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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 69 out of 1,889

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VAERS ID: 1249391 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Injection site pruritus, Pyrexia
SMQs:, 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? 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: USJNJFOC20210436287

Write-up: HEADACHE; LOW GRADE FEVER; ITCHING AT INJECTION SITE; This spontaneous report received from a patient concerned a 55 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: 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 itching at injection site. On 11-APR-2021, the subject experienced low grade fever. On 16-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from itching at injection site, and low grade fever on 12-APR-2021, and had not recovered from headache. This report was non-serious.


VAERS ID: 1249404 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Antiphospholipid antibodies positive, Blood urine present, Headache, Protein urine present, Urine analysis, Vomiting
SMQs:, Acute renal failure (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MACROBID
Current Illness: Chronic kidney disease stage 2; Obesity; Psoriatic arthritis; Rheumatoid arthritis; Systemic lupus erythematosus; Type II diabetes mellitus
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210414; Test Name: Urinalysis; Result Unstructured Data: positive for blood, positive for protein; Test Name: Lupus anticoagulant positive; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210437769

Write-up: PROTEIN IN URINE; BLOOD IN URINE; VOMITING; HEADACHE; ABDOMINAL PAIN; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included type 2 diabetes, rheumatoid arthritis, systemic lupus erythematosus, obesity, stage 2 chronic kidney disease, and psoriatic arthritis. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. Concomitant medications included nitrofurantoin for blood in urine, and protein in urine. On 11-APR-2021 04:00, the subject experienced abdominal pain. On 11-APR-2021 09:00, the subject experienced vomiting. On 11-APR-2021 09:00, the subject experienced headache. On 14-APR-2021, the subject experienced protein in urine. On 14-APR-2021, the subject experienced blood in urine. Laboratory data included: Urinalysis (NR: not provided) positive for blood, positive for protein. Laboratory data (dates unspecified) included: Lupus anticoagulant positive (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from abdominal pain on 12-APR-2021, was recovering from headache, and vomiting, and the outcome of protein in urine and blood in urine was not reported. This report was non-serious.


VAERS ID: 1249408 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Nausea, Polymerase chain reaction, Suspected COVID-19, Taste disorder
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: PCR; Result Unstructured Data: Negative (unit unspecified)
CDC Split Type: USJNJFOC20210438020

Write-up: COVID SYMPTOMS; CHILLS; NAUSEA; TASTE SENSATION; LIGHTHEADEDNESS; This spontaneous report received from a patient concerned a 56 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: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: PCR (NR: not provided) Negative (unit unspecified). On 11-APR-2021, the subject experienced taste sensation. On 11-APR-2021, the subject experienced lightheadedness. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced nausea. On 19-APR-2021, the subject experienced covid symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from taste sensation, and chills, was recovering from lightheadedness, and covid symptoms, and had not recovered from nausea. This report was non-serious.


VAERS ID: 1249439 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210440115

Write-up: RANDOMLY FELT LIKE PINS AND NEEDLES IN TOES, FINGERS AND FACE; FEVER; This spontaneous report received from a patient concerned a 46 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, intramuscular, 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 randomly felt like pins and needles in toes, fingers and face. On 11-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 13-APR-2021, and had not recovered from randomly felt like pins and needles in toes, fingers and face. This report was non-serious.


VAERS ID: 1249462 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache
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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210440857

Write-up: HEADACHE; FATIGUE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight was 135 pounds, and height was 63 inches. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 14:00 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache, and fatigue on 13-APR-2021. This report was non-serious.


VAERS ID: 1249539 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, 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: Blood pressure high
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210443808

Write-up: SORE ARM; This spontaneous report received from a patient concerned a 78 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, and other 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: 1805022 expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sore arm. This report was non-serious.


VAERS ID: 1249689 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No Medical history was reported)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: seizure; very tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of SEIZURE (seizure) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036B21A and 044A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No Medical history was reported). On 10-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced FATIGUE (very tired). On 12-Apr-2021 at 3:00 AM, the patient experienced SEIZURE (seizure) (seriousness criterion medically significant). At the time of the report, SEIZURE (seizure) and FATIGUE (very tired) outcome was unknown. No Treatment related information was reported. Patient went to bed like normal that night. Patient called a nearby family member, who took patient to her neurologist later the next day.; Sender''s Comments: This case concerns a 63-year-old female with a serious unexpected event of seizure, and nonserious expected fatigue. Event onset 1 day after first dose mRNA-1273, with seizure occurring 2 days after vaccination. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1249695 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure measurement, Blood test, Cerebrovascular accident, Dizziness, Echocardiogram, Feeling abnormal, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging head, Nervousness, Paraesthesia, Swelling face, Ultrasound Doppler, Vision blurred, X-ray
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No medical history reported.)
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: Normal; Test Date: 202104; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 202104; Test Name: Echocardiogram; Result Unstructured Data: Normal; Test Date: 202104; Test Name: Spinal tab; Test Result: Negative ; Result Unstructured Data: Negative for Lyme disease; Test Date: 202104; Test Name: MRIs; Result Unstructured Data: Normal (2x); Test Date: 202104; Test Name: Carotid artery; Result Unstructured Data: Normal; Test Date: 202104; Test Name: x-rays; Result Unstructured Data: Normal
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: They thought they were having a stroke; Facial paresthesia; The right side of their face felt numb, like with paralysis; Their face was swollen; Right upper extremity paresthesia; Blurry vision; Dizzy; Nervous as hell; Felt like someone hit them with a gun in the right temple with Novocain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (They thought they were having a stroke), PARAESTHESIA (Facial paresthesia), HYPOAESTHESIA (The right side of their face felt numb, like with paralysis), SWELLING FACE (Their face was swollen) and PARAESTHESIA (Right upper extremity paresthesia) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No medical history reported.). On 01-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Apr-2021, the patient experienced VISION BLURRED (Blurry vision), DIZZINESS (Dizzy), NERVOUSNESS (Nervous as hell) and FEELING ABNORMAL (Felt like someone hit them with a gun in the right temple with Novocain). On 14-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (They thought they were having a stroke) (seriousness criterion hospitalization), PARAESTHESIA (Facial paresthesia) (seriousness criterion hospitalization), HYPOAESTHESIA (The right side of their face felt numb, like with paralysis) (seriousness criterion hospitalization), SWELLING FACE (Their face was swollen) (seriousness criterion hospitalization) and PARAESTHESIA (Right upper extremity paresthesia) (seriousness criterion hospitalization). The patient was hospitalized from 14-Apr-2021 to 19-Apr-2021 due to CEREBROVASCULAR ACCIDENT, HYPOAESTHESIA, PARAESTHESIA, PARAESTHESIA and SWELLING FACE. On 11-Apr-2021, VISION BLURRED (Blurry vision), DIZZINESS (Dizzy), NERVOUSNESS (Nervous as hell) and FEELING ABNORMAL (Felt like someone hit them with a gun in the right temple with Novocain) had resolved. At the time of the report, CEREBROVASCULAR ACCIDENT (They thought they were having a stroke), PARAESTHESIA (Facial paresthesia), HYPOAESTHESIA (The right side of their face felt numb, like with paralysis), SWELLING FACE (Their face was swollen) and PARAESTHESIA (Right upper extremity paresthesia) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Blood pressure measurement: normal (normal) Normal. In April 2021, Blood test: normal (normal) Normal. In April 2021, Echocardiogram: normal (normal) Normal. In April 2021, Lumbar puncture: negative (Negative) Negative for Lyme disease. In April 2021, Magnetic resonance imaging brain: normal (normal) Normal (2x). In April 2021, Ultrasound Doppler: normal (normal) Normal. In April 2021, X-ray: normal (normal) Normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Concomitant product use was unknown. Treatment information was not provided.; 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. Further information is requested.


VAERS ID: 1251050 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK LA / IM

Administered by: Unknown       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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash on upper torso and arms


VAERS ID: 1251326 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Laboratory test normal, Testicular pain, Urinary incontinence
SMQs:

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: One a day Men''s Multivitamins, Vitamin D 2000 IU.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Al lab results within normal ranges
CDC Split Type:

Write-up: Right Testicular Pain / difficulty urinating


VAERS ID: 1251475 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Hypertension, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fever
Other Medications: Vitamins, magnesium, B12, DGL, iglutamine
Current Illness: none
Preexisting Conditions: none
Allergies: allergic to citric fruits
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fadigue, body aches, hypertension to 220/120 level, headaches


VAERS ID: 1251493 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-03-11
Onset:2021-04-11
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Ischaemic stroke, Loss of consciousness, Magnetic resonance imaging head abnormal, Visual field defect, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Biotin, Calcium supplement, Celebrex, Fish oil supplement, OXcarbazepine, Vitamin C & D3 supplements
Current Illness: None
Preexisting Conditions: Post neuropathic Shingles
Allergies: None
Diagnostic Lab Data: CT Scan & MRI indicated partial blockage leading to unconsciousness and stroke
CDC Split Type:

Write-up: Ischemic Stroke requiring hospitalization. Significant reduction in field of vision. Loss of nearly all Left Side peripheral vision


VAERS ID: 1251502 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dyspepsia, Fatigue, Headache, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (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: None
Current Illness: Cervical disc rupture
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe full body rash roughly 36 hours after vaccination. Took Benadryl 48 hours after rash started which resolved the rash. Minor recurrence of rash in patches across body persisting for the past two weeks. Additional symptoms 12 hours after vaccination: heartburn, fever, chills, headache, tiredness . All resolved within 48 hours of vaccination and haven?t returned.


VAERS ID: 1251532 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Pain in extremity, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Anovera 0.013-0.15 mg / 24 hr ring
Current Illness:
Preexisting Conditions: asthma and anemia
Allergies: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient stated she needed to go to hospital for adverse reaction of pain in leg. After asking MD to check her leg, they discovered a blood clot per patient. She is now doing well per her.


VAERS ID: 1251605 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-19
Onset:2021-04-11
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram, Electrocardiogram
SMQs:, Hearing impairment (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: OTC Generic Allergy
Current Illness: None
Preexisting Conditions: None
Allergies: Buckwheat
Diagnostic Lab Data: CAT Scan , EKG. To rule out stroke.
CDC Split Type:

Write-up: Developed Bell?s Palsy on right side of my face. Gained most movement back in 1 1/2 weeks.


VAERS ID: 1251821 (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: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topiramate (25mg, 2x/day), Ventolin (albuterol) inhaler, zinc vitamin (50mg), D3 vitamin (50mcg/2000 IU), Vitamin C (1000 mg)
Current Illness: None
Preexisting Conditions: Asthma (mild), Raynauds Syndrome, Migraines
Allergies: Magnesium Oxide, Aluminium
Diagnostic Lab Data: Took labs/blood work on Tuesday, April 20: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. Thursday, April 22: took more blood
CDC Split Type:

Write-up: Sunday, April 11 at 5:30pm: Chills, fever (101.4), body aches all over, heart racing Sunday night - peed 4 times that night 1. Monday: Fever (100.5), chills, body aches all over, heart racing, fatigued (did nothing all day but sleep) 2. Monday around 8PM: fever & chills gone, body aches still there all over my body, headache, fatigue 3. Tuesday: Body aches still bad all over and headache 4. Wednesday: Body ache a little better and headache, tingling/nubmness starts in both legs (faintly) 5. Thursday: body ache barely there, soreness in arm at injection site, tingling/numbness in legs (sharp pain) 6. Friday: tingling/numbness in legs - mainly back of my thighs - sometimes also feeling this tingling in my arms and upper back area 7. Saturday: same, tingling/numbness in legs/sometimes in arms/upper back, body still sore to the touch 8. Sunday: same, tingling/numbness in legs - sometimes also in arms and upper back, body still sore to the touch 9. Monday: same, same, tingling/numbness in legs - sometimes also in arms and upper back ? Called DR to speak with nurse about this as didn''t feel normal to have this reaction, went into dr for appt on Tuesday, April 20. 10. Tuesday: Saw Dr. at 7:30am about tingling/numbness in legs - sometimes also in arms and upper back. Possible reaction to vaccine or more? Took labs/blood work: Vitamin B-12 (82607), Folic Acid Serum (82746), CBC / Platelets & Aut Diff (85025), TSH (Tyroid Timulating hormone) (84443), Metabolic Panel (80053), Quest blood draw (36415), Sed rate erythrocyte (85651) - ALL came back normal. 11. Wednesday: same, tingling/numbness in legs - sometimes also in arms and upper back, but the tingling this day got a little less intense. Not as painful today. 12. Had follow-up appt on Thursday, April 22 - took more tests. Tingling/numbness in legs but felt like Wednesday as a little less painful - didnt feel it as much in arms/back. Felt more like when your hand falls asleep and blood comes rushing back into it, thats how my legs felt this day, so more soreness than pain. 11. Friday: Symptoms same as the past 1 days, feel like tingling is getting a tad better.


VAERS ID: 1252400 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Chest discomfort, Chills, Electrocardiogram normal, Fatigue, Full blood count normal, Musculoskeletal chest pain, Pyrexia, Respiration abnormal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Respiratory failure (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: On Thursday April 15 an EKG, CHEST XRAY, Blood work for CBC and Blood clots all came back normal.
CDC Split Type:

Write-up: The next day I was very fatigue and had body chills and mild fever. On monday I had chest tightness . I was still able to breathe and noticed that this was not normal. I pressumed my day as usual. On Thursday I went to my local urgent care. They performed an EKG, Blood test to rule out infection and blood clots and a chest x ray. All of my test came back NORMAL. My Dr. stated that it was " CHEST WALL MUSCLE PAIN" The CHEST TIGHTNESS WENT AWAY ON SUNDAY. 1 week later from the day of the injection.


VAERS ID: 1254014 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (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: FENOFIBRATE
Current Illness: Blood cholesterol abnormal
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: 150/110 mmHg; Comments: Fluctuating BP upto 150/110
CDC Split Type: USJNJFOC20210445254

Write-up: VOMIT; HEADACHE; INCREASE IN BLOOD PRESSURE; This spontaneous report received from a patient concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included abnormal cholesterol. 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 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included fenofibrate for abnormal cholesterol. On 11-APR-2021, the subject experienced increase in blood pressure. On 11-APR-2021, the subject experienced headache. On 18-APR-2021, the subject experienced vomit. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) 150/110 mmHg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from increase in blood pressure, headache, and vomit. This report was non-serious.


VAERS ID: 1255284 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic reaction, Chest discomfort, Chest pain, Dizziness, Dyspnoea, Headache, Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN [LORATADINE]; FIBER; B COMPLEX [VITAMIN B COMPLEX]; MAGNESIUM; IRON
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to nuts; Asthma; Delayed type hypersensitivity; Food allergy; Penicillin allergy; Shellfish allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021394800

Write-up: Anaphylactic reaction to vaccine; Felt like an elephant was sitting on my chest; Could not take a deep breath; dizzy lightheaded; Had tingling in my feet; headache; chest pains; This is a spontaneous report from a contactable consumer (patient). A 42-years-old non pregnant female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 10Apr2021 10:00 (at the age of 42-year-old) (Batch/Lot Number: Ew0158) as SINGLE DOSE for covid-19 immunisation. Medical history included Asthma, anaphylactic reactions to shellfish, PCN, codeine. Known allergies included: PCN, codeine, nuts, shellfish, potatoes, green beans, apples, tomatoes. Concomitant medication(s) included loratadine (CLARITIN [LORATADINE]) taken for an unspecified indication, start and stop date were not reported; polycarbophil calcium (FIBER) taken for an unspecified indication, start and stop date were not reported; vitamin b complex (B COMPLEX [VITAMIN B COMPLEX]) taken for an unspecified indication, start and stop date were not reported; magnesium (MAGNESIUM) taken for an unspecified indication, start and stop date were not reported; iron (IRON) taken for an unspecified indication, start and stop date were not reported. The patient took Clartin, fiber, b complex, magnesium, iron, probot in two weeks. The patient previously took first dose of bnt162b2 in left arm on 20Mar2021 at 14:15 (lot number=Er2613) for covid-19 immunisation. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. On 11Apr2021 02:00 AM, the patient experienced Anaphylactic reaction to vaccine. Felt like an elephant was sitting on her chest. Could not take a deep breath. She was also dizzy lightheaded. Had tingling in her feet, headache and chest pains. Most of her symptoms went away after she was given a high dose of Benadryl and prednisone. She also has asthma and a history of delayed anaphylactic reactions. It will be a 4-5 days before her lungs completely recover from this. AE Resulted in Emergency room/department or urgent care. Outcome of the events was recovering.


VAERS ID: 1255323 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Fatty liver; Sulfonamide allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021396111

Write-up: went to go lay back down/fainted; went to go lay back down; felt nauseous; Went to lay in bed and was sweating a lot; Before I fainted I had taken some ibuprofen for the headache; This is a spontaneous report from a contactable consumer patient(herself) reported. A 35-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EM9810, Expiration date: unknown), via an unspecified route of administration in arm left on 10Apr2021 at 12:00 PM as single dose for covid-19 immunization. The patient historical vaccine included first dose BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EM9810, Expiration date: unknown), via an unspecified route of administration in left arm on 20Mar2021 at12:00 PM as single dose Covid-19 immunization. Patient medical history included fatty liver disease. Patient had known to allergies sulfa medication. Patient concomitant medication in two weeks included escitalopram oxalate (LEXAPRO), allergy medicine, allergy nasal spray. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the post vaccination. Patient experienced about 16 hours after the vaccine went to go lay back down, felt nauseous and fainted, got back up and fainted again. Went to lay in bed and was sweating a lot 11Apr2021 at 05:15 AM. Before fainted, patient had taken some ibuprofen for the headache. Patient not received treatment for the events. The outcome of the event was unknown.


VAERS ID: 1255356 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Conjunctival haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Conjunctival disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LIPITOR [ATORVASTATIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cataract operation; High cholesterol
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021399892

Write-up: Right eye, subconjunctival hemorrhage; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 09Apr2021 11:00 (Lot Number: EP7533) as single dose (at the age of 66-years-old) for covid-19 immunisation. Medical history included high cholesterol, cataract surgery. Patient had no known allergies. Concomitant medications in two weeks prior to the vaccination included atorvastatin (LIPITOR). Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Patient had no COVID prior vaccination. Patient was not tested for Covid post vaccination. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, via an unspecified route of administration, administered in Left arm (Lot number: EN6206) on 17Mar2021 02:45 PM (at the age of 66-years-old) for COVID-19 immunization. The patient experienced right eye, subconjunctival hemorrhage on 11Apr2021 at 12:00. No treatment was required. Patient was recovering from the event.


VAERS ID: 1255597 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Covid-19; Test Result: Positive
CDC Split Type: USPFIZER INC2021412086

Write-up: Diagnosed (tested positive) with Covid19; Diagnosed (tested positive) with Covid19; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a male patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) as a single dose, with route of administration and therapy date unspecified, for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. On 11Apr2021, after the first dose of vaccination, the patient was diagnosed (tested positive) with COVID-19. The outcome of the event was unknown. The patient was scheduled to receive the second dose of vaccination on 13Apr2021, and was told to put it off. Information about lot/batch number has been requested.


VAERS ID: 1255652 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, 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: Nexium, Centrum Silver (vitamin) Vitamin B12, Low Dose Asprin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache (4 days) , Body Aches (5 days), Fatigue (8 days)


VAERS ID: 1255654 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bone pain, Dizziness, Fatigue, Nausea, Pain, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Osteonecrosis (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: Creon, Gabapentin, Vitamin B12, Folic Acid, Low Dose Asprin, Vitamin C, Centrum Silver Vitamin, Vitamin D3, Omega 3
Current Illness:
Preexisting Conditions: Pancreatic Cancer, Whipple Surgery, High Cholestrol, Enlarged Thyroid (ultrasound scheduled 4/26 to rule out cancer)
Allergies: Pencillan, Ampicillan, Amoxicillan, Keflex, Suprax, Bleach
Diagnostic Lab Data:
CDC Split Type:

Write-up: Super Dizzy (2 days), nausea (4 days), tingling throughout body (5 days), fatigue (10 days), Severe body aches. Felt like every bone in my body was broken (4 days)


VAERS ID: 1256169 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Heavy menstrual bleeding, Nausea
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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: Vitamin A, Vitamin E, multi-vitamin for women over 40, Iron supplement, fish oil
Current Illness: none
Preexisting Conditions: low blood pressure
Allergies: none
Diagnostic Lab Data: none; called the doctor and they said to just monitor symptoms
CDC Split Type:

Write-up: - unexpected, extremely heavy period with an amount of blot clots similar to what is passed after just giving birth - fatigue, nausea, light headedness


VAERS ID: 1256211 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Costochondritis, Inflammation, Muscle tightness, Pain, Tension headache
SMQs:, Dystonia (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: Iron 45mg
Current Illness: Anemia, Interstitial Cystitis
Preexisting Conditions: Interstitial Cystitis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Inflammation causing muscle tension in neck and collar bone pain/ flair up of past issues. I had tension headaches and costochondritis in the past. The vaccine made both come back/flair up.


VAERS ID: 1256262 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Sleep disorder, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Beginning the night after receiving the vaccine, I have had noticeable difficulty falling and staying asleep through the night. I retire around 12-1 a.m. and consistently awake between 4 and 6 a.m., unable to fall back asleep. This has led to serious drowsiness during the day. Prior to the vaccine, I would regularly sleep until 8 or 9 a.m. uninterrupted.


VAERS ID: 1256616 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: I''ve had pain in the muscle right below my right collarbone ever since the vaccine (2 weeks)


VAERS ID: 1257011 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins A, B, C, D3, E, zinc, selenium, folic acid, glucosamine, fish oil
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: none yet
CDC Split Type:

Write-up: Left arm that received injection continued to feel weak off and on over the next 2 weeks. Would not describe it as painful, but more like a dead arm and very weak. In the early morning of April 25, it was painful. It has remained sore and weak all day. The pain is not by the injection site, but in the bicep.


VAERS ID: 1258007 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Transverse sinus thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: aurovela fe 1/20
Current Illness:
Preexisting Conditions:
Allergies: flagyl
Diagnostic Lab Data:
CDC Split Type:

Write-up: diagnosed with transverse sinus thrombosis, outcome unknown transferred to Hospital upstate


VAERS ID: 1258094 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood cholesterol decreased, Blood glucose normal, Fatigue, Feeling abnormal, High density lipoprotein increased, Injection site bruising, Injection site pain, Injection site swelling, Low density lipoprotein increased, Lymphadenopathy, Muscle spasms, Muscle swelling, Muscle twitching, Myalgia, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Dyslipidaemia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NP Thyriod, Progesterone, DHEA, D3, Multivitamin
Current Illness: None
Preexisting Conditions: Hypothyroidism and Hashimotos
Allergies: Keflex antibiotic, gluten and soy intolerant
Diagnostic Lab Data: Bloodwork April 15 normal other than glucose 102, cholesterol 220 and ldl and hdl high with high ratio
CDC Split Type:

Write-up: Shot arm swelling, pain and bruise, fatigue and loopiness for 5 days, then better for about 5 days. 10 days in upper body stestemic response with muscle twitching, pain and swelling. Shot arm and other arm pain, neck pain and pectoral muscle pain. Went to Dr who diagnosed on the 15th. He ran blood work which was normal other than cholesterol 220, ldl and hdl high and glucose was 102. Then twitching moves to lower limbs with lymph swelling behind knees at 21 days in. Went back to Dr. On the 22nd. He considered it still an inflammatory response. Now at 26 days out, still have some lower limb twitching and upper body muscle spams have begun again mainly on right hand side non shot arm.


VAERS ID: 1258233 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Joint swelling, Loss of personal independence in daily activities, Pain
SMQs:, Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: Lipitor, Lisinopril
Current Illness: No
Preexisting Conditions: Arthritis back,shoulder
Allergies: Torisel
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: My knee was swollen, body ache and fatigue for 3 day couldn''t go to work. Since I heard the vaccination was stopped on 4/12 I was concerned. I went to doctor was advised to take Tylenol.


VAERS ID: 1258337 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Bradyphrenia, Chills, Diarrhoea, Ear swelling, Headache, Hypoaesthesia
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (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: Afrin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Cold chills for three days post vaccination. Diarhea for 12 days post vaccination. Lump near ear NOT a gland from day 4 - 13 post vaccination. Numbness in top of left foot from day 4-13 post vaccination. Hazy thinking trouble concentrating from day 9-10 post vaccination. Altered "poop cycle" from day 2-13 post vaccination. Headaches, not migraine intense only 4-5 on a 1-10 scale from day 2-day 15 (currently still have them but only a 2 on a scale to 10).


VAERS ID: 1258372 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M, Blood test, Chest X-ray, Culture urine, Differential white blood cell count, Full blood count, Microtia, Parasite DNA test, Parasite blood test, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Congenital, familial and genetic disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor, Ropinirole, Clonazapem, Hydrochlorothiazide, Levothyroxine, Zyrtec, Folic Acid, B12, calcium, Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Kiwi Fruit, Avalox, Doxycycline, Erthromycin, Penicillan, Sulfides
Diagnostic Lab Data: 4/15: COVID Test 4/16: Initial visit to Urgent Care - prescribed Z-Pack 4/20: Second visit to Urgent Care: Chest X-Ray, Urine Culture, Blood work for , LYME IGG/IGM, BABESIA DNA, BABESIA MICROTI DNA, ANAPL PHAG DNA, CBC Differential, Parasites - Blood
CDC Split Type:

Write-up: Fever of 102.5 on 4/13, fever of 101.3 on 4/14, fever of 103.6 on 4/15.


VAERS ID: 1260021 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Blood gases, Cardiac monitoring, Chest pain, Chills, Computerised tomogram thorax, Differential white blood cell count, Dyspnoea, Electrocardiogram, Fatigue, Feeling of body temperature change, Full blood count, Headache, Metabolic function test, Pregnancy test urine, Urine analysis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: One A Day Women''s complete Multivitamin/ Estradiol 0.5 mg tab/Goli Apple Cider Vimegar (2 gummies)
Current Illness: none
Preexisting Conditions: Irritable bowel syndrome/acid reflux
Allergies: Penicillin/ Adhesive Tape/Egg/Pistachio Nut/Lactose intolerance
Diagnostic Lab Data: Basic metabolic panel/chemical urialysis/complete blood count with differential/urine pregnancy screen/venous blood gas/ct chest pe protocol/ekg standard/cardiac monitor/oxygen/saline lock insert/ iohexol (omnipaque) /prednisone/saline flush/nacl 0.9%
CDC Split Type:

Write-up: Got Johnson and Johnson shot 4/10/2021: 4/11/21-4/12/21 headache, hot and cold chills 4/13/21- abdominal pain and shortness of breath 4/14/21- shortness of breath (sob) 4/15/21- headache, pain right side chest 4/16/21- fatigue, pain left side chest 4/17/21- sob (bad) 4/18/21- 4/21/21 sob 4/22/21 -woke up struggling to breath. Family Physician sent me to hospital. She was thinking blood clot lungs 4/23/21-current sob


VAERS ID: 1260727 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Feeling cold, Hot flush, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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: Flovent Multivitamin
Current Illness: None
Preexisting Conditions: Asthma Migraines
Allergies: Peanuts (severe) Soy
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Next day woke up at ~3am with; fever, hot and cold flashes, and weakness and fatigue. These symptoms persisted until end of the day 4/12.


VAERS ID: 1261159 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20321A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dysgeusia, Fatigue, Headache
SMQs:, Taste and smell disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421599

Write-up: METALLIC TASTE; fatigue; headache; 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: 20321A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced metallic taste. On 11-APR-2021, the subject experienced fatigue. On 11-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fatigue, headache and metallic taste was not reported. This report was non-serious.


VAERS ID: 1261215 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Intermenstrual bleeding, Muscle spasms, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (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: Medical History/Concurrent Conditions: IUCD; Comments: The patient did not have any medical history. The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429908

Write-up: This spontaneous report received from a patient concerned a 24 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included intrauterine device (iud), and other pre-existing medical conditions included the patient did not have any medical history. the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and 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 tired. On 12-APR-2021, the subject experienced cramps. Treatment medications included: ibuprofen. On 12-APR-2021 16:00, the subject experienced fever. On 14-APR-2021 09:00, the subject experienced vaginal bleeding. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tired on 13-APR-2021, and fever on 12-APR-2021, had not recovered from vaginal bleeding, and the outcome of cramps was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1261225 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Blood pressure measurement, Hot flush, Hypertension, Pulse pressure increased
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting. The patient had no known allergies. The patient did not have any drug abuse/illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Blood pressure; Result Unstructured Data: 103/101; Comments: blood pressure of 103/101 (units unknown) when the patient took vaccine; Test Name: Pulse pressure high; Result Unstructured Data: 106; Test Name: Blood pressure; Result Unstructured Data: 240/140; Comments: blood pressure of 240/ 140 (units unknown) when went to the emergency room
CDC Split Type: USJNJFOC20210430543

Write-up: HIGH BLOOD PRESSURE; PULSE PRESSURE OF 106; FEELING OF FLUSH; DELTOID/SHOULDER SITE SORENESS; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included no-smoker, and non-alcoholic, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting, the patient had no known allergies and the patient did not have any drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 to left deltoid for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the patient experienced feeling of flush (she stated that it felt like a heat coming through), high blood pressure of 103/101 (units unknown) and pulse pressure 106 (units unknown). She also experienced the deltoid/shoulder site soreness which lasted for 1 to 2 days. On an unspecified date she went to emergency room, she had blood pressure 240/140: high (units unknown) and pulse pressure (units unknown). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from deltoid/shoulder site soreness on 13-APR-2021, was recovering from feeling of flush, had not recovered from high blood pressure, and the outcome of pulse pressure of 106 was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0; 20210430543-covid-19 vaccine ad26.cov2. s-High blood pressure 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: 1261322 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Ischaemic stroke, Magnetic resonance imaging, Monoparesis, Muscular weakness, Thrombosis, Ultrasound Doppler, Ultrasound scan
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D [ERGOCALCIFEROL]; ASHWAGANDHA [WITHANIA SOMNIFERA]; VITAMIN C [ASCORBIC ACID]; IRON; MULTIVITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;FOLIC ACID;NICOTINAMIDE;PANTHENOL;RETINOL;RIBOFLAVIN;THI
Current Illness: Allergic reaction to antibiotics; Migraine
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: EKG; Result Unstructured Data: Unknown; Test Name: CT scan; Result Unstructured Data: Unknown; Test Name: MRI; Result Unstructured Data: unknown; Test Name: Carotid artery ultrasound; Result Unstructured Data: Unknown; Test Name: Blood test; Result Unstructured Data: Unknown; Test Name: Diagnostic ultrasound; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210440059

Write-up: CLOT BLOOD; ACUTE ISCHEMIC STROKE IN LEFT FRONTAL LOBE; PARTIAL LOSS OF USE IN RIGHT LEG; MUSCLE WEAKNESS; This spontaneous report received from a patient concerned a 46 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included amoxicillin and flexeril allergy, and migraine. The patient experienced drug allergy when treated with cyclobenzaprine hydrochloride. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, and batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 11:30 on left arm for prophylactic vaccination. Concomitant medications included ascorbic acid, ascorbic acid/ergocalciferol/folic acid/nicotinamide/panthenol/retinol/riboflavin/thiamine hydrochloride, ergocalciferol, iron, and withania somnifera. Approximately three days after the vaccine, on 11-APR-2021 08:20, the patient experienced clot blood. Which caused an acute ischemic stroke in left frontal lobe resulting in partial loss of use in right leg and muscle weakness. The patient had a blood test, CT scan, Carotid artery ultrasound, diagnostic ultrasound, electrocardiogram (EKG) and an MRI, results are unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from clot blood, acute ischemic stroke in left frontal lobe, muscle weakness, and partial loss of use in right leg. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: This is a report of a 46 year old, female patient who experienced a blood clot that caused an acute ischemic stroke in the left fontal lobe 3 days after receiving the covid-19 vaccine ad26.cov.2. Patient''s height and weight were not reported. Patient has migraine and allergies to amoxicillin, flexeril and cyclobenzapine hydrochloride. Concomitant medications included ascorbic acid, ascorbic acid/ ergocalciferol/folic acid/ nicotinamide/ panthenol/retinol/ riboflavin/ thiamine hydrochloride, ergocalciferol, iron, and withania somnifera. Smoking history, drug abuse and alcohol intake were not reported. Three (3) days after receiving the vaccine, patient was noted to have a blood clot (unspecified area) that caused an acute ischemic stroke in the left frontal lobe, resulting in muscle weakness and partial loss of use of the right leg. Patient had blood tests done as well as CT Scan, carotid artery ultrasound, electrocardiogram and MRI but the results were not reported. The information provided precludes a meaningful medical assessment. Additional information requested.


VAERS ID: 1261343 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Injection site erythema, Malaise, Movement disorder, Pain in extremity
SMQs:, Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210442743

Write-up: LIMITED USE OF LEFT ARM; SORE LEFT ARM; MALAISE; INJECTION SITE REDNESS; FATIGUE; HEADACHE; This spontaneous report received from a patient concerned a female 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, intramuscular, batch number: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced fatigue. On 11-APR-2021, the subject experienced sore arm. On 11-APR-2021, the subject experienced arm tenderness. On 11-APR-2021, the subject experienced limited use of left arm. On 11-APR-2021, the subject experienced injection site redness. On 11-APR-2021, the subject experienced malaise. On 11-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not reported. The outcome of the fatigue, sore arm, arm tenderness, limited use of left arm, injection site redness, malaise and headache was not reported. This report was non-serious.


VAERS ID: 1261432 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Arkansas  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain lower, Back pain, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Thyroid disorder
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210448255

Write-up: LOWER ABDOMINAL PAIN; BACK PAIN; BODY PAIN; RIGHT LEG PAIN; FEVER; This spontaneous report received from a patient concerned a 36 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included thyroid problems, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 206A21A 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 body pain. On 11-APR-2021, the subject experienced right leg pain. On 11-APR-2021, the subject experienced fever. On 19-APR-2021, the subject experienced back pain. On 22-APR-2021, the subject experienced lower abdominal pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body pain, right leg pain, and fever on 12-APR-2021, and had not recovered from back pain, and lower abdominal pain. This report was non-serious.


VAERS ID: 1261487 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046A21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy, Headache, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: similar to Bells Palsy; Very dull numbness in the left side of her face; slight headache; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL PARALYSIS (similar to Bells Palsy) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event. On 11-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Apr-2021, the patient experienced FACIAL PARALYSIS (similar to Bells Palsy) (seriousness criterion medically significant), HYPOAESTHESIA (Very dull numbness in the left side of her face) and HEADACHE (slight headache). At the time of the report, FACIAL PARALYSIS (similar to Bells Palsy), HYPOAESTHESIA (Very dull numbness in the left side of her face) and HEADACHE (slight headache) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.


VAERS ID: 1261714 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Haematemesis, Headache, Nausea, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLUOXETINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021399153

Write-up: with small amounts of blood in vomit; Pain in right arm; back and head ache; back and head ache; nausea; vomiting; This is a spontaneous report from a contactable consumer (patient). A 25-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the right arm on 10Apr2021 at 13:15 (lot number and expiration date: unknown) at a single dose for COVID-19 immunization. Medical history was not reported. Concomitant medication included fluoxetine (FLUOXETINE) taken for an unspecified indication, start and stop date were not reported. The patient had known allergies with Nyquil. The patient had no other vaccine in four weeks, had no COVID prior to vaccination and was not tested post vaccination. The patient experienced pain in right arm, back and head ache, nausea and vomiting, with small amounts of blood in the vomit on 11Apr2021 at 02:00. No treatment was administered for the events. The events were resolving at the time of the report. Information about lot/batch has been requested.


VAERS ID: 1261718 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Dysgeusia, Dyspnoea, Emotional distress, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: GABAPENTIN; VALACICLOVIR; TRAMADOL; DOXYCYCLINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to intravenous contrast media; Back injury; Bee sting hypersensitivity; Cancer; Food allergy; Latex allergy; Shoulder injury; Sulfonamide allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021400286

Write-up: A nurse saw me in distress & caught me before I hit the floor; dizziness & lightheadedness; difficulty breathing; had a horrific taste in my mouth; A nurse saw me in distress & caught me before I hit the floor; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration, administered in the right arm on 11Apr2021 at 11:15 (batch/lot number: EP7533) as a single dose for COVID-19 immunisation. Medical history included cancer history, back injury, right shoulder injury; and known allergies to sulfa, IVP dye, latex, bee stings and mushrooms. The patient was not pregnant. Facility type vaccine was health clinic. No other vaccine in four weeks. No Covid prior to vaccination and not Covid tested post vaccination. Concomitant medications in two weeks included gabapentin, valaciclovir, tramadol, doxycycline and vitamin; all taken for an unspecified indication, start and stop date were not reported. The patient previously took codeine, morphine and hydromorphone hcl (DILAUDID) and experienced known allergies to all drugs. On 11Apr2021 at 11:30, also reported as within 2 minutes of getting the vaccine, the patient had a horrific taste in her mouth followed by dizziness & lightheadedness. A nurse saw her in distress & caught her before she hit the floor. She then had difficulty breathing. They administered EpiPen, 50 mg liquid Benadryl & 2 puffs of Ventolin. She was transported to the ER by ambulance. The adverse events resulted in emergency room/department or urgent care. Therapeutic measures were taken as a result of the events. The outcome of the events was recovering.


VAERS ID: 1261751 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / UNK RA / -

Administered by: Pharmacy       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? 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: USPFIZER INC2021401851

Write-up: syncope two hours after the vaccine.; This is a spontaneous report from a contactable other hcp (patient). A 35-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot Number: ew0151), via an unspecified route of administration, administered in Arm Right on 11Apr2021 13:00 (at 35-year-old) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient was not pregnant. Vaccination facility type was Pharmacy or Drug Store. Patient had no covid prior vaccination. Patient was not tested for covid post vaccination. Patient had no known allergies. The patient experienced syncope two hours after the vaccine on 11Apr2021 15:00, she never had any history of syncope before. No treatment was received. The outcome of the event was recovered in Apr2021.


VAERS ID: 1261759 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anaphylactic reaction, Blood pressure decreased, Blood pressure measurement, Blood test, Chest discomfort, Chills, Consciousness fluctuating, Dizziness, Dyspnoea, Fatigue, Feeling hot, Headache, Heart rate, Heart rate decreased, Nausea, Oxygen saturation, Oxygen saturation decreased, Presyncope, Swollen tongue, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Acid reflux (oesophageal); Asthma; Blood pressure high; Lactose intolerant; Latex allergy; Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:94; Test Name: Blood pressure; Result Unstructured Data: Test Result:Dropped; Test Name: bloodwork; Result Unstructured Data: Test Result:Unknown Results; Test Name: Heart rate; Result Unstructured Data: Test Result:Dropped; Test Name: Oxygen; Result Unstructured Data: Test Result:81; Test Name: Oxygen; Result Unstructured Data: Test Result:Dropped
CDC Split Type: USPFIZER INC2021402928

Write-up: This is a spontaneous report from a contactable consumer. A 53-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Deltoid Left on 11Apr2021 09:15 (Lot Number: EP7533; Expiration Date: 31Jul2021) as SINGLE DOSE for covid-19 immunisation (Age at vaccination: 53 years). Medical history included asthma, Blood pressure high, acid reflux , allergies: Sulfa, Lactose intolerant and allergies: Latex. The patient''s concomitant medications were not reported. The patient had a historical vaccine of Flu shot (INFLUENZA) on an unspecified date for immunisation and experienced bad side effects. The patient previously took bactrim, minocycline, doxycycline, ciprofloxacin, Moxifloxacin, demerol, avelox, nitrofurantoin, naprosyn, motrin, perocet, tramadol and aleve and experienced allergies. The patient experienced anaphylaxis on 11Apr2021. It was also reported that she had an appointment for COVID Vaccine at 9:15AM. Received COVID Vaccine and was told to wait for 30 minutes. Within 10 minutes her chest starting getting tight with difficulty of breathing. Her throat was closing up, and she was light headed. She explained this to the administrator who asked if caller could get up to see the paramedic. As caller tried to stand up, she almost passed out. Had to sit there for a second and the second time was able to get up and made it in to the room. Was going in and out of consciousness. Had to stab her with an Epi Pen. She couldn''t breathe. Her throat was closing up. Her tongue was swollen. She was in and out of consciousness. First Epi Pen didn''t work. An IV was put in and was given something through it. She was jabbed with a second Epi Pen. Was still in and out of consciousness but she was starting to come back. Was given oxygen and a nebulizer. She does have asthma. Ambulance was called. Was told she was worked on for 20 minutes. When ambulance arrived she was able to get up and get on the cart. She was taken to the hospital. Was given medicine through her IV. Had to be kept at hospital because she had two Epi Pens and medication at the vaccine facility. Hospital wanted to make sure when the Epi Pens wore off she didn''t go back into anaphylaxis. Was kept in ER for over four hours. Was given IV fluids. Her oxygen, heart rate, and blood pressure dropped at vaccination facility. Oxygen was 81. Blood pressure was 94. At hospital, her levels started to get better. Once she was given the second Epi Pen and whatever else she was given, the medication started to work and she had come through. At the hospital, someone came in and did bloodwork for research to see why this happened. Was prescribed Epi Pens by the doctor in the hospital and was advised to carry Epi Pens with her at all times. If she has another anaphylaxis, was advised to jab herself with Epi Pen and call right away. Was told her tongue was swelling. Attempted to obtain the outcome of the anaphylaxis. At the hospital, she was so out of breath walking to the bathroom. Was told at hospital now she is having side effects from the COVID Vaccine including the tiredness and headache she is experiences. Was told to take Tylenol and Benadryl, lay down and rest, and to make sure she drinks so she does not get dehydrated. Today, she feels nauseous, lightheaded and tired with a little headache. She feels better from yesterday. Is getting better and is having a little chills maybe an hour ago. She checked her temperature and does not have a temperature, but her insides feel warm . The patient was hospitalized for the event anaphylaxis on an unspecified date. Therapeutic measures were taken as a result of was going in and out of consciousness. Events for anaphylaxis, consciousness fluctuating, chest discomfort. dyspnea, throat tightness, presyncope and swollen tongue occurred on 11Apr2021 while the remaining events occurred on an unspecified date. The patient underwent lab tests and procedures which included blood pressure: dropped and 94, blood work: unknown results, heart rate: dropped, oxygen saturation: 81 and dropped on an unspecified date. Therapeutic measures were taken as a result of all the events. Outcome of the events was unknown.


VAERS ID: 1261762 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac flutter
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (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: ADDERALL; TRI-SPRINTEC; VIT D3; VITAMIN B12 [COBAMAMIDE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Food allergy; Sulfonamide allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021403178

Write-up: every 15-30 minutes, patient''s heart seems to flutter and feel almost like jello, almost like a hiccup or something; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 10Apr2021 at 12:00 (Lot Number: ER8730) as single dose for covid-19 immunisation. Medical history included known allergies to drugs: sulfa drugs and food: hazelnut, apple, peach. The patient was not pregnant at the time of report and vaccination. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL); ethinylestradiol, norgestimate (TRI-SPRINTEC); colecalciferol (VIT D3); and cobamamide (VITAMIN B12 [COBAMAMIDE]). Patient had no COVID prior to vaccination and was not tested for COVID post vaccination. It was reported that every 15-30 minutes, patient''s heart seems to flutter and feel almost like jello, almost like a hiccup or something. Patient began to notice this on Sunday, the day after she was vaccinated, but it''s possible that it could have been happening on Saturday as well. The patient did not receive treatment for the event. Event start date was reported as 11Apr2021 at 12:00. Outcome of the event was not recovered.


VAERS ID: 1261802 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Psoriasis, Psoriatic arthropathy
SMQs:, Arthritis (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTEZLA
Current Illness: Psoriasis; Psoriatic arthritis
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic rhinitis; Coronary artery disease; Depression; High cholesterol; Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021408109

Write-up: A flare of psoriasis (plaque, guttate, and intertriginous) and psoriatic arthritis; A flare of psoriasis (plaque, guttate, and intertriginous) and psoriatic arthritis; This is a spontaneous report from a non-contactable consumer (patient). A 61-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot Number: ER8734) via an unspecified route of administration in the right arm on 09Apr2021 at 12:00 (at the age of 61-years-old) as a single dose for COVID-19 immunization. Medial history included HTN (hypertension), high cholesterol, CAD (coronary artery disease), depression, allergic rhinitis, all from unspecified dates and unspecified if ongoing and ongoing psoriasis and psoriatic arthritis from unspecified dates. It was unknown whether the patient was diagnosed with COVID-19 prior to vaccination. The patient had no known allergies. Concomitant medications included apremilast (OTEZLA) taken for psoriasis and psoriatic arthritis from an unspecified date and unspecified if ongoing. It was reported that no other vaccine was received in four weeks prior to the COVID-19 vaccine and it was also reported that another vaccine was reported in two weeks prior to the COVID-19 vaccine. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; solution for injection; Lot Number: ER8730) via an unspecified route of administration in the right arm on 19Mar2021 at 09:00 (at the age of 61-years-old) as a single dose for COVID-19 immunization. On 11Apr2021 the patient experienced a flare of psoriasis (plaque, guttate, and intertriginous) and psoriatic arthritis. The clinical course was reported as follows: "I take Otezla for Psoriasis and Psoriatic Arthritis. I have been well controlled for over a year. On the 3rd day following the vaccine I developed a flare of psoriasis (plaque, guttate, and intertriginous) and psoriatic arthritis." Treatment was not received for the events. The clinical outcomes of the events a flare of psoriasis (plaque, guttate, and intertriginous) and psoriatic arthritis were both recovering/resolving. Since the vaccination, the patient had not been tested for COVID-19. No follow up attempts are possible. No further information is expected.


VAERS ID: 1262098 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Utah  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, COVID-19, Oxygen saturation, Oxygen saturation decreased, Polymerase chain reaction, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Acute central respiratory depression (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ENTYVIO
Current Illness: Crohn''s disease; Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Body temperature; Result Unstructured Data: 100 F; Test Date: 202104; Test Name: Oxygen saturation; Result Unstructured Data: 85 %; Test Date: 20210411; Test Name: PCR; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210427837

Write-up: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; O2 LEVEL 85%; This spontaneous report received from a patient concerned a 64-year-old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included Crohn''s disease, and penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, expiry: UNKNOWN) dose was not reported, 1 total administered on 04-MAR-2021 to right arm for prophylactic vaccination. Concomitant medications included vedolizumab for Crohn''s disease. On an unspecified date in 2021, the patient experienced flu-like symptoms (fever 100F for about two days, very torturous and unusual headache, body aches). It was reported that the patient spent five days sick in bed. On an unspecified date in 2021, the patient took Tylenol but it did not relieve the pain and nothing seemed to help patient except getting some rest. After the vaccine administration, the patient stayed at home for 14 days, she double-masked, she had not been going out very much. On 11-APR-201, the patient experienced oxygen level 85%, felt ill and went to instant care and did Polymerase chain reaction test (PCR). On 13-APR-2021, the test result came positive. The patients Covid-19 symptoms included cough, fever (100F low grade fever) and oxygen (O2) level 85%. On 2021, Laboratory data included: Body temperature (NR: not provided) 100 F. On APR-2021, Laboratory data included: Oxygen saturation (NR: not provided) 85 %. Laboratory data included: PCR (NR: not provided) Positive. In 2021, treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from O2 level 85%, and the outcome of confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210427837-covid-19 vaccine ad26.cov2.s-Confirmed clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1262381 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dysgeusia, Full blood count, Headache, Immediate post-injection reaction, Metabolic function test, Nausea, Pain, Pyrexia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena hormonal IUD, Omeprazole
Current Illness:
Preexisting Conditions: Migraines, Reflux disease
Allergies: Torodal
Diagnostic Lab Data: CBC, CMP
CDC Split Type:

Write-up: The above is unknown, the patient received the Janssen (J&J) vaccine at a pharmacy. The patient has had a high fever, nausea and vertigo. The patient had body aches lasting 3 days and described a chemical taste in mouth that occurred immediately after vaccination. The patient still reports a HA, other symptoms have subsided.


VAERS ID: 1262556 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 0411A211A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fibrin D dimer, Thrombosis
SMQs:, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Na
Current Illness: Na
Preexisting Conditions: Na
Allergies: Na
Diagnostic Lab Data: D-dimer test
CDC Split Type:

Write-up: Clotting was present


VAERS ID: 1262677 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pain, Pyrexia, Rash, Sinus congestion, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Dexlansoprazole and spironolactone
Current Illness:
Preexisting Conditions: GERD, hypertension
Allergies: Sulfa - rash. Penicillins -unknown reaction
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had a fever of 101 status post vaccine with body aches, rash to the left chest, sinus congestion and post-nasal drip. Symptoms started about 3 days after vaccine administration. Patient is currently inpatient


VAERS ID: 1262710 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-26
Onset:2021-04-11
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Hypoaesthesia, Injection site hypoaesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (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? 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: Progressively worsening numbness near the injection site starting about 14 days after the injection. Numbness also ''shoots'' down the arm and is sporadic. Also had severe stomach pain as well on April 11th with has subsided.


VAERS ID: 1262805 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Headache, Muscle spasms, Pain, Posture abnormal, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (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: Budesonide , Meloxicam, Gabapentin , Midol
Current Illness:
Preexisting Conditions: blood in stool, migraine , prediabetes, spinal stenosis, arthralgia, cervicalgia
Allergies: Vicodin
Diagnostic Lab Data:
CDC Split Type:

Write-up: reported by patient stated that after 24 hour after receiving the J&J vaccine she " couldn''t lift her head, fever, chills, headache that comes and goes, body aches, leg cramps,


VAERS ID: 1263096 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Confusional state, Decreased appetite
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: prior gastric cancer and colon cancer, HTN, DM, dementia
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: decreased appetite and confusion for 2 weeks since getting vaccine


VAERS ID: 1263112 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20121A / N/A RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Headache, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

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

Write-up: From patient to after hours provider with c/o head and leg pain after Johnson & Johnson CVD19 vaccine. She states symptoms started 24 hours after vaccine and has not resolved. Patient advised to proceed to the nearest ER for evaluation for potential side effect due to J&J vaccine. Patient states understanding.


VAERS ID: 1263510 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling cold, Headache, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 1. daily baby aspirin 81 mg 2. vitamin c : 1000 mg twice a day 3. vitamin d : 4000 mg iu daily 4. zinc : 50 daily 5. melatonin for insomnia (1-10mg)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Mucles pain, cold, headache


VAERS ID: 1264423 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Eye disorder, Hypoaesthesia oral, Lip pain, Mouth swelling, Pain in extremity, Paraesthesia oral, Pruritus, Pyrexia, Tissue irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), 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: OXEZE
Current Illness: Asthma; Hashimoto''s disease; Non-smoker; Social alcohol drinker
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Drug allergy; Comments: Patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210440413

Write-up: EXTREME SWELLING TO UPPER AND LOWER LIPS, LEFT MOUTH DROOP; SORENESS TO LIPS; NUMBNESS TO LIPS; TINGLING TO LIPS; EXTREME GUM TISSUE IRRITATION; LEFT EYE DROOP; SORENESS TO RIGHT ARM; FEVER; ITCHING TO RIGHT ARM; PANTING; This spontaneous report received from a patient concerned a 52 year old female. The patient''s past medical history included had covid-19 on november 2nd, and aspirin, codeine, nsaids, morphine, class of erythromycins, barbiturates, sulfates, sulfonamides allergy, and concurrent conditions included hashimotos (hypothyroid), asthma, socially drinks, and non-smoker, and other pre-existing medical conditions included patient had no drug abuse or illicit drug usage. The patient was previously treated with diphenhydramine hydrochloride for allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Concomitant medications included formoterol fumarate for asthma. On 11-APR-2021, the subject experienced panting. On 11-APR-2021, the subject experienced itching to right arm. On 11-APR-2021, the subject experienced soreness to right arm. On 11-APR-2021, the subject experienced fever. On 12-APR-2021, the subject experienced extreme swelling to upper and lower lips, left mouth droop. On 12-APR-2021, the subject experienced soreness to lips. On 12-APR-2021, the subject experienced numbness to lips. On 12-APR-2021, the subject experienced tingling to lips. On 12-APR-2021, the subject experienced extreme gum tissue irritation. On 12-APR-2021, the subject experienced left eye droop. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from extreme swelling to upper and lower lips, left mouth droop, panting, and itching to right arm on 11-APR-2021, left eye droop on 13-APR-2021, soreness to right arm on 14-APR-2021, and fever on 12-APR-2021, was recovering from soreness to lips, numbness to lips, and tingling to lips, and had not recovered from extreme gum tissue irritation. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1264482 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Delaware  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210450077

Write-up: SHORT OF BREATH; FATIGUE; HEADACHE; GENERALISED ACHING; This spontaneous report received from a patient concerned a 33 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 drug allergies.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 APR-2021, treatment medications included: ibuprofen. On 11-APR-2021, the subject experienced generalised aching. On 24-APR-2021, the subject experienced short of breath. On 24-APR-2021, the subject experienced fatigue. On 24-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from generalised aching on 12-APR-2021, and had not recovered from fatigue, headache, and short of breath. This report was non-serious.


VAERS ID: 1265180 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-04
Onset:2021-04-11
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Facial pain, Hypoaesthesia, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (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: Lupus
Allergies:
Diagnostic Lab Data: MRI and bloodwork
CDC Split Type:

Write-up: The lower left side of my face went completely numb. Severe Face pain on the same side. I am still like this to date. Went to dentist, dental surgeon, primary care and neurologist. As of now, no one knows what is wrong. I also got an MRI.


VAERS ID: 1265910 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Joint swelling, Mental impairment, Rheumatoid arthritis, Swelling, Weight increased
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: B12 [CYANOCOBALAMIN]; CORTISONE; METHOTREXATE; PROLIA
Current Illness: COPD (probably really got with it about 2012.); Rheumatoid arthritis (fought with it all last year in 2020; but was not diagnosed with rheumatoid arthritis until Feb2021.)
Preexisting Conditions: Medical History/Concurrent Conditions: Bone density abnormal; Breast cancer female
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021403432

Write-up: prior to onset of event she did not have any rheumatoid arthritis problems in her knees; additional swelling in her knees; feels like she is gaining weight; can''t get her brain to work; more swelling on her waist and back/Additional swelling around her waist/ looks like she has lumps; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration (at the age of 69-years-old), administered in Arm Left on 08Apr2021 14:30 (Lot Number: EW0151; Expiration Date: 11Apr2021) as single dose for COVID-19 immunization. Medical history included rheumatoid arthritis from 2020 and ongoing (fought with it all last year in 2020; but was not diagnosed with rheumatoid arthritis until Feb2021), ongoing chronic obstructive pulmonary disease (probably really got with it about 2012), Breast cancer survivor from 2006 to 2006, and bone density. Concomitant medications included cyanocobalamin (B12 [CYANOCOBALAMIN]) taken for an unspecified indication from 16Mar2021 to an unspecified stop date; cortisone (CORTISONE) taken for an unspecified indication from 01Feb2021 to 01Feb2021; methotrexate (METHOTREXATE) taken for rheumatoid arthritis from 06Feb2021 to an unspecified stop date; denosumab (PROLIA) taken for bone density abnormal from 16Mar2021 to an unspecified stop date. The patient previously received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration (at the age of 69-years-old), administered in Arm Left on 12Mar2021 about 16:00-16:30 (Lot Number: EN6204) as single dose for COVID-19 immunization and experienced additional swelling in her knees and rheumatoid arthritis. The patient had preexisting condition of Rheumatoid arthritis prior to any Pfizer-BioNTech COVID-19 Vaccine. Prior to onset of this event, with her rheumatoid arthritis, she did not have any rheumatoid arthritis problems in her knees. With the rheumatoid arthritis it has always been in her hands and arms. She was taking Methotrexate for Rheumatoid arthritis. Rheumatologist told her that additional swelling in her knees event was rheumatoid arthritis. After second dose of Pfizer-BioNTech COVID-19 Vaccine she reported additional swelling around her waist. She had second dose of Pfizer-BioNTech COVID-19 Vaccine shot on 08Apr2021. On 11Apr2021 she noticed additional swelling around her waist. She asked if these swelling events are a side effect of the Pfizer-BioNTech COVID-19 Vaccine, or in combination with her rheumatoid arthritis. Onset time was about 05:30-06:00 after she took a shower, pretty much the same thing as with the first dose: additional swelling in her knees. She noticed swelling around the waist, going towards the back which didn''t look right on 11Apr2021. There''s no pain at all, it just looks like she has lumps. She has had no other effects from the Pfizer-BioNTech COVID-19 Vaccine other than feels like she is gaining weight. Patient reported no other relevant concomitant products or other medical conditions. She mentioned regarding Methotrexate that they tell her this is a high-quality drug that knocks the immune system down. While providing dates of concomitant product doses caller mentioned she can''t get her brain to work on an unspecified date. The outcome of the events "prior to onset of event she did not have any rheumatoid arthritis problems in her knees" and "more swelling on her waist and back/Additional swelling around her waist/ looks like she has lumps" was not recovered while for the rest of the events was unknown. The event "prior to onset of event she did not have any rheumatoid arthritis problems in her knees" was considered as serious (medically significant). No follow-up attempts are completed; information about batch/lot cannot be obtained.


VAERS ID: 1265952 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Cyanosis, Dyspnoea, Pallor, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALBUTEROL SULFATE; CLARITIN-D
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Eczema
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Nasal Swab/Covid 19 test; Result Unstructured Data: Test Result:Negative
CDC Split Type: USPFIZER INC2021405881

Write-up: Asthma triggered throughout the day in shorter spans of time; hard time inhaling air, shortness of breath; blue lips; pale; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 23-years-old via an unspecified route of administration, administered in arm left on 10Apr2021 10:15 (Batch/Lot Number: EP7533) as single dose for covid-19 immunisation. Medical history included asthma and eczema from an unknown date and unknown if ongoing. Concomitant medications included albuterol sulfate and loratadine, pseudoephedrine sulfate (CLARITIN-D); all taken for an unspecified indication, start and stop date were not reported. The patient reported that his asthma triggered throughout the day in shorter spans of time, hard time inhaling air, shortness of breath on 11Apr2021 11:00; emergency Albuterol Sulfate inhaler not working to help, had to go to ER where they gave steroids for his lungs and breathing and out him in oxygen. He was told that he had blue lips and was pale on 11Apr2021 11:00. He was in ER for 4-6 hrs then hospitalized for one day to monitor and gave medicine. Then he was advised to go to the doctor and get referral for pulmonologist for asthma. Basically all of Sunday, his asthma would get triggered few hours then got short within every 30 min then every 5 min and inhaler stopped working to help the situation. Diagnosed with asthma since kid but had no serious issues prior to vaccination, only after vaccination. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. The patient was hospitalized due to the events for 1 day. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 11Apr2021. Therapeutic measures were taken as a result of the events which included treatment with Steroid, IV Fluids, Albuterol, Advent, oxygen tank. The patient was recovering from the events.


VAERS ID: 1265957 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Rash, Road traffic accident
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021406021

Write-up: developed rashes from neck down to her feet; car accident; This is a spontaneous report from a contactable consumer (patient). A 20-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 09Apr2021 as a single dose for COVID-19 IMMUNIZATION. Co-suspect included muscle relaxant. Relevant medical history and concomitant medication were not provided. On 11Apr2021, the patient experienced a car accident and was prescribed a muscle relaxant. On 13Apr2021, the patient experienced developed rashes from neck down to her feet. The patient was asking if this was vaccine related or from the muscle relaxant that she took. Treatment received for the event car accident included a muscle relaxant. The outcome of the events car accident and rash was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


VAERS ID: 1265961 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Blindness, Blood pressure increased, Blood pressure measurement, Body temperature, Body temperature decreased, Cardiovascular disorder, Chest discomfort, Cyanosis, Dysphagia, Heart rate, Hyperhidrosis, Intracranial pressure increased, Mydriasis, Pulmonary function test, Sinus rhythm
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (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: ASMANEX; LEVOCETIRIZINE; MONTELUKAST
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: BP; Result Unstructured Data: Test Result:137/89; Test Date: 20210411; Test Name: Temp; Result Unstructured Data: Test Result:Low; Test Date: 20210411; Test Name: Pulse; Result Unstructured Data: Test Result:92; Test Date: 20210411; Test Name: Lungs; Result Unstructured Data: Test Result:Clear; Test Date: 20210411; Test Name: sinus rhythm; Result Unstructured Data: Test Result:normal
CDC Split Type: USPFIZER INC2021406307

Write-up: This is a spontaneous report from a contactable consumer. A non-pregnant 23-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered on left arm on 11Apr2021 15:45 (Batch/Lot Number: ER8733) at single dose (at the age of 23 years old) for COVID-19 immunisation. Medical history included asthma. The patient had no known allergies. Concomitant medications included mometasone furoate (ASMANEX), levocetirizine and montelukast, all taken for an unspecified indication, start and stop date were not reported. The patient experienced wit in 10 min extreme weakness, loss of vision with complete pupil dilation not exceeding 5min and without losing complete consciousness. Once vision restored, profuse sweating, pressure cranial to thoracic inlet with moderate difficulty swallowing water. Paramedics arrived. Taken orally 25mg Benadryl. Cyanosis of nail beds and lips, poor perfusion to distal extremities, low temp, normal sinus rhythm, clear lungs, BP 137/89 and pulse 92, all on 11Apr2021. Seen at urgent care within the hour, deemed adverse reaction, ruling out allergic reaction Further concern for possible adverse reaction with second dose. Seeking consult with primary care physician, The patient had no COVID-19 prior vaccination and no COVID-19 test post vaccination. The outcome of the events was recovered on an unspecified date.


VAERS ID: 1265993 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-05
Onset:2021-04-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac stress test, Chronic obstructive pulmonary disease, Dyspnoea, Headache, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;NICOTINAMIDE;RETINOL;RIBOFLAVIN;THIAMINE HYDROCHLORIDE]; ELDERBERRY [SAMBUCUS NIGRA]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; COPD; Diabetes
Allergies:
Diagnostic Lab Data: Test Name: stress test; Result Unstructured Data: Test Result:Results Not Provided; Test Date: 20210408; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative
CDC Split Type: USPFIZER INC2021409963

Write-up: 6 days later I had breathing problems , I have copd. But I had severe headaches n breathing problems increased.; 6 days later I had breathing problems , I have copd. But I had severe headaches n breathing problems increased.; 6 days later I had breathing problems , I have copd. But I had severe headaches n breathing problems increased.; This is a spontaneous report from a contactable consumer (patient). A 55 years old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration, administered in Arm Left on 05Apr2021 at 16:00 (Batch/Lot number was not reported) as SINGLE DOSE for Covid19 immunization. Medical history included diabetes mellitus, chronic obstructive pulmonary disease, hypertension. Concomitant medications included high blood pressure medication (details not provided); ascorbic acid, ergocalciferol, nicotinamide, retinol, riboflavin, thiamine hydrochloride (VITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;NICOTINAMIDE;RETINOL;RIBOFLAVIN;THIAMINE HYDROCHLORIDE]); elderberry [Sambucus nigra] (ELDERBERRY [SAMBUCUS NIGRA]). The patient previously took hydrocodone and experienced drug hypersensitivity. Historical Vaccine includes Flu Shot on 11Feb2021 at the age of 55 years old (Flu vaccine given within 4weeks, other vaccine 4weeks vaccine location Left arm). On 11Apr2021 at 12:00, the patient experience ''6 days later I had breathing problems, I have COPD. But I had severe headaches and breathing problems increased''. The patient was hospitalized for 3 days. Treatment was given included ''High blood pressure meds, rest, stress tests''. The patient underwent lab tests and procedures which included Sars-cov-2 test Nasal Swab: results negative on 08Apr2021, stress test results not provided on an unspecified date. The clinical outcome of the events were recovering. Information about lot/batch number has been requested.


VAERS ID: 1266014 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Heart rate, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METOPROLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: AFib (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion); Guillain Barre syndrome
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:131; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:82; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:128; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:48; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:115; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:109; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:42
CDC Split Type: USPFIZER INC2021412760

Write-up: his heart rate was 131. States he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115; This is a spontaneous report from a contactable consumer. A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 10Apr2021 15:30 (Batch/Lot Number: ER2613) as a single dose for COVID-19 immunisation. Medical history included atrial fibrillation (AFib) on 10Mar2021 (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion) and Guillain Barre syndrome on an unspecified date. Concomitant medication included metoprolol taken for heart (disorder). It was reported that on 10Apr2021 15:30, the patient got his first vaccine. The next morning (11Apr2021 08:30) when he did his vital check, that he does every morning, his heart rate was 131. Stated that he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115. Stated he was reading where fast heart rate can be one of the side effects. Stated today (12Apr2021) the highest his heart rate has been is 109 and lowest at 42. The patient stated that his heart rate goes from high to low. The patient stated that he normally takes Metoprolol 25 mg a day but he upped it to 100 mg on 11Apr2021 because that''s what they did when he had AFib. The outcome of the event was recovering.


VAERS ID: 1266019 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-06
Onset:2021-04-11
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Rectal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Contrast media allergy; Lung neoplasm malignant; Shellfish allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021414761

Write-up: This is a spontaneous report from a contactable consumer (patient). A 50-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0151; Expiration date was not reported) on the left arm on 06Apr2021 (15:00) as a single dose, with route of administration unspecified, for COVID-19 immunization. Medical history included neuroendocrine lung cancer, asthma, and allergies to shellfish and IV contrast dye. The patient''s concomitant medications were not reported. The patient was not pregnant at the time of vaccination. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EP7534; Expiration date was not reported) on 15Mar2021 (when the patient was 50 years old) for COVID-19 immunization. On 11Apr2021 (03:00), the patient had rectal bleeding, stomach cramps and diarrhea. The events were assessed as serious (medically significant), and had resulted into an emergency room/department or urgent care. The patient had received unspecified intravenous (IV) fluids as treatment for the reported events. The outcome of the events was recovering. The patient was not diagnosed with COVID-19 prior to vaccination, and had not been tested post-vaccination.


VAERS ID: 1266041 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-04
Onset:2021-04-11
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram, Electroencephalogram, Magnetic resonance imaging, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADVIL [IBUPROFEN]; FLONASE [MOMETASONE FUROATE]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: CT scan; Result Unstructured Data: Test Result:Unknown result; Test Name: EEG; Result Unstructured Data: Test Result:Unknown result; Test Name: MRI; Result Unstructured Data: Test Result:Unknown result
CDC Split Type: USPFIZER INC2021418618

Write-up: seizure one week after second vaccine; This is a spontaneous report from a contactable consumer (patient). A 39-year-old male consumer received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 04Apr2021 at 11:00 as single dose for COVID-19 immunisation at the age of 39-year-old. Medical history was unknown and concomitant medications included ibuprofen (ADVIL), mometasone furoate (FLONASE). Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 14Mar2021 for COVID-19 immunisation at the age of 39-year-old. On 11Apr2021, the patient experienced seizure; the patient was treated for the event. On unknown date, the patient underwent Computerised tomogram, Electroencephalogram, Magnetic resonance imaging (results unknown). The patient was recovering from the event. Prior to vaccination, the patient was not diagnosed with COVID-19; since the vaccination, the patient has not been tested for COVID-19. Information about lot/batch number has been requested.


VAERS ID: 1266049 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Haematochezia, Peripheral swelling, Platelet count, Platelet count decreased
SMQs:, Cardiac failure (broad), Angioedema (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gastrointestinal haemorrhage (narrow), Extravasation events (injections, infusions and implants) (broad), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: blood platelet count; Result Unstructured Data: Test Result:low; Test Name: blood platelet count; Result Unstructured Data: Test Result:167,000
CDC Split Type: USPFIZER INC2021421718

Write-up: Had blood with his stools like when he used the restroom he lost about half a water bottle of blood; Blood is still coming out; He has lost half of a water bottle of blood like 20 to 25 ml so far; Swollen arm; Tiredness; Had a low blood platelet count/his number is 167,000; This is a spontaneous report from a contactable consumer. A 24-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: ER8734, expiration date was not reported), via an unspecified route of administration, administered in the left arm on 09Apr2021 17:30 at single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. It was reported that within 48 hours after the consumer have no side effects but her boyfriend was feeling the typical side effects of swollen arm and the tiredness etc. Then in the morning on the third day, he had blood with his stools like when he used the restroom, he lost about half a water bottle of blood. Consumer read online with the signs and pictures and all that, in a very rare instances some people, their antibodies can attack their own blood platelet and lower the level. So, they went and had blood test ran and the normal number of blood platelets for his age and his gender male is 250,000 but his number is 167,000, which is about a 100,000 less and it was seventeen thousand away from a critical number of 150,000 blood platelets and the blood is still coming out. He was suffering from this on 11Apr2021 and he got the shot on 09Apr2021, he started showing blood on 11Apr2021 (not clarified further), this was his first shot. He went to the ER. They went to the hospital and they got the blood work done, he was admitted to the ER for 4 hours and based on the blood results they are sending him to see a specialist tomorrow (as reported) and monitoring his blood loss. They had a lab test ran on his blood work. The result was that he had a low blood platelet count. He has lost half of a water bottle of blood like 20 to 25 ml so far. Consumer stated that they were asking as if this maybe hemorrhoidal or something else but they didn''t see anything like that. So, doctor in ER was not aware about the cases where people in very rare circumstances do have bleeding (further clarification unknown). Outcome of the events was unknown.


VAERS ID: 1266358 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-11
Onset:2021-04-11
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Dyspnoea, Illness, Oesophageal motility disorder, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bumex, albuterol, Pulmicort, carvedilol, Cardizem, Lexapro, Vytorin, flucticasone-umeclidin-vilant, formoterol fumarate, Norco, insulin, levothyroxine, omeprazole, ramipril, spironolactone
Current Illness:
Preexisting Conditions: Arthritis, asthma, B12 deficiency, cardiomyopathy, chronic lumbar pain, COPD, depression, dyslipidemia, GERD, hiatal hernia, history of thyroid cancer, hypertension, hypothyroidism, incontinence, obesity, on home O2, psoriasis, thyroid disease, venous insufficiency
Allergies: Sulfa antibiotics
Diagnostic Lab Data: SARS-CoV-2 (COVID-19) and Influenza AB Antigens, POC: Positive (4/23/2021)
CDC Split Type:

Write-up: 80y.o. female with past medical history of COPD on 3L O2 at home, Asthma, Arthritis, B12 deficiency, Depression, GERD, Achalasia, HTN and Hypothyroidism presented with a chief complaint of cough and weakness. Patient states that she had the Johnson & Johnson vaccine on March 11th 2021 and believes she got sick from it. Since getting the vaccine, whenever she eats something she begins vomiting for the next 2 days. This has happened to the patient before, as she has a history of esophageal dysmotility/achalasia. Patient began developing a cough and SOB over the last 2 weeks that are getting worse. Patient states that she has no appetite at all and is feeling very weak due to the lack of eating.


VAERS ID: 1266488 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure measurement, Heart rate, Oropharyngeal discomfort, Oxygen saturation, Respiratory rate, Throat irritation, Vital signs measurement
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient complained of her "throat feeling funny" and itchy after receiving first dose of COVID-19 vaccine, Patient was taken to triage area for assessment. Vitals: B/P 162/84, HR 101, SAO2 99-100%, RR 20 @ 0740. BP 148/82, HR 104, PAO2 100%, RR 20 @ 0754-0759. Symptoms improved while patient being observed in triage, patient was given 25 mg po diphenhydramie, and released around 0800.


VAERS ID: 1266981 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Influenza like illness
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day after the J&J vaccine, I experienced a high fever of 102.3, fever-like symptoms, chills, headaches, and fatigue. Symptoms lasted about 48 hours.


VAERS ID: 1267898 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: COVID-19 pneumonia, Cough, Diarrhoea, Fatigue, Headache, Pyrexia, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Azmyhtrocine cefdinir dexamethasone asprini ec Siltussin Remdisivir treatment at hospital
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: covid pneumonia
CDC Split Type:

Write-up: hostpital for covid pneumonia three days later cough fatigue throwing up diahrea headache fever


VAERS ID: 1268365 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-07
Onset:2021-04-11
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Condition aggravated, Fungal infection, Injection site pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu shot. Age 25. Serious rash all over body. Cannot take flu shot.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: latex, egg
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 3-4 days following the vaccination I broke out in a rash on both arms. It lasted about 3 days and the itching was controlled with cortisone. Approximately one week after the vaccination I contracted a yeast infection. It resolved with over the counter meds one week later. The site of the injection was a bit sore for two weeks.


VAERS ID: 1268378 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-04
Onset:2021-04-11
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Sotalol 80 mg Lossartan 50 mg
Current Illness: HBP
Preexisting Conditions: HBP
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: After one week I suffered a TIA and have to be hospitalized From April 11 to April 15. After I was discharged I went back to the hospital April 18 with a second TIA. I was hospitalized from the 18 to the 21. Both times at same facility.


VAERS ID: 1269137 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Acoustic stimulation tests, Body temperature, Fatigue, Pyrexia, SARS-CoV-2 test negative, Therapeutic response unexpected
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: Hearing aid user
Preexisting Conditions: Medical History/Concurrent Conditions: Ear infection; Sensorineural hearing loss; Tinnitus
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 101.8 F; Test Name: Hearing test; Result Unstructured Data: Unknown; Comments: gets annual hearing tests; Test Name: COVID-19 virus test negative; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210437919

Write-up: TIREDNESS; UNEXPECTED THERAPEUTIC BENEFIT; FEVER; This spontaneous report received from a patient concerned a 57 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included sensory neural hearing loss, tinnitus, and inner ear sepsis, and concurrent conditions included hearing aid user. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown and expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101.8 F. On 12-APR-2021, the subject experienced unexpected therapeutic benefit. On 14-APR-2021, the subject experienced tiredness. Laboratory data (dates unspecified) included: COVID-19 virus test negative (NR: not provided) Negative, and Hearing test (NR: not provided) Unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 12-APR-2021, was recovering from tiredness, and the outcome of unexpected therapeutic benefit was not reported. This report was non-serious.; Sender''s Comments: V1: Medical Assessment Comment not required as per standard procedure as case assessed as Non serious.


VAERS ID: 1269684 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-26
Onset:2021-04-11
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Computerised tomogram, Culture throat, Dysarthria, Electrocardiogram, Facial paralysis, Hypoaesthesia, Magnetic resonance imaging, SARS-CoV-2 test, Transient ischaemic attack
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic asthma; Seasonal allergy
Allergies:
Diagnostic Lab Data: Test Name: CT; Result Unstructured Data: Test Result:unknown results; Test Date: 20210410; Test Name: NasalSwab; Test Result: Negative ; Test Date: 20210411; Test Name: NasalSwab; Test Result: Negative ; Test Name: EKG; Result Unstructured Data: Test Result:unknown results; Test Name: MRI; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test name post vaccination; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test type post vaccination; Result Unstructured Data: Test Result:rapid
CDC Split Type: USPFIZER INC2021415596

Write-up: Suspected TIA; Experienced a numbness in right hand, arm, drooping right side of face; Experienced a numbness in right hand, arm, drooping right side of face; slurred speech; This is a spontaneous report from a contactable consumer (patient). A 58-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), first dose in right arm on 05Mar2021 14:30 (Lot: EN6199) and second dose in left arm on 26Mar2021 14:30 (Lot: ER8732); both via an unspecified route of administration (at the age of 58-years-old) as single dose for covid-19 immunisation. The vaccination facility type was a public health department. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to bnt162b2. Medical history included allergy induced asthma and seasonal allergies. The patient''s concomitant medications were not reported. The patient experienced a numbness in right hand, arm, drooping right side of face and slurred speech, it lasted for 1-2 minutes. The patient went to the ER. Suspected TIA. These events started on 11Apr2021 at 10:00. The events resulted in emergency room/department or urgent care. The patient received unspecified treatment for the events. On 10Apr2021, nasal swab was negative. On 11Apr2021, Covid test type post vaccination with unknown results, rapid and nasal swab was negative. It was reported that the patient had MRI, CT, EKG with unknown results on unspecified dates. The outcome of the events was recovering.


VAERS ID: 1269700 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 RA / -

Administered by: School       Purchased by: ?
Symptoms: Dizziness, Heart rate, Hyperhidrosis, Hyperventilation, Loss of consciousness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (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), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Name: heart rate; Result Unstructured Data: Test Result:Unknown Results; Test Name: pulse; Result Unstructured Data: Test Result:Unknown Results
CDC Split Type: USPFIZER INC2021417194

Write-up: was sweating profusely and breathing heavy then he passed out; was sweating profusely and breathing heavy then he passed out; was sweating profusely and breathing heavy then he passed out; he started getting dizzy; felt nauseated; This is a spontaneous report from a contactable consumer (patient''s parent). A 16-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 11Apr2021 14:30 (Lot Number: EW0150) (age at vaccination: 16-year-old) as SINGLE DOSE for covid-19 immunisation. Medical history was reported as no. No COVID prior vaccination, no COVID tested post vaccination, no Known allergies. There were no concomitant medications (no other vaccine in four weeks and no other medications in two weeks). Right after the patient was administered the vaccine, he started getting dizzy and felt nauseated, was sweating profusely and breathing heavy then he passed out. They were in the car so the nurse reclined his chair. He passed out and then woke up and then passed out (twice) -They gave him water and gum to chew and remained laying flat. After about 20 or so minutes he felt better and nurse checked his pulse and heart rate during the ordeal. The adverse events start date was reported as 11Apr2021 14:30. No treatment received for the events. The outcome of the events was recovered.


VAERS ID: 1269705 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Choking, Cough, Enlarged uvula, Pharyngeal swelling, Vertigo, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021417283

Write-up: she was gagging and coughing; started to spin; Her throat was so swollen and it felt like she was choking; Her uvula was so swollen that is why she felt like she was choking; choking; severe throwing up; This is a spontaneous report from a contactable consumer. A 76-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EW0158) via an unspecified route of administration in right shoulder (Deltoid Right) on 11Apr2021 in the afternoon around 14:00 or 14:30 (at 76-year-old) at single dose for COVID-19 immunization. The patient''s medical history was not reported. None history of all previous immunization with BNT162B2 considered as suspect. Concomitant medication included cetirizine hydrochloride (ZYRTEC) for sinus disorder for years as needed. She took it the day before the COVID19 injection. She hasn''t taken it since before getting COVID19 injection. No additional vaccines administered on same date of BNT162B2. No prior vaccinations within 4 weeks. She didn''t have the ones on the paper. They didn''t say she would have severe throwing up she almost had to call. She was choking on 12Apr2021. She was over it currently. She first threw up on Sunday evening and then was ok. On Sunday (11Apr2021 21:00) she only threw up once, but it was four intervals. Caller clarified an interval was where she would throw up then clean up and then throw up again. Then it was fine. On Monday (12Apr2021), in the evening around 9 PM she started to spin. She went to the bathroom and she was heaving and she couldn''t say how many times she threw up. Her throat was so swollen and it felt like she was choking. Her throat was very raw. Her uvula was so swollen that is why she felt like she was choking. She was about to go the emergency room, but then looked it up. She did treatment that she saw online for 3 days. When she was gagging and coughing she looked up COVID19 Vaccine and it said that her throat would be swollen from severe throwing up. It made a lot of sense. She had all the symptoms listed online and it said it would get better in five days and if not seek treatment. It has gotten better. No visit for ER and Physician Office. Treatment received for all events. The outcomes of the events were resolving.


VAERS ID: 1269725 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 RA / -

Administered by: Military       Purchased by: ?
Symptoms: Blood potassium, Blood potassium increased, Chest pain, Chills, Dyspnoea, Electrocardiogram, Feeling abnormal, Fluid retention, Heart rate, Heart rate increased, Nausea, Oxygen saturation, Oxygen saturation decreased, Panic attack, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Infective pneumonia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: End stage renal disease (Verbatim: End stage renal disease)
Preexisting Conditions: Medical History/Concurrent Conditions: Dialysis; Fistula (dialysis fistula in his left arm)
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Blood potassium; Result Unstructured Data: Test Result:increased; Test Name: EKG; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210411; Test Name: pulse; Result Unstructured Data: Test Result:fast; Test Date: 20210411; Test Name: oxygen blood level; Result Unstructured Data: Test Result:low
CDC Split Type: USPFIZER INC2021420005

Write-up: difficulty breathing; low oxygen blood level; potassium level increased; extra fluid in his body; shivering and quaking and chills; nauseous and vomiting; nauseous and vomiting; Panic attack; was freaking out; soft pain in left side of chest; fast pulse; This is a spontaneous report from a contactable consumer (Patient''s wife) A 71-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0151) on 10Apr2021 at 17:00 at single dose via an unspecified route of administration on arm right for COVID-19 immunization. It was informed that patient had vaccination on right arm because he had a dialysis fistula in his left arm. Relevant medical history included also ongoing End stage renal disease, dialysis on 13Apr2021. The patient received first dose of BNT162B2 (lot number: EP6955) and experienced arm pain and headache. Concomitant medications were not reported. On 11Apr2021 the patient experienced shivering and quaking and chills, nauseous and vomiting, panic attack, ''was freaking out'', soft pain in left side of chest, fast pulse , all provided as non serious. On the same day 11Apr2021 the patient also experienced difficulty breathing, low oxygen blood level, potassium level increased and extra fluid in his body which led to the emergency room and admission to the hospital. Clinical course was described as follows: everything was going good until Sunday at 3:29 am. Her husband woke up shivering, quaking, and he was freaking out repeating oh my god, so she called emergency number. When her husband found out that she couldn''t get into the ambulance with her husband and ride to the hospital, so her husband refused to go to the hospital. She states that her husband also felt nauseous and vomited in this period of time. She stated that he had no fever, though. So fast forward to 8:30 am her husband was having difficulty breathing, and she called again and this time they had 7 paramedics come out to the house. She states that all of them were very nice. An EKG was performed because patient reported that he had a soft pain in his left side of his chest. She states that everything was cool with that, except his pulse rate was high. She states that he also had low blood oxygen level. She states that they strapped in her husband in and drove him to the hospital to the ER. At the ER they discovered that potassium level increased and she said that he had some extra fluid in his body. He was a dialyses patient so they gave him dialysis on Sunday evening. He had calmed down at that point and they were constantly taking blood from him. She found out about the COVID vaccine had potassium and phosphate as active ingredients and her husband shouldn''t have that. She also informed that they had to give him a tranquilizer because he was having a panic attack during this whole episode. She says that they gave him alprazolam. Patient doesn''t know exactly when the side effects went away because he didn''t have a clock or a phone. Patient''s wife also clarified that he vomited twice before going to the hospital but then he felt like he had to vomit afterwards but he did not. She stated that his breathing problems didn''t stop when paramedics came and gave him oxygen. They made it to their house by 8:40 am, and he still had low oxygen level, they were still giving oxygen the whole time he was in the hospital. The patient was discharged on 13Apr2021. At the time of the reporting event outcome was unknown.


VAERS ID: 1269817 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Wyoming  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Tinnitus
SMQs:, Hearing impairment (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: None
Diagnostic Lab Data:
CDC Split Type: ?

Write-up: I suffer from tinnitus and immediately after the shot my ears started roaring! Stayed that was for almost two weeks. I visited my doctor over it and she said make sure and report it to CDC so here you go!


VAERS ID: 1269931 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Chills, Genital rash, Haematochezia, Headache, Pain, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (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: Comments: patient had no known allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210432632

Write-up: BLOOD IN STOOL; RASH ON FANNY; CHILLS; FEVER; HEADACHE; BODY ACHES; BACK ACHE; This spontaneous report received from a parent concerned a 23 year old, white, and not Hispanic or Latino female. The patient''s height, and weight were not reported. The patient had no known allergies. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, one total, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the patient had body aches, chills, fever, headache and backache (low back pain). On 12-APR-2021, Monday, she felt better but experienced backache again on 13-APR-2021, Tuesday and felt better later that day. On 14-APR-2021, at night she had weird rash on fanny and also had lower back pain. On 15-APR-2021 morning, she had blood in stool and again experienced backache (pain in the lower back). The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, chills, fever, and headache on 13-APR-2021, and had not recovered from back ache, rash on fanny, and blood in stool. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210432632-Covid-19 vaccine ad26.cov2.s -Blood in stool. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1269970 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Body temperature, Fatigue, Headache, Influenza like illness, Nausea, Pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Back disorder
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 99.8 F
CDC Split Type: USJNJFOC20210451355

Write-up: BACK PAIN/LOWER AND UPPER BACK ACHINESS; WHOLE BODY ACHES; MILD HEADACHE; MILD NAUSEA; FEELING REALLY TIRED; FEVER; FLU-LIKE SYMPTOMS; WRIST PAIN; ARM PAIN/HAND /PAINFUL FEET/PAIN IN BACK OF THIG/LEG PAIN; This spontaneous report received from a patient concerned a 54 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included some back problems. 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 arm pain/hand /painful feet/pain in back of thig/leg pain. On 12-APR-2021, the subject experienced flu-like symptoms. On 12-APR-2021, the subject experienced wrist pain. On 12-APR-2021, the subject experienced back pain/lower and upper back achiness. On 12-APR-2021, the subject experienced whole body aches. On 12-APR-2021, the subject experienced mild headache. On 12-APR-2021, the subject experienced mild nausea. On 12-APR-2021, the subject experienced feeling really tired. On 12-APR-2021, the subject experienced fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 99.8 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like symptoms, back pain/lower and upper back achiness, and whole body aches on 15-APR-2021, and wrist pain, mild headache, mild nausea, feeling really tired, and fever on 13-APR-2021, and was recovering from arm pain/hand /painful feet/pain in back of thig/leg pain. This report was non-serious. This case, from the same reporter is linked to.


VAERS ID: 1270488 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Blindness, Brain natriuretic peptide, Chest discomfort, Computerised tomogram, Dizziness, Dyspnoea, Dysstasia, Eye pain, Fatigue, Fibrin D dimer, Pain, Palpitations, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: oral birth control (tri-lo-marzia)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 4/16/21 - visit to primary care physician 4/20/21 - blood draw - results show high d-dimer (.95) and elevated Pro B Type Natriuretic Peptide (152 pg/mL) 4/22/21 - admitted to emergency room, ct scan showed no blood clots in chest
CDC Split Type:

Write-up: I had to go to the emergency room, high d-dimer (.95), elevated Pro B Type Natriuretic Peptide (152 pg/mL) ---Days 1-2 (12-22hrs post-vaccine) were horrific - fever, body aches, extreme pain everywhere, my eyes hurt so bad I thought I''d lose my vision, I was in so much pain that I couldn''t talk to ask for help. Saying they were flu-like symptoms is a euphemism. ---Days 2-9 I was weak and shaky on my legs, easily winded (e.g. breathing hard when doing laundry). Fever returned off and on. ---Days 4-13 It felt like someone was sitting on my chest. ---Day 10 I had a blood draw per my doctors request. ---Day 12 Blood draw results showed high d-dimer, and my doctor told me I need to go to the ER for a ct scan to look for blood clots. ---Day 12 Went to Emergency Department - ct scan showed no clots, but elevated Pro B Type Natriuretic Peptide ---Day 15 Finally started feeling better, but still winded easily, fatigued, dizziness, heart palpitations


VAERS ID: 1270593 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Fatigue, Injection site discomfort, Loss of personal independence in daily activities
SMQs:, Dementia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra
Current Illness: N/A
Preexisting Conditions:
Allergies: Sulfa drugs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Waves of exhaustion for 5-6 days and discomfort at injection site for 6 days following injection. When the exhaustion would hit, starting the day after injection, I was too weak to go up and down stairs. It seemed significant and was more than normal tiredness, and I ended up needing to take a half day at work four days after vaccination. On the sixth day after vaccination, I was feeling well again and discomfort at the injection site had subsided as well. It was the worst the day after getting vaccinated, which was to be expected. I did not expect it to last so long.


VAERS ID: 1271366 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Limb discomfort, Pain in extremity, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: protonix Montelukast vitamin d
Current Illness: none
Preexisting Conditions: HLD
Allergies: Sulfa PCN
Diagnostic Lab Data: B/L venous Duplex. B/L femoral DVT
CDC Split Type:

Write-up: Patient was seen in my office by me on April 27th. She reports having left leg pain discomfort which started 3 days after receive Johnson and Johnson COVID vaccine. She denies swelling or any other associated symptoms. I ordered Venous Duplex which was done today and revealed b/l femoral DVT. Patient immediately started on Eliquis .


VAERS ID: 1272491 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram cerebral normal, Bell's palsy, Chest X-ray normal, Chest discomfort, Chills, Computerised tomogram head normal, Diarrhoea, Dyspnoea, Facial paresis, Fibrin D dimer increased, Headache, Hypoaesthesia, Magnetic resonance imaging head normal, Nausea, Pain, Palpitations, Pituitary scan, Pregnancy test negative, Pyrexia, Sleep disorder, Throat tightness, Ultrasound Doppler, Venogram normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hearing impairment (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Sulfa antibiotics
Diagnostic Lab Data: CT Brain normal, MRI Brain normal, and MRV Brain with no evidence of venous sinus thrombosis, carotid doppler normal, MRA Brain normal, MRI sella (pituitary) normal)
CDC Split Type:

Write-up: Patient is a 40 y.o. female who presents for evaluation of adverse reaction to Johnson and Johnson COVID vaccine (received on 4/11/21). She received the vaccine on April 11th, around 2:30 p.m. at 8:00 p.m. that night she developed fever with temp 100.4, chills, headache, nausea and body aches. At 10:00 p.m. that night she developed palpitations, heart racing, shortness of breath, tightness in her throat and chest. She was unable to sleep that night. The next day on April 12th, she continued to have low-grade fever with temp 99, shortness of breath, chest tightness. She reports taking a pregnancy test at home which revealed a faint positive pink line. That night she took Tylenol which helped relieve some of her symptoms. On April 13th, she continued to have shortness of breath and chest tightness, her heart palpitations improved slightly. She reports retaking the home pregnancy test and this time it was negative. On April 14th, she had a same-day clinic visit, labs that day revealed slightly elevated D-dimer and normal chest x-ray. She continued to have shortness of breath and on April 16th, she presented to the ER due to sudden onset of bad headache, nausea, diarrhea and heart palpitations. She was discharged from the ER with close follow-up with her primary care doctor. Her symptoms did not improve and subsequently on April 20th, she began to have left-sided facial numbness. On April 21st, she went to the ER and was found to have left-sided facial weakness and suspected Bell''s palsy. She was admitted for further diagnostic workup (CT Brain normal, MRI Brain normal, and MRV Brain with no evidence of venous sinus thrombosis, carotid doppler normal, MRA Brain normal, MRI sella (pituitary) normal), and treatment was initiated with prednisone and antiviral medications. On April 23rd she developed left arm weakness as well. She was discharged with closed follow up with her PMD and specialists. She recently was seen by pulm Dr and scheduled for PFTs. She is nearly completed with course of prednisone and valacyclovir, left facial weakness slightly improved but not resolved, has follow up with neuro this week.


VAERS ID: 1273526 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Angioedema, Burning sensation, C-reactive protein normal, Drug eruption, Eye swelling, Full blood count normal, Malaise, Metabolic function test, Paraesthesia, Pruritus, Pyrexia, Rash maculo-papular, Red blood cell sedimentation rate normal, Scratch, Swelling face
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flintstone multiple vitamins with iron, vitamin D 3125 mcg daily.
Current Illness: UTI 3/9/21 Ciprofloxacin 500 mg 1 twice daily for 6 days. Vitamin D insufficiency 3/9/21 ?vitamin D 3 125 mcg 1 p.o. daily. Anxiety- No medication issued.
Preexisting Conditions: Generalized anxiety, multiple sclerosis, persistent anxiety, spinal stenosis of the cervical foramina, overweight, status post bariatric surgery, adjustment disorder with anxiety, hyperlipidemia.
Allergies: Latex and morphine derivatives.
Diagnostic Lab Data: CBC, CMP, C-reactive protein, erythrocyte sedimentation rate That were drawn on 4/15/21 at 12:19 PMwere all within normal limits. Patient was notified of the results but stated that she was still not feeling well so she was instructed to proceed to the emergency room and did so at 17:46 on April 15, 2021. She was seen and evaluated by emergency room personnel. Given epinephrine 0.3 mg IM x1, dexamethasone 8 mg IV x1 diphenhydramine 25 mg IV x1 and famotidine 20 mg IV x1. She was diagnosed with drug rash and angioedema. She was instructed to have close follow-up with her PCP. The patient has not returned to clinic or called expressing any additional concerns.
CDC Split Type:

Write-up: The patient began to notice that her face/eye was swollen/finger tingling. She then proceeded to have an itchy and scratchy and burning sensation. Her fever increased to 101.6. During her telehealth evaluation on April 14, 2021 8 macular papular rash that was not deemed to be proper was noted on the lower extremities. They were nonblanchable and no pain was elicited with palpation by the patient under my direction.


VAERS ID: 1273648 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-03-26
Onset:2021-04-11
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Fatigue, Fibrin D dimer, Headache, Lethargy, Pain, Pain in extremity, Paraesthesia, Rash, Thirst
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: lisinopril 20mg -Htcz 12.5 mg once daily, Claritin, Vitamin D 10,000 BU a day, Cotreat Pro-biotic daily
Current Illness: Cold, in Mid- February
Preexisting Conditions: High Blood Pressure since Oct. 2019 started medication
Allergies: Medication allergy Pela Cillian, Almecillin, and Keflex
Diagnostic Lab Data: 04/16/2021 chest xray and blood work De diamer test
CDC Split Type:

Write-up: 03/26/2021 PM Slightly fatigue and lethargic, arm hurt and tingly and was thrusty after the vaccination after the vaccination, next day a head ache, and have aches and pains. 04/16/2021 chest ex De diamer test, primary care doctor Ultra sound of the gallbladder Stomach and nausish gallbladder and chest exray and blood work on 04/20/21 Rash developed Currently, still have the rash today 04/26/2021 ER Chest pain, Chest CT, De diamer, EKG


VAERS ID: 1273660 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, 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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: muscle aches, body fatigue, fatigue, headache began around 18 hours after shot, subsided the following day treated with Tylenol and Advil


VAERS ID: 1273941 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-03-26
Onset:2021-04-11
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Laboratory test, Magnetic resonance imaging, Magnetic resonance imaging head, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASA 81mg po, Glucosamine Sulfate 1000mg , Vit D3, Clonazepam 0.5mg , Bupropion HCI 150mg , Empagliflozin 25mg , Glyburide 5mg BID, HCTZ 25mg , Indomethacin 50mg TID, Fish oil, Lisinopril 40mg, Loratadine 10mg , Metformin 1000mg bid, Metopro
Current Illness: none
Preexisting Conditions: Type II DM, cold sores, sleep apnea, MI 2005, Vit D, Ischemic heart DZ, elevated LFTs, GERD, Depression with anxiety, ED, Dyslipidemia, Gout, Hydrocele, Inguinal Hernia,
Allergies: Augmentin and morphine
Diagnostic Lab Data: MRV and MRI of the brain, labs, NS 1000mg bolus, and Decadron 10mg IVP,
CDC Split Type:

Write-up: H/A, Nausea, vomited x1, lightheaded


VAERS ID: 1274409 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / UN

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Anal incontinence, Asthenia, Back pain, Blood test, Computerised tomogram, Nausea, Sleep disorder
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Tylenol
Current Illness: None
Preexisting Conditions: Back pain
Allergies: Avacados
Diagnostic Lab Data: 2 sets of blood work see above answer. 2 ct scan with and without contrast. No results given.
CDC Split Type:

Write-up: Sunday April 11 at about 11pm I started feeling extremely drained of energy and was experiencing some mild abdominal pain. I went to bed shortly after. Was woken at approximately 5am with severe abdominal pain, and extreme back pain in my left kidney. Kidney area was worse than abdominal pain but both were severe. I have had kidney stones in the past, the pain of this was way worse. Was unable to take a bowel movement. Suffered thru with pain increasing until unspecified date at around 2 am I drove myself to unspecified hospital. Was admitted to emergency room and given an in mild pain meds and anti nausea meds. Was given a ct scan of kidney, then a second ct scan with contrast, as well as blood test. After awhile they came back to re draw blood because they said my blood had clotted and they were unable to use it. I was released after 5 hours with no prescriptions or knowing what or why I was in so much pain. Pain lasted until unspecified date


VAERS ID: 1274411 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest X-ray abnormal, Dyspnoea, Fibrin D dimer increased, Full blood count abnormal, Headache, Metabolic function test abnormal, Pain, Pneumonia, Pyrexia, Reaction to previous exposure to any vaccine, SARS-CoV-2 test negative, Scan with contrast abnormal, Sepsis, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Baclofen, hydrocodone, gabapentin, xanax, Levequin, steroids, crestor, seriquel,
Current Illness: Sinus infection, osteoarthritis, bulging disk in lower disk.
Preexisting Conditions: Goodpasture''s syndrome Lung disease Osteoarthritis Degenerative disk disease Heart palpitations/enlarged heart High blood pressure History of pre cancerous colon polyps.
Allergies: Flu vaccines, all nsaids that contain ibuprofen and aspirin, milk products, oxycodone, certain antibiotics like amoxocillen, latex.
Diagnostic Lab Data: CAT scan, x-ray of chest= pneumonia see above, cbc, metabolic blood work= horrible results for someonethat is normallyhealthy, see above, covid testing 3-4 times= negative on each one
CDC Split Type:

Write-up: Started with a fever, on day 3 fever was higher and I was short of breath as well as wheezing. On Thursday the 15th I went to the dr. The x-ray didn''t show anything however my cbc was of concern and she also did a d timer. It came back elevated, so she sent me over for a CAT scan with contrast. It showed pneumonia in my upper and lower right lung and also my lower left lung. She sent me home to try and treat it there. Over the weekend I felt worse and my husband took me to the ER. Upon arrival my blood pressure was 160 over 120 and heart rate was 140. They admitted me to the hospital for treatment of sepsis and pneumonia and pain management. I was there for 4 days. I was released on the 22nd of April and I am still feeling all of these effects on my body. Headache that I have not been able to get rid of even with the help of prescription medication.


VAERS ID: 1275255 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK LA / IM

Administered by: Pharmacy       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? 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: Fainted following


VAERS ID: 1275713 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-11
Onset:2021-04-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dizziness postural, Fatigue, Feeling abnormal, Feeling jittery, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Azelaic Acid (FINACEA) 15 % Gel Apply topically 2 (two) times daily. cetirizine (ZYRTEC) 10 mg tablet Take one tablet (10 mg dose) by mouth daily. fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray one spray by Nasal route daily.
Current Illness: none
Preexisting Conditions: 9/8/2017 Rosacea 4/6/2017 Hx of gastroesophageal reflux (GERD) 1/11/2017 Bilateral carpal tunnel syndrome 8/1/2016 POTS (postural orthostatic tachycardia syndrome) 3/21/2016 Seasonal allergies
Allergies: loratadine
Diagnostic Lab Data: none
CDC Split Type:

Write-up: She was vaccinated with johnson and johnson product on 4/11/21. On 4/11/21, developed fatigue. She reports on 4/12/21 she developed paresthesias in her B feet, and these spread to involve her B hands and forearms on 4/13/21. She did also within 24 hrs of vaccination develop fatigue, lightheadedness, headache,and "brain fog". She also feels "jittery" and "figety" like it is hard to sit still. She has some improvement in paresthesias from 4/13-4/16, but recurrence in this symptom on 4/17. Lightheadedness also worsened on 4/17, especially with physical activities or bending over/position changes.


VAERS ID: 1276383 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Heart rate, Heart rate decreased, Heart rate increased, Hot flush, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy; Seasonal allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: 149; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: 43
CDC Split Type: USJNJFOC20210424060

Write-up: PASSED OUT (FAINTED); HEART RATE OF 43; HEART RATE AS HIGH AS 149; TIREDNESS; HOT FLASHES; CHILLS; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included seasonal allergies, and penicillin allergy. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 205A21A expiry: UNKNOWN) dose was not reported, 1 total dose administered on 11-APR-2021 on left deltoid for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the patient experienced hot flashes and chills which would come and come. She did not had temperature, but she took paracetamol (Tylenol) for her side effects. On 12-APR-2021 (within 24 hours of getting the vaccine), she passed out (fainted), which occurred once. While passed out her heart rate was 43 which she said lasted for minutes. Her heart rate was as high as 149 since she has received the vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from passed out (fainted), had not recovered from hot flashes, chills, and tiredness, and the outcome of heart rate of 43 and heart rate as high as 149 was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0. 20210424060-covid-19 vaccine ad26.cov2.s -Passed out (fainted). This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1276415 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Cough, Diarrhoea, Dizziness, Dyspnoea, Malaise, Multiple allergies, Nausea, Neck pain, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: she had no history of allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210444480

Write-up: TROUBLE BREATHING; NECK PAIN; BLURRY VISION; DIARRHEA; DIZZINESS; COUGH; FEEL SICK; WEAKNESS; NAUSEA; ALLERGIES; This spontaneous report received from a patient concerned a 32 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included she had no history of allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: 13/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 allergies. On 11-APR-2021, the subject experienced cough. On 11-APR-2021, the subject experienced feel sick. On 11-APR-2021, the subject experienced weakness. On 11-APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced diarrhea. On 13-APR-2021, the subject experienced dizziness. On 15-APR-2021, the subject experienced neck pain. On 15-APR-2021, the subject experienced blurry vision. On 17-APR-2021, the subject experienced trouble breathing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from weakness, dizziness, neck pain, blurry vision, trouble breathing, cough, allergies, nausea, diarrhea, and feel sick. 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: 1276540 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Discomfort, Feeling abnormal, Lethargy, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: USJNJFOC20210454151

Write-up: FEELING LETHARGIC; HAVEN''T BEEN FEELING GOOD EVER SINCE; OCCASIONAL SHORT FEVER MILD; SEVERE NAUSEA; STOMACH UPSET EVERY TIME WHEN EATING AND FASTING; BRAIN FOG; BLOATING AFTER EATING; DISCOMFORT; This spontaneous report received from a patient concerned a 32 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: Unknown) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced stomach upset every time when eating and fasting. On 11-APR-2021, the subject experienced brain fog. On 11-APR-2021, the subject experienced bloating after eating. On 11-APR-2021, the subject experienced severe nausea. On 11-APR-2021, the subject experienced discomfort. On 11-APR-2021, the subject experienced haven''t been feeling good ever since. On 11-APR-2021, the subject experienced occasional short fever mild. On 12-APR-2021, the subject experienced feeling lethargic. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from occasional short fever mild, and had not recovered from stomach upset every time when eating and fasting, discomfort, severe nausea, brain fog, bloating after eating, feeling lethargic, and haven''t been feeling good ever since. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not needed as per standard procedure since case is assessed as non-serious.


VAERS ID: 1276586 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-11
Submitted: 0000-00-00
Entered: 2021-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Headache, Pain in extremity, Ultrasound scan
SMQs:, 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Diagnostic ultrasound; Result Unstructured Data: no findings; Test Date: 202104; Test Name: Blood test; Result Unstructured Data: normal
CDC Split Type: USJNJFOC20210456315

Write-up: LEFT LEG PAIN; HEADACHES; This spontaneous report received from a parent concerned a 25 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: 1805025, and expiry: UNKNOWN) dose was not reported, administered on 03-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: Blood test (NR: not provided) normal, and Diagnostic ultrasound (NR: not provided) no findings. On 11-APR-2021, the subject experienced left leg pain. On 11-APR-2021, the subject experienced headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headaches, and left leg pain. This report was non-serious. This case, from the same reporter is linked to 20210456965.


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