 [Suspected covid-19 (test unspecified) and confirmed clinical vaccination failure]. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from suspected covid 19 (test unspecified), and heavy feeling on his both arms, and the outcome of confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000187127.; Sender''s Comments: V0: 20210753055:Covid-19 Vaccine Ad26.Cov2.S: Confirmed 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


VAERS ID: 1512408 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-07-28
Onset:2021-07-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: shellfish, apple, cherry, gluten, nuts, peach, plum, lidocaine, mepivacaine, almond
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient with history of allergies presented to retail pharmacy for COVID-19 vaccination. Within 3 minutes of receipt of vaccine patient reported injection site pain radiating to hand. Within 6 minutes of administration patient reported dizziness. Help called and patient brought to ED for evaluation and observation. Review of ED visit note shows no evidence of lip or tongue swelling and no respiratory distress. Upon evaluation and observation in ED, patient discharged.


VAERS ID: 1512445 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-07-13
Onset:2021-07-24
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Malaise, 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: None
Current Illness:
Preexisting Conditions: HIV
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received dose of J&J Janssen vaccine on 7/13/2021. He developed symptoms and was seen in the ED, where he tested positive. Pt is homeless, with no working phone number to report. He did not need to be admitted to the hospital, but was discharged to a isolation hotel for his isolation period.


VAERS ID: 1512563 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-12
Onset:2021-07-26
   Days after vaccination:105
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Contracted COVID after vaccination


VAERS ID: 1512590 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-07-21
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Peripheral swelling, Vaginal haemorrhage
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Bleeding for over 5 days
Other Medications: 50,000 mg Vitamin D 200-800 mg Ibuprofen as needed
Current Illness: Orthopedic Bilateral hands Carpal Tunnel Bilateral Knees C3 Fracture Neck Spine Fusion Drop Foot Right Leg Can?t Walk Gait
Preexisting Conditions: Asthma Allergies Seasonable
Allergies: Dyes Formaldehyde
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 Straight Days Headaches 7/20/21-7/21/21 I Don?t Get Headaches 7/22/21 cramps in stomach light blood through 7/23/21 heavy dark blood with light clotting. 7/25/21-7/26/21 large blood clots until 7/28/21. 0n 7/28/21 called Primary Physician for a Consultation it?s scheduled for Friday. I have enormous swelling in my Right leg in rear upper thigh. I have decided to go to Emergency Room. I have a slight headache and after Blood completely stop I am now seeing very light blood. I?m 61 I had stop having periods at 58!started back when I first took John & Johnson shot. I reported here before.


VAERS ID: 1512662 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-07-07
Onset:2021-07-19
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? 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: Fosinpril, Aspirin daily, HCTZ Triamertene, Potassium, Vitamin D3, Vitamin C, Escitalopram, FlowMax, Vitamin B12, Combivent Inhaler, Tylenol PM before bed, Glipizide.
Current Illness: Have a growth in scrotum that was going to be removed the morning of the stroke - didn''t happen.
Preexisting Conditions: Shortness of breath, emphysema, knee/leg issues, have device in my aorta to stop aneurysm, hearing issues. Cataracts both eyes. Depression.
Allergies: Statins (drugs to lower cholesterol)
Diagnostic Lab Data: Please contact for detailed records
CDC Split Type:

Write-up: Stroke on 07/192021 at ~05:30am of unknown cause. Rushed by ambulance to hospital () Was in hospital for 3 days and was administered many tests. Please contact Hospital for detailed records


VAERS ID: 1512674 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-19
Onset:2021-07-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Deafness, Hyperhidrosis, Loss of consciousness
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), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Patient become sweaty, weak, had a loss of hearing and passed out. Happened within 2 minutes of receiving vaccine.


VAERS ID: 1512783 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-07
Onset:2021-07-18
   Days after vaccination:72
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Nausea, SARS-CoV-2 test positive, Vaccination failure
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: SARS Cov-2 RNA test was positive on 7/18/21.
CDC Split Type:

Write-up: Tested (+) for COVID infection after being fully vaccinated - vaccine failure. Patient presented to Urgent Care with cough, chills & nausea after known COVID-19 exposure. Patient was offered treatment with single dose of Regeneron on 7/19/21, which was accepted and received also on 7/19/21.


VAERS ID: 1512794 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-29
Onset:2021-07-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN A420A21 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Disorientation, Muscle spasms, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving a vaccine patient became disoriented fainted and exhibit muscle spasms. Treat it with Aromatic ammonia salt and water. Upon arrival of EMS patient got some glucose as well. Last report he was felling better, EMS took patient to the bus for check up. Unknown if patient went to the emergency room.


VAERS ID: 1512969 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-03-07
Onset:2021-03-14
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cerebral haemorrhage, Death, Fatigue, Influenza like illness, Life support, Pain, Syncope, Withdrawal of life support
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yes but the medication is unknown
Current Illness:
Preexisting Conditions: Diabetes, Minor stroke
Allergies: None
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: After the vaccine the pt said she felt like she had the flu. She was tired and sore and achy. And a week later she went to bed and woke her husband up to help her to go the the bathroom, she collapsed on the way and the husband called 911 and was taken to the hospital and the doctor said she had a massive brain bleed, she was put on life support, she passed away five minutes after being taken off of life support.


VAERS ID: 1512989 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: North Dakota  
Vaccinated:2021-07-15
Onset:2021-07-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blood glucose increased, Blood test abnormal, Diarrhoea, Dyspnoea, Fatigue, Hyperglycaemia, Hypoxia, Nausea, Pollakiuria, Thirst, Type 2 diabetes mellitus, Vision blurred, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None known of at time of vaccination
Allergies: None
Diagnostic Lab Data: Blood work done and results showed Type 2 Diabetes.
CDC Split Type:

Write-up: Employee had shortness of breath, diarrhea, vomiting, fatigue and hypoxia and was taken by ambulance on 7/17/21 where he was given IV fluids and sent home. He returned to Emergency Room on 7/22/21 due to excessive thirst, frequent urination, blurred vision, and nausea. Employee was hyperglycemic with a blood sugar of 600. IV fluids given.


VAERS ID: 1513074 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-07-29
Onset:2021-07-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821287 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Pt said her arm was not able to move and was painful ; this was about an hour after the vaccine was given. EMT was called to evaluate. Contacted patient about 6 hours after vaccine and pt stated she was doing fine and feeling much better.


VAERS ID: 1513439 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-15
Onset:2021-07-09
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

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

Write-up: I21.4 - NSTEMI (non-ST elevated myocardial infarction)


VAERS ID: 1513915 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-01
Onset:2021-05-08
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Chest X-ray, Pneumonia, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Valsartin
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies:
Diagnostic Lab Data: X-ray, COVID-19 testing
CDC Split Type:

Write-up: Pneumonia or Asthma like symptoms of strong severity for several months.


VAERS ID: 1514397 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-05
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Atrial septal defect, COVID-19, Cerebral artery occlusion, Cerebrovascular accident, Chills, Fatigue, Headache, SARS-CoV-2 test, SARS-CoV-2 test positive, Thrombectomy, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: XARELTO
Current Illness: Antiphospholipid syndrome
Preexisting Conditions: Comments: The patient had no allergies reported.
Allergies:
Diagnostic Lab Data: Test Date: 20210114; Test Name: COVID-19 PCR test; Result Unstructured Data: Positive; Test Date: 20210605; Test Name: SARS-CoV-2 test; Result Unstructured Data: Positive PCR; Comments: PCR test
CDC Split Type: USJNJFOC20210751451

Write-up: CEREBRAL ARTERY OCCLUSION; CEREBROVASCULAR ACCIDENT; ATRIAL SEPTAL DEFECT; THROMBECTOMY; CONFIRMED COVID-19 INFECTION; SARS-COV-2 TEST POSITIVE; CHILLS; FATIGUE; HEADACHE; CONFIRMED CLINICAL VACCINATION FAILURE; This spontaneous report received from a health care professional via a Regulatory Authority Vaccine Adverse Event Reporting System (VAERS ID: 1463769), concerned a 35 year old female patient of unspecified race and ethnic origin. The patient''s height, and weight were not reported. The patient''s concurrent condition included antiphospholipid syndrome. The patient had no allergies reported. On 14-JAN-2021, the patient was tested positive for coronavirus disease (COVID-19) via the COVID-19 polymerase chain reaction (PCR) test. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration was not reported, batch number: 201A21A and expiry: unknown) dose was not reported, 1 total, administered on 08-APR-2021 for prophylactic vaccination. Concomitant medication included Xarelto (rivaroxaban). On 05-JUN-2021, the patient experienced onset of chills, fatigue, headache and was tested positive for COVID-19 via COVID-19 PCR test [severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) test positive, confirmed covid-19 infection and confirmed clinical vaccination failure]. The patient went to emergency room visit and was hospitalized (date unspecified in report). On 05-JUN-2021, she had acute right middle cerebral artery (R MCA) ischemic stroke (cerebrovascular accident), 2/2 M1 occlusion (cerebral artery occlusion) status post (S/P) thrombectomy ''(HCC)'' (as reported), and had atrial septal defect [patent foramen ovale (PFO)]. On 12-JUN-2021, she was discharged to inpatient rehabilitation. The patient was hospitalized for 8 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the atrial septal defect, cerebral artery occlusion, cerebrovascular accident, chills, confirmed covid-19 infection, fatigue, headache, thrombectomy, SARS-COV-2 test positive and confirmed clinical vaccination failure was not reported. This report was serious (Hospitalization Caused / Prolonged, Other Medically Important Condition, Life Threatening, and Disability Or Permanent Damage). This report was associated with product quality complaint : 90000187446. Version created to amend previously reported information on 23-JUL-2021. Upon review following information amended. Event chills, fatigue and headache were updated from labeled to unlabeled. Additional information received from Consumer Complaint Vigilance Organization on 27-JUL-2021. The following information updated and incorporated into the case narrative. product quality complaint number was added.; Sender''s Comments: V1: Follow-up information updates the labeling and adds a product quality complaint number; this does not change the previous assessment. This spontaneous report received from a Regulatory Authority [VAERS ID: 1463769] concerns a 35-year-old female patient of unspecified ethnicity who had an acute right middle cerebral artery (R MCA) ischemic stroke with cerebral artery occlusion and was hospitalized 58 days after receiving the Janssen Covid-19 vaccine. Concurrent condition included antiphospholipid syndrome. The patient was previously COVID-19 polymerase chain reaction (PCR) test positive 3 month prior to vaccination. On the day of hospitalization, the patient noted chills, fatigue, headache; COVID-19 PCR test was positive. The patient underwent thrombectomy "HCC"; atrial septal defect was noted. The subject''s anti-phospholipid syndrome and SARS-COV-2 infection may have increased the risk for the events to occur. However, considering the temporal relationship with vaccination, a relationship with Janssen Covid-19 vaccine cannot be ruled out. Therefore, the relationship is considered indeterminate.


VAERS ID: 1514398 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-16
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Bell's palsy, Blood test, Computerised tomogram, Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging, Muscle twitching, Neuralgia, Pain assessment, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hearing impairment (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: MULTIVITAMIN [VITAMINS NOS]; VITAMIN D [ERGOCALCIFEROL]; LACTOBACILLUS ACIDOPHILUS
Current Illness: Allergic reaction to bee sting (carries an Epipen because she was "covered in hives" many years ago after being stung.); House dust mite allergy; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Abstains from alcohol; Comments: Does the patient have any allergies? :: Yes Provide details of the allergies :: Environmental and dust mites - experiences itchy eyes, runny nose, sneezing. Bees - carries an epipen because she was "covered in hives" many years ago after being stung. Was there drug abuse or illicit drug usage? :: No Does the patient consume alcohol? :: No Does the patient smoke? :: No Does not have any medical conditions.
Allergies:
Diagnostic Lab Data: Test Date: 20210416; Test Name: Pain scale; Result Unstructured Data: 4/10; Comments: constant ache in her lower back near the sacrum; Test Date: 20210416; Test Name: Pain scale; Result Unstructured Data: 9/10 to 10/10; Comments: lower pain pain near sacrum worsened and included a stabbing middle back pain; Test Date: 20210421; Test Name: Blood test; Result Unstructured Data: Unknown; not confirmed by caller; Test Date: 20210421; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210421; Test Name: Computerised tomogram; Result Unstructured Data: Normal; Test Date: 20210423; Test Name: Blood test; Result Unstructured Data: Normal as per patient.; Test Date: 20210426; Test Name: Pain scale; Result Unstructured Data: 9-10/10; Test Date: 20210426; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210426; Test Name: Blood test; Result Unstructured Data: CALLER IS UNSURE IF IT WAS DONE; Test Date: 20210501; Test Name: Magnetic resonance imaging; Result Unstructured Data: Result not confirmed/stated by caller; Test Date: 20210504; Test Name: Spinal tap; Result Unstructured Data: Guillain Bar Syndrome
CDC Split Type: USJNJFOC20210752736

Write-up: GUILLAIN BARRE SYNDROME; LEFT AND RIGHT SIDE OF THE FACE - BELL''S PALSY; TWITCHES; NERVE PAIN IN BILATERAL FEET AND HAND; TINGLING OF FEET AND HANDS; LOWER AND MIDDLE BACK PAIN; This spontaneous report received from a patient concerned a 46 year old female. The patient''s weight was 175 pounds, and height was 61 centimeters. The patient''s was a non smoker, non drinker, allergies included bee allergy (she carries an Epipen), environmental and dust mite allergy. There was no history of drug abuse or illicit drug use. The patient did not have any current medical conditions. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805029) on 31-MAR-2021 for prophylactic vaccination. Concomitant medications included ergocalciferol, lactobacillus acidophilus, and vitamins nos. On 16-APR-2021 the patient started experiencing a constant ache in her lower back near the sacrum, with a 4/10 on a the pain scale. At night the pain worsened and also included a stabbing middle back pain, with a 9-10/10 on the pain scale. She couldn''t sleep, couldn''t stand or sit. There was no relief even after taking Tylenol and ibuprofen. On 21-APR-2021, she developed Bell''s Palsy on the left side of her face. She was drinking water and it fell out of the side of her mouth. She went to the hospital for evaluation and the doctors suspected that she had been bitten by a tick. Blood work was done to assess for a tick bite as well as a computerised tomogram (CT) scan of the head to rule out a stroke. Both results came back normal and additional blood work was sent to a larger facility for further tick bite testing. She was discharged home from the Emergency Room (ER) with prescriptions for prednisone for 1 week, 10 day course of penicillin, and tramadol every 4-6 hours for the pain as needed. On 22-APR-2021 or 23-APR-2021 she attended the hospital again. This time the right side of her face was affected with Bell''s palsy in addition to the left side. Blood work was performed which came back normal. The doctors believed the symptoms were related to a tick bite. She received an injection for the back pain which she believed was tramadol but did not provide any relief. She was discharged home with a prescription for hydrocodone to be taken for pain as needed. She received the same follow-up advice and was advised to continue with the steroid, antibiotic and pain medications. The left sided Bell''s palsy resolved on 25-APR-2021 or 26-APR-2021. On 24-APR-2021 or 25-APR-2021 the patient visited hospital due to back pain, the severity of which had prevented her from sleeping for days. She arrived at 3:00 am and was discharged by 9:00 am. She received Intravenous morphine and a ketamine infusion for 1 hour. This provided instant relief and she was able to sleep. Blood work was done and was normal. Upon discharge she was advised to stop the tramadol and she instead received a prescription for oxycodone. She was advised to take the oxycodone if the hydrocodone didn''t work. The patient stated that at this time, she felt great and hopeful that entire day until the back pain retuned at night. On 26-APR-2021 she retuned to hospital due to the severity of the back pain. Middle and lower back pain had returned at a 9-10/10 pain level. She received an injection of tramadol which didn''t provide relief. She was discharged home and the ER doctor suggested physiotherapy. She as seen by her primary care provided the same day, a nurse practitioner (NP). The NP prescribed 10 morphine pills. At this point the Bell''s palsy was resolving. On 28-APR-2021 or 29-APR-2021, she visited the hospital again for back pain and received a shot of morphine and was then discharged home. The ER physician recommended a neurologist. On 29-APR-2021, the patient noticed that her hand writing was messier and she had a hard time writing. She began dragging her right foot when walking and on 30-APR-2021 she was unable to step onto a curb and couldn''t drag either leg when getting into the car. She lost sensation and movement in both legs from the knee down. Initially her right leg was worse than the left but eventually they were the same. On 01-MAY-202 she fell because her left leg "gave out". The same day she underwent a magnetic resonance imaging (MRI) scan on her head/back. Right sided Bell''s palsy resolved on 01-MAY-2021 or 02-MAY-2021. On 03-MAY-2021 the patient spoke to her NP and discussed her concerns that her symptoms may be Guillain-Barre syndrome. She was advised to go to the ER. She was admitted to hospital and she received an intravenous injection for pain. A neurologist tested her reflexes; she was told her reflexes were absent from the knees down in both legs. This was tested on either the 03-MAY-2021 or 04-MAY-2021 and worsened on 04-MAY-2021. A lumbar puncture (Spinal tap) was performed on 04-MAY-2021 which confirmed Guillain-Barre syndrome (GBS) and a 5 day course of treatment (unspecified) was started. On 04-MAY-2021 she experienced the worst back pain, during hospitalisation she received intravenous hydromorphone hydrochoride (Dilaudid) every 6 hours and intravenous hydrocodone every 4 hours. she had some relief after the first day and gained some mobility back but had the same back pain. During the 5 days of treatment, she noticed relief. By the time she was discharged, on 09-MAY-2021, she was able to walk again with the help of a cane. She received physiotherapy whilst in hospital and has continued with treatments since discharge. The stabbing pain in the middle of the back resolved during the 5 days of treatment, approximately 06-MAY-2021 but she stated that her lower back is still achy but physiotherapy has helped. Her lower back pain comes and goes at 2-3/10 pain level and she currently takes ibuprofen as needed for prevention before periods of activity. The reported developing nerve pain on an unspecified date, in both feet describing the feeling like "when you sit on your foot for too long then the feeling returns initially". The pain started during the 5 days of treatment once feeling and mobility returned to her legs. The pain has improved over time but both feet remain tingly with the left foot feeling worse. Her movement is still impaired but she can still get around the house despite feeling shaky when using the stairs. She also experienced nerve pain in her hands during the treatment which she believes may have started sooner when her hand writing appeared messy. Her hands have improved and the nerve pain "comes and goes in stages" The pain has resolved but her hands feel tingly and a "little asleep". She also noticed her thumb and finger grip is weaker. The patient also experienced twitches in bilateral hands and legs, her face and "all over". Onset date was unspecified. The twitches "come and go" and occur 1 to 20 times per day. The patient stopped using a cane on 09-JUN-2021. The patient did not have a plan for follow-up with a neurologist. She did not see the neurologist in July. The neurologist in the hospital said that follow-up is not needed unless issues arise. The pain doctor that the patient was seeing wanted to keep an eye on the back pain in case it was not related to GBS, or if the GBS had exacerbated a previous condition. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from left and right side of the face - bell''s palsy on 02-MAY-2021, was recovering from Guillain-Barre syndrome; nerve pain in bilateral feet and hand, tingling of feet and hands, and lower and middle back pain, and the outcome of twitches was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: This spontaneous report from a patient concerns a 46-year-old female who developed Guillain-Barre Syndrome (GBS) which was diagnosed 34 days after receiving the Janssen COVID-19 vaccine. Symptom of lower back pain began 16 days post-vaccine which became severe and intractable over 13 days; she then developed bilateral Bell''s palsy 21 days post-vaccine and lost sensation and movement below her knees 30 days post-vaccine, prompting hospitalization 34 days post-vaccine. Reflexes were absent from the knees down and spinal tap confirmed GBS. She underwent an unspecified course of treatment, received pain medication and physiotherapy, and was discharged on the 7th hospital day. She also developed nerve pain, tingling of the hands and feet, and muscle twitches. Bell''s palsy resolved and she is recovering from the remaining events. Information regarding other potential etiologies was insufficient, and the occurrence of the events 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: 1514416 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-05-09
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A214 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MESALAMINE
Current Illness: Abstains from alcohol; Crohn''s disease; Non-smoker
Preexisting Conditions: Comments: The patient had no known allergies. The patient had no history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210758182

Write-up: RASHES (HIVES) ALL OVER THE BODY; This spontaneous report received from a patient concerned a 62 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non-alcohol user, non-smoker, and crohn''s disease, and other pre-existing medical conditions included the patient had no known allergies. the patient had 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: 204A214, expiry: UNKNOWN) dose was not reported, administered on 02-MAY-2021 for prophylactic vaccination. Concomitant medications included mesalazine for crohn''s disease. On 09-MAY-2021, the subject experienced rashes (hives) all over the body. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rashes (hives) all over the body. This report was non-serious.; Sender''s Comments: V0-Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1515031 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-07-27
Onset:2021-07-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Cold sweat, Pyrexia, Rash, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Pt reports "a rash on my forehead, weak, shakey, cold sweats, a fever of 101 that broke this morning around 0520"


VAERS ID: 1515186 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-27
Onset:2021-07-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / N/A RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood pressure increased, Chills, Cough, Diarrhoea, Dizziness, Headache, Heart rate increased, Hyperhidrosis, Malaise, Myalgia, Nausea, Oropharyngeal pain, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test, Tinnitus, Vertigo, Vision blurred, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (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: MICROGESTIN FE 1/20, LEVOTHYROXINE, BUPROPION
Current Illness:
Preexisting Conditions: ASTHMA, ENDOMETRIOSIS, DEGENERATIVE DISC DISEASE (CERVICAL/ THORACIC)
Allergies: SULFA DRUGS, VIROPTIC
Diagnostic Lab Data: VITALS TAKEN UPON HOSPITAL ADMISSION 7/27/21, COVID TEST 1/5/21, COVID TEST 7/27/21
CDC Split Type:

Write-up: 1/5/21: FEVER T-MAX 103.5F, SWEATS, CHILLS, MALAISE, GENERAL MUSCLE PAIN, SEVERE HEADACHE, NAUSEA, VOMITTING, DIARRHEA, DIZZINESS/ VERTIGO, BLURRED VISION, RINGING EARS, SORE THROAT, INCREASED HEART RATE, INCREASED BLOOD PRESSURE, O2 SATURATION DECREASE, SEVERE CHEST COUGH ? LASTING OVER A MONTH 7/27/21: T-MAX 104F, SWEATS, CHILLS, MALAISE, GENERAL MUSCLE PAIN, SEVERE HEADACHE, NAUSEA, VOMITTING, DIZZINESS/ VERTIGO, BLURRED VISION, RINGING EARS, SORE THROAT, INCREASED HEART RATE, INCREASED BLOOD PRESSURE, O2 SATURATION DECREASE, JOINT PAIN ? LASTING OVER 3 DAYS


VAERS ID: 1515207 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-27
Onset:2021-06-02
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Pain, Vomiting, Weight increased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: RSV.
Allergies: Pain meds, aspirin.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Body aches, fatigue, brain fogs, weight gain, vomiting


VAERS ID: 1515227 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-07-10
Onset:2021-07-28
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Diarrhoea, Electrocardiogram normal, Fibrin D dimer normal, Influenza like illness, Metabolic function test, Respiratory tract congestion, Troponin normal, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 500 mg oral tablet aspirin 81 mg oral enteric coated tablet azithromycin (ZITHROMAX) 500 mg oral tablet loperamide (IMMODIUM) 2 mg oral tablet multivitamin Oral Tab nitroGLYCERIN (NITROSTAT) 0.4 mg sublingual ta
Current Illness:
Preexisting Conditions: OSA 1st degree AV block Hx of MI GERD
Allergies: Percocet
Diagnostic Lab Data: EKG July 26 showed AV block (baseline) and PVCs (new) but otherwise reassuring. D dimer negative. Chest xray negative. CMP normal. Troponins normal.
CDC Split Type: None

Write-up: Had 4 days of flu like symptoms directly after receiving the vaccine. These resolved, but some chest congestion remained. Seen in the ER on July 19th for chest pain. Worked up for cardiac and pulmonary causes, all negative. Seen in primary care on July 30 for 2 days of diarrhea, given loperamide and contingent prescription of azithromycin.


VAERS ID: 1515325 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-10
Onset:2021-07-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SC

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Contusion, Gait disturbance, Joint swelling, Loss of personal independence in daily activities, Mobility decreased, Myalgia, Pain, Pain in extremity, Sleep disorder, X-ray normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Yes, Limb immobilization, body bruising, cough, fatigue
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: On July 28 I had to go to the emergency room at hospital due to the intense pain and the appearance of the bruises, a Rheumatology Specialist observed me, they indicate that the x-ray results came out fine, general exam did too, and I am still waiting for more results
CDC Split Type:

Write-up: Third day after the vaccine by 7 at two mid night, Saturation was 88 for about an hour, then my muscles start to ache, stopping making movements as my wrist swelled. I could not close my hands, the pain would move to different parts of my body, when it was on my leg I started to limp. I can''t lift my arms, I can''t sleep because of the pain. 3 days ago, I noticed bruises all over my body they hurt. I''m not the young woman I was before, I''m totally inefficient, I can''t do anything on my own, I wasn''t like this before.


VAERS ID: 1515502 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-07-25
   Days after vaccination:109
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Bilevel positive airway pressure, COVID-19, COVID-19 pneumonia, Dyspnoea, Intensive care, SARS-CoV-2 test positive
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), 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: bacitracin topical, buspirone, cholestyramine, diazepam, dulox
Current Illness:
Preexisting Conditions: hypertension, diabetes, nonischemic systolic heart failure, hypothyroidism, sarcoidosis with pulmonary nodules,
Allergies: No known allergies
Diagnostic Lab Data: tested positive for COVID-19 on 07/23/2021
CDC Split Type:

Write-up: 7/25/2021: Patient is a 58 year old female who presented to the ED with acute onset shortness of breath which started a couple days prior to admission. She tested positive for COVID-19 on 07/23/2021. Patient was found with an SpO2 of 79% on room air at which point she was transitioned to heated high-flow but ultimately required BiPAP to maintain saturation greater than 92% and was transferred to the ICU for further care. Diagnosed with acute hypoxic resp failure, COVID19 pneumonia. Note: was previously vaccinated with COVID-19 J&J vaccine on 4/7/21. 7/30/21: patient is still admitted at the time of this form submission.


VAERS ID: 1515535 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-01
Onset:2021-07-24
   Days after vaccination:114
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 04321 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Exposure to SARS-CoV-2, Hypophagia, Pneumonia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine, Atorvastatin, Dexamethasone, Azithromycin, Losarta
Current Illness:
Preexisting Conditions: HTN, HDL, stroke
Allergies: No known drug allergies
Diagnostic Lab Data: SARS CoV 2 PCR COVID19 positive on 7/24/2021
CDC Split Type:

Write-up: 7/24/21: Patient admitted to hospital for fevers, weakness, poor PO intake. Patient was exposed to COVID-19 recently and tested positive on admission. Note, patient has previously received the COVID-19 J&J Vaccine on 4/1/2021. Diagnosed with: bibasilar pneumonia due to COVID-19 infection. 7/27/21: discharged.


VAERS ID: 1515542 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-24
Onset:2021-03-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Amaurosis fugax, Anxiety, Asthenia, Blood test, Cerebral haemorrhage, Cerebrovascular accident, Chest pain, Computerised tomogram, Decreased appetite, Diplopia, Dizziness, Dysphagia, Dyspnoea, Ear pain, Electrocardiogram, Fear, Headache, Illness, Impaired work ability, Influenza like illness, Insomnia, Laboratory test, Magnetic resonance imaging head abnormal, Nasopharyngitis, Near death experience, Neck pain, Ocular discomfort, Oropharyngeal discomfort, Pain in extremity, Paranasal sinus inflammation, Pharyngeal swelling, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sinus congestion, Sinusitis, Swelling, Visual impairment
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), 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, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (narrow), Vestibular disorders (broad), Ocular motility disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xanax / Flonase / Losartan / Fish Oil / Olanzapine / Humulin N / Humulin R / Clonidine / Prozac / Adderall / Prilosec / Levothyroxine / Pravastatin / Topiramate /Atorvastatin / Furosemide / Spirolactone / Pradaxa / Multivitamin & Minerals
Current Illness: Type 2 Diabetes Clogging of Heart Arteries Bicuspid Valve Prolapse Moderate - Stable High Blood Pressure - Stable Occasional shortness of breath and fatigue - improving (was on oxygen 24/7 but decreasing use prior to shot) Anxtety - Stable Sleep Apnea - Severe
Preexisting Conditions: Type 2 Diabetes Clogging of Heart Arteries Bicuspid Valve Prolapse Moderate - Stable High Blood Pressure - Stable Pulmonary Issues - now back on oxygen 24/7 Kidney Issues - Stable Sleep Apnea - Severe
Allergies: Novacane - and "cane" related medicines Codiene Sulfa Raw Onions
Diagnostic Lab Data: Blood Tests / EKGs / CT Scans / MRIs all demonstrated that I was suffering from severe sinus infection and then finally bleeding in my brain when I was admitted to hospital.
CDC Split Type:

Write-up: I got one shot in my left arm on the 24th of March. On the 26th of March I had pain in my left arm that went into my left side of my neck and head (for approximately 4 hours). This was moderate. I took Tylenol. The next day on the 27th I began to feel like I had a cold. On the 28th I started getting "flu like" symptoms. I was healthy and doing well prior to shot of Janssen. Better than I have been in a year. Then 3rd day after shot I began to have congestion and runny nose. Then low fever. 4th day I was very congested, dizzy and had a bad headache so went to urgent care. I was prescribed Norco for the headache and sent home. I could not sleep or eat and became sicker. My sinuses began to swell, and my ears hurt badly. My head was pounding and swelling in the frontal lobes. By the 6th day I could not see well. My vision had doubled, my eyes had so much pressure and my chest were hurting. I went to the Emergency Room at AV Hospital by car. I was seen and given a virus test that was negative. I was sent home and told to take the Norco for the headache. The 7th night I could not see, I was seeing 4 of everything. My head hurt more than I ever have experienced. I had difficulty breathing and had chest pains. I was weak and dizzy. We called the ambulance that took me to AV Hospital. They did a CT scan and said I had a severe sinus infection prescribed antibiotics and sent me home to take Norco and antibiotics. I woke the following morning with the inability to swallow, my throat severely swollen like a rock, my head swollen twice it?s size, my sinuses completely clogged, trouble breathing, my head severely in pain and fear I was dying. My daughter had called the advice nurse who said go to the ER immediately. This time I went to Palmdale Regional. After several tests and 11 hours of waiting in their lobby I was taken into the ER to a room. A MRI was done and I was told they had found ?bleeding? in my brain. I would later be told I had a stroke. I was admitted to the hospital to their stroke center immediately for treatment. I remained in the hospital for 5 days. I was blind for several weeks as my eyes had obtained so much pressure from the stroke. Prior to the Johnson shot I was regaining good health at a rapid pace. I had been sick for several years but that had turned around and my physical condition was strong and healthy. After the shot I became very weak, close to death and it has taken from April until end of July for me to start feeling good enough to work. I continue to have problems with my eyes and difficulty with my sinuses with congestion when I wake. This condition did not exist until after the shot of the vaccine. I am self employed as a Clinical Social Worker and did not have any unemployment to sustain my income during this time I have been sick or sick leave.


VAERS ID: 1515578 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-09
Onset:2021-07-13
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cardiac function test normal, Headache, Hypertension, Laboratory test normal, Musculoskeletal pain, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: cholesterol
Allergies: NKDA
Diagnostic Lab Data: cardiac work up and labs- normal
CDC Split Type:

Write-up: Severe head pain; sudden high blood pressure, nausea, MSK pain


VAERS ID: 1515580 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-07-01
Onset:2021-07-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Dysphagia, Hypoaesthesia, Hypoaesthesia oral, Magnetic resonance imaging, Ocular discomfort, Oesophageal rupture
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hearing impairment (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: hearing impaired, back surgery
Allergies: clindamycin amoxicillin
Diagnostic Lab Data: MRI
CDC Split Type:

Write-up: 2 weeks after vaccine patient experience eye discomfort followed by face and tongue numbness, dx with Bells Palsay 7/24 experience difficulty swallowing food resulting in a torn esophagus.


VAERS ID: 1515588 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-07-24
Onset:2021-07-30
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ivermectin; Hydroxyzine; Azithromycin
Current Illness: Tooth infection
Preexisting Conditions: Lyme disease
Allergies: Fish; Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient woke up on 7/30/2021 with a full body itchy rash. Patient took diphenhydramine to help with itch and went to urgent care. Received prescriptions for prednisone and hydroxyzine.


VAERS ID: 1515617 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-20
Onset:2021-03-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A RA / IM

Administered by: School       Purchased by: ?
Symptoms: Dysarthria, Dysphagia, Head discomfort, Heart rate increased, Mobility decreased, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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 (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None identified - have experienced sustained fatigue following a virus in 2016
Allergies: Reaction to phenergen Allergy to chlorhexadine (when pregnant)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 10 hours after receiving the vaccine, movement of any kind and speaking became very difficult and lead to rapid heart beat and shortness of breath. I was taken to the ER where they checked vitals including oxygen levels and ran an ECG 12 Lead. They provided Benadryl. I was discharged a few hours later; the doctor felt confident my vitals looked good. During the following 24 hours, I still had difficulty moving and speaking. I was able to drink water but swallowing anything else seemed too difficult. After about 24 hours, I was able to sit up and eat a little soup. In the days that followed, I still had great difficulty eating, I experienced weakness in both arms, nearly constant lateral head pressure on both sides, tremoring, frequent feelings of hypoglycemia, muscle twitches, and what I can best describe as sudden, unsolicited floods of adrenaline, which included rapidly increasing head pressure and rapid heartbeat. These could occur when doing something as benign as watching a tv show with my kids. It took about 2.5 months before the head pressure started to subside for any length of time, as well as, some of the other more acute symptoms. However, I am still experiencing difficulties even now. I spoke with my primary care doctor multiple times in the aftermath and he has recommended I consult a neurologist and cardiologist.


VAERS ID: 1515687 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Dizziness, Dyspnoea, Electrocardiogram abnormal, Headache, Hypoaesthesia, Sinus tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Episode of syncope, anxiety
Preexisting Conditions: General anxiety
Allergies: NKDA
Diagnostic Lab Data: EKG: sinus tachycardia
CDC Split Type:

Write-up: Patient reported SOB, headache, dizziness, numbness of right arm, soreness of left arm, feeling of fainting and weakness approximately 1 hours post vaccination. Vital signs initialized11:08 AM (HR 130, R 18, BP 121/73, Sat 80%) Instructed to remain calm, encouraged deep breathing exercise, elevated legs, icepack provided on the injection site. Patient is able to talk and swallow. Patient revealed history of fainting and FH of stroke. EMS called, vital signs at 11:31 AM: HR 130, R 18, Bp 144/104, O2 Sat 100%. 3 Lead EKG: Sinus Tachycardia. Able to ambulate to the ambulance, Patient verbalized feeling better and showed no respiratory distress when EMS arrived and was sent to Hospital.


VAERS ID: 1515932 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-07-26
Onset:2021-07-29
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? 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: aspirin, 81 mg, PO (oral), qDay carvedilol 25 mg oral tablet, 3.125 mg, PO (oral), bid Coenzyme Q10, 200 mg, PO (oral), qDay, lisinopril, 20 mg, PO (oral), bid, Hold for Surgery magnesium oxide, 400 mg, PO (oral), qDay terazosin, 10 mg, P
Current Illness:
Preexisting Conditions: Hyperlipidemia Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pulmonary Embolism


VAERS ID: 1516545 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821287 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyskinesia, Seizure, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Customer had seizures couple of minutes after administration of vaccine, she was not unconscious, breathing normal but not responded when we talk and had frequent jerking movements. Paramedical arrived and took her to the hospital


VAERS ID: 1516740 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20JA21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Full blood count, Haemoglobin, Intermenstrual bleeding, International normalised ratio, Pregnancy test urine negative, Prothrombin time, Urine analysis
SMQs:, Haemorrhage terms (excl laboratory terms) (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: None
Current Illness: None
Preexisting Conditions: Stomach pains and irregular periods
Allergies: Medications- none that I am aware of Food- slight reaction to shellfish
Diagnostic Lab Data: As of 9:00 pm on 7/30/21 I have received: POCT hemoglobin dock device for disorder of menstrual bleeding. POCT urinalysis, Auto W/O scope for disorder menstrual bleeding POCT pregnancy, urine manually resulted for disorder of menstrual bleeding POCT CBC and PT INR for disorder of menstrual bleeding
CDC Split Type:

Write-up: I have received the first (and only) dose of the Johnson and Johnson COVID-19 vaccine as of 6pm, July 7th 2021 and starting noticeably bleeding (menstruating) approximately 4 hours after I received the vaccine (10pm 7/7/2021). It has been 23 days of continuous bleeding since I have received the vaccine (today?s date is 7/30/21).


VAERS ID: 1517882 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Aortic valve incompetence, Blood bicarbonate, Blood creatine phosphokinase, Blood creatinine, Blood culture, Blood lactic acid, Blood pressure measurement, Body mass index, C-reactive protein, Death, Echocardiogram, Electrocardiogram, Heart rate, Incorrect dose administered, Myocarditis, Off label use, Oxygen saturation, PCO2, PO2, Procalcitonin, Pulmonary arterial wedge pressure, Renal impairment, Respiratory failure, Respiratory rate, Septic shock, Troponin, pH body fluid
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Retroperitoneal fibrosis (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 (narrow), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Heart rate; Result Unstructured Data: 145 bpm; Test Name: Heart rate; Result Unstructured Data: 125 BPM; Test Name: Blood pressure; Result Unstructured Data: 117/70 mmHg; Test Name: Respiratory rate; Result Unstructured Data: 39; Test Name: Body mass index; Result Unstructured Data: 27.5; Test Name: Electrocardiogram; Result Unstructured Data: sinus tachycardia; Test Name: Blood culture; Result Unstructured Data: Negative for all viruses; Test Name: Procalcitonin; Result Unstructured Data: 185.71 ng/mL; Test Name: Troponin; Result Unstructured Data: 1.260-2.050 ng/mL; Test Name: Transthoracic echocardiogram; Result Unstructured Data: 2+ aortic regurgitation and diffuse left ventricular hypokinesis; Test Name: Echocardiogram; Result Unstructured Data: Diffuse left ventricular hypokinesis with severely reduced contraction; Test Name: Pulmonary arterial wedge pressure; Result Unstructured Data: 14 mmHg; Test Name: Creatinine; Result Unstructured Data: 1.21 mg/dL; Test Name: Bicarbonate; Result Unstructured Data: 16 mmol/L; Test Name: Troponin; Result Unstructured Data: <0.010 ng/mL; Comments: reference range =0010 ng/mL; Test Name: Creatine phosphokinase; Result Unstructured Data: 53 U/L; Test Name: Procalcitonin; Result Unstructured Data: 0.07 ng/mL; Test Name: C-reactive protein; Result Unstructured Data: 7.2 mg/L; Test Name: pH; Result Unstructured Data: 7.02; Test Name: Partial pressure CO2; Result Unstructured Data: 94 mmHg; Test Name: PaO2; Result Unstructured Data: 27 mmHg; Test Name: Lactate; Result Unstructured Data: 8.3 mmol/L; Test Name: Creatinine; Result Unstructured Data: worsening; Test Name: Oxygen saturation; Result Unstructured Data: 75 %
CDC Split Type: USJNJFOC20210754113

Write-up: VACCINE INDUCED MYOCARDITIS (VIRAL MYOCARDITIS); ACUTE HYPOXIC HYPERCAPNIC RESPIRATORY FAILURE; SEPTIC SHOCK; DECLINE IN RENAL FUNCTION; 2+ AORTIC REGURGITATION; PATIENT ADMINISTERED WITH 2 DOSES OF VACCINE; OFF LABEL USE; DEATH; This spontaneous report was received from literature: Case report with literature review. This report concerned a 70 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included multiple sclerosis. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown, expiry: unknown), frequency 2 total doses, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, after two days post second dose (inappropriate dose of vaccine administered and off label use) the patient experienced developed dyspnea at home and eventually required an ambulance for hospital transfer. The vital signs on arrival included a heart rate of 145 bpm, a 75% oxygen saturation level on room air, a blood pressure of 117/70 mmHg, a respiratory rate of 39, and a BMI of 27.5. The electrocardiogram (ECG) on admission revealed sinus tachycardia with a heart rate of 125bpm and T-wave inversions in leads V4-V6 without any ST-segment change. The patient arrived at the emergency department in severe respiratory distress that warranted immediate intubation. She was admitted to the intensive care unit (ICU) with the provisional diagnoses of acute hypoxic hypercapnic respiratory failure and septic shock. The laboratory screening and blood culture proved negative for all viruses, Mycoplasma pneumonia, and chlamydophila pneumonia. A repeat investigation revealed marked elevations in procalcitonin [185.71(ng/mL)] and troponin [1.260-2.050 ng/mL] levels on the second day of admission. The patient required multiple vasopressors to maintain the mean arterial pressure above 65 mmHg. The transthoracic echocardiogram on admission revealed 2+ aortic regurgitation and diffuse left ventricular hypokinesis with severely decreased left ventricular ejection fraction (10%). A repeat echocardiogram with contrast medium showed diffuse left ventricular hypokinesis with diagnostic monitoring via Swanz-Ganz catheter revealed a pulmonary wedge pressure (PWP) of 14mmHg. The patient continued receiving vasopressors and antibiotic therapy, while her renal function deterioration since admission warranted the prompt administration of renal replacement therapy. Further decline in renal function was marked by oliguria and worsening of creatinine levels. The patient declined cardiac catheterization and remained. On an unspecified date the patient was hospitalized and it was for 8 days. On unspecified date patient died with vaccine induced myocarditis (viral myocarditis) on eighth day of admission to hospital. The exact cause of death was not reported and it was unknown whether autopsy was performed. The other laboratory data includes, Creatinine (NR: 0.05 - 1.20) 1.21 mg/dL, Bicarbonate (NR: 22 - 29) 16 mmol/L, Creatine phosphokinase (NR: 20 - 190) 53 U/L, Procalcitonin (NR: 0.02 - 0.10) 0.07 ng/mL, C-reactive protein (NR: 0 - 3.00) 7.2 mg/L, pH (NR: 7.35 - 7.45) 7.02 (units unspecified), Partial pressure CO2 (NR: 35 - 48) 94 mmHg, Lactate (NR: 0.6 - 1.4) 8.3 mmol/L, PaO2 (NR: 83 - 108) 27 mmHg, The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vaccine induced myocarditis (viral myocarditis), acute hypoxic hypercapnic respiratory failure, septic shock, decline in renal function, 2+ aortic regurgitation, patient administered with 2 doses of vaccine, off label use was not reported. This report was serious (Death, Life Threatening, and Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210754113-covid-19 vaccine ad26.cov2.s - Death, vaccine induced myocarditis, acute hypoxic hypercapnic respiratory failure, septic shock, decline in renal function, 2+ aortic regurgitation. 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).; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH


VAERS ID: 1517883 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Dizziness, Fall, Influenza like illness, Insomnia, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use; Arthritis; Smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Blacked out; Knee operation; Panic attacks; Shoulder operation
Allergies:
Diagnostic Lab Data: Test Name: CT scan; Result Unstructured Data: Negative for stroke
CDC Split Type: USJNJFOC20210754977

Write-up: DIZZINESS; FALLEN; COULD NOT SLEEP; DID NOT FELT GOOD; SLIGHT NAUSEA; FLU-LIKE SYMPTOMS; This spontaneous report received from a patient concerned a 55 year old male of unspecified race. The patient''s weight was 155 pounds, and height was 69 inches. The patient''s past medical history included knee surgery, shoulder surgery, blacked out, and panic attacks, and concurrent conditions included arthritis, alcohol user: two beers, and smoker: four cigarettes. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, expiry: 24-JUL-2021) dose was not reported,1 total, administered on 21-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. Patient reported that he did not felt real good for the weekend after getting vaccine on 21-MAR-2021. He had Flu-like symptoms and nausea. Dizziness started approximately one week after the vaccine injection that came on but it hit like a freight train by the end of the week more moderate and continued to the degree that was consistent. He mentioned he could not eat marijuana gummies but due to the dizziness, he felt like he did. He described as if he took four hits off a joint and severe as if he took LSD. He had a fall on the golf course from the dizziness and since then avoided driving which impacted on work. He also mentioned that if he worked really hard like in construction, his dizziness had gone away but when he stopped or as soon as he stepped into his car, it came back. He said that he could not sleep. He said he did not wanted to lose his ever loving mind. Physician gave him a medication after hospital discharge but it made him felt off like a bad acid and he discarded it. Laboratory data (dates unspecified) included: CT scan (NR: not provided) was negative for stroke. He made a trip to the emergency room, and made several VA visits to try to manage the symptoms. VA physician cleaned his ears which did not helped. He mentioned among his medical history that he had almost ten surgeries mostly on his knee and on his shoulder and he had arthritis because of that. He stated that he had blacked out couple of times in the past prior to being vaccinated. Physicians thought that it was related to his heart but he said his heart was strong. It seemed from the conversation that he had panic attacks in the past but he knew what controlled them. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the dizziness, flu-like symptoms, slight nausea, did not felt good, fallen and could not sleep was not reported. This report was serious (Hospitalization Caused / Prolonged). This case, from the same reporter is linked to 20210755402.; Sender''s Comments: V0:20210754977-COVID-19 VACCINE AD26.COV2.S-Dizziness. 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: 1517895 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-07
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Allergy test, Back injury, Back pain, Blood test, Chest discomfort, Chest pain, Electrocardiogram, Hypoaesthesia, Injection site pain, Injection site swelling, Pain in extremity, Paralysis, Pruritus, Swelling face, Tendonitis, Weight decreased
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (narrow), 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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (consumption of alcohol-once in blue moon.); Cigarette smoker (10 cigarettes a day.); Fruit allergy (Some minor reaction to some fruits during on skin allergies test (ongoing).); Prediabetes (on first episode it was high.)
Preexisting Conditions: Comments: The patient had no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210416; Test Name: Electrocardiogram; Result Unstructured Data: Normal; Test Date: 202107; Test Name: Blood test; Result Unstructured Data: normal; Test Date: 20210717; Test Name: Electrocardiogram; Result Unstructured Data: normal; Test Name: Allergy test; Result Unstructured Data: Not reported(ongoing)
CDC Split Type: USJNJFOC20210760225

Write-up: PARALYSIS(WALK, UNSTEADY,LOSS OF BALANCE,LOSS OF COORDINATION OF LEGS, ARM AND LEGS FOR 10 MIN,PINS AND NEEDLES/TINGLING HANDS,ARMS,LEG AND FEET); SWELLING RIGHT CENTER OF CHEEK TO LEFT CHEEK ALL THE WAY TO EAR LIP TO CHEEK,DIFFICULTY TO TALK; NUMBNESS IN THE FACE; INTERMITTENT MIDDLE/UPPER BACK PAIN (RIGHT UNDER SHOULDER BLADE); CHEST PAIN; LOSING THAT MUCH WEIGHT; BACK INJURY(FELT A POP ON BACK, AND HAD DECREASED MOBILITY TO LEGS); EXCRUCIATING PAIN, STARTED IN LEFT UPPER ARM, IRRADIATING TO WRIST; SOFT TISSUE ISSUE (TENDINITIS); ITCHINESS AND BUMPS ON BOTH ARMS, FOREARM AND HAND; PRESSURE PAIN IN CHEST/STERNUM; PAIN AT SITE INJECTION; SWELLING AT SITE OF INJECTION; This spontaneous report received from a patient concerned a 54 year old female. The patient''s weight was 236 pounds, and height was 53 centimeters. The patient''s concurrent conditions included prediabetes, some fruit allergies, alcohol user, and cigarette smoker, and the patient had no history of drug abuse or illicit drug usage. The patient experienced drug allergy when treated with estradiol, prednisone steroids, antihistamines, anxiolytics. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the patient experienced swelling at site of injection. On 10-APR-2021, the patient experienced pain at site injection. On 14-APR-2021, the patient experienced pressure pain in chest/sternum and Echocardiogram was done which was normal. On 17-APR-2021, the patient experienced itchiness and bumps on both arms, forearm and hand. On 18-APR-2021, the patient consulted to orthopedic doctor, who presumed soft tissue issue (tendinitis). On 21-APR-2021, all the sudden, left side of face, patient felt swelling right center of cheek to left cheek all the way to ear swelling lip to cheek, difficulty to talk, paralysis arms and legs for 10 min and felt numbness in the face. Emergency medical technician send her to hospital and admitted for 2 days for observation at hospital. They thought it was a TIA but it was then ruled out and discharged on 22-Apr-2021. After hospitalization had issues walking, unsteady, did not feel balanced, after a few days balance seemed to come back but felt numbness on feet and arms. On 10-MAY-2021, the patient experienced excruciating pain, started in left upper arm, irradiating to wrist and treated with IV Toradol in emergency room which alleviated the severity of pain, when patient back home used Motrin, which worked. The patient described pain as there was a big rubber band around arm since a couple of weeks after vaccine and somebody grabs by arm with their finger and thumb stated it feels like there was something underneath it. On 18-JUN-2021, the patient experienced back injury felt a pop on back and had decreased mobility to legs and nurse line recommended ice packs and Motrin. After 3 weeks it get better .On 18-JUN-2021, the patient losing that much weight 236 lbs at time of first episode and now its 193 lbs. On 12-JUL-2021, the patient experienced chest pain. On 21-JUL-2021, the patient experienced intermittent middle/upper back pain (right under shoulder blade).The patient all the sudden felt overall weakness she sat down but could get up, paralysis of only legs but did not affect arms that much which lasted for lasted about 10 min and emergency medical technician advised go to hospital but her vitals were ok. After episode, she had serious problems walking constant tingling on feet and legs up to just above knees, hands and arms and went to emergency room day after second attack due to issues walking, waited 7.5 hours sitting, blood test was done which was normal and she got referred to neurologist and possible cardiologist, during appointment with doctor patient had chest pain. Doctor, did an Electrocardiogram which was normal and gave a referral for cardiology and neurology. On JUL-2021, Laboratory data included: Blood test (NR: not provided) normal. Laboratory data (dates unspecified) included: Allergy test (NR: not provided) Not reported (ongoing). Treatment medications (dates unspecified) included: ibuprofen, and ketorolac tromethamine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pressure pain in chest/sternum on 14-APR-2021, chest pain, and itchiness and bumps on both arms, forearm and hand on 17-JUL-2021, and swelling at site of injection on 11-APR-2021, was recovering from pain at site injection, and excruciating pain, started in left upper arm, irradiating to wrist, had not recovered from soft tissue issue (tendinitis), back injury(felt a pop on back, and had decreased mobility to legs), paralysis(walk, unsteady, loss of balance, loss of coordination of legs, arm and legs for 10 min, pins and needles/tingling hands, arms, leg and feet), numbness in the face, intermittent middle/upper back pain (right under shoulder blade), and losing that much weight, and the outcome of swelling right center of cheek to left cheek all the way to ear lip to cheek, difficulty to talk was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20210760225-covid-19 vaccine ad26.cov2.s-paralysis(walk, unsteady, loss of balance, loss of coordination of legs, arm and legs for 10 min, pins and needles/tingling hands, arms, leg and feet), swelling right center of cheek to left cheek all the way to ear lip to cheek (difficulty to talk), numbness in the face. 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). 20210760225-covid-19 vaccine ad26.cov2.s-excruciating pain, started in left upper arm, irradiating to wrist. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1517896 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-03-22
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Erythema, Hypokinesia, Joint swelling, Loss of personal independence in daily activities, Neck pain, Pain in extremity, Peripheral swelling, Thrombosis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Allergy to antibiotic; Egg allergy; Non-smoker
Preexisting Conditions: Comments: The patient was not pregnant at the time of report. The patient had no history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Clot blood; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210760230

Write-up: PAIN IN THE NECK; BACK PAIN; TROUBLE IN RAISING HER ARM; DAILY LIVING ACTIVITY AFFECTED; SWELLING ON THE LEFT ARM; SWELLING ON THE LEFT SHOULDER; REDNESS ON THE LEFT SHOULDER AND ARM; PAIN IN LEFT SHOULDER; PAIN IN LEFT ARM; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included egg allergy, antibiotic medication allergy, non smoker, and abstains from alcohol. The patient was not pregnant at the time of report. The patient had no history of drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805031 and expiry: 26/MAY/2021) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 22-MAR-2021, the subject experienced pain in the neck. On 22-MAR-2021, the subject experienced back pain. On 22-MAR-2021, the subject experienced trouble in raising her arm. On 22-MAR-2021, the subject experienced daily living activity affected. On 22-MAR-2021, the subject experienced swelling on the left arm. On 22-MAR-2021, the subject experienced swelling on the left shoulder. On 22-MAR-2021, the subject experienced redness on the left shoulder and arm. On 22-MAR-2021, the subject experienced pain in left shoulder. On 22-MAR-2021, the subject experienced pain in left arm. On APR-2021, Laboratory data included: Clot blood (NR: not provided) Negative. Treatment medications (dates unspecified) included: codeine, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swelling on the left arm, swelling on the left shoulder, and redness on the left shoulder and arm on MAY-2021, was recovering from pain in left arm, pain in left shoulder, pain in the neck, and back pain, and the outcome of daily living activity affected and trouble in raising her arm was not reported. This report was non-serious.; Sender''s Comments: V0- Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1517902 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-03-17
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiac stress test, Computerised tomogram, Eating disorder, Insomnia, Pulmonary embolism, Pulmonary function test, Suspected COVID-19
SMQs:, Embolic and thrombotic events, venous (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (Social events (once every three months)); Non-smoker; Seasonal allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Pulmonary embolism; Sneezing; Comments: The patient had no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210618; Test Name: CT scan; Result Unstructured Data: not reported; Test Date: 20210618; Test Name: Stress test; Result Unstructured Data: not reported; Test Date: 20210618; Test Name: Pulmonary function test; Result Unstructured Data: not reported; Test Date: 20210618; Test Name: CAT scan; Result Unstructured Data: saddle pulmonary embolism
CDC Split Type: USJNJFOC20210760485

Write-up: SADDLE PULMONARY EMBOLISM; COVID-LIKE SYMPTOMS; COULD NOT SLEEP; COULD NOT EAT; This spontaneous report received from a patient concerned a 51 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included saddle pulmonary embolism, and sneezing, and concurrent conditions included alcohol user, non-smoker, and seasonal allergies. The patient had no history of drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and expiry: 10-JUL-2021) dose was not reported, 1 total administered to left arm on 17-MAR-2021 at about 08:00 for prophylactic vaccination. No concomitant medications were reported. On 17-MAR-2021, evening post vaccination from Wednesday evening to Saturday, the patient experienced chills, lightheaded, worn out, lethargic, dizzy, achy, chills, covid-like symptoms, could not sleep, could not eat and could not get comfortable and saddle pulmonary embolism. The patient missed work Thursday and Friday. On 22-MAR-2021, the patient''s wife and son noticed that the patient had a hard time breathing while doing daily tasks (like walking down the stairs of his house and while playing bowling). It was reported that the patient tried to downplay his difficulty breathing. On 27-MAR-2021 while the patient was fertilizing his yard noticed that he was sweating profusely and felt that his heart was racing and that he had difficulty completing his yard work. A week later, symptoms of difficulty breathing appeared while moving and going up one flight of stairs. It was reported that the tasks that he could normally do, he was struggling. On 18-APR-2021, the patient had a physician''s appointment and on 18-JUN-2021 he underwent the laboratory investigations of computed tomography (CT) scan, computed axial tomography (CAT) scan, stress test and pulmonary function tests. Upon the CAT scan results the patient was diagnosed with saddle pulmonary embolism of the lungs following which the patient was admitted to the hospital. The patient was discharged on 20-JUN-2021, and the duration of hospitalization were 2 days. Treatment medications included Eliquis (apixaban), but bad side effect of dizziness. The patient was then switched to Xarelto (rivaroxaban), but had intermittent feelings of vertigo for which he was on Meclizine. Constant in neck and shoulders, the patient was prescribed with Norco (hydrocodone bitartrate/paracetamol). It was reported that the patient was currently experiencing dizziness and swelling in his left leg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from covid-like symptoms, could not sleep, could not eat on 21-MAR-2021 and recovered with sequelae from saddle pulmonary embolism on 20-JUN-2021. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0- 20210760485- Covid-19 vaccine ad26.cov2.s. Saddle pulmonary embolism. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY


VAERS ID: 1517906 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-03-29
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Brain neoplasm, Computerised tomogram, Creutzfeldt-Jakob disease, Lumbar puncture, Magnetic resonance imaging, Sleep terror
SMQs:, Dementia (narrow), Non-haematological tumours of unspecified malignancy (narrow), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Blood pressure high; Non-smoker
Preexisting Conditions: Comments: Patient had no known allergies, no drug abuse or illicit drug usage. The patient had always been independent, intelligent with outstanding memory.
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: CT scan; Result Unstructured Data: Unknown; Test Date: 202107; Test Name: Blood test; Result Unstructured Data: unknown; Test Date: 202107; Test Name: Lumbar puncture; Result Unstructured Data: unknown; Test Date: 202107; Test Name: Magnetic resonance imaging; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210760791

Write-up: CREUTZFELDT-JAKOB DISEASE; TINY TUMOR IN THE FRONT OF BRAIN; AFRAID AT NIGHT TO STAY ALONE; This spontaneous report received from a consumer concerned a 62 year old female. The patient''s weight was 230 pounds, and height was 67 inches. The patient''s concurrent conditions included high blood pressure, non alcoholic, and non smoker. Patient had no known allergies, no drug abuse or illicit drug usage. Patient had always been independent, intelligent with outstanding memory The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number and expiration date was unknown) dose was not reported,1 total, administered on 08-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. After 3 weeks receiving the vaccine, patient went downhill. On 29-MAR-2021, the patient had, complained of arm being numb and started forgetting things. She started having very bad memory issue, was afraid at night to stay on her own and was agitated and emotional. She also had coordination issues, could not get into the car on her own, could barely stand up from the sitting position and would go side by side when walking. She could not form an understandable sentence so she was taken to the hospital and hospitalized from 31-MAY-2021 to 17-JUN-2021. Then she was taken to Psychiatric unit and sent her home with an appointment to see a neurologist. On 03-JUL-2021, patient was found naked on the kitchen floor, she could not remember anything and nothing made sense. She was taken back to the hospital with the ambulance and later on (unknown date) the hospital transferred her to the another hospital, at the time of reporting patient was hospitalized there. They did computerized tomography scan, Magnetic resonance imaging, lumbar puncture and blood works but did not have any results. During hospitalization they found a tiny tumor in the front of the brain and diagnosed Creutzfeldt-Jakob disease. The hospital also said no dementia and no Alzheimer''s disease. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from tiny tumor in the front of brain, and creutzfeldt-jakob disease, and the outcome of afraid at night to stay alone was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210760791-covid-19 vaccine ad26.cov2.s-Creutzfeldt-jakob disease and tiny tumor in the front of brain. This event(s) is considered un-assessable. 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: 1517928 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2021-04-14
Onset:2021-04-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Thrombophlebitis superficial, Ultrasound scan
SMQs:, Dementia (broad), Embolic and thrombotic events, 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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210521; Test Name: Ultrasound scan; Result Unstructured Data: 5 to 6 centimeter clot
CDC Split Type: USJNJFOC20210763153

Write-up: NOT FELT RIGHT/FEEL OFF IN TERMS OF MENTAL ACUITY, CLARITY AND SHARPNESS WAS DECLINED; 5-6 CENTIMETERS OF BLOOD CLOTTING IN THE SAPHENOUS VEIN IN THE RIGHT LEG; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular) dose was not reported, administered on 14-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 14-APR-2021, the subject experienced 5-6 centimeters of blood clotting in the saphenous vein in the right leg. On 20-APR-2021, the subject experienced not felt right/feel off in terms of mental acuity, clarity and sharpness was declined. On 21-MAY-2021, Laboratory data included: Ultrasound scan (NR: not provided) 5-6 centimeter clot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from not felt right/feel off in terms of mental acuity, clarity and sharpness was declined, and had not recovered from 5-6 centimeters of blood clotting in the saphenous vein in the right leg. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.


VAERS ID: 1518495 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-05-06
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Fall, Gait disturbance, Guillain-Barre syndrome, Infusion, Lumbar puncture, Magnetic resonance imaging, Muscle atrophy, Muscular weakness, Pain, Pain in extremity, Scan brain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Demyelination (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 80 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril-HCTZ 20-25 mg tab Lisinopril 20 mg tab Carvedilol 20 mg tab Carvedilol 6.25 mg tab Gabapentin
Current Illness: Prostate Cancer
Preexisting Conditions: Hypertension (high blood pressure) Cortisone shots foe herniated disc
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Burning pain started in right leg and thighs on 5/6. On 5/8 he fell from his legs giving out. Pain continued to worsen and both legs began the burning. From 5/8-5/26 he fell 8 times from his legs giving out. On 5/26 he was admitted to hospital and was released on 5/28. He had bloodwork, CT scan, MRI?s and a brain scan and no cause was discovered. The pain and his legs usage continued to worsen. He had in-house physical therapy from hospital discharge. By 7/4 the pain was horrendous and he went to the emergency room at a different hospital. He was admitted and they did bloodwork, MRI?s, and a spinal tap. On 7/6 he was diagnosed with Guillain Barre Syndrome. He immediately started treatment which consisted of infusions for 5 days. After the infusion treatment it has been the task of pain control. By this time his muscles have deteriorated and walking has become a challenge and struggle. On 7/24 he was discharged from the hospital to a rehab for physical therapy and occupational therapy.


VAERS ID: 1518517 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-08
Onset:2021-07-18
   Days after vaccination:101
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205AZ1A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Antiphospholipid syndrome, Aphasia, Computerised tomogram abnormal, Headache, Ischaemic stroke, Laboratory test, Magnetic resonance imaging abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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? No
Previous Vaccinations:
Other Medications: Birth Control, spironalactone
Current Illness: None
Preexisting Conditions: Acne
Allergies: None
Diagnostic Lab Data: ct scan, mri, lab run on 7/20/2021
CDC Split Type:

Write-up: ischemic stroke with diagnoses of antiphospholipid syndrome. Patient is a healthy 20 year old, college student and athlete. She was having a hard time saying words. She could see them in her mind but couldn''t come up with the word. She also had an extreme headache at the time as well. This went on and off for 2 days before we took her in because who would think a 20 year old college athlete would be having a stroke? After running a CT scan and MRI it showed. She had an ischemic stroke and now has been diagnosed with Antiphospholipid syndrome, hospitalized one day but #21 won''t let me mark that. Was in hospital.


VAERS ID: 1518551 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-07-29
Onset:2021-07-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chest X-ray normal, Chest discomfort, Chest pain, Chills, Computerised tomogram thorax normal, Cough, Differential white blood cell count, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal, Fatigue, Fibrin D dimer increased, Full blood count, Headache, Injection site pain, Lethargy, Metabolic function test, Myalgia, Neck pain, Pain, Platelet count, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Aspirin
Diagnostic Lab Data: Chest x-ray, Chest CT scan, 12-lead EKG, CBC with differential, Comprehensive metabolic panel, D-dimer test, Platelet check
CDC Split Type:

Write-up: Localized muscle soreness at the injection site occurred within an hour following the vaccination on 7/29/2021. Upon waking on 7/30/2021, I experienced severe widespread muscle soreness, headache, and extreme fatigue. As the day progressed, I developed a dry cough, had chills and body aches, difficulty breathing, and lethargy. By evening, I was having labored breathing (with and without exertion), chest pain and tightness, localized pain in my right neck and shoulder, and pain in lower back. At approximately 10:00 PM on 7/30/2021 I went to the Emergency Room due to my breathing. At the emergency room they examined me for a pulmonary embolism taking an EKG, chest x-ray, and a chest CT scan as well as running a d-dimer, CBC with differential, and platelet lab test. The scans were ordered after my tests revealed a positive result with the d-dimer lab test but revealed no sign of blood clots at the present time. The diagnosis was an adverse reaction to the vaccine and I was told to keep monitoring for signs of blood clots while taking Motrin.


VAERS ID: 1518591 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-31
Onset:2021-07-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mydriasis, Oropharyngeal pain, Presyncope
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PATIENT IS TYPE- 1 DIABETIC AND IS ON INSULIN.
Current Illness: N/AP
Preexisting Conditions: TYPE-1 DIABETIC
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT HAD A SYNCOPE KIND OF REACTION. PATIENT DID NOT COMPLETELY PASS OUT BUT EYES WERE DILATED AND THROAT WAS HURTING IN THE BEGINNING. 911 WAS CALLED AND PATIENT WAS TRANSPORTED TO HOSPITAL.


VAERS ID: 1518739 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-07-14
Onset:2021-07-23
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZIA / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Biopsy skin abnormal, Blood culture, Blood test, Chest X-ray, Cutaneous vasculitis, Echocardiogram, Oral mucosal eruption, Pruritus, Rash, Renal function test
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vasculitis (narrow), Skin tumours of unspecified malignancy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: methadone
Current Illness:
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: SKIN BIOPSY, ECHOCARDIOGRAM, CHEST X RAY, BLOOD CULTURES, INFECTION SCREENING BLOOD WORK, LABS FOR MONITORING KIDNEY FUNCTION
CDC Split Type:

Write-up: FULL BODY RASH INCLUDING FACE AND INSIDE MOUTH, ALL EXTREMITIES, HANDS AND FEET INCLUDING PALMS AND SOLES --- DIAGNOSED AS ACUTE CUTANEOUS LEUKOCYTOCLASTIC VASCULITIS, CONFIRMED BY BIOPSY. TREATED WITH IV STEROIDS, SUPPORTIVE CARE INCLUDING PAIN MEDICATIONS AND BENADRYL FOR ITCHING. REQUIRED 5 DAYS HOSPITALIZATION FOR WORKUP AND TREATMENT, WITH PLAN FOR PROLONGED STEROID TAPER AND FOLLOW UP WITH DERMATOLOGY


VAERS ID: 1518742 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-08
Onset:2021-07-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Blood test, Chest X-ray, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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: No Prescriptions, No OTC Meds, Bile salts & digestive enzymes{no gallbladder}, fish oil, calcium magnesium zinc, MSM, Pycnogenol, L-Arginine, Standard Process Congaplex, ThytrophinPMG,
Current Illness: None
Preexisting Conditions: None
Allergies: None that I know of
Diagnostic Lab Data: Blood chemistry, x-rays of chest 7/28/2021
CDC Split Type:

Write-up: Blood Pressure and Pulse have been spiking and lowering to close to normal Highest recorded was 233/112 220 MAP pulse 96 Normal for me is 130/79 90MAP 55Pulse


VAERS ID: 1518762 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-03-11
Onset:2021-04-06
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Computerised tomogram, Ear pain, Neck pain, Pain, Pruritus, Sleep disorder, Swelling, Throat tightness, Toothache, Urinary tract infection
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications: Lorsartan-potasium 20 mg Fourismide 20 mg
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: CT Scan approx June 1 MRI July 16
CDC Split Type:

Write-up: March 11 took Janssen Covid vaccine April 1 took my second Shingrix vaccine April 6, started having what I thought might be an ear infection left ear, started out as like a constant itching way down deep April 7, went to clinic, was given a z pack and steroids April 13, went back to clinic, was given Augentin 10 days and prednisone During this time, pain getting worse and radiating May 19, Feels like my neck is boiling? On fire, pain radiating and it almost felt like chest pain Went to hospital, CT scan, they say normal. Told me to take sudafed around the clock and gave me singular? During this time, I would feel pretty good in the mornings but it was anyones guess how long I would last through the day. Once Istarted having the swelling in my neck, I would be done for the day and nothing except sleeping on a heating pad would even come close to helping May 25-Nurse practioner gave me 5 more days of augmentin and tylenol with codine June 1st- The same neck boiling up happens, this time it felt like my throat was closing up. I called emergency services as I was alone and husband did not answer phone. Went to ER. They coded it as neck pain. Told me nothing was wrong. They did do 113 lab tests and did not discuss with me. After this, I made appointment with primary care and ENT as advised I call original endondist and they said to call a neurologist as he thinks is is nerve pain. Made appointment wiht neurologist and that appoitment is on 8/9 June 10-Went to urgent care, they put me on ivermectin told me I was having lingering issues from vaccine June 17-Getting worse, NP put me on Cipro 5 days All during this time, I am in pain at least half of the day. I go to sleep right after work and lay on a heating pad. I have slept no longer than 3 hours at a time since this started June 21 I have the appointment wiht ENT. I take my CT scan. She says she see some thing that do not look right to her and she want to have a radiologist look at it and will call me the next day. I do not hear anything. I send messages to clinig on 6/29. 7/2 and 7/8 After the 7/8 message I was called to go do an MRI. 7-16 MRI done 7-19 Radiology faxes me copy of MRI results 7-20 clled ENT clinic and no call back 7/21 Requested an appointment in online portal, I am lethargic and know something is not right. Still have the pain in neck, ears. Wherever it is. 7/23 Call clinic and said I need to be seen, see PA. Husband was with me. I did not know what was wrong. 7/24 Feel so much worse, because of all money spent, could not go to ER gain. Went to urgent care and had a UTI. Was given MACROBID 7 days 7/27 tooth that had original root canal is now painful and ear on left side radiating pain 7/28 neck pain in right side is much better, been alternating heat and ice. It is the left side that is still so painful Dr called to talk to me about MRI and plan, he advised me to call endodontist. His office says they will prescribe me a medrol dose pack and the first available appointment is 8/18 The PA tells me "We think you were injured by the vaccine, we do not know what to do about it. She told me to report it and to call the NP who had given me ivermectin to get that again.


VAERS ID: 1518807 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hyperhidrosis, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: never had vaccination
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type:

Write-up: Pt felt nausea/feinting/weak/sweat. I called the ambulance and ask Pt to turn on his heart monitor on his phone device. His pulse rate was 75 and BP 110/75.


VAERS ID: 1518820 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-07-31
Onset:2021-07-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Eye pain, Musculoskeletal stiffness, Somnolence, Trismus
SMQs:, Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Arthritis (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: Vitamin C and Vitamin D supplements
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Back pain, joint pain, stiff fingers and toes, jaw twitch, eye soreness, sleepiness


VAERS ID: 1518840 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-28
Onset:2021-06-11
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral, Arteriogram carotid, C-reactive protein, Computerised tomogram head, Differential white blood cell count, Echocardiogram, Full blood count, Glycosylated haemoglobin, Lipids, Magnetic resonance imaging head, Metabolic function test, Red blood cell sedimentation rate, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Hydroxychloroquine, Nasacort, Vitamin D, L-Lysine
Current Illness: None
Preexisting Conditions: Graves disease, Celiac disease
Allergies: Penicillin, Celiac Disease (gluten)
Diagnostic Lab Data: 6-11-2021 (ER) Comprehensive Metabolic Panel CBC w differential CT brain wo contrast CTA head CTA carotid 6/12 sedimentation rate C-Reactive Protein 6/19 hemoglobin a1c lipid panel 6/24 MRI brain wo contrast 7/8 CTA head Echo 2d doppler adult
CDC Split Type:

Write-up: TIA occurred 6-11-2021


VAERS ID: 1518876 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-06
Onset:2021-03-18
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NDC #59676-580- / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood pressure increased, Epistaxis, Gait inability
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Hypertension (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxin, gabapentin, norvasc
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 2 weeks after having the vaccine I awoke one day unable to walk. This went on several days, then my nose started bleeding often and my blood pressure went up, I was taken to the hospital twice and during that time I had another spell where I couldn?t walk and still am very weak.


VAERS ID: 1518949 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-03
Onset:2021-06-26
   Days after vaccination:115
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Anxiety, Computerised tomogram normal, Electrocardiogram normal, Facial paralysis, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging normal, Neurological symptom, Paraesthesia, Transient ischaemic attack, Ultrasound scan normal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: First diagnosis was TIA and high levels of anxiety Everything else came back negative
CDC Split Type:

Write-up: Symptoms of a stroke. Left side of face drop Numbness and tingling High levels of anxiety Treatment; prescribed Ativan for anxiety Sonogram MRI CAT scan lab work EKG


VAERS ID: 1518966 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-02
Onset:2021-07-10
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Echocardiogram normal, Monoplegia, Paralysis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide, Amlomidpene, Klonopin.
Current Illness: Slight cold
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 7/10/21 - echocardiogram. Results normal.
CDC Split Type:

Write-up: Sudden paralysis of hands and arms on July 10 2021. Sudden paralysis of hands and arms on August 1 2021.


VAERS ID: 1518969 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-06
Onset:2021-04-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram abnormal, Antinuclear antibody, Arthralgia, Back pain, Bartonella test negative, Blood thyroid stimulating hormone decreased, Body temperature increased, Borrelia test, Cardiac stress test normal, Chest X-ray abnormal, Chest discomfort, Computerised tomogram head normal, Confusional state, Dizziness, Dyspnoea, Ear discomfort, Echocardiogram, Electric shock sensation, Electrocardiogram ambulatory, Electrocardiogram normal, Emphysema, Exostosis, Eye movement disorder, Fatigue, Feeling abnormal, Feeling hot, Fibrin D dimer normal, Haematocrit, Haemoglobin, Head discomfort, Headache, Influenza like illness, Intervertebral disc space narrowing, Iris disorder, Lyme disease, Magnetic resonance imaging head normal, Malaise, Mania, Metabolic function test, Muscle twitching, Muscular weakness, Mycoplasma test, Nausea, Neck pain, Pain in extremity, Pain in jaw, Palpitations, Panic attack, Paraesthesia, Parasitic blood test negative, Platelet count normal, Pneumonia, Rheumatoid factor negative, Scan with contrast, Sensory disturbance, Spinal X-ray, Syncope, Thyroxine free normal, Tremor, Troponin normal, Vein disorder, Vertebral osteophyte, Vision blurred, Visual impairment, White blood cell count increased
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Vestibular disorders (broad), Osteonecrosis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (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: None
Current Illness: None
Preexisting Conditions: Nicotine dependence. Infected tooth
Allergies: levofloxacin- visual disturbance
Diagnostic Lab Data: ER visit 4/15/21: Palpitations and pre-syncope ever since the covid shot. Labs showed WBC high 11.4, normal platelets, nl CMP, negative D dimer and troponin. CXR showed possible LLL pneumonia. Sent home with a Z pak. 4/27/21: CT head no contrast - normal 4/27/21 : Xray Lumbar spine Transitional S1 vertebra(developmental change) anterior osteophytes at L3, minimal narrowing of L5-S1 disc. incidental IUD in uterus and Surgical clips from cholecystectomy TEE 6/28/21: negative Holter monitor 6/14/21 sinus with rates between 40 and 120. 6 PAC''s 2 atrial couplet and one quadruplet. Cardiology visit 6/8/21: Dx symptoms after covid vaccine- sent for cardiac studies. Negative exercise stress test 6/22/21 7/20/21 CD 57 202, WBC 11.3, N 8.3, High H/H 16.9, 49.4 , CMP, Neg bart/b microti, Lyme, Myco IgG 239, FT4 1.36, TSH 0.639, neg RF, ANA, B duncani 1:256 7/23/21 CT angio chest w and w/o: scattered areas of emphysema in the upper lobes, mild spurring of thoracic spine. No clots, no acute abnormality 7/23/21 neg CXR 7/23/21 MRA of the brain no contrast: negative. Persistent R trigeminal artery
CDC Split Type:

Write-up: On April 6th she received the Johnson and Johnson Covid vaccination. She was asked to wait 30 minutes longer when she mentioned a past allergic reaction to Levaquin which caused visual disturbances. 2 minutes after she sat down to wait the 30 minutes she began to have what felt like an adverse reaction. The floor tiles were morphing/melting together, her heart began to race, it felt like she had a very strong palpitation that took her breath away, she felt short of breath, and she felt heat radiate from her neck to her ears. It felt as if she was going to pass out in her chair. She alerted the medic and was made to wait an additional 40 minutes in that area. A nurse monitored her and explained it was syncope and suggested she had needle phobia(she has never had a problem with needles before.) After this occurred she drove back to home very confused as to what had happened. That evening after the vaccine she had horrible leg pains and was incredibly exhausted. She went to bed early feeling achy in her joints like she had the flu setting in with some nausea. The next couple of days were very confusing and she had what felt like intense mania. Her heart rate had not returned to normal and she was beginning to take notice. Her heart just felt like it is beating "hard" like the bounding heart feeling she remembers from when she had mononucleosis. When she stood up for long periods of time she felt faint, almost immediately. On April 15th, she ended up calling 911. She thought she was having a heart attack. Her heart began to race very fast suddenly while she was rolling balls of playdough with her 3 year old son and she started noticing weakness in her arms, brain fog, heavy chest, and what felt like tightening of her heart muscles. She was having trouble catching her breath as well. When the ambulance got there they clocked her temp as 102 F. . When she arrived at Hospital they assessed her and ran an EKG which revealed at the time the heart was fine, even though it was racing very fast and feeling as though it was being over worked. They ran a chest X-ray as well, and blood work. Before any results came back they offered her an Ativan for ?panic attack?, she was at that point ready to check herself out. When she mentioned this began 2 minutes after the vaccine they pretty much looked at her as if she was being paranoid due to the fact it was the J&J vaccine. When the results came back they told her she had pneumonia and sent her on her way with a Z-Pack. She left that afternoon still feeling very sick and confused, but she assumed it was all related to her ?pneumonia? diagnosis. Sometime after that ER visit she began developing ear pressure behind her right ear (which later spread to both ears) that was intense. It would heighten if she was standing or talking for too long and it would build the pressure throughout her head causing severe pain. It radiated from her head to the back of her neck and into the jawline even. Noise seemed to also be a trigger/ make it worse. The only relief she got was laying down. She began having unusual ?spells? daily some time after that and it became debilitating. She is a stay at home Mom of a 3 yr old boy, and 2 yr old girl and it has not been easy making certain she is all the Mom she can be for them lately. When these spells occur, it almost feels as if she is having either a stroke or a heart attack and she is left feeling very confused and utterly exhausted afterwards. She would have shaking all over like her legs were shaking also her hands shook and she got confused. The shaking lasted about 3-4 minutes then she feels exhausted afterward. Her heart rate would also go up before the shaking. She did not go completely unconscious with the spells. Her husband describes the spells also as shaking of the limbs lasting no more than 3-4 minutes. On April 22nd she ended up seeing her PCP, . He sat down and listened to everything she had to say and was very thorough with testing. He also noticed abnormal amounts of fluid on her right ear and prescribed her Claritin, also for precautionary measure he put her on Aspirin as well. He diagnosed her with probable Lyme disease and started her on Doxycycline 100mg twice daily, for 3 months. Since seeing the Doctor she has noticed daily symptoms but with some improvement, she thinks thanks to the Doxycycline, though some symptoms are new. They seem neurological to her and that is concerning. Her left eye sometimes involuntarily moves on its own- it looks/deviates upward and to the left 2-3 times a week for a few seconds. Her arms tend to tingle and feel weightless at times for a few seconds 2-3 times a week. Her legs tend to buckle under sometimes at the knee or ankles like her knees are forgetting how to carry her weight or like she is drunk, also only lasts a few seconds but 5-6 times a day. She has blurred vision that seems to come and go, worse in mornings and evenings that started in April. Mainly in the am when trying to read small print. But other times eyes are fine. She also has pulsations of her irises going larger and smaller like they are pulsating- that comes with the bounding heart. That can last several minutes to several hours. It comes and goes now, but was all day back in May and June. She also had a weird buzzing or vibrating sensation within her body, almost feels like it stems from her spine in the center. It was in her back/spine at first. Now it is in her legs and left ankle like electricity inside of her body. Can last 20-30 minutes 4-5 times a day. It was a very sharp pain when it happened in the back, but now it is not really even a pain, it is much milder. . The veins in her head throb, and pulsate irregularly. That was in the left parietal region and she could see it move there. Now she also has random muscle twitching in her left thigh, both sides/lateral ribs, Upper chest under the rib cage, the upper arms, now most recently the fingers are twitching randomly middle finger of L hand, and 4th and 5th finger of her R hand, and L foot. This has been more in June and July. She also has twitching at night when she falls asleep. When lying on her r side her face twitches and pulls forward These symptoms were ongoing at the time of her first visit with me 7/15/21


VAERS ID: 1519065 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-16
Onset:2021-08-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Hyperventilation, Laboratory test normal, Obstructive airways disorder, Vision blurred
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Theophylline 100 mg/day Prilosec 20 mg/day Ventolin Losartin 25 mg/day
Current Illness: None
Preexisting Conditions: Asthma, acid reflux, hypertension
Allergies: No
Diagnostic Lab Data: All results came back normal
CDC Split Type:

Write-up: This Morning (Sunday 8/1/2021) at around 9:30 am, I felt tightening in the left side of my chest and my airways were closing. My wife rushed me to the emergency room at . During the ride I was very dizzy and started having blurred vision. I measured my oxygen using an oximeter, it was 77 SPO2. My oxygen is usually between 96 and 100 SPO2. I started to hyperventilate as fast as possible until we reached the hospital.


VAERS ID: 1519278 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Body temperature, Inflammation scan, Influenza like illness, Pyrexia, SARS-CoV-2 test, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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:
Current Illness: Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210703; Test Name: Body temperature; Result Unstructured Data: 101-102 F; Test Date: 20210711; Test Name: Inflammation scan; Result Unstructured Data: tested negative for inflammation; Test Date: 20210711; Test Name: Urinalysis; Result Unstructured Data: negative for infections; Test Date: 20210711; Test Name: Blood test; Result Unstructured Data: did not reveal any conditions; Test Name: COVID-19 virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210763048

Write-up: INTERMITTENT FEVER; FLU-LIKE SYMPTOMS; This spontaneous report received from a patient concerned a 42 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A ,expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced flu-like symptoms. On 03-JUL-2021, the subject experienced intermittent fever. Laboratory data included: Body temperature (NR: not provided) 101-102 F. On 11-JUL-2021, Laboratory data included: Blood test (NR: not provided) did not reveal any conditions, Inflammation scan (NR: not provided) tested negative for inflammation, and Urinalysis (NR: not provided) negative for infections. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) Negative. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like symptoms on 12-APR-2021, and was recovering from intermittent fever. This report was non-serious.; Sender''s Comments: V0; Medical assessment comment not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1519279 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-03-13
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Headache, SARS-CoV-2 test positive, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), 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: Alcohol use (a few times a month to none.); Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies and no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210705; Test Name: Body temperature; Result Unstructured Data: 101.4 F; Test Date: 20210708; Test Name: COVID-19 virus test positive; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210763118

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; LIGHT CHILLS; SLIGHT HEADACHE; This spontaneous report received from a 53-year-old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, and alcohol user (a few time in month to none). The patient had no known drug allergies and 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: 1805022, and expiry: UNKNOWN) dose was not reported, 1 in total administered on 13-MAR-2021 into left arm between 13:00 hours to 14:00 hours for prophylactic vaccination. No concomitant medications were reported. On 13-MAR-2021, the patient experienced light chills and slight headache and took ibuprofen to relieve symptoms. By 21:00 hours, of the same day, patient felt normal and symptoms resolved. She travelled from 27-JUN-2021 to 01-JUL-2021. On 05-JUL-2021, the patient experienced COVID-19 symptoms of cough, fever (highest at 101.4F), congestion, body aches (felt like sunburn on inside and outside of body; skin hurt to touch), sore throat, extreme fatigue, severe weakness, nausea, diarrhea) and suspected clinical vaccination failure. She was sick for 2 weeks. On 08-JUL-2021, she tested positive for COVID-19. She received letter from Health department on 12-JUL-2021 to be in isolation through (16-JUL-2021). She went to the emergency room (ER) on 13-JUL-2021 , prompted by pain in chest and shortness of breath were severe. She was given antibiotics (unspecified) and inhaler at the ER. She made her primary care physician (PCP) aware and had follow up appointment on 16-Jul-2021. During time of sickness, she had congestion, which did not end until 23-JUL-2021. She was off work for another week. Laboratory data included: Body temperature (NR: not provided) 101.4 F and COVID-19 virus test positive (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from suspected covid-19 infection on JUL-2021, and light chills, and slight headache on 13-MAR-2021, and the outcome of suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0 - 20210763118- 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


VAERS ID: 1519558 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-12
Onset:2021-07-30
   Days after vaccination:140
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Other       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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Alprazolam, Buproprion XL, Diclofenac, Diflucan, hydrochlorothiazide, pantoprazole, rizatriptan, simvastatin and zolpidem
Current Illness:
Preexisting Conditions: Obesity, HTN, HLD
Allergies: Macrolide Antibiotics, Sulfa, Erthromycin
Diagnostic Lab Data: Testing was performed using the SARS-CoV-2 RT-PCR Cepheid assay. - Covid (+)
CDC Split Type:

Write-up: Patient COVID positive 7/30 currently hospitalized requiring oxygen and receiving dexamethasone and remesidivir therapy.


VAERS ID: 1519562 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Cardiovascular function test, Computerised tomogram, Dyspnoea, Endoscopy, Endotracheal intubation, Epistaxis, Hypertension, Intensive care, Laboratory test, Mechanical ventilation, Mouth haemorrhage, Pruritus, Pulmonary haemorrhage, Pyrexia, Respiration abnormal, Resuscitation, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: CT scan, endoscopy, pulmonary work, Cardiovascular- heart test. Tube down his throat. 7/30-8/1 2021, respiratory therapy.
CDC Split Type:

Write-up: My Son took the Johnson&Johnson vaccine on 7/30 at 2:35pm. Then was unresponsive by 8:25pm. His father performed CPR and blood was coming out of his nose and mouth. EMS, fire department came and his dad did enough until help came. He was in the ICU with blood in his lungs, the doctors did not know what was wrong with him. I explained he took the shot and had stated minutes earlier his foot was itching and then he went to sleep with gasps trying to breathe. He is still in the hospital. He knew that it was the vaccine, as soon as he was able to talk that is what he stated, the vaccine almost killed me. These are facts and he is still in the hospital, off the ventilator after two days but his breathing is off. as of today 8/2/21 he is still in the hospital. His Blood pressure is high and he is running a fever. Breathing is erratic still.


VAERS ID: 1519583 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 RA / IM

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

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

Write-up: anaphylaxis


VAERS ID: 1519707 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-02
Onset:2021-07-19
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Atelectasis, COVID-19, Chest X-ray abnormal, Chills, Cough, Diarrhoea, Gait disturbance, Hypophagia, Laboratory test, Leukopenia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), 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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol succinate XL 100 mg tab PO daily Clonidine 0.3 mg/24 h patch TD weekly Amlodipine 10 mg PO daily Aspirin 81 mg PO daily Losartan-hydrochlorothiazide 100-25 mg PO daily Mirtazapine 30 mg PO daily at bedtime Rosuvastatin 20 mg PO e
Current Illness:
Preexisting Conditions: Type B aortic dissection s/p TAVR/iliac artery stents in 2016, hypertension, hyperlipidemia, renal mass s/p partial nephrectomy 5/28/21
Allergies: Iodine - angioedema (swelling of eyes)
Diagnostic Lab Data: Leukopenia: 2.8 (7/23) $g 3.5 (7/24) $g 2.8 (7/25) $g 4.2 (7/26) Fever: Tm 38.5 on 7/24 Max of 2L O2 CXR 7/23: Mild multi-focal sub-segmental atelectasis without definite focal site of pulmonary airspace consolidation. No pleural effusion or pneumothorax.
CDC Split Type:

Write-up: Patient presented with +SARS-CoV2 in the setting of generalized weakness, difficulty ambulating, fever/chills, occasional dry cough, diarrhea, poor PO intake, He was treated with dexamethasone 6 mg PO once daily x 10 days and remdesivir 200 mg x 1 then 100 mg q24h x 1 day. He was weaned off of oxygen by day 4 of hospitalization and discharged in good condition.


VAERS ID: 1519789 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-07-29
Onset:2021-07-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Joint swelling, Migraine, Peripheral swelling, Swelling face, Vision blurred
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Not shared with Pharmacy staff
Current Illness: RA
Preexisting Conditions: None mentioned
Allergies: Not stated by patient.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient stated that starting Friday (7/30/21), approximately 24 hours after receiving the vaccine, she experienced swelling in her legs. She ended up have swelling in her face and joints as well. She experienced migraine and blurry vision since Friday as well. She stated the blurry vision and leg swelling has persisted until today 8/2/21. She does not report a headache or migraine today. Instructed patient to go to ER for follow-up since primary care provider was not available.


VAERS ID: 1519885 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-12
Onset:2021-04-23
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Swelling, Thrombophlebitis superficial, Ultrasound Doppler abnormal
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: US Venous Duplex LLE (4/30/21) Medical Center: "Impression: 1. Acute thrombosis of the lower left femoral vein, popliteal vein, peroneal vein, posterior tibial vein, and anterior tibial vein. 2. The remainder of the venous system is normal." Labs were also obtained, but I do not have access to their system.
CDC Split Type:

Write-up: Patient received the vaccine on 3/12/21 and started developing left left swelling around 4/23/21. He went to a different hospital on 4/30 where he was diagnosed with LLE DVT and started on anticoagulation. He is completing his last day of Eliquis today (3 months). He has since then established care with our hospital for ongoing evaluation. He was not sure if the initial DVT was reported by the other hospital, so I am reporting it in case. Please note: this may be a duplicate entry for this patient.


VAERS ID: 1519975 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-03-11
Onset:2021-07-28
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Anosmia, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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:
Current Illness:
Preexisting Conditions: Diabetes, Hypertension
Allergies:
Diagnostic Lab Data: Covid 19 viral testing antigen
CDC Split Type:

Write-up: Fever 100.9, body aches, headache, runny nose, sore throat, fatigue, no taste or smell, cough symptom onset 07/28/2021


VAERS ID: 1520035 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-09
Onset:2021-07-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood glucose, Electrocardiogram, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG July 9, 2021 blood sugar levels July 9, 2021 vitals July 9, 2021
CDC Split Type:

Write-up: Fainted approximately 1-2 minutes after receiving injection, pharmacist administered Benadryl and called ambulance, taken by ambulance to ER, EKG performed, vitals and blood sugar level taken. Sent home approximately 45 minutes later. Received bill from ambulance company and ER


VAERS ID: 1520037 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-13
Onset:2021-03-23
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Angiogram, Brain stem auditory evoked response normal, Cardiac monitoring normal, Chest X-ray normal, Computerised tomogram abdomen, Computerised tomogram head normal, Computerised tomogram thorax normal, Dizziness, Electrocardiogram normal, Gait disturbance, Impaired driving ability, Laboratory test, Loss of consciousness, Magnetic resonance imaging head normal, Magnetic resonance imaging heart, Neurological examination normal, Scan with contrast normal, Troponin abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: Cardiac MRI Extra-pericardial Interpretation 5/10 NORMAL MRI Brain and IAC W/WO Contrast 5/19 NORMAL EKG 5/10,4/23, 4/18,4,17 NORMAL CT Abdomen Pelvis W/Contrast 4/17 NORMAL CT Angio Chest W/WO Contrast with PP 4/17 NORMAL XR Chest 4/17 NORMAL Event Recorder 4/17 NORmal CT ANGIO HEAD AND NEXT WWO CONTRAST 3/23 NORMAL CT ANGIO CHEST W/WO CONTRAST pp 3/23 NORMAL ALSO HAD SEVERAL OTHER LAB WORK DONE BUT NOT ENOUGH TIME TO ENTER THEM ALL
CDC Split Type:

Write-up: About a week and a half after being vaccinated, I passed out at the gym prior to exercising. I was admitted to the hospital for leaking triponin and dizziness. I was released from the hospital and proceeded to be dizzy. I could not drive for almost 2 months, all I could do was walk and even then i couldn''t walk a straight line. Was admitted again on 4/11/2021 for dizziness and triponin issues. I was again released. Did testing with Cardiology....angiogram, cardiac MRI and all came back clear. Did extensive testing with Neurology....check for crystals, vertigo testing and MRI of Head and all came back clear. About 2 months from when I was vaccinated I finally started feeling better and was cleared to exercise and drive a car again. Occasionally I will have dizzy spells driving but nothing debilitating.


VAERS ID: 1520065 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-09
Onset:2021-06-26
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Gait disturbance, Heavy menstrual bleeding, Impaired work ability, Oligomenorrhoea, Pain in extremity, Peripheral swelling, Pulmonary thrombosis, Stent placement, Thrombectomy, Thrombosis, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Thrombophlebitis (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), Cardiomyopathy (broad), Fertility disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Bakers cyst behind knees since dec 2020
Allergies: None
Diagnostic Lab Data: Jun 4th ct of lungs and ultrasound leg 2 procedures to remove clots from lungs june 7th and leg june 10 at heart hospital 9 days in hospital total
CDC Split Type:

Write-up: Its suspicious and i want to report ehat haooenwd to me last month bc it came out of no where. My left leg began hurting and i thought it was the bakers cyst issue i had in the earlier part of the year. so i used ice and tried to lay down as much as possible. It got so bad i was missing work my leg began to swell and i continued to treat as i had been told for bakers cycst earlier in the year although i had not had that kind of intense pain or swelling i thought i had just really made it mad. Finally i gave up. I could not breath i could barly walk and everything i was doing to treat what i thought was simply side effects of the bakers cyst just were not working. I went to er and found out i had blood clots in my leg and lungs. When the blood clots were removed on july 7th the doctor said they looked to be 3 weeks old. My vaccination was on june 9th nad counting back its in the time frame ofwhat i have read online. I thought it was only a brain blod clot to be afraid of. But now reading more it makes more since. Another standout was that my periods changed. I was on my period when i got the shot nad that period lasted many more days than usual and when my second period started. abit early it was not only excessive bleeding ,an incedent occured that had Never occured before. I stood up from my desk and just a serious rush of blood flushed down my legs onto the carpet and left a trail to the bathroom..litterly bloody foot prints had to be cleaned up from my desk to the bathroom. Thank God i work from home. This period also ran for many days longer thsn usual, but i didnt put two and two together until I read a news report that the vaccinations were affecting many women so i wanted to add that. Of coarse these issues may or may not be a side effect but if in fact people need to know more. I probably woukd have gone to er sooner but they stressed the headache issue foe the ithernkind of clot. They put in. astint bc of vein and artery were overlapped but not sure that this all wasnt a perfect storm that took place. me thinking i had side effects of the bakers cyst and not knowinf i had blood clots at all and the increased bleeding from the periods all just clashing together. I have to wonder if i didnt get the vaccination could all of this have been avoided. Something went really wrong snd i was otherwise healthy and had recently lost weight and was watching my diet. still over weight but working on it.


VAERS ID: 1520087 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-02
Onset:2021-08-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back injury, Dizziness, Loss of consciousness, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: After receiving the Janssen Covid-19 Vaccine, patient stood up and got light headed and passed out. His brother caught him and guided him to the floor. Patient hit his back on the way down. The patient began to seize after being on the ground. He then got up and sat in a chair and proceeded to have another seizure. The EMT was called and patient was evaluated. He went to the hospital to have further evaluation.


VAERS ID: 1520149 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-05-12
Onset:2021-08-01
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Dyspnoea, Fibrin D dimer, Hypoxia, Oedema peripheral, Pulmonary embolism, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Genvoya Crestor Sildenafil Adderall Diazepam Diclofenac Duloxetine Gabapentin Norco Lamictal Risperdal Trazadone Dyazide Breo elipta Ozempic
Current Illness: No acute
Preexisting Conditions: Asthma HIV + BPD
Allergies: Divalproex sodium lurasidone
Diagnostic Lab Data: D-Dimer 1.79 CT Chest Angiogram: Right upper lobe and left lower lobe (bilateral) pulmonary embolism. Venous DPLX Ultrasound pending
CDC Split Type:

Write-up: Patient reportedly received, in his own words, "Johnson-Johnson vaccine" on 5/12/21. Believe he meant Janssen. Patient presented for worsening dyspnea and shortness of breath with relative hypoxia recorded on home pulse oximeter; at 94%. He has had progressive worsening dyspnea for over two-weeks attributed to asthma, but unsuccessfully treated with current home-regimen. CTA showed sub-segmental pulmonary embolism in right upper lobe and left lower lobe. Prior to 2-weeks ago, he had reported to rheumatologist and complained of lower extremity edema, which was attributed to diclofenac treatment, per patient, at that time; and he was started on diuretic HCTZ/Triamterene. - Ultrasound of lower extremity is pending. Patient denies travel, decreased activity or prolonged inactivity. Denies history or family history of clotting or pulmonary embolism . Med list was reviewed and no obvious instigating medications are identified. B-symptoms for potential neoplasia were denied on ROS. Additionally patient denied any recent trauma to extremities.


VAERS ID: 1520154 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-20
Onset:2021-07-30
   Days after vaccination:132
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Malaise, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: THE PATIENT CAME WITH COVID SYMPTOS AND TESTED FOR COVID ON 7/30/2021 THE RESULT CAME POSITIVE COVID


VAERS ID: 1520159 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-02
Onset:2021-08-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Pruritus, Rash, Seizure, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Patient received the Jonson & Johnson COVID vaccine at 11:37am and was waiting in the lobby for the 15-minute observation period. The patient began to feel dizzy, then short of breath. A code was called and the clinic team responded to the patient. Patient appeared to have a seizure lasting ~90 seconds (patient has known history of seizures) and was unresponsive for 30 - 45 seconds. Was moved to the floor from sitting to prevent a fall. Became responsive after lying on the floor ~15 seconds. Was observed to have a rash on her neck that resolved. Reported that her face felt itchy. 911 was called and fire department arrived on scene. FD escalated to paramedic response and patient was ultimately transported to ED for concern of allergic reaction and seizure. Patient departed unit via ambulance at 12:23pm (38 minute code duration). Vitals: 11:48am: BP 152/95, pulse 112, O2 100% 11:54am: BP 141/84, pulse 80, O2 100% 11:58am: BP 138/85, pulse 79, O2 100% 12:03pm: BP 135/84, pulse 76, O2 96%


VAERS ID: 1520238 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-08
Onset:2021-07-08
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cerebrovascular accident, Discomfort, Feeling drunk, Skull X-ray abnormal
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: hydrochlorothiazide, antennal and spironolactone ,amethazole
Current Illness: no
Preexisting Conditions: high blood pressure
Allergies: no
Diagnostic Lab Data: yes
CDC Split Type:

Write-up: A month later after taking vaccine felt heaviness on her left side and kinda felt like she was drunk she was taking to the ER and x-rays was done found out she had 2 smalls strokes on her lower right quadrant


VAERS ID: 1520744 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-07-01
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dehydration, Fatigue, Head injury, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (narrow)

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

Write-up: Fainted. Hit head on floor and went to ER. Likely a vasovagal syncope event observing blood in conjunction with fatigue and mild dehydration.


VAERS ID: 1520762 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-07-09
Onset:2021-07-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Chills, Coagulation factor, Decreased appetite, Diarrhoea, Electrocardiogram, Fatigue, Feeling abnormal, Full blood count, Head discomfort, Heart rate increased, Hyperhidrosis, Hypoaesthesia, Magnetic resonance imaging, Metabolic function test, Myocardial necrosis marker, Nausea, Pain, Palpitations, Paraesthesia, Pyrexia, White blood cell count
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: DPT-Age 2.5, spiked 105 fever and one leg was paralyzed for almost a week
Other Medications: prenatal vitamins, vitamin d, liposomal vitamin c
Current Illness: none
Preexisting Conditions: none
Allergies: biaxin, bacitracin, augmentin
Diagnostic Lab Data: CBC- 3 weeks in WBC count off CMP-3 weeks in Liver levels off EKG Chest X-Ray MRI Clotting factors Heart Enzymes
CDC Split Type:

Write-up: 45 minutes post vaxx- hit with the most intense wave of nausea, heart palpitations, sweats, chills, pain, numbness and tingling. First 48 hours- I''ve never felt worse in my body, never felts stranger in my body, and I honestly can''t describe half of the sensations I experienced as I''ve got no reference points for them. 3 weeks later-was still spiking 101 fevers almost daily, most consistent symptom has remained numbness and tingling of my upper left quadrant, 2x the whole right side of my body went numb, far higher pulse rate than normal, diarrhea, nausea, lack of appetite, easily fatigued. 3.5 weeks-with treatment nerve symptoms are lessoning, and feeling better over all although still incredibly fatigued, and have brain fog/fullness sensation.


VAERS ID: 1521929 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Nerve compression
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210801200

Write-up: SHARP CHEST PAIN; TINGLING SENSATION ON THE VACCINATED ARM; NUMBNESS ON THE VACCINATED ARM; This spontaneous report received from a consumer concerned a 57 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included pinch spinal nerves.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 05-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On JUN-2021, the subject experienced sharp chest pain. On JUN-2021, the subject experienced tingling sensation on the vaccinated arm. On JUN-2021, the subject experienced numbness on the vaccinated arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness on the vaccinated arm, and tingling sensation on the vaccinated arm, and the outcome of sharp chest pain was not reported. This report was non-serious.


VAERS ID: 1522430 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-28
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210728; Test Name: COVID-19 virus test; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210800788

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID 19 INFECTION; This spontaneous report received from a parent via a company representative concerned a 27year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, 1 total, administered on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 26-JUL-2021 (Monday), the patient experienced sore throat, body aches with no fever. It was reported that the patient had over the counter medication, but he still felt ill. On 28-JUL-2021 (Wednesday), the patient tested positive for covid-19 infection (suspected covid-19 infection and suspected clinical vaccination failure). Laboratory data included: COVID-19 virus test (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected covid-19 infection and suspected clinical vaccination failure was not reported This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000187932.; Sender''s Comments: V0: 20210800788-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


VAERS ID: 1522481 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-07-15
Onset:2021-07-18
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 039C21A) / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Contusion, Fatigue, Injection site pain, Oral pruritus, Platelet count normal, Swelling, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient reports no immediate symptoms other than some mild pain at the site of the injection during the observation period. She noted after the observation period but within the first 24 hours, some mild fatigue and local swelling but no fever, chills or myalgias. The swelling resolved and was without symptoms until 3 days later on 18 June 2021.On that evening she noted hives on her face and itching around her mouth. She heard faint wheezing and noted a bruise on her L wrist. Symptoms were not severe enough to seek care and that evening hives subsided but the following day on 19 June 2021, the hives returned/persisted. She took Benadryl with some transient relief every 6 hours. The hives persisted off/on through the following day through 20 Jun 2021. Because the hives persisted and noted some mild wheezing, she went to a civilian urgent care on 21 June 2021. She was prescribed prednisone and an albuterol inhaler. The lesions and dyspnea resolved within a few hours and was discharged. Labs were drawn. of note PT/PTT and platelet count normal. She reports that the bruise on her wrist persisted for 2 weeks. She reports no other symptoms currently but a day or so ago noted a bruise on her R ankle.


VAERS ID: 1522700 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-02
Onset:2021-08-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Headache, Interchange of vaccine products, Lip swelling, Paraesthesia oral, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Medication errors (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: latex, pfizer vaccine
Diagnostic Lab Data: vital signs monitored , starting at 3:23 pm when symptoms reported, 3:23 pm BP 190/106 P 77 O2 99% Benadryl 50 mg x 1 given IM 3:30 PM BP 144/85 p 66 O2 98% 3:42 PM BP 156/84 P 61 O2 99% 4:00PM BP 171/90 P 66 02 99-100% 4:04 pm 171/88 P 60 EMS activated per Dr 4:10 pm symptoms persist, not worsening, denies resp difficulty, reports mild throat tightness, headache, lip tingling, reports lips feel swollen. 4:17 pm BP 136/73 P 60 O2 98% EMS arrived 4:20 pm., transported to ED at 4:25 pm
CDC Split Type:

Write-up: Patient administered Janssen , unable to take pfizer #2 due to allergic reaction. Evaluated by Allergist and cleared to receive Janssen vaccine. 10 mins following injection, reported throat tightness, headache, tingling sensation mouth and tongue, lips felt puffy, denied sob. Given benadryl 50 mg IM x1, reports in 10 minutes symptoms improving ., however persisted x 1 hour, milder, still reported lip tingling and mild throat tightness, headache improving. EMS activated and patient transported to Emergency Room for further monitroing.


VAERS ID: 1522712 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-17
Onset:2021-05-18
   Days after vaccination:62
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN J&J / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Fatigue, Herpes zoster, Muscle twitching, Pain, Pain in extremity, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: I took a J&J vaccine on March 17 and then had big side effects: Chills, fever, rashes, fatigue and right leg muscle beating. After two weeks (April 8) I had severe left leg pain like needles punching my body.I rushed to hospital emergency Department for the medical examination and treatment. Doctor diagnosed me with shingles. So far (Aug 3) I haven?t recovered and feel Chills, rashes and acupuncture pain.


VAERS ID: 1522759 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Inappropriate schedule of product administration, Interchange of vaccine products, Nausea, Skin discolouration
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Medication errors (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: Pfizer COVID vaccine 4/8/21 (age 36)
Other Medications:
Current Illness: None
Preexisting Conditions: None known
Allergies: Pfizer COVID 19 vaccine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient because dizzy and nauseous about 10 minutes after his vaccine. His skin appeared ashen and clamy. His blood pressure was 78/51. He refused to attempt to stand up. We called 911 given the patient''s previous history with the pfizer COVID vaccine. They arrived immediately and his care was turned over to them.


VAERS ID: 1522831 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-29
Onset:2021-05-05
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Anticoagulant therapy, Demyelination, Dyspnoea, Hypoaesthesia, Inflammation, Insomnia, Intensive care, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Monoparesis, Muscle spasms, Muscular weakness, Myelitis transverse, Neck pain, Neuralgia, Neuromyelitis optica spectrum disorder, Paraesthesia, Sensory disturbance, Spinal cord injury cervical, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Optic nerve disorders (narrow), Cardiomyopathy (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Arthritis (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (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, 21 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Women''s Multi-vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data: We have the lab results and tests online and if you would like copies please send me an email so I can send them to you. garzajoshua0820@gmail.com
CDC Split Type:

Write-up: Around the 5th of May, 2021, Pt felt a numbness sensation in her right hand that radiate it up her arm. 1 week later, the numbness presented in her left hand as well following by a tingling. The numbness and tingling wrapped around her chest making it difficult to breath. Pt was taken to the hospital and went into the ER. They misdiagnosed her with a Pulmonary Embolism. Pt started to feel excruciating neck pain which cause an inability to sleep during this time. The doctors decided to do an MRI scan of her cervical spine. The doctors saw that she had lesions on her spine. The treatment in the hospital was blood thinners for the misdiagnosed


VAERS ID: 1522914 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-09
Onset:2021-07-29
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pneumonia, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Blood clots and pneumonia.


VAERS ID: 1522921 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-03
Onset:2021-08-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Feeling abnormal, Throat tightness, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypersensitivity (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: Influenza Vaccine
Other Medications:
Current Illness: none
Preexisting Conditions: high cholesterol
Allergies: bee stings
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 10 minutes after injection, patient started feeling "not right" and lightheaded. Patient was placed in a supine position and was given water. Patient''s arms and legs began shaking. After approximately 10 minutes, patient was feeling better and was placed in a sitting position. After sitting for a few minutes, patient began feeling "not right" and began shaking. Patient stated that her throat felt tight but was able to swallow, speak and breath without any problem. After discussion, patient decided to go to ER for evaluation.


VAERS ID: 1522922 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-01
Onset:2021-07-08
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Back pain, Computerised tomogram head, Guillain-Barre syndrome, Hypertension, Hypoaesthesia, Immunoglobulin therapy, Lumbar puncture abnormal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Pain, Spinal pain
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (narrow), Hypertension (narrow), Demyelination (narrow), Arthritis (broad), Immune-mediated/autoimmune disorders (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Move Free (glucosamine & Chondroitin); B12; Calcium; Cefazolin 500mg bid
Current Illness: None
Preexisting Conditions: None other than bilateral knee replacement
Allergies: vancomycin; rocephin; sulfa; latex
Diagnostic Lab Data: 7/22/2021-CT scan head, MRI of entire spinal column and brain-all negative; 7/24/2021-spinal tap then diagnosed with Guillian-Barre.
CDC Split Type:

Write-up: 7/8/2021-numbness started on left two fingers then numbness progressed to the right hand within a day.7/19/2021-started with upper back pain, throbbing in nature started at the spine and moved outward,took Aleve and muscle relaxer without relief . 7/21/2021 started with weakness all over body. 7/22/2021 went to ER was admitted with a diagnosis of Guillain-Barre given IV IG x 5 units with relief, but continues with numbness in bilateral hands and feet L$gR. Now has high blood pressure running 150-160 over 100-106 and believe she is prescribed lisinopril 5mg, taking Aleve for pain and percocet at h.s. Transferred to rehabilitation unit on 7/28/2021.


VAERS ID: 1523028 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Autoimmune hepatitis, Biopsy liver abnormal, Blood test, Chills, Computerised tomogram, Computerised tomogram coronary artery, Confusional state, Diabetes mellitus, Electrocardiogram, General physical health deterioration, Hepatic enzyme increased, Jaundice, Laboratory test abnormal, Liver scan normal, Magnetic resonance imaging, Mass, Nausea, Pyrexia, SARS-CoV-2 test negative, Vaccination complication, Viral test negative, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypothyroidism (not active since 1992)
Allergies:
Diagnostic Lab Data: covid test blood test biopsy ct scan nuc med test mri ekg heart scan
CDC Split Type:

Write-up: pt states that she developed chills and fever. She called her PCP and was recommended to get the Covid test which was negative. Pt states she had a sore lump on her throat and her PCP swabbed her but did not have any infection. She had lab work. On 4/29/21 she developed jaundice. She went to her PCP the next day and they reviewed her lab work. Her liver enzymes were in the 1700''s and other lab numbers were off. She had a liver scan which showed she did not have hepatitis. She was then referred to a gastro doctor. She was not able to get in until June. On 5/14/21 she was continuing to decline due to her symptoms so was taken to the Medical Center. She was admitted and stayed until 5/21/21. She was studied and had multiple test and then had biopsy of the liver through her jugular vein. Diagnosed w/ autoimmune hepatitis. She was treated in the ER on 5/28 /21 because she was having confusion which was from the high liver enzymes and still having nausea and vomiting. They were able to stabilize her. She was told that her condition was from taking the J&J vaccine. She is still being treated and may possibly need a liver transplant. She has been taking prednisone and now has diabetes from this treatment. She is presently seeing a Dr at the Medical Center for the liver transplant and a hepatologist. She wants to contribute to research.


VAERS ID: 1523131 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-05-10
Onset:2021-05-28
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Facial bones fracture, Fall, Feeling abnormal, Gait disturbance, Laboratory test, Limb discomfort, Magnetic resonance imaging normal, Mental impairment, Muscular weakness, Walking aid user
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amytriptilline 100mg, zofran 8mg tid prn Nausea, protonix 40mg daily, d3 5000iu daily, wellbutrin sr 200mg, pristiq 100mg, xanax 0.5mg prn anxiety, propranolol 20mg , testosterone cypionate 200mg/ml 0.5ml SQ weekly injection, depakote 100
Current Illness: NONE
Preexisting Conditions: Chronic migraines, Irritable Bowel Syndrome, GERD, vit d deficiency, gender dysphoria, hyperlipidemia, chronic nausea, chronic migraines, essential tremor, depression and anxiety
Allergies: NKDA
Diagnostic Lab Data: IN ER MRI was done which was negative and basic labs. has appt with neurologist Aug 18, 2021 whereby more extensive workup will take place including lumbar puncture and EMG/ENG studies
CDC Split Type:

Write-up: right lower leg heaviness then weakness that began 3 weeks after vaccine, which then progressed to upper extremity. Gait became unstable eventually using walker and cane. pt had several falls last one june 28, 2021 whereby he sustained a left orbital fracture. in addition some mental fogginess reported as well.


VAERS ID: 1523205 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-01
Onset:2021-06-09
   Days after vaccination:69
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Anal haemorrhage, Diarrhoea, Laboratory test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hydrocodone 10-325 Prevastatin sodium 89mg Lisinopril 20mg 1 aspirin daily 81 mg 1 one a day multivitamin Cod liver oil soft gel once a day Turmeric 1500mg once a day
Current Illness: None
Preexisting Conditions: Lower back pain
Allergies: None
Diagnostic Lab Data: Too many to list
CDC Split Type:

Write-up: Emergency room and week stay in hospital due to severe diarrhea and anal bleeding.


VAERS ID: 1523244 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-03
Onset:2021-08-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Malaise, Retching, Vomiting
SMQs:, Acute pancreatitis (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: UNKNOWN
Current Illness: NO
Preexisting Conditions: EPILEPSY
Allergies: TRAMEDOL, NAPROXEN, DAROCET
Diagnostic Lab Data:
CDC Split Type:

Write-up: EMPLOYEE OBSERVATION TIME WAS UP AND EMPLOYEE STOOD UP AND STATED SHE DID NOT FEEL WELL AND SHE FELT LIKE SHE WAS ABOUT TO BE SICK AND ASKED INFECTION CONTROL STAFF WHERE THE NEAREST BATHROOM WAS EMPLOYEE STARTED TO RUN TO RESTROOM AND INFECTION CONTROL STAFF HEARD NOISES THAT SOUNDED LIKE EMPLOYEE WAS THROWING UP. WHILE NURSING STAFF WERE WAITING OUTSIDE OF RESTROOM, OUR MEDICAL DIRECTOR DR CAME TO ASSESS EMPLOYEE V/S WERE TAKEN AND WNL. DR UPON HIS ASSESSMENT DETERMINED THAT EMS NEEDED TO BE SUMMONED WHILE WAITING FOR EMS EMPLOYEE COMPLAINED SHE HAD TO DIARRHEA AND STARTED TO HAVE UNCONTROLLED DIARRHEA, AFTER EMPLOYEE WAS DONE WITH USING RESTROOM SHE BEGAN TO GAG AND THROW UP CLEAR FLUID SHORTLY AFTER EMS ARRIVED AND TOOK OVER EMPLOYEE.


VAERS ID: 1523272 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-30
Onset:2021-07-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Photopsia, Vitreous detachment, Vitreous floaters
SMQs:, Accidents and injuries (broad), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitafusion women''s Gummy vitamins Energy, Metabolism and Bone Support.
Current Illness:
Preexisting Conditions:
Allergies: Hazelnuts Lexapro
Diagnostic Lab Data: Eye exams, Retinal scans
CDC Split Type:

Write-up: Flashing light left eye, black floaters. Emergency Room Trip evening of 7/30 - 8/1/21. Diagnosis of PVD. (Posterior Vitreous Detachment)


VAERS ID: 1523326 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-06-24
Onset:2021-07-23
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acyclovir 800 mg tablet Bactrim DS 800 mg-160 mg tablet Cresemba 186 mg capsule Eliquis 5 mg tablet metoprolol tartrate 25 mg tablet pantoprazole 40 mg tablet,delayed release Proventil HFA 90 mcg/actuation aerosol inhaler tacrolimus 0.5 mg
Current Illness: Myelodysplastic syndrome (D46.9). Venous insufficiency (I87.2). Status post stem cell transplant (Z94.84)
Preexisting Conditions: Myelodysplastic syndrome (D46.9). Venous insufficiency (I87.2). Status post stem cell transplant (Z94.84)
Allergies: NO KNOWN ALLERGIES
Diagnostic Lab Data: CT chest - 7/24/21 : Pulmonary embolism to right lower lobe
CDC Split Type:

Write-up: Pulmonary Embolism to right lower lobe - now on Eliquis 5mg twice daily. Was seen at urgent care and transferred to hospital.


VAERS ID: 1523344 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-01
Onset:2021-07-29
   Days after vaccination:119
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abnormal behaviour, Blood creatinine increased, Blood lactic acid, Blood pH decreased, Cardioversion, Catheterisation cardiac normal, Dyspnoea, Ejection fraction decreased, Extubation, Fall, Memory impairment, Restlessness, Resuscitation, Troponin increased, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Lactic acidosis (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Ventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Akathisia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (narrow), Depression (excl suicide and self injury) (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: likely none
Current Illness: none known
Preexisting Conditions: none known
Allergies: NKA
Diagnostic Lab Data: 7/29: EF<15%, troponin 2723, SCr 1.5, lactic acid 5, pH 7.16 8/2: EF 60-65%, SCr 1.57
CDC Split Type:

Write-up: Patient reports getting vaccine 4-5 months ago, unsure of exact date of vaccination. Wife reports in last 3 months patient has had memory issues and behavior disturbances, of note no diagnosis of PTSD or mood disorders. Has apparently had psychological stressors, unclear if alcohol or drugs involved. Per wife on 7/29, patient acted restless in bed then fell from bed with difficulty breathing. She started CPR, when EMS arrived he was found to be in Vfib - he subsequently received 7 shocks, multiple rounds of epi and amio finally reaching ROSC. Troponin found to be 2723, so patient was taken emergently to cath lab. No blockages were found, but EF was <15%. Since then, patient has been inpatient, went through targeted temperature management, extubated 7/30. EF from 8/2 is now 60-65% - planning to pursue further cardiac workup at outside hospital or get ICD. Neurologically intact with no signs of anoxic brain injury.


VAERS ID: 1523376 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-15
Onset:2021-05-24
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram head normal, Impaired driving ability, Impaired work ability, Ophthalmological examination normal, Vision blurred, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, cetetrizine
Current Illness: None
Preexisting Conditions: None
Allergies: Toradol, Tramadol
Diagnostic Lab Data: May 24th I was seen in emergency room where a ct scan and bloodwork was done to rule out a possible stroke. No stroke was found. No abnormal blood results. They could not find anything wrong. Was seen at on May 25th where numerous testing was done and they could not find any damage, infection or disease to my eyes. The doctor said that he had never seen a case like mine before in his 30 years in practice. I was given a prescription for glasses that made me see better, but the doctor was still in shock because there was no evidence of anything wrong with my eyes.
CDC Split Type:

Write-up: Received the vaccine on May 15th and on May 24th at 5am I woke up and my vision was completely blurred. My vision is normally perfect. I could not see 2feet from my face. This lasted for four days straight. I could not drive or go to work.


VAERS ID: 1523662 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-16
Onset:2021-07-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Chest discomfort, Dyspnoea, Fatigue, Headache, Impaired work ability, Pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Arthritis (broad)

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

Write-up: fatigue, HA, episodes of SOB and chest pressure, hasn''t been able to work since vaccine, pain in waist going to knee to ankle on both sides, bone pain, body pain.


VAERS ID: 1524135 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-10
Onset:2021-07-29
   Days after vaccination:141
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram, Ejection fraction normal, Hypoxia, Pulmonary embolism, Tachycardia, Tachypnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vit D2, Synthroid, Lisinopril-hydrochlorothiazide, Paroxetine
Current Illness:
Preexisting Conditions: Hypothyroidism, anxiety, depression
Allergies: none
Diagnostic Lab Data: CTA chest: moderate burden bilateral pulmonary emboli Transthoracic echo: normal RV function, normal LV systolic function with EF of 68%.
CDC Split Type:

Write-up: Shortness of breath and chest pain starting on 7/29/21, prompting ED visit on 7/31/21 where she arrived hypoxic, tachypnic, and tachycardic. She was found to have bilateral pulmonary emboli and was hospitalized until 8/1/21 for further evaluation and treatment. Patient was placed on 4L of oxygen via nasal cannula and given Lovenox in the hospital. A transthoracic echo was done and revealed no right heart strain. A 6-minute walk test prior to discharge was performed and resulted in patient requiring 2L/min of oxygen with exertion but not at rest. She was discharged with Eliquis, which she was advised to continue for 3 months, and home oxygen. It is important to consider patient''s sedentary lifestyle and recent 4-5hr road trips as potential provoking factors as well. She was stable upon discharge.


VAERS ID: 1524324 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-02
Onset:2021-06-17
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NDC59676058016 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Borrelia test negative, Dysarthria, Endotracheal intubation, Hypoaesthesia, Intensive care, Laboratory test normal, Lumbar puncture normal, Mechanical ventilation, Movement disorder
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Respiratory failure (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 54 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Do not have all exact dates. Has had Lyme , spinal tap and several other tests while I. To rule out every possible reason
CDC Split Type:

Write-up: On 6/17/21 patient was brought to the hospital by ambulance with what had appeared to be signs of a stroke. Numbness is extremeties slurred speech and when brought to e.r. stroke was ruled out. He was not able to move legs and this continued up his body. He was eventually intabated all test run on him came back negative. He was in ICU for 3 1/2 weeks where he remained til he got his trachea and was stable to move to the next step down in the hospital. An is now in rehab slowly getting some strength back and started to be able to speak being weened off the ventilator. Recover is going to be a long road


VAERS ID: 1524327 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Epistaxis, Pain, Screaming, Swelling, Thrombosis
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Started blowing large blood clots out of my nose, particularly on my left side. At first I believed this to be simple sinusitis, but it has continued and increased in severity to the point that I have been screaming in pain. I sought urgent care after getting mass swelling behind my left ear in the mastoid area all the way up to my temporal lobe/skull, and blowing a large, red blood clot out of my nose.


VAERS ID: 1524789 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-19
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Dysgeusia, Migraine, Parosmia
SMQs:, Taste and smell disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Comments: Patient have never suffer from headaches or migraine prior to been vaccinated.
Allergies:
Diagnostic Lab Data: Test Date: 20210319; Test Name: Chest X-ray; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210800526

Write-up: SMELL CHANGED(PERFUMES AND CLEANING SUPPLIES SMELL SUPPER BITTER); LIQUIDS SOME TIMES TASTE LIKE METAL; SEVERE MIGRAINE; CHEST PAIN; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included covid-19, and other pre-existing medical conditions included patient have never suffer from headaches or migraine prior to been vaccinated. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On 19-MAR-2021, Laboratory data included: Chest X-ray (NR: not provided) Normal. On 19-APR-2021, the subject experienced severe migraine. On 19-APR-2021, the subject experienced chest pain. On MAY-2021, the subject experienced smell changed (perfumes and cleaning supplies smell supper bitter). On MAY-2021, the subject experienced liquids some times taste like metal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe migraine, and the outcome of chest pain, smell changed(perfumes and cleaning supplies smell supper bitter) and liquids some times taste like metal was not reported. This report was non-serious.


VAERS ID: 1524803 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-11
Submitted: 0000-00-00
Entered: 2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Electromyogram, Magnetic resonance imaging head, Magnetic resonance imaging neck, Neuralgic amyotrophy
SMQs:, Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Magnetic resonance imaging head; Result Unstructured Data: Negative for signs of stroke or other issues; Test Name: Magnetic resonance imaging neck; Result Unstructured Data: Negative for signs of stroke or other issues; Test Name: Blood test; Result Unstructured Data: Excluded Lyme Disease; Comments: Bloodwork results received 29 Jul 2021 excluded Lyme disease.; Test Name: Electromyogram; Result Unstructured Data: Confirmed Brachial Plexitis, most like due to vaccination
CDC Split Type: USJNJFOC20210801183

Write-up: BRACHIAL PLEXITIS (RIGHT ARM); This spontaneous report received from a patient via a company representative concerned a 40 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, expiry: UNKNOWN) dose was not reported, administered on 27-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-JUL-2021, the subject experienced brachial plexitis (right arm). Laboratory data (dates unspecified) included: Blood test (NR: not provided) Excluded Lyme Disease, Electromyogram (NR: not provided) Confirmed Brachial Plexitis, most like due to vaccination, Magnetic resonance imaging head (NR: not provided) Negative for signs of stroke or other issues, and Magnetic resonance imaging neck (NR: not provided) Negative for signs of stroke or other issues. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of brachial plexitis (right arm) was not reported. This report was non-serious.


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