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From the 5/7/2021 release of VAERS data:

Found 188,897 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 67 out of 1,889

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VAERS ID: 1223671 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Body temperature decreased, Chills, Decreased appetite, Fatigue, Malaise, Vomiting
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN CRESTOR LEVEMIR LISINOPRIL XARELTO COREG
Current Illness: NON-ADHERENT
Preexisting Conditions: DIABETES HIGH CHLOESTEROL HIGH BLOOD PRESSURE
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PTS WIFE NSTATES NPT REFUSED TO GO TO HOSPITAL AFTER DEVELOPING CHILLS, LOW BODY TEMP @ 95, VOMITING, FATIGUE, WEAKNESS, AND LOSS OF APPETITE. SHE FED HIM CHICKEN NOODLE SOUP, PENTY OF BLANKETS, AND GATORADE. ITS BEEN 1 WEEK AND HE IS STILL ILL AND STILL REFUSING MEDICAL ATTENTION


VAERS ID: 1223692 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JASSEN / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Headache, Insomnia, Pain
SMQs:

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

Write-up: chronic headache, Whole body pain, insomnia, loss of appetite etc.


VAERS ID: 1223831 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A71A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cerebral haematoma, Cerebral haemorrhage, Fatigue, Headache, Hypoaesthesia, Intensive care, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: vit d 3 Levothyroxine amoxicillin
Current Illness: toothache (was on antibiotic)
Preexisting Conditions: Hypothyroidism
Allergies: chloroquine
Diagnostic Lab Data: BRAIN BLEED (HEMATOMA) LOW PLATELETS CURRENTLY IN ICU SINCE 4/13/21
CDC Split Type:

Write-up: SEVERE HEADACHES, LEG NUMBNESS, CHRONIC FATIQUE SYMPTOMS STARTED WITHIN 24HRS AND PROGRESSED


VAERS ID: 1223877 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

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

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

Write-up: Woke up in the middle of the night with headache, chills, bodyaches. Spiked a temperature later in the day of 100 degrees Fahrenheit. Symptoms lasted 36 hours. I had Covid at the end of December 2020 and these were the same symptoms I had.


VAERS ID: 1223910 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Burning sensation, Chills, Oropharyngeal discomfort, Pain in extremity, Pyrexia, Sinusitis
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Initial burning and pain left arm that subsided- try local chills/fever etc. But about four days after: severe throat ache, Full sinus infection and full asthma attack episodes. Lack of air


VAERS ID: 1224250 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: Ringing in my ears, most likely tinnitus, and it has not gone away


VAERS ID: 1224522 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-03
Onset:2021-04-11
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Full blood count, Haemoglobin, Hemiparesis, Malaise, Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Noninfectious diarrhoea (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan, aspirin, htcz, ezetimibe simvastatin, metformin, progesterone, estrogen, testosterone, vitamin d, vitamin c, multi v.
Current Illness: Hbp, high cholesterol, pre diabetes, alpha thalassemia, menopause
Preexisting Conditions: Obesity for 7 years, edv, blood disorder
Allergies: Durcief, bactrim, pears, kiwifruit, pine
Diagnostic Lab Data: An leg us did rashly and incorrectly. CBC blood test awaiting results...
CDC Split Type:

Write-up: Day 8 woke up to leg pain and severe leg weakness on right side. Day 9 really bad smtummy pain and diarrhea. That was before the news hit that the shot had been places on paused. Leg still hurt.. other symptoms too. I am on hormones replacement therapy and have a blood disorder. Have nor felt well. Son is not well either. We got ours on same day.


VAERS ID: 1225273 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Depression, Dizziness
SMQs:, Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nothing 12 hours before shot, but I do take a multiple vitamin, Vitamin D and B12.
Current Illness: Crohn''s disease
Preexisting Conditions: Crohn''s disease
Allergies: tetracycline, codeine, sulfa products.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Worsening depression and anxiety; dizziness; joint pain.


VAERS ID: 1225311 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-15
Onset:2021-04-11
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Peripheral swelling, Physical examination
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Lexapro, Abilify, Senna-S, Miralax
Current Illness: Hypothyroidism, primary progressive aphasia.
Preexisting Conditions: Hypothyroidism, primary progressive aphasia.
Allergies: No known drug or food allergies.
Diagnostic Lab Data: UNABLE TO EVALUATE OTHER THAN PHYSICAL EXAM AT PATIENT HOME BY SUPPORTING MEDICAL TEAM.
CDC Split Type:

Write-up: SUDDEN ONSET OF SWELLING IN ENTIRE LEFT LOWER EXTREMITY ON APRIL 11, 2021. NO RECENT TRAUMA , CHANGE IN AMBULATORY STATUS OR CHANGE IN HYDRATION OR ORAL INTAKE.


VAERS ID: 1225372 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-03
Onset:2021-04-11
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A2JJ / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Heavy menstrual bleeding, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad)

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

Write-up: I started my period a week after receiving the vaccine. My period was unusually heavy for several days, with fatigue and cramping at a level higher than normal.


VAERS ID: 1225573 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Haemorrhoid operation, Haemorrhoids thrombosed
SMQs:, 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: 4/14/2021 Dr, found Thrombosed External Hemorrhoid, informed patient that surgery needed to be performed within 24 hours of findings. 4/15/2021 Dr. performed Flex sig with hemorrhoidectomy.
CDC Split Type:

Write-up: Patient had to have surgery for blood clot removal in rectum, within 1 week of receiving Janssen vaccine. No prior health issues leading up to this event.


VAERS ID: 1225799 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-03
Onset:2021-04-11
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Thrombosis, Ultrasound scan vagina, Urine analysis, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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: TYLENOL IBUPROFEN
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: 4/12/2021 3A PRESENTED TO ER DEPT...VAGINAL EXAM CONFIRMS BLEEDING BUT COULD NOT DETERMINE IT''S SOURCE. ALSO UNDERWENT VAGINAL ULTRASOUND AND PELVIC CT SCAN W/ CONTRAST. NEITHER EXAM COULD GIVE REASON FOR THE BLEEDING. LABS WERE ALSO TAKEN, BUT UNDISCOVERABLE. I WAS LATER RELEASED AND ASK TO FOLLOW UP WITH PRIMARY CARE / GYN. 4/16/2021 SAW MY PRIMARY. SHE DID URINALYSIS AND RECTAL EXAM , BOTH NORMAL. NO EVIDENCE OF BLADDER OR RECTAL BLEED. I ADVISED PCP OF THE RECENT DATA OF THE J &J VACCINATION...WHICH WAS DISCOVERED AFTER MY ER VISIT.
CDC Split Type:

Write-up: 4/11/2021 830PM I NOTICED MOISTURE IN MY UNDERWEAR. WENT INTO BATHROOM , PANTIES BLOODIED, BRIGHT RED AND A QUARTER SIZED CLOT WAS INTHE TOILET. I SUFFERED NO PAIN. HOWEVER I HAD A TOTAL HYSTERECTOMY IN 1997, AND SHOULD NOT HAVE ANY BLEEDING WHATSO EVER. TOOK A SHOWER, ADVISED MY HUSBAND OF THE INCIDENT. WENT TO BED , 230AM 4/12/2021 SAME THING HAPPENS, ONLY NOW I AM WIPING BRIGHT RED BLOOD AND I FELT A LARGER SIZED CLOT LEAVE MY BODY. I WENT TO THE ER IMMEDIATELY.


VAERS ID: 1225943 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Head discomfort, Oropharyngeal discomfort
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

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

Write-up: It has been 8 days and I still feel weak and my head feels heavy. This started the day after the vaccine. It feels like a mild headache where moving makes it worse, or as if I had a hangover but I don''t. I feel tension in my head. Lying down makes me feel better, as does any position where I''m resting my head. Yesterday I also had a weird feeling in my throat that came and went rhythmically.


VAERS ID: 1226156 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-04
Onset:2021-04-11
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Post Covid digestive distress.
Preexisting Conditions: Hashimoto Thyroid disorder.
Allergies: Lactose intolerance
Diagnostic Lab Data:
CDC Split Type:

Write-up: Ringing in my ears.


VAERS ID: 1226207 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Chills, Dyspnoea, Malaise, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

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

Write-up: My wife and I were driving home and while I was driving I started experiencing a pain in my chest and started experiencing a shortness of breath. We pulled of the freeway and I walked around for a few minutes trying to catch my breath but I was unable to. My wife started to drive and I as I sat in the passenger seat I started getting the chills and all the muscles in my body were shaking. When we got to town I told my wife we needed to go to the ER because I was not feeling well. That is where they did some tests and hooked me up to an IV.


VAERS ID: 1226284 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zoloft 50mg QD macrobid 100mg twice a day for 7 days azo as needed
Current Illness: none, was diagnosed with UTI on sunday 2 days after the shot
Preexisting Conditions:
Allergies: sulpha and morphine
Diagnostic Lab Data:
CDC Split Type:

Write-up: My scalp started to seriously itch, as time went on ( about 10 min) my whole head and face was very itchy. I started to break out in hives and whelps. My ears were slightly swollen and very red and itchy. At this point I took a good dose of benadryl . Before the benadryl kicked in, it had spread down my back, arms, and stomach. After the medicine had time to work my symptoms started going away and I was fine.


VAERS ID: 1226343 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: glipizide , metformin, actos, simvastatin, tramadol, cyanocobalamin.
Current Illness: covid positive, fever, weakness.
Preexisting Conditions: diabetes, hyperlipidemia
Allergies: no allergies
Diagnostic Lab Data: Ct scan with PE protocol. elevated d-dimer, patient also positive for covid 19
CDC Split Type:

Write-up: pulmonary emboli- sob confirmed with CT scan


VAERS ID: 1226944 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cough, Fatigue, Headache, Pain, Palpitations, Rash, Rash erythematous, Rash papular, Rash pruritic, Skin warm
SMQs:, Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: None
Allergies: N/A
Diagnostic Lab Data: Consulted PCP. No tests or labs were ordered.
CDC Split Type:

Write-up: 4/11 Sunday afternoon fatigue and tired. 4/11 Sunday night into 4/12 Monday morning woke up with severe coughing, heart racing, and a rash. The rash was present on the right side of body, chest, arm, ribs. The rash was round bumps, raised, bright red, severe itching, and warm to touch. The rash and itching presented for 5 days. Tuesday severe headache and body aches present in addition to other symptoms. Heart racing continues still to this day 4/18.


VAERS ID: 1226988 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / -

Administered by: Military       Purchased by: ?
Symptoms: Abdominal discomfort, Headache, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Carvedilol, Enalapril, Amlodipine Besylate,Levothyroxine,Cephalexin,81grams asprin, Potassium,vitimanD3,proventil, plus a daily vitiman
Current Illness:
Preexisting Conditions: Dilated cardiomyopathy kidney disease COPD and high blood pressure is all I can think of right now
Allergies: Bees she''ll fish & silver drugs plus dye for x-rays.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: April 11th and April 12th I run 103 to 105 fever and had a massive headache felt like my upper body was falling off my shoulders Tuesday night fever started to go down Wednesday Thursday Friday Saturday the 18th still have headache. No fever but still have upset stomach. My cousin died Tuesday April 13 from the same shot that I had on April 10th 2021. I don''t know if that''s what killed him or not the doctor on call at the hospital said no.


VAERS ID: 1227128 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cardiomegaly, Computerised tomogram, Heart rate, Oxygen saturation, Pulmonary thrombosis, Thrombosis, Ultrasound scan
SMQs:, Cardiac failure (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Hip fracture; Hip replacement
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: CT scan; Result Unstructured Data: 3 clots in lung; Test Date: 20210411; Test Name: Ultrasound scan; Result Unstructured Data: 2 clots in her legs; Test Date: 20210415; Test Name: Oxygen saturation; Result Unstructured Data: 90s; Test Name: Oxygen saturation; Result Unstructured Data: 80; Test Name: Pulse rate; Result Unstructured Data: 139
CDC Split Type: USJNJFOC20210424514

Write-up: THREE BLOOD CLOTS IN THE LUNG; TWO BLOOD CLOTS IN THE LEG; HEART ENLARGEMENT OF LOWER CHAMBERS; This spontaneous report received from a consumer concerned an 86 year old female patient. Initial information received on 13-APR-2021 and processed with additional information received on 15-APR-2021. The patient''s weight was 161 pounds, and height was 67 inches. The patient''s past medical history included hip fracture in 2015, and uncomplicated hip replacement surgery in 2015. Patient''s concurrent conditions included non-smoker and no alcohol use. No recent travel or trauma was reported. No varicose veins or known cancer was reported. Patient saw her doctor for annual checkups and cancer screening. She is an active person who lives alone, still drives, and performs activities of daily living independently. The patient received vaccination with covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029) dose was not reported, administered on 08-MAR-2021 for prophylactic vaccination. Vaccination site was not reported. No concomitant medications were reported as it was reported that the patient denied HRT and chronic medications. Approximately 1 week later, on or about 15-MAR-2021, she began to feel fatigue, tiredness, and shortness of breath which she thought might be due to the start of a heavy pollen season. On 11-APR-2021, the patient''s fatigue, shortness of breath, and tiredness did not improve, so her son took her to the Emergency Room (ER), where CT scan found 3 clots in her lungs and duplex scan found 2 clots in her legs (patient''s son was not certain if bilateral or unilateral). Patient''s oxygen saturation was in 80s. On 11-APR-2021, a test also revealed that the lower chambers of her heart were enlarged. On 12-APR-2021, patient underwent EKOS procedure to treat lung clots. Tissue Plasminogen Activator (TPA) had been put into the lungs via EKOS procedure ''with ultrasound inserted into blood clot in the lung''. Patient initially was treated with heparin but was stopped. Patient was treated with unspecified anticoagulant as patient''s son did not know. Pulse rate was 139. On 12-APR-2021, patient was admitted to Intensive Care Unit (ICU) (no beds were available on 11-APR-2021). He had no information regarding lab results. On 15-APR-2021, patient was transferred out of ICU to a room on regular floor. Patient was still very tired. Oxygen saturation was in 90s. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from three blood clots in the lung, two blood clots in the leg, and heart enlargement of lower chambers. This report was serious (Hospitalization Caused / Prolonged, and Life Threatening).; Sender''s Comments: V0: This 86 year-old active, independent female was hospitalized for 3 blood clots in her lungs and 2 blood clots in her legs 5 weeks after receiving Janssen Covid-19 vaccination. Medical history includes hip surgery after a hip fracture with uncomplicated course 6 years prior; she is a nonsmoker, does not have varicose veins, no known cancer, no history of recent trauma or travel and takes no chronic medications. Approximately 1 week after vaccination, the patient began to feel fatigue and shortness of breath. She initially thought her symptoms were due to the start of heavy pollen season. When symptoms did not improve 4 weeks later, she went to the emergency room where CT scan found 3 clots in her lungs and duplex scan found 2 clots in her legs. Oxygen saturation was in the 80s at that time. The following day she underwent EKOS procedure to treat the lung clots and was initially treated with heparin. The anticoagulant was subsequently changed after a public health announcement. She was admitted to the ICU and transferred to a regular room 3 days later. She was told the lower chambers of her heart were enlarged. She still feels very tired but her O2 saturation has improved to the 90''s. No laboratory results were available to the reporter. Based on the limited information, the event is inconsistent with the causal association to immunization, per the WHO causality classification for adverse events following immunization.


VAERS ID: 1227281 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-02
Onset:2021-04-11
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / OT

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: XARELTO; JARDIANCE; LISINOPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021403405

Write-up: stroke; This is a spontaneous report from a non-contactable pharmacist. A 71-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly at the age of 71-years, at single dose in right arm on 02Apr2021 09:00 (Lot number: EP7533) for COVID-19 immunisation. The patient medical history was not reported and there were no known allergies. Concomitant medications included rivaroxaban (XARELTO); empagliflozin (JARDIANCE); lisinopril all taken for an unspecified indication. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly at the age of 71-years, at single dose in right arm on 05Mar2021 09:00 (Lot number: EN6199) for COVID-19 immunisation. The patient experienced stroke on 11Apr2021 (Stroke 7 days after injection (as reported)), it resulted in "Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event) and Disability or permanent damage". The patient was hospitalized for stroke for 2 days. The patient was not diagnosed with COVID prior to vaccination and he had not been tested for COVID since the vaccination. Event outcome was not recovered. No follow up attempts are possible. No further information is expected.; Sender''s Comments: The reported stroke is likely due to an underlying medical condition and unrelated to BNT162B2. Although temporally related, there is no sufficient evidence that the reported stroke is related to BNT162B2. Note that the patient''s medical history was not reported, however, patient is taking rivaroxaban and lisinopril for unspecified indication. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1227346 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium normal, Blood thyroid stimulating hormone normal, Blood urea, Bradycardia, Decreased appetite, Differential white blood cell count normal, Dizziness, Electrocardiogram normal, Fatigue, Fibrin D dimer normal, Full blood count normal, Haematocrit increased, Heart rate increased, Influenza like illness, Metabolic function test normal, Muscular weakness, Neurological examination normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol - PRN Tirosint - .25mcg
Current Illness: n/a
Preexisting Conditions: subclinical hypothyroidism
Allergies: Dairy - allergy Gluten - sensitivity
Diagnostic Lab Data: I (patient) has been monitoring O2, and blood pressure for any abnormalities alongside bradycardia, both have been normal Went to urgentcare center 4/16/21 for ECG and evaluation given steady decline of rhr and bradycardia with no other explanation except vaccine, wanted ECG as symptoms not resolving Friday, 4/16/21 (DAY 8) the following testing was conducted: ECG = normal readout D-Dimer = normal results CBC with Auto Differential = normal except for HCT very slightly out of range (ref range max = 46%) at 47.2% Basic Metabolic Panel = all normal except BUN is slightly out of range at .6 (ref range .5-1.0) TSH = normal within range @ 2.130 Magnesium = normal Neuro exam = normal
CDC Split Type:

Write-up: BRADYCARDIA Typical flu like reaction to vaccine day after injection [Fri, 4/9 - Day 1 post vax (aka PV)] with modest HR increase (as expected) (Background: typical resting heart rate (rhr) taking into account variables (i.e. hormonal variations, hydration status, altitude changes etc) = 63 rhr - I am NOT an elite athlete, but am fit and active) Beginning Saturday, 4/10 - DAY 2 PV heart rate began steadily decreasing by two average heart beats / minute for three days, which has never happened before. Monday 4/12, DAY 4 PV, rhr dropped to 57, which is the lowest is has been ever. Between 4/12 - 4/15, DAYS 4-7 rhr = 57/58 Friday, 4/16 DAY 8 rhr = 56 Saturday, 4/17 DAY 9 rhr = 56 Sunday, 4/18 DAY 10 rhr = 55 symptoms = increased fatigue, some weakness in hands, lightheadedness, decreased appetite


VAERS ID: 1228343 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-04-04
Onset:2021-04-11
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Glossodynia, Head discomfort, Headache, Muscle spasms
SMQs:, Taste and smell disorders (narrow), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Patient contacted State hotline number and was asked to fill out this report by State Nurse who also recommended patient follow up with PCP.
CDC Split Type:

Write-up: Leg cramps pain especially at night. Worst with left leg. Headache and feeling heavy headedness. Lost of taste and small cramps on light side of tongue.


VAERS ID: 1228392 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / N/A LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril HCTZ 25 mg tablet one per day Levothyroxine 125 MCG tablet one per day Astorvastatin 40 MG one tablet per day Multivitamin
Current Illness: N/A
Preexisting Conditions: Hypertension Elevated cholesterol
Allergies: Melon fruits Banana
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 24 hours after injection Pain at injection site Chills Body Aches Headache Fatigue


VAERS ID: 1228597 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Lymphadenopathy
SMQs:, 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:
Preexisting Conditions:
Allergies: PERCOCET
Diagnostic Lab Data: N/.A
CDC Split Type:

Write-up: PATIENT WITH FOLLICULITIS, CURRENTLY TAKING CIPROFLOXACIN 1 DAY IN EVALUATION AS PRESCRIBED BY HIS PCP. MILD LYMPHADENOPATHY,NO DISTRESS, NO URTICARIAL RASH, NO FACIAL OR ORAL MUCOSA SWELLING, NO DISTRESS, PT DISCHARGED HOME WITH FOLLOW UP WITH PCP


VAERS ID: 1228664 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038A21A / 1 RA / SYR

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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Scheduling dr appointment now.
CDC Split Type:

Write-up: Rash that resembles chicken pox on chest, torso, legs. Not very itchy. Started about 10 days after shot. Has continued to spread for 8-10 days.


VAERS ID: 1228882 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

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

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: per patient: see last box (additional items) Prescriptions taken at time of vaccine as per patient: 1) pantoprazole 40mg 2) fluoxetine 10mg 3) atorvastatin 20mg 4) aspirin 81mg 5) mometasone nasal spray 6) fluoxetine 10mg 7) mvi 8) calcium
Current Illness: endoscopy 3/31/21 which she reported"fungus growing in throat"
Preexisting Conditions: chronic cough, acid reflux
Allergies: Scallops
Diagnostic Lab Data: need to obtain from patient.
CDC Split Type:

Write-up: This is a spouse. Medical Center do not have this patient''s medical record and is reporting the reaction on her behalf based on available information. Patient reported she was having brunch 4/11/21 am and started feeling very dizzy (was dining outside) and her son informed her that she was very pale. Her stomach started to rumble and threw up. Son called the ambulance due to "low pulse" and "loss of consciousness". She was treated at ER with iv fluids and anti-nausea medicine and was discharged that day (4/11/21) around 1pm with diagnosis of "Vagal Response". She recalled being in the ambulance around 4/11@11:10am.


VAERS ID: 1229158 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Head injury, Skin laceration, Syncope, Traumatic haemorrhage
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Hostility/aggression (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: SVT as a teen
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: a number of minutes after receiving the vaccine, patient fainted while seated, fell backwards in his chair, and hit his head on the floor. as a result of the fall, the back of his head was cut. he remained on the floor and gauze was held against the cut to slow/stop the bleeding until the ambulance service arrived. Patient was taken to the hospital for treatment of the cut. Patient is currently in good health.


VAERS ID: 1229207 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Pain, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xanax, ibuprofen, vitamin d, vitamin c, iron, diphenhydramine, lomotil
Current Illness: None
Preexisting Conditions: Osteoarthritis, arthrofibrosis, ibs
Allergies: Ceftriaxone, morphine, zofran, cipro
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 9 hours after vaccine, severe headache, severe body aches, motrin taken, reduced a bit. At midnight woke up soaked, then at 3 am in pain and with fever. By 24 hours, fever gone, headache for another 12 hours. In the 8 days since, feeling tired, sleepy. History of chronic headaches, that are the same since. Had covid in December, feeling more unwell after vaccine than disease


VAERS ID: 1229364 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-04-05
Onset:2021-04-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Approximately a week after receiving the J&J injection I have experienced excessive itching in the areas of my abdomen, groin, inguinal and femoral lymph nodes. There are no rashes, sores, or other visible marks associated with the itching sensation.


VAERS ID: 1229691 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Muscle tightness, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Got J&J COVID vaccine on 4/10/21, at noon, in right arm. About 24 hours later suddenly felt dizzy which lasted a minute, but since then has felt dizzy and right leg has felt tight and swollen.


VAERS ID: 1229978 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatinine normal, Blood pressure increased, Blood uric acid normal, Haematocrit decreased, Haemoglobin decreased, Induced labour, Maternal exposure before pregnancy, Platelet count decreased, Pre-eclampsia, Premature rupture of membranes, Rhesus antigen positive, Transaminases increased, White blood cell count increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ferrous sulfate 325mg (65 Fe) tablet, 1 tablet by mouth daily with breakfast Prenatal Multivitamin-mineral-Ferrous fumarate-folic acid-DHA (Prenatal 1 PO) - unknown directions Sumatriptan 50mg tablet, 1 tablet by mouth at onest of headache
Current Illness: No significant illnesses at the time of vaccination. There were two notable events in the month prior: On 4/7/21 the patient had an office visit with a midwife. The note from this encounter reported: "33 year old G4P1021 at 37w0d presents for routine prenatal visit. Patient concerns: Feeling well overall. 1. Migraine: started 4/5. Improving with caffeine and water. Did take one dose of tylenol that helped. Has been told by cardiology not to take tylenol. Reports that in the past, used ibuprofen for migraines. Notes this feels the same as previous migraines- focused on the temples, hard to focus, pain moves towards the front of the head. - Thinks that sinus congestion is contributing. Started on 4/4 along with seasonal allergies; tried sudafed that helped provided relief. - Denies scotoma, ruq/epigastric pain.- Normotensive; no hx of elevated BPs. Recommended pre-eclampsia labs to rule out other causes of headache besides migraine/sinus congestion. Normotensive, no vision changes or ruq/epigastric pain. - Pt feels migraine is tolerable and improving. Prefers outpatient labs. - Interested in migraine and allergy medication not containing tylenol. Epic message sent to patient''s cardiologist to confirm safe medication." Labs on 4/7/21: Serum creatinine 0.88, ALT 23, AST 19, uric acid 6.7, WBC 12.1, Hemoglobin 13.2, Hematocrit 38.9, Platelet count 176. On 3/8/21 the patient had an office visit with a midwife. The note from this encounter reported: "Patient concerns: Feeling well overall. Patient reports two labial varicosities that occasionally throb and can be painful. She has tried ice without significant relief. She notes that she has to be active to keep up with her toddler. Reports fatigue. Patient had fetal cardiac echo on 02/17/21 which demonstrated two small mid to apical muscular VSD''s. Patient will follow up for four week repeat echo. We discussed options for varicosities including compression shorts and braces - Prenatal Cradle. We also discussed red flags for thromboses to watch out for including increased severity/frequency of pain, pressure, swelling, redness and that she should contact the office if these symptoms develop."
Preexisting Conditions: Pregnant - G4P1021 who is 37w2d at time of vaccination Atrial septal defect s/p repair
Allergies: No known allergies
Diagnostic Lab Data: 4/11/21 0334: Serum creatinine 0.81, ALT 116, AST 107, uric acid 6.8, WBC 12.7, Hemoglobin 13.5, hematocrit 39.0, Platelet count 128 4/11/21 1525: Serum creatinine 0.74, ALT 137, AST 139, WBC 13.9, Hemoglobin 12.8, hematocrit 36.5, Platelet count 102 4/11/21 2104: Serum creatinine 0.82, ALT 120, AST 111, WBC 11.5, Hemoglobin 11.8, hematocrit 34.1, Platelet count 101 4/12/21 0300: Serum creatinine 0.79, ALT 113, AST 88, WBC 11.0, Hemoglobin 11.3, hematocrit 32.9, Platelet count 100 4/12/21 1504: Serum creatinine 0.94, ALT 110, AST 81, WBC 11.3, Hemoglobin 11.9, hematocrit 33.9, Platelet count 132 4/13/21 0732: Serum creatinine 0.79, ALT 109, AST 70, WBC 11.5, Hemoglobin 11.2, hematocrit 33.0, Platelet count 115 Blood pressures on morning of 4/11/21: Date/Time BP SpO2 Oximeter HR Pulse Resp Temp Temp source 04/11/21 0610 125/99 04/11/21 0605 148/102 98 % 84 bpm 04/11/21 0600 131/92 98 % 92 bpm 04/11/21 0553 144/112 97 % 73 bpm 04/11/21 0548 150/89 98 % 73 bpm 04/11/21 0543 114/87 98 % 82 bpm 04/11/21 0539 123/84 97 % 84 bpm 65 16 98 °F (36.7 °C) Oral 04/11/21 0536 130/91 98 % 79 bpm 68 15 04/11/21 0533 136/93 98 % 65 15 04/11/21 0525 137/92 98 % 81 bpm 04/11/21 0514 138/93
CDC Split Type:

Write-up: The patient received the Janssen COVID-19 vaccine on 4/9/21 as documented in MIIC. This reporter has no other records of the day of administration. Patient''s last menstrual period was 07/22/2020 and Estimated Date of Delivery was Apr 28, 2021. On 4/11/21 at 0218, two days after administration of the COVID-19 vaccine, the patient was admitted to the University of Hospital Birthplace for spontaneous rupture of membranes x 7 hours contractions since 4/10/21 2330. Per discharge summary note 4/13/21 in EHR: ?The patient is a 33 year old now G4P2022 who presented to the Midwife service with rupture of membranes and subsequent onset of spontaneous labor. She was noted to have mild range blood pressure and transaminase levels double the upper limit of normal, meeting criteria for preeclampsia with severe features. This was noted just prior to complete cervical dilation and her delivery was completed by the service. She was subsequently transferred to the OB MD service for further management. Her postpartum course was uncomplicated. She was continued on magnesium for 24h postpartum. She was started on nifedipine XL 30mg for blood pressure management and her BPs were wnl. Her ALT downtrended from 137 to 109. Her AST downtrended from 139 to 70. Creatinine returned to baseline. On PPD#2, she was meeting all of her postpartum goals and deemed stable for discharge. She was voiding without difficulty, tolerating a regular diet without nausea and vomiting, her pain was well controlled on oral pain medicines and her lochia was appropriate. Her hemoglobin prior to delivery was 13.5 and after delivery was 11.2. Her Rh status was positive, and Rhogam was not indicated.? Per Labor and Delivery note 4/13/21: ?Labor Course: arrived in active labor w SROM. Elevated BPs, abn PreE labs, new dx of PreE w severe features late in active labor, MD consult, plan to start Mag So4 after birth as patient was starting 2nd stage of labor as diag become clear. She progressed to complete and pushed, after which she had a spontaneous vaginal delivery. No nuchal cord was noted. Apgars of 8 and 9 The cord was double clamped after 60 seconds and cut. IV pitocin was started. The placenta was then delivered using gentle traction and suprapubic pressure. The uterus was noted to be firm after fundal massage. The perineum was assessed for lacerations and none were noted. The placenta appeared intact with a 3V umbilical cord. See details in below: Pain meds: epidural IUP at 37 weeks gestation delivered on April 11, 2021. SVD delivery of a viable Male infant. Weight : 6 pounds 4 ounces Apgars of 8 at 1 minute and 9 at 5 minutes. Labor was spontaneous. Medications administered in labor: Pain Rx Epidural; Antibiotics No; Perineum: Intact Placenta-mechanism: spontaneous, intact, with a 3 vessel cord. IV oxytocin was given. QBLs was 243. Complications of pregnancy, labor and delivery: PreE w severe features Anticipated d/c date: 2 days?


VAERS ID: 1229980 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chills, Cough, Dizziness, Fatigue, Headache, Nausea, Platelet count normal, Pyrexia, Retching, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin c Vitamin d B12
Current Illness: None
Preexisting Conditions: Low whit blood count but deemed as normal for me
Allergies: Epi
Diagnostic Lab Data: Had Covid shot on Sunday. Went to see my doctor on Thursday he said my platelets were fine and everything was OK after doing blood test. I still have a slight headache a few aches in my legs and arm
CDC Split Type:

Write-up: Shaking chills, fever of 103 for 12 hours then 102 rest of day until 8pm Monday night. Dry heaves, coughing, massive headache, weakness, fatigue, dizziness, nausea thought I was going to die, like I had an Aneurysm or like menengitus, arm hurt.


VAERS ID: 1230057 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-11
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Abdominal X-ray, Abdominal pain, Full blood count, Headache, Pain, Urine analysis, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Labs : routine chemistry, CBC differential, UA Macroscopic, XR acute abdomen series ( 4/14/2021)
CDC Split Type:

Write-up: Headache, diffuse abdominal pain , recent blurred vision lasting 1 week


VAERS ID: 1230142 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Blood test, Dizziness, Fatigue, Headache, Hyperhidrosis, Injection site discomfort, Injection site erythema, Injection site pain, Injection site swelling, Limb discomfort, Local reaction, Magnetic resonance imaging, Magnetic resonance imaging head, Migraine, Neuralgia, Pain, Paraesthesia, Pyrexia, Ultrasound scan, Urinary tract infection, Urine analysis
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol.05, Progesterone 100mg, magnesium, zinc, Vit D, mult
Current Illness: no
Preexisting Conditions: no
Allergies: none
Diagnostic Lab Data: ultra sound on arm - result negative for blood clot. 3 days later, ER did blood, urine and MRI on brain and veins and no clot but did have a UTI without any symptoms.
CDC Split Type:

Write-up: 5 minutes after injection my forearm and hand began to tingle and have pressure, nerve type pain. No breathing issues so was sent home. Reported the continued arm pain the next day to the doctor and she ordered an ultrasound. Report negative on blood arm clot. Got a fever, body aches, headache, tired, triggered a migraine per doctor, localized reaction of 2 3/4" at injection site with redness, swelling, pain. Almost passed out at a store - Became dizzy, tingling hands and sweating and taken to ER by ambulance. ER ruled out blood clot but found I had a UTI without any symptoms-prescribed an antibiotic. Contiue to have minor headache and minor discomfort at injection site. Awful experience and adverse reactions!


VAERS ID: 1230196 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-03-20
Onset:2021-04-11
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Pain in extremity, Thrombophlebitis, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall, Clindamycin, Crestor, Tri Femynor (birth control)
Current Illness: None
Preexisting Conditions: Hyperlipidemia, long QT syndrome and Attention deficit disorder
Allergies: NKDA
Diagnostic Lab Data: U/S 4/19/21
CDC Split Type:

Write-up: pt had left upper arm pain and found on ultrasound 4/19/21 to have a superficial thrombophlebitis


VAERS ID: 1230445 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Head injury
SMQs:, Accidents and injuries (narrow)

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

Write-up: Patient fell from chair and hit head on table in waiting area approx. 5 minutes after receiving vaccine. Resulting from syncope event. Patient stated she has anxiety and is nervous when receiving vaccines. She had her boyfriend in the car and he came in and waited with her for approx. 20 to 30 more minutes. Patient had a small egg on forehead from hitting table and was given an ice bag and water to aid with symptoms. Patient stated she was trying to "breath through it". May have over breathed and resulted in too much CO2. Patient had no other episodes or symptoms following fainting. Patient was contacted and checked on that evening and the next morning, she stated she is feeling okay.


VAERS ID: 1230562 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-04-06
Onset:2021-04-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SC

Administered by: Private       Purchased by: ?
Symptoms: Cerebral haemorrhage, Computerised tomogram abnormal, Electroencephalogram abnormal, Generalised tonic-clonic seizure, Magnetic resonance imaging abnormal, Seizure
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE WE ARE AWARE OF
Diagnostic Lab Data: HAD 1 CT SCAN AND HAD 3 MRI''S WHILE IN THE HOSPITAL SHOWING A BRAIN BLEED AND ALSO AN EEG WHICH SHOWED HE HAD A GRAN MAUL SEIZURE
CDC Split Type:

Write-up: HAD A SEIZURE AND THEN RUSHED TO THE ER AND ALSO HAD A BRAIN BLEED ALSO.


VAERS ID: 1230716 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Dizziness, Muscular weakness, Nausea, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 102 F
CDC Split Type: USJNJFOC20210422929

Write-up: SEVERE ACHES; SORE THROAT; DIZZINESS; MUSCLE WEAKNESS; CHILLS; NAUSEA; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. Batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On 11-APR-2021, the subject experienced severe aches. On 11-APR-2021, the subject experienced sore throat. On 11-APR-2021, the subject experienced dizziness. On 11-APR-2021, the subject experienced muscle weakness. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced nausea. On 11-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 102 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe aches, muscle weakness, nausea, dizziness, chills, sore throat and fever was not reported. This report was non-serious.


VAERS ID: 1230741 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424245

Write-up: NAUSEA; FATIGUE; MUSCLE SORENESS ALL OVER BACK; LOW ENERGY; This spontaneous report received from a patient concerned a 45 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced fatigue. On 11-APR-2021, the subject experienced muscle soreness all over back. On 11-APR-2021, the subject experienced low energy. On 13-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from muscle soreness all over back on 12-APR-2021, and had not recovered from fatigue, low energy, and nausea. This report was non-serious.


VAERS ID: 1230749 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Contusion, Headache, Pain, Pyrexia, Sensory disturbance, Skin burning sensation, Vasodilatation
SMQs:, Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Accidents and injuries (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: No current medications. No known allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 101.3 F
CDC Split Type: USJNJFOC20210424376

Write-up: LARGE BRUISE ON THE SOLE OF THE FOOT; BURNING ON THE BOTTOM OF THE FOOT; THROBBING FOOT; VEIN POPPED UP FEELING ON FOOT; ACHINESS; CHILLS; LOW GRADE FEVER; HEADACHE; This spontaneous report received from a patient concerned a 52 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included no current medications. no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 11-APR-2021 11:27 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced achiness. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced low grade fever. On 11-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 101.3 F. On 12-APR-2021, the subject experienced large bruise on the sole of the foot. On 12-APR-2021, the subject experienced burning on the bottom of the foot. On 12-APR-2021, the subject experienced throbbing foot. On 12-APR-2021, the subject experienced vein popped up feeling on foot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from achiness, chills, low grade fever, and headache on 12-APR-2021, had not recovered from burning on the bottom of the foot, throbbing foot, and large bruise on the sole of the foot, and the outcome of vein popped up feeling on foot 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: 1230864 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Influenza like illness, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425102

Write-up: FLU LIKE SYMPTOMS(LOW GRADE FEVER, BODY ACHE, HEADACHE, CHILLS); NAUSEA; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 11-APR-2021 10:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced flu like symptoms (low grade fever, body ache, headache, chills). On 11-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the flu like symptoms(low grade fever, body ache, headache, chills) and nausea was not reported. This report was non-serious.


VAERS ID: 1230884 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Influenza like illness, Pain
SMQs:, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427571

Write-up: FLU LIKE SYMPTOMS; MINOR BODY ACHE; FATIGUE; DIARRHEA; This spontaneous report received from a patient concerned a 38 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced minor body ache. On 11-APR-2021, the subject experienced fatigue. On an unspecified date, the subject experienced flu like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea, and fatigue on 12-APR-2021, and the outcome of flu like symptoms and minor body ache was not reported. This report was non-serious.


VAERS ID: 1230948 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-11
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Biopsy, Menstruation irregular
SMQs:, Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: My OBG doctor will perform a endometrial biopsy on April 26.
CDC Split Type:

Write-up: 4 days after the shot I got my periods. It lasted 4 days. That''s not normal for me. It was a full, regular periods, not spotting. I haven''t had my periods in a long time, as I am menauposed. My OBG doctor wants to perform a endometrial biopsy on April 26.


VAERS ID: 1230964 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Helicobacter gastritis, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Helicobacter pylori infection
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: H. Pylori; chills; nausea; headache.; fever; This spontaneous case was reported by a consumer and describes the occurrence of HELICOBACTER GASTRITIS (H. Pylori) in a 65-year-old female patient who received mRNA-1273 for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Helicobacter pylori infection. On 11-Apr-2021, the patient received second dose of mRNA-1273 (Intramuscular) 2 dosage form. On 11-Apr-2021, the patient experienced PYREXIA (fever). On an unknown date, the patient experienced HELICOBACTER GASTRITIS (H. Pylori) (seriousness criterion medically significant), CHILLS (chills), NAUSEA (nausea) and HEADACHE (headache.). At the time of the report, HELICOBACTER GASTRITIS (H. Pylori), PYREXIA (fever), CHILLS (chills), NAUSEA (nausea) and HEADACHE (headache.) outcome was unknown. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded Reporter did not allow further contact; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded


VAERS ID: 1230987 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0421212A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Fatigue, Headache, Hyperhidrosis, Muscle spasms, Nausea, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Hep B
Other Medications: Amare Probiotics and supplements, Synthroid, prozac, hormone replacement - Estrogen, progesterone and DHEA
Current Illness: Recovering from adrenal insufficiency, Hashimotos, arthritis, asthma
Preexisting Conditions: adrenal insufficiency, Hashimotos, arthritis, asthma, allergies, low blood pressure, sinus and respiratory issues, migraines (have diminished over the years.
Allergies: Latex, Shellfish, iodine, soy, diflucan, epinephrine, seasonal allergies
Diagnostic Lab Data: When I went to the ER they did not perform any test nor did they note that I mentioned to the Dr and the Nurse taking my vitals i had the J&J Vaccine April 10th and I have had severe, irregular headaches daily since. The Dr joked and said to me, well its not the vaccine because that means you would be #7 out of millions who have had the vaccination and that''s unlikely. I told him I am not saying I have a blood clot, I am saying I have had severe headaches since he vaccination. My PHCP called me on Monday and I asked me about any medication changes etc and I told them about the vaccination. She stated that the ER did not document anything about my vaccination.
CDC Split Type:

Write-up: Day of Vaccination, fatigue 4 hours after. 12 - 13 hours after I woke up with unusual joint pain very intense in my ankles, feet and knees and a bad headache that was not like my usual headaches. the next day, I felt pretty good, I told my husband I have a leg cramp tin my left leg that does not feel like a charley horse. I ate a banana, drank lots of water and took a magnesium capsule to help with the leg cramp. and by 1pm I started to develop a headache. I did not report because I have frequent headaches. It intensified as the day progressed. after Sunday, this became a daily occurrence. Early afternoon I would start to get intense headaches and i would go home take benadryl and sinus medicine to help ease the pain. Continued on daily until Saturday April 17th when my headache became so bad I could not stand it anymore. I was nauseous and shaking. No fever but profuse sweating and weakness. Went to the ER around 930pm and was released around 12am after they gave me an IV with anti nausea meds and benadryl. Sunday I was weak with headache all day. Woke up today (Monday 4/19) with a headache and felt fatigued and severe headache. It does not feel like a sinus headache nor tension, nor hormonal. It is my entire head throbbing and left side of my head is sensitive to pressure. I have not sustained any head injuries in the past year or longer.


VAERS ID: 1231130 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-23
Onset:2021-04-11
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head abnormal, Echocardiogram normal, Electroencephalogram normal, Generalised tonic-clonic seizure, Laboratory test normal, Magnetic resonance imaging head normal, Scan with contrast, Ultrasound scan normal
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartan/Hctz, Lovastatin, Flomax, Prilosec, COq10, magnesium, zinc, D3, B12, aspirin 81mg, Flonase, MVI, Vit C
Current Illness: None
Preexisting Conditions: Elevated BP, controlled w/medication -- High cholesterol, treated with medication
Allergies: Shrimp
Diagnostic Lab Data: CT head w/contrast, MRI brain, EEG, echocardiogram, ultrasound of carotids, specific lab tests unknown. All tests were negative. All tests done between 4/11/21 and 4/19/21
CDC Split Type:

Write-up: Grand mal seizure while visiting daughter, length of duration unknown.


VAERS ID: 1231141 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERAL
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NUTS
Diagnostic Lab Data: PLEASE SEE ATTACHED DOCTORS NOTES AND TESTS RESULTS
CDC Split Type:

Write-up: PLEASE SEE ATTACHED DOCTORS NOTES AND TEST RESULTS


VAERS ID: 1231417 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 02529042 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Contusion, Hypoaesthesia, Nervousness, Pain, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Please advise me about it blood clot studies. I?m scared
CDC Split Type:

Write-up: Pain still in my left arm. Now in my right side. It?s like a ghost image of pain. Numbness in my right arm and leg. Also a bruise on my right side under my rib, that After 4-5 days it has become a lump. Endless heads Please tell me where I can get the best help for my concerns with the J&J vaccine I received.


VAERS ID: 1231615 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Utah  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Neck mass
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421167

Write-up: SWOLLEN LUMP ABOVE THE COLLARBONE; This spontaneous report received from a patient concerned a 49 year old female. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, and batch number: 042A21A expiry: 06-JUN-2021) dose was not reported, 1 total, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced swollen lump above the collarbone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swollen lump above the collarbone. This report was non-serious.


VAERS ID: 1231650 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hyperhidrosis, Hypersomnia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425229

Write-up: SLEPT MOST OF THE DAY; SWEATED 3LB OF WATER; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 11-APR-2021, the subject experienced slept most of the day. On 11-APR-2021, the subject experienced sweated 3lb of water. On 11-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, slept most of the day, and sweated 3lb of water. This report was non-serious.


VAERS ID: 1231772 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428414

Write-up: BODY ACHES; FEVER; HEADACHE; NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, 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 body aches. On 11-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, fever, headache, and nausea on APR-2021. This report was non-serious.


VAERS ID: 1231786 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Injection site pain
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE; LOSARTAN; HYDROCHLOROTHIAZIDE; PREDNISONE
Current Illness: Sinus infection
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429254

Write-up: DIZZY; ARM A LITTLE SORE; 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 sinus infection. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. Concomitant medications included amlodipine for blood pressure, hydrochlorothiazide for blood pressure, losartan for blood pressure, and prednisone for sinus infection. On 11-APR-2021, the subject experienced arm a little sore. On 14-APR-2021, the subject experienced dizzy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dizzy, and arm a little sore. This report was non-serious.


VAERS ID: 1231967 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0371A21B / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asthmanefrin cut with water, through a nebulizer
Current Illness: Mild occasional asthma. I also theorize I contracted Farmers Lung fall of 2020 from cleaning a storage bin of moldy soybeans.
Preexisting Conditions: Mild asthma for the past 50 years, No need to treat beyond Primatene Mist
Allergies: Farmer, pollens and grain dusts
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Asthma, Shortness of breath increased in severity by 4/15 or so. Has continued until present. I start to run out of breath when I reach the top of my stairs. I recover appx 3 min of rest. No increases in severity for the past 5 days. No fever, phlem, or mucus. Only breathlessness. Easier to sleep on an incline. (I must move too much in bed.)


VAERS ID: 1232041 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-03-14
Onset:2021-04-11
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: MODERN 0.5 ML FOR IM LOT 020B21A EPX:09/23/2021 No known adverse events.


VAERS ID: 1232052 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-03-14
Onset:2021-04-11
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 015M20A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: MODERN 0.5 ML FOR IM LOT 015M201A EPX:07/31/2021 No known adverse events.


VAERS ID: 1232218 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xanax, zinc, Centroid, Cytomel, Topamax, trazadone, Zyrtec, Singulair, omeprazole, Benadryl. Lamictal
Current Illness: Sinuses
Preexisting Conditions: Hashimoto''s disease, tachycardia
Allergies: Penicillin, Rocephin, Sulfa meds, Mycin meds, Cipro, Amoxicillin, Z-pack
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I woke up on Sunday (04/11) and realized my lymph nodes under my left arm were swollen and tender to the touch. I still have random bouts of nausea and feel fatigued. I also ran fever yesterday a low grade one 99F. I did a phone consultation with my PCP on 04/12 and he did not seem concerned stating studies have shown it is a normal side effect from the vaccines.


VAERS ID: 1232324 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cough, Headache, Nasopharyngitis, Oral herpes, Productive cough, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Oropharyngeal infections (narrow), Infective pneumonia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin , Magnesium, Vitamin D
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Had cold like symptoms and lots of phlegm, developed a cold sore. The coughing and runny nose went away after 7 days but the phlegm and headache have remained. The headache goes from mild to extreme especially at night


VAERS ID: 1232481 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood folate, Blood thyroid stimulating hormone, Chills, Differential white blood cell count, Full blood count, Hypoaesthesia, Metabolic function test, Pain, Palpitations, Paraesthesia, Platelet count, Pyrexia, Red blood cell sedimentation rate, Vitamin B12
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate (25MG Tablet, 1 tab Oral two times daily, SUMAtriptan Succinate (100MG Tablet, 1 tab Oral as needed, Clindamycin Phosphate (1% Gel, External in morning, Mirena (52 MG) (20MCG/24HR IUD, Intrauterine, Ventolin (90MCG/ACT Ae
Current Illness:
Preexisting Conditions: Asthma Raynaud''s Syndrome [2013]: Migraine headache
Allergies: Amoxicillin *PENICILLINS* Immune to Amoxicillin Aluminum Acetate *DERMATOLOGICALS* Rash. Magnesium Oxide *MINERALS & ELECTROLYTES* Hives, Rash.
Diagnostic Lab Data: will check labs. consider neuro Current Plans VITAMIN B-12 (CYANOCOBALAMIN) (82607) FOLIC ACID SERUM (82746) CBC, PLATELETS & AUT DIFF (85025) TSH (THYROID STIMULATING HORMONE) (84443) METABOLIC PANEL, COMPREHENSIVE (80053) QUEST BLOOD DRAW (36415) SED RATE ERYTHROCYTE (85651)
CDC Split Type:

Write-up: I recieved the vaccine on 04/11/2021 at Pharmcy in the left arm and started having numbness/tingling in my extremities 72 hours later. I had fever chills and aches within the first 24 hours after the vaccine. The body aches were there till Thursday. Once the body aches started subsiding, I felt the numbness and tingling in the legs on Thursday. Then it spread to my arms. Stays in the legs. Then I started feeling in back of arms and upper back. Certain things make it worse, laying and sitting is worse. Standing helps it. I have no swelling. I have never had a reaction before to a vaccine. No problems ambulating, no breathing problems, no wheezing. I would also like a refill of my headache medication and inhaler today. The patient is a 35 year old female who presents with a complaint of COVID vaccine reaction. COVID Janssen J&J vaccine recieved on 04/11/2021 at Pharmacy, IM in left deltoid. Several hours later I had fever/chills/body aches/ racing heart which lasted 24 hours. The body aches lasted for 72 hours. I began noticing numbness and tingling in my extremities as well as in my upper back. The numbness and tingling worsens when I sit and lay down. No bowel/ bladder problems. I also have Raynaud''s and I do not know if that ties in to my symptoms at all. My nipples have also been abnormally hard and sensitive. Note: hx of raynauds denies cp/sob/rash/abdominal pain/n/v/bowel or bladder incontinence/seziures/syncope. symptoms are constant. no fam hx of neurological conditions. no injury and no fall. able to walk okay. no muscle weakness. no rashes. pt denies anaphylaxis


VAERS ID: 1232747 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Feeling hot, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA: Vaccine recipient experienced overheating and syncope. Vaccine recipient was monitored by EMS.


VAERS ID: 1232772 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: Was given at age 16/ at a college clinic, thinking all students were 18+, mother works at facility and signed child up


VAERS ID: 1232829 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 25821 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Cough, Fatigue, Hyperhidrosis, Impaired work ability, Pain, Seizure like phenomena
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Convulsions (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol INH, Qvar INH, MigRelief, and Venlafaxine
Current Illness: None
Preexisting Conditions: Cough variant asthma & anxiety & recurrent migraine
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient''s husband awakened patient from seizure like activity and sweats day after vaccination. Since then, patient has cough, body aches, fatigue to the point that she remains unable to return to work


VAERS ID: 1232978 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Diarrhoea, Dizziness, Lethargy, Migraine, Myalgia, Nausea, Oropharyngeal pain, Pyrexia, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: 3 days fever, chills, muscle aches & pains, Migraine Headaches, Nausea, Diarrhea, UTI, Dizziness, lethargic, sore throat


VAERS ID: 1233116 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-06
Onset:2021-04-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram normal, Headache, Laboratory test normal, Myocardial necrosis marker normal, Nausea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Vitamin B-Complex, Melatonin, Fish Oil
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG and chest X-ray performed, both clear. Cardiac enzyme and other basic blood test all within normal range. Blood pressure slightly elevated (continuing).
CDC Split Type:

Write-up: Leg pain, pressure headaches and chest tightness resulting in ER visit 4/12. Attending physician noted no visible signs of clots. Occasional shortness of breath and brief bursts of dizziness and nausea (not necessarily together) persist, as do minor headaches.


VAERS ID: 1233274 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-03-31
Onset:2021-04-11
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Migraine, Nausea, Photophobia
SMQs:, Acute pancreatitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT CALLED DESCRIBING HAVING A MIGRAINE HEADACHE WITH LIGHT SENSITIVITY, AND NAUSEA. SHE ALSO STATES THAT NO OTC MEDICATIONS HELPED WITH ALLEVIATING THE PAIN AT ALL


VAERS ID: 1233276 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Malaise, On and off phenomenon, Pain
SMQs:, Anticholinergic syndrome (broad), Parkinson-like events (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: claritin daily, valtrex prn, Daily multivitamin, glucosamine, vit d, vit e, vit b6, & tumeric supplements
Current Illness: NONE
Preexisting Conditions: Arthritis Myalgia Anxiety
Allergies: bactrim, emycin, protonix, citrus foods/juices
Diagnostic Lab Data:
CDC Split Type:

Write-up: -Mild to Moderate headache, mild dizziness on and off, and increased body aches for 4 days following vaccination. -Generally felt ''under the weather'' not quite myself for a full week following vaccination. Gradually starting to feel back to baseline second week post vaccine


VAERS ID: 1233325 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Chills, Diarrhoea, Dyspnoea, Fatigue, Fibrin D dimer, Headache, Laboratory test, Oral mucosal eruption, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies: Seasonal allergies, sea food, shellfish, spicy food, latex, Polyethylene Glycol in miralax
Diagnostic Lab Data: blood tests, D- dimme test
CDC Split Type: vsafe

Write-up: Within 15 minutes of receiving my J&J vaccine, I experienced diarrhea. 12 hours later I ran a temperature of 37.5 and also had chills. On Sunday morning 04-11-2021, I had horribleheadaches and I took a Tylenol but it did not help. On Monday, Tuesday and Wednesday I again woke up with headaches and I felt extremely fatigued. I went to see my PCP who performed blood tests and also did a D-dimme test which the tests came back as being okay. I also experienced a full body rash and was having slight breathing issues. I also went to see an allergist on Monday 04-12-2021 due to my whole body rash, patchy skin, red and white bumps on my forehead. I was also concerned because at the inside of my mouth and upper pallet I had red bumps which lasted three days. I took me a whole week to recover from these symptoms.


VAERS ID: 1233333 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Full blood count normal, Genital rash, Herpes virus test, Loss of consciousness, Pain, Pyrexia, Skin necrosis, Skin ulcer
SMQs:, Torsade de pointes/QT prolongation (broad), Severe cutaneous adverse reactions (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ibuprofen
Current Illness: None
Preexisting Conditions: none
Allergies: Allergic to dairy
Diagnostic Lab Data: Herpes test: negative CBC: normal
CDC Split Type:

Write-up: After getting the Johnson & Johnson shot at 3:15PM on Saturday (I did pass out at the vaccine clinic approx 2 minutes after receiving the vaccine and had to be escorted to a room to lay down) I developed chills, fever, and aches that night, but that''s not what I''m reporting. Sunday night, I developed painful red spots on my right inner labia. Monday morning, they had multiplied and darkened. I went in and saw my gynecologist, at 2:00PM. By that time they had worsened again. She could not immediately identify it, but swabbed it to test for herpes. She also prescribed an anti-viral, a rotating dose of OTC 600 ibuprofen and 500mg tylenol, and that I should pick up Orajel for topical numbing. By Wednesday, the herpes test came back negative (as I expected, having never had herpes), and the spots had grown in size and turned into black and grey ulcers that were shedding with necrosis and were extremely painful. In addition, I was experiencing near exhaustion. Dr. diagnosed them as Lipshütz ulcers. A severe immune response to the vaccine. In addition to the antiviral, she prescribed a steroid to help quiet the immune response and a few days worth of Hydrocodone to help with the very acute pain. As of writing this on 4/20/2021, I am still not fully recovered, although Dr. believes it will be cleared up completely in the next couple of days.


VAERS ID: 1233515 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril 5mg Levetiracetam 75mgx4 Amlodipine 10g Gabapentin 600 mg Folic Acid 1mg Hydralazine 25mgx2 omeprazole 20mg Calcium 600-200 Thiamine 100mg OTC : Vitamin C 1000mg
Current Illness: no issues at time of vaccine
Preexisting Conditions: High Blood pressure pre diabetic seizure disorder high cholesterol
Allergies: nka
Diagnostic Lab Data: UNKOWN
CDC Split Type:

Write-up: Patient starting feeling chills on Sunday, patient stayed home then had a seizure 4-12-21. They were admitted to the hospital on the evening/ night of 4-12-21 . Still in hospital as of 4-20-21.


VAERS ID: 1233579 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None known
Preexisting Conditions: None known
Allergies: NKA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient experienced shortness of breath and anxiety post vaccination, recovered and released.


VAERS ID: 1233601 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache, Injection site mass, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Humira
Current Illness: Auto immune- ulcerative colitis
Preexisting Conditions: Ulcerative colitis
Allergies: None
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Right arm still is painful and has a lump, dizziness, headaches


VAERS ID: 1233638 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Patient experienced nausea and vomiting post vaccination, recovered and released


VAERS ID: 1233655 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-31
Onset:2021-04-11
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Vitamin B12 decreased
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Patient is a medical doctor. . patient reports at 10pm April 11, 2021 , he was reaching into a closet when his entire right side fell asleep/was numb. He reports that sitting temporarily help relieve symptoms, however when he stood, symptoms returned. patient sought care at ER. His BP was 183/110. However, nothing was found to be wrong except B-12 level was low. Patient reports that symptoms lasted 45 minutes.


VAERS ID: 1233697 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Ageusia, Anosmia, Asthma, Blood albumin decreased, Blood creatine phosphokinase increased, Blood creatinine increased, Blood glucose increased, Blood sodium decreased, COVID-19, Chest X-ray normal, Chest discomfort, Chest pain, Chills, Coagulation test normal, Condition aggravated, Diabetes mellitus, Diarrhoea, Differential white blood cell count normal, Dyspnoea, Echocardiogram abnormal, Electrocardiogram normal, Fibrin D dimer normal, Full blood count normal, Glycosylated haemoglobin increased, Headache, Hypoglycaemia, Hypoxia, Influenza A virus test negative, Influenza B virus test, Lung infiltration, Metabolic function test, Myalgia, Nausea, Protein total decreased, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Tachypnoea, Troponin T increased, Troponin increased, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (narrow), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cozaar, Norvasc, HCTZ, Lipitor, NovoLIN R, Lantis
Current Illness:
Preexisting Conditions: ASTHMA, CHRONIC KIDNEY DISEASE, DIABETES, HYPERTENSION, TOBACCO ABUSE DX OF COVID-19 15 APRIL 21.
Allergies: NKDA
Diagnostic Lab Data: 4/15/21 IN ED Port CXR - NEGATIVE, on discussion with Radiologist, subtle focal infiltrate consistent with COVID infiltrates, per ED note. CBC unremarkable; CMP elevated glucose, Elevated Troponin, Creatine Kinase Elevated, D-Dimer within normal range, EKG unremarkable, Influenza A & B negative, COVID 19 Positive, Coag panel within normal limits 4/16/21 CXR - Normal, Glucose - at 1720 374, at 2,225 338 , Troponin T - Elevated21.43 (Ref Range 19), Hemaglobin A1C 13.3 CMP Creatinine 1.36, Sodium low at 131, Glucose 258, D-Dimer within normal limits, CBC unremarkable, 4/17/21 Glucose 47 @ 1720, CMP W/GFR Glucose 43 @ 0500, CBC/W/Diff unremarkable. 4/18/21 Glucose @0215 55 CBC W/Diff unremarkable, CMP@ 0827 Albumin low, Creatinine high, glucose 131, protein low, sodium low, 4/19/21 Echocardiogram: There is an echodensity in the right atrium which measures 1 cm x 1 cm best appreciated in apical four-chamber imaging. This may represent a prominent crista terminalis ridge but recommended further imaging such as cardiac MRI (given acute COVID 19 infection) forfurther evalaution. CBC w/ Diff unremarkable, CMP creatinine high, glucose high, proien low, sodium low.
CDC Split Type:

Write-up: Patient received Jassen vaccine 4/10/21. 4/11/21 began with symptoms of fever, headache, chills, nausea, vomiting, and diarrhea, loss of taste and smell. 4/15/21 he presented to ED with symptoms of fever, chest pain and pressure, shortness o breath, myalgias, headache, tachypnea, tachycardia, hypoxia. Was given IV Decadron, DuoNeb and albuerol in ED. Inprovment seen, but patient continued with tachypnea and difficulty breathing. He was admitted to ED with a diagnosis of COVID 19 , asthma exacerbation and elevated Troponin at 31.52 (Ref Range 19) . During admission, glucose levels were labile, requiring adjustment to routine insulin regimen and Glucovance for hypoglycemia. An Echocardiogram was ordered due to elevated Troponin levels on admission. Echocardiogram 4/19/21 showed a density in the right atrium. Cardiology recommended a cardiac MRI. Patient was transfered to Hospital 4/19/21 for elevated care and evaluation, with diagnosis of


VAERS ID: 1233773 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Patient experienced vomiting post vaccination, recovered and released


VAERS ID: 1233922 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Hyperhidrosis, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient experienced sweating, feeling hot and syncope post vaccination, recovered and released


VAERS ID: 1233945 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gait disturbance
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: uknown
Current Illness:
Preexisting Conditions: Autistic and Deaf
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient states that the day after the vaccine when he would stand or move that his equilibirum was off, causing him to stumble. He described it as if he was "drunk" and stumbling without the alcohol as he does not drink.


VAERS ID: 1234008 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: Patients guardian falsified DOB when registering for vaccination, stating the minor''s DOB was 07/06/2002. Guardian, consented to the vaccination. Department of Health verified with statistical records that the patients actual DOB is 07/06/2004 which made the vaccine a contraindication. No known adverse reactions noted.


VAERS ID: 1234014 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: Patients guardian falsified DOB when registering for vaccination. Guardian consented to the vaccination. Department of Health verified with statistical records the patients actual, which made the vaccine a contraindication. No known adverse reactions noted.


VAERS ID: 1234031 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 1808982 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Cough, Nasopharyngitis, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Severe cold, 62, 4/2018, pneumonia
Other Medications: Metfomin, Lisinopril, Januvia, Jardiance
Current Illness: None
Preexisting Conditions: Type 2 Diabetes
Allergies: None known
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Cold like symptoms. Low grade fever, body aches, dry cough


VAERS ID: 1234059 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-19
Onset:2021-04-11
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood thromboplastin normal, Deep vein thrombosis, International normalised ratio normal, Pain in extremity, Peripheral swelling, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASA 81mg Synthroid 100mcg Aleve 220mg
Current Illness: Rt foot/ankle pain
Preexisting Conditions: Hypothyroidism h/o prostate cancer
Allergies: iodine soap
Diagnostic Lab Data: Venous Dupplex confirmed DVT 4/15. Protine s, protine C still pending. Nml ptt, pt/inr.
CDC Split Type:

Write-up: Less than 1 mo following injection pt developed DVT RLE. He presented with rt foot/ankle pain 3/29. The pain improved then around 4/10 he developed significant pain/swelling to rt calf. Venous US confirmed DVT. Pt started on Eliquis. Pt has h/o superficial thrombosis, not h/o DVT.


VAERS ID: 1234252 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-06
Onset:2021-04-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deep vein thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: History provoked lower extremity DVT 2/2019
Allergies: none
Diagnostic Lab Data: Venous doppler test
CDC Split Type:

Write-up: Lower extremity DVT


VAERS ID: 1234792 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: Excessive ringing in ears from 2nd day to present


VAERS ID: 1234835 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Fatigue, Injection site nodule, Pain in extremity, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen and high blood pressure medication
Current Illness: N/a
Preexisting Conditions: Asthma and high blood pressure
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: When I received my shot there must have been air inside the needle because myself and the nurse who gave me the shot heard a pop noise. The male nurse even looked at the needle. After the 1st 24 hours after shot i had a mild fever and tired. After 2nd day after receiving vaccine my arm was very swollen and red. Its been almost 2 weeks and i still have a small knot at the injection site. I occasionally feel a sharp pain in my arm from time to time.


VAERS ID: 1234893 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Fatigue, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Muscle pain (back, legs, top of feet), headache, fever lasting 3 days, shortness of breath and fatigue lasting 10 days (as of today).


VAERS ID: 1235199 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Gait inability, Nausea, Pain in extremity, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methotrexate Omeprazole venaflexine Birth control Folic acid
Current Illness: Rheumatoid Arthritis
Preexisting Conditions: Rheumatoid Arthritis
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Deep pain in right leg, could not walk for a week. Slight pain still present. Fatigue, dizziness, nausea, blurred vision


VAERS ID: 1235833 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Intracranial aneurysm
SMQs:, Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ADVAIR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021415243

Write-up: Brain Aneurysm; This is a spontaneous report from a contactable consumer. A 50-year-old female patient (non-pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in arm right on 08Apr2021 16:00 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included asthma from an unknown date and unknown if ongoing, no known allergies. Concomitant medication in two weeks included fluticasone propionate, salmeterol xinafoate (ADVAIR), and patient had birth control. Patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient previously received first dose of bnt162b2 on 18Mar2021 04:00 pm at the age of 50-year-old at right arm as single dose for covid-19 immunisation. The patient was not diagnosed with COVID-19 prior to vaccination. The patient experienced brain aneurysm on 11Apr2021 13:00 with outcome of recovering. Patient received aneurysm coil as treatment. The adverse events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization, life threatening illness (immediate risk of death from the event). Information about lot/batch number has been requested.


VAERS ID: 1235853 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-02
Onset:2021-04-11
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Electrocardiogram, Electrocardiogram ambulatory, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zocor, Synthroid, Dexliant, Singular, Celebrex, multi-vitamin, vitamin D
Current Illness: None
Preexisting Conditions: joint pain
Allergies: None
Diagnostic Lab Data: 1 doctor office visit that included EKG, blood test 1 cardiologist visit with Holter Heart monitor for 48 hours
CDC Split Type:

Write-up: 8 days after the 2nd dose, I started to experience heart PVCs on a frequent basis (approximately 4 per minute)


VAERS ID: 1235997 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420923

Write-up: FAINTING; This spontaneous report received from a pharmacist via a company representative concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: Unknown) frequency 1 total, dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 11-APR-2021, the patient experienced fainting after the vaccine was administered. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fainting was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210420923-COVID-19 VACCINE AD26.COV2.S-fainting. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1236043 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Migraine, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421555

Write-up: MIGRAINE; BODY ACHES; CHILLS; This spontaneous report received from a patient concerned a 44 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and 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 migraine. On 11-APR-2021, the subject experienced body aches. On 11-APR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from migraine, chills, and body aches. This report was non-serious.


VAERS ID: 1236053 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Headache, Mobility decreased, Pain, Pneumonia
SMQs:, Dementia (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422051

Write-up: FELT LIKE PNEUMONIA; FELT LIKE DYING; COULD BARELY MOVE; EVERYTHING HURT; POUNDING, EXCRUCIATING HEADACHES; This spontaneous report received from a patient via a company representative from social media concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number and expiry were unknown) dose was not reported, 1 total administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 11-APR-2021, the patient felt like dying, felt like pneumonia, could barely move, everything hurt and pounding, excruciating headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the felt like dying, felt like pneumonia, could barely move, everything hurt and pounding, excruciating headaches was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210422051-covid-19 vaccine ad26.cov2.s - felt like pneumonia. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1236096 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Headache, Pain, Pyrexia, SARS-CoV-2 test
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 102.7 F; Test Name: COVID-19 virus test; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210423111

Write-up: BODY ACHE; HEADACHE; FEVER 102.7 F; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 11-APR-2021 15:00 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 11-APR-2021, the subject experienced body ache. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced fever 102.7 f. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102.7 F, and COVID-19 virus test (NR: not provided) unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, body ache, and fever 102.7 f. This report was non-serious.


VAERS ID: 1236108 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had No known allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424023

Write-up: FEVER; MUSCLE PAIN; This spontaneous report received from a patient concerned a 26 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, expiry: UNKNWON) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced muscle pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and muscle pain. This report was non-serious.; Sender''s Comments: V0:Medical assessment comment not required as per standard operating procedures.


VAERS ID: 1236112 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180A9A0 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Mass, Pain, Pain in extremity, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424032

Write-up: LUMP UNDER THE JAW; ITCHY; PAIN; SORE ARM; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 180A9A0 expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the patient experienced lump under the jaw. On 11-APR-2021, the patient experienced itchy. On 11-APR-2021, the patient experienced pain. On 11-APR-2021, the patient experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from lump under the jaw, sore arm, itchy, and pain. This report was non-serious.


VAERS ID: 1236185 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Feeling of body temperature change, Headache, Hyperhidrosis, Influenza like illness, Pain in extremity
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Spinal fusion; Spinal nerve stimulator implantation
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427625

Write-up: FLU LIKE SYMPTOMS; HEAT AND COLD SWEATS, UNABLE TO CONTROL BODY TEMP; SWEATS; ABDOMINAL PAIN WHEN USING REST ROOM; RIGHT ARM PAIN- UNABLE TO USE; HORRIBLE HEADACHES; This spontaneous report received from a patient concerned a 43 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included had neck spinal fusion, and spinal cord neuor stimulator in lower back.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 203A21A expiry: 23-JUN-2021) 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 11-APR-2021, the subject experienced heat and cold sweats, unable to control body temp. On 11-APR-2021, the subject experienced sweats. On 11-APR-2021, the subject experienced abdominal pain when using rest room. On 11-APR-2021, the subject experienced right arm pain- unable to use. On 11-APR-2021, the subject experienced horrible headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from flu like symptoms, horrible headaches, heat and cold sweats, unable to control body temp, sweats, abdominal pain when using rest room, and right arm pain- unable to use. This report was non-serious.


VAERS ID: 1236196 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Heart rate, Insomnia, Muscle tightness, Musculoskeletal discomfort, Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension; Migraine
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Heart rate; Result Unstructured Data: 68
CDC Split Type: USJNJFOC20210427812

Write-up: HEART RACING FEELING; PRESSURE IN THE BACK; TIGHTNESS IN THE BACK; SEVERE HEADACHE LOCALIZED TO TOP OF HEAD; COULD NOT SLEEP OVER NIGHT; This spontaneous report received from a patient. The patient''s concurrent conditions included hypertension, and migraine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, expiry: 23-JUN-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced could not sleep over night. On 11-APR-2021 21:00, the subject experienced pressure in the back. On 11-APR-2021 21:00, the subject experienced tightness in the back. On 11-APR-2021 21:00, the subject experienced severe headache localized to top of head. On 12-APR-2021, treatment medications included: paracetamol. On 12-APR-2021 10:00, the subject experienced heart racing feeling. Treatment medications included: ibuprofen. Laboratory data (dates unspecified) included: Heart rate (NR: not provided) 68. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from could not sleep over night, had not recovered from severe headache localized to top of head, and heart racing feeling, and the outcome of pressure in the back and tightness in the back was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1236204 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Chills, Diarrhoea, Dizziness, Fatigue, Headache, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427982

Write-up: DIARRHEA; VOMITTING; CHEST TIGHTNESS; EXTREME DIZZINESS; ACHEY KNEES; CHILLS; NAUSEA; HEADACHE; FATIGUED; This spontaneous report received from a patient concerned a 48 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced extreme dizziness. On 11-APR-2021, the subject experienced achey knees. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced nausea. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced fatigued. On 12-APR-2021, the subject experienced diarrhea. On 12-APR-2021, the subject experienced vomitting. On 12-APR-2021, the subject experienced chest tightness. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea on 13-APR-2021, and vomitting, and achey knees on 12-APR-2021, was recovering from nausea, headache, chills, and extreme dizziness, and had not recovered from chest tightness, and fatigued. This report was non-serious.


VAERS ID: 1236211 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Diplopia, Dyspnoea, Fatigue, Headache, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Ocular motility disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RESTASIS; ENBREL
Current Illness: Alcohol use (Mixed drinks occasionally about once or twice a week.); Dry eyes; Non-smoker; Psoriasis; Seasonal allergy
Preexisting Conditions: Comments: Patient had no known drug allergies and not asked drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 202103; Test Name: Blood test; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210428103

Write-up: HEADACHE; DOUBLE VISION; SHORT OF BREATH; PAIN IN LEGS; UNUSUALLY TIRED; This spontaneous report received from a patient concerned a 59 year old female. The patient''s weight was 101 kilograms, and height was 60 inches. The patient''s concurrent conditions included psoriasis, dry eyes, seasonal allergies-non serious, alcohol use, and non-smoker, and other pre-existing medical conditions included patient had no known drug allergies and not asked drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. Concomitant medications included ciclosporin for dry eyes, and etanercept for treatment of psoriasis. On 11-APR-2021, the subject experienced double vision. On 11-APR-2021, the subject experienced short of breath. On 11-APR-2021, the subject experienced pain in legs. On 11-APR-2021, the subject experienced unusually tired. On 12-APR-2021, the subject experienced headache. Treatment medications included: ibuprofen. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from double vision, and pain in legs on 11-APR-2021, and headache on 13-APR-2021, and was recovering from unusually tired, and short of breath. This report was non-serious.


VAERS ID: 1236221 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Headache, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428235

Write-up: LACK OF APPETITE; WEAKNESS; CHILLS; HEADACHE; NAUSEA; FEVER; VOMITING; DIARRHEA; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 11-APR-2021 15:20 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced vomiting. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced weakness. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced nausea. On 11-APR-2021, the subject experienced fever. On 12-APR-2021, the subject experienced lack of appetite. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, weakness, nausea, vomiting, diarrhea, fever, chills and lack of appetite was not reported. This report was non-serious.


VAERS ID: 1236252 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood urine present, Chills, Fatigue, Feeling abnormal, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Dementia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; IgA nephropathy; Non-smoker
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428563

Write-up: BLOOD IN URINE; FEELING BAD; BODY ACHES; CHILLS; EXHAUSTED; This spontaneous report received from a patient concerned a 28 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included iga nephropathy, non-smoker, and non alcoholic. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced blood in urine. On 11-APR-2021, the subject experienced feeling bad. On 11-APR-2021, the subject experienced body aches. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced exhausted. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood in urine on 13-APR-2021, and chills, was recovering from feeling bad, and had not recovered from body aches, and exhausted. This report was non-serious.


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