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From the 10/15/2021 release of VAERS data:

Found 8,070 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit



Case Details

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VAERS ID: 1681473 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-14
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Blood test, Body temperature, Computerised tomogram, Condition aggravated, Cough, Decreased appetite, Diarrhoea, Dyspnoea, Fatigue, Impaired work ability, Nausea, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test, Vaccination complication, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210716; Test Name: Body temperature; Result Unstructured Data: 99-100.4; Test Date: 20210719; Test Name: Body temperature; Result Unstructured Data: 99-100.6; Test Date: 20210719; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 20210729; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 20210729; Test Name: Blood test; Result Unstructured Data: Negative; Test Date: 20210729; Test Name: CT scan; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210908756

Write-up: SHORTNESS OF BREATH; NOT BEEN ABLE TO WORK; DRY COUGH; VOMITING; DIARRHEA; NAUSEA; FATIGUE; ARM SORENESS; REDUCED APPETITE; FEELING WORSE; VACCINATION REACTION; SHOULDER SORENESS; BODY ACHES; MILD FEVER/FEVER; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 14-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 14-JUL-2021, the patient experienced body aches. On 14-JUL-2021, the patient experienced vaccination reaction. On 14-JUL-2021, the patient experienced shoulder soreness. On 14-JUL-2021, the patient experienced mild fever/fever. On 16-JUL-2021, the patient experienced reduced appetite. On 16-JUL-2021, the patient experienced feeling worse. On 16-JUL-2021, the patient experienced arm soreness. On 16-JUL-2021, the patient experienced fatigue. Laboratory data included: Body temperature (NR: not provided) 99-100.4. On 19-JUL-2021, the patient experienced dry cough. On 19-JUL-2021, the patient experienced vomiting. On 19-JUL-2021, the patient experienced diarrhea. On 19-JUL-2021, the patient experienced nausea. Laboratory data included: Body temperature (NR: not provided) 99-100.6, and COVID-19 virus test (NR: not provided) Negative. On 29-JUL-2021, the patient experienced shortness of breath. On 29-JUL-2021, the patient experienced not been able to work. Laboratory data included: Blood test (NR: not provided) Negative, COVID-19 virus test (NR: not provided) Negative, and CT scan (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from shoulder soreness, mild fever/fever, body aches, arm soreness, fatigue, reduced appetite, dry cough, nausea, vomiting, diarrhea, shortness of breath, not been able to work, feeling worse, and vaccination reaction. This report was non-serious.


VAERS ID: 1681490 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Dizziness, Fatigue, Hyperhidrosis, Hypoaesthesia, Tremor, Vision blurred
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210910807

Write-up: CONSTANT DIZZINESS FOR DAYS NO MATTER WHAT EAT; SHAKING DURING OR BEFORE EATING; BLURRY VISION; SWEATING WHILE EATING; DIARRHOEA; NUMBNESS IN HANDS AND FINGERS; FATIGUE; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patient experienced constant dizziness for days no matter what eat, shaking during or before eating, blurry vision, sweating while eating, diarrhoea, numbness in hands and fingers, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the constant dizziness for days no matter what eat, diarrhoea, shaking during or before eating, blurry vision, numbness in hands and fingers, sweating while eating and fatigue was not reported. This report was non-serious.


VAERS ID: 1682403 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-11
Onset:2021-08-01
   Days after vaccination:143
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-08-29
   Days after onset: 28
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: unknown
Current Illness: unknown
Preexisting Conditions: None
Allergies: unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient tested positive for COVID-19 and is now deceased


VAERS ID: 1682424 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-05
Onset:2021-07-16
   Days after vaccination:133
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrioventricular block, Blood test abnormal, Cardiac assistance device user, Coronary arterial stent insertion, Dyspnoea, Electrocardiogram, Impaired work ability, Surgery
SMQs:, Anaphylactic reaction (broad), Conduction defects (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin, Omeprazole
Current Illness: none
Preexisting Conditions: diabetes type 2, asthma
Allergies: none
Diagnostic Lab Data: blood work; EKG
CDC Split Type: vsafe

Write-up: On 7/16/2021, I woke up with heavy breathing, My BP was 190/103. My breathing continued to worsen and my BP did not change. I decided to go to the ER. They took blood work and EKG . The blood work indicated blockage and I was admitted for sugery and they placed 5 stents. I was in the hospital for 4 days and discharged with instructions to follow up with cardiologist, lifestyle changes, new medications. , and I am wearing a life vest. I will be starting therapy soon and I have not been back to work yet.


VAERS ID: 1682431 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-07-22
Onset:2021-09-05
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Contusion, Laboratory test normal, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: zinc, vitamin d, vitamin k, vitamin c
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: see above. and i have reports that i would be happy to send you
CDC Split Type:

Write-up: Not 100% certain when adverse event started. had noticed bruising over last month, but was setting appointment for a routine colonoscopy, and they wanted check blood. my platelets came back at 45 (on 4 sept). they thought could be incorrect in test. tested again (6 sept) and platelets came back at 24. they told me go to hospital immediately. a bunch of more tests showed negative for many things. most everything else in blood within range. they took blood 6:30 am on 7 september. platelets came back at 39. so they let me out of the hospital, but have no understanding of why this happened


VAERS ID: 1682467 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-07
Onset:2021-03-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Arthralgia, COVID-19, Cough, Headache, Injection site erythema, Injection site swelling, Nausea, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sinusitis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prefer not list
Current Illness: no
Preexisting Conditions: Prefer not to list
Allergies: no
Diagnostic Lab Data: COVID Test-positive
CDC Split Type: vsafe

Write-up: The next morning after the vaccine I had a headache, nausea and a fever developed. The injection site was swollen and red. My body ached which all lasted about 2 days. On 7/5 I developed a runny nose and a headache. A couch developed and my body and joint ached. I was super nauseated and lost my sense of smell. On 7/7 I visited my PCP who diagnosed me with a Sinus Infection and gave an antibiotic and I lost my taste by this time and on 7/9 I went to Urgent Care and took a COVID test which was positive.


VAERS ID: 1682506 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-06
Onset:2021-08-30
   Days after vaccination:146
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Headache, Myalgia, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma, Diabetes, Hypertension
Allergies:
Diagnostic Lab Data: 08/30/2021 PCR+ COVID-19 test at Doctors Hospital
CDC Split Type:

Write-up: Fever $g100.4, Subjective fever (felt feverish), Muscle or body aches, New loss of taste or smell, Cough (new onset or worsening of chronic cough), Fatigue or tiredness, Headache, ER visit, Hospitalization


VAERS ID: 1682551 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-09-01
Onset:2021-09-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood potassium decreased, Body temperature increased, Chest X-ray normal, Chest pain, Chills, Electrocardiogram abnormal, Full blood count normal, Metabolic function test, Mouth breathing, Sinus tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Magnesium
Current Illness: None
Preexisting Conditions:
Allergies: Hydromorphone, adhesive
Diagnostic Lab Data: CXR - negative EKG - sinus tach CMP - K+ 3.1 CBC - WNL
CDC Split Type:

Write-up: Patient felt chills at 9pm, 10 hours after vaccine administration. Temperature reached 103 half an hour later at which point naproxen was taken. By 10pm, temperature had reached 106 degrees and patient went to ED. Initial temperature taken orally at 102.8, however patient was mouth breathing. Patient given acetaminophen 650mg at 11:00pm. 1L NS bolus administered. Temperature at 11:30pm was taken orally again at 103.1, though patient was still mouth breathing. Retaken temporally at 40.5C. Nurse applied ice packs to groin, arm pits and back of neck. Patient able to return home after several hours when temp dropped back to 103. Patient experienced chest pain, chest xray and troponins negative. Only abnormal lab finding was a low potassium at 3.1.


VAERS ID: 1682617 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-28
Onset:2021-08-31
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Pain, Pain in extremity, Poor peripheral circulation, Rash
SMQs:, Anaphylactic reaction (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Garden of Life Raw Vitamin C Ancient Nutrition Vitamin D3+K
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to Whey
Diagnostic Lab Data:
CDC Split Type:

Write-up: Burning pain and throbbing in legs. Low circulation in legs. Chest tightness. Rash across mid-section. Chest pain and rash improved after several days, pain and throbbing in legs persists after 7 days but starting to improve after running and walking daily.


VAERS ID: 1682728 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-01
Onset:2021-09-07
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A211A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Activated partial thromboplastin time, Burning sensation, Chest X-ray, Differential white blood cell count, Dry mouth, Electrocardiogram, Facial paralysis, Full blood count, Head discomfort, Headache, Lipase, Magnetic resonance imaging head, Metabolic function test, Muscular weakness, Nasopharyngitis, Neck pain, Paraesthesia, Prothrombin time, SARS-CoV-2 test, Tremor, Troponin, Urine analysis, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Raynauds
Preexisting Conditions: Chronic migraine
Allergies: Shellfish, verapamil, topomax (critical); Antibiotics (mild)
Diagnostic Lab Data: Head MRI, EKG, chest x ray, APTT, COVID-19 PCR, complete blood count with automated differnrential, comprehensive metabolic panel, lipase, prothrombin time, sars cov-2 PCR, toponin, UA
CDC Split Type:

Write-up: Intense stomach pains 3 days after shot, 6 days after shot, stomach pains, blurry vision, almost like the beginning of a migraine, cold, headache, droopy left face, shaking, weak left arm and leg, front head in a vice, back of head tingling with fire, cottonmouth, back left side of neck hurts too


VAERS ID: 1682747 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-01
Onset:2021-04-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None.
Preexisting Conditions: None.
Allergies: Sulfa drugs.
Diagnostic Lab Data: CT Scan 4/16/2021
CDC Split Type:

Write-up: Bells Palsy - two weeks. Treated with valcyclovir.


VAERS ID: 1682754 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-18
Onset:2021-08-11
   Days after vaccination:115
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 500 mg Oral Tab dextroamphetamine-amphetamine (ADDERALL) 20 mg oral tablet
Current Illness:
Preexisting Conditions: ADHD, Depression with anxiety, GERD, Headache, Heartburn, Hyperlipidemia, Rotator cuff disorder, DDD, Closed fracture of metatarsal bone of left foot
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: POSITIVE COVID TEST 9/6/21


VAERS ID: 1682895 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-27
Onset:2021-09-02
   Days after vaccination:159
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Patient previously came to hospital ED, had COVID PCR test done on 8/31/21 and was positive,
CDC Split Type:

Write-up: Patient presented to facility with shortness of breath x3 days.. patient came to hospital with worsening symptoms.


VAERS ID: 1682918 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-04
Onset:2021-09-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A218 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood magnesium, Chest X-ray, Electrocardiogram, Feeling hot, Full blood count, Hyperhidrosis, Hypotension, Loss of consciousness, Metabolic function test, Nausea, Pregnancy test urine, Troponin, Urine analysis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, Cyclobenzaprine, Lexapro
Current Illness: NA
Preexisting Conditions: NA
Allergies: PCN
Diagnostic Lab Data: BAMP, CBC, HS Troponin, magnesium level, urine pregnancy, urinalysis, ECG12 lead, XR chest
CDC Split Type:

Write-up: 11:30pm on day of dose 9/4, I felt nauseous. I got up from my desk to walk about 15 steps to the bathroom and lost consciousness. In coming to, I was hot and sweaty. When EMTs arrived my bp was 80/a number I don?t remember but low. Bs was 114


VAERS ID: 1682934 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-07
Onset:2021-09-06
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, Dialyvite vitamin, cinacalcet, ferric citrate, metoprolol, mupirocin ointment, omeprazole.
Current Illness:
Preexisting Conditions: CKD, hypertensive retinopathy of both eyes, OSA, acanthosis nigricans, vitamin D deficiency, obesity, ESRD, Steal syndrome as complication of dialysis Access, Chronic congestive heart failure, anti-cardiolipin antibody syndrome, anemia, anxiety, depression, dilated cardiomyopathy, hidradenitis suppurativa, hypertension, hypertensive heart and kidney disease, interstitial lung disorders, Lupus nephritis, os trigonum, pulmonary hypertension, renal osteodystrophy, SLE, SLE glomerulonephritis syndrome, vitamin D Deficiency
Allergies: Hydroxychloroquine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received first and only dose to be fully vaccinated with the J&J Janssen vaccine on 4/7/2021. Pt began to have symptoms of COVID and tested positive on 9/6/2021 at a local ED. He was then transferred later that day for inpatient care. He is still currently inpatient being treated for covid on our general med unit.


VAERS ID: 1683037 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-20
Onset:2021-08-26
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood test, Computerised tomogram, Head discomfort, Headache, Hyperacusis, Metamorphopsia, Migraine, Musculoskeletal discomfort, Nausea, Photophobia, Swelling, Syncope, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (narrow), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: At the emergency room on the first day of event I was given an IV of saline, they took blood for analysis and a CT scan.
CDC Split Type:

Write-up: Headache developed followed by fainting spell, narrowed vision, head and neck pressure, kaleidoscope eye and later progressed into migraine like symptoms. Debilitating head pain, sensitivity to light and sound and slight nausea. this persisted for four days before slowly fading in intensity. Slight headache and occasional swelling of head and neck pressure persist to this day.


VAERS ID: 1683111 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-02
Onset:2021-09-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820096 / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Chills, Confusional state, Dyspnoea, Fatigue, Heart rate increased, Neck pain, Pain, Pain in extremity, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (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:
Allergies: Codeine, Morphin.
Diagnostic Lab Data: Covid test - negative.
CDC Split Type:

Write-up: Burning pain in arm up to neck, confusion, chills, elevated heart rate, shortness of breath, burning sensation in back, joint pain, fatigue, took 2 Tylenol every 3 hours.


VAERS ID: 1683186 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Feeling abnormal, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Accidents and injuries (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies: Azithromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortly after receiving the J&J Covid 19 vaccine the patient sat in the waiting area for the required 15 minute observation period. About three minutes in she stood up and stated "I don''t feel so good". She was told to sit down immediately. Before she could sit she fainted and fell. She went into convulsions for a period of about 10 seconds on the ground and she slowly stopped and came to. 911 was called and EMS came to evaluate. She left with the ambulance.


VAERS ID: 1683238 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-03
Onset:2021-09-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Flank pain, Hypoaesthesia oral, Pain, Pain in extremity, Paraesthesia oral, Skin burning sensation
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: NUMBNESS/TINGLING TO TONGUE AND LIPS THAT PROGRESSED TO BURNING SENSATIONS TO RIGHT SIDE OF BODY LEAVING ME WITH PAIN IN RIGHT FLANK, LEG, R TORSO, R FOREARM AND RIGHT MEDIAL ELBOW AND RIGHT MEDIAL ARM. SEVERE BURNING PAIN TO ELBOW UP ARM ON RIGHT.


VAERS ID: 1683267 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Full blood count, Loss of consciousness, Malaise, Muscle contracture, Myocardial necrosis marker, Tremor, Unresponsive to stimuli
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), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none reported
Preexisting Conditions: unknown/none reported
Allergies: reported no allergies to medications, food or other products
Diagnostic Lab Data: 9/8/2021 CBC and electrolytes ,Cardiac isoenzymes, temp/pulse/respiratory, blood pressures, pain assessment
CDC Split Type:

Write-up: Patient reported not feeling well then lost consciousness. Hands and jaw were clenched and body was shaking. Patient was none responsive. Epipen given and patient regained consciousness and asked what happened. Since pharmacy is in the hospital patient was taken to the emergency room for further evaluation.


VAERS ID: 1683279 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Heart rate irregular, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Pale, Fluctuating heart rate, fainted


VAERS ID: 1683282 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-05-16
Onset:2021-06-16
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Computerised tomogram abdomen, Computerised tomogram normal, Computerised tomogram pelvis, Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular, Pregnancy test negative, Pyrexia, Ultrasound scan normal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Fertility 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: Levothyroxine 75 mcg 1x/day
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EXAMINATION DESCRIPTION: CT ABD/PELVIS W CONT Procedure: CT-ABDOMEN AND PELVIS CT WITH-74177 Findings: Lung bases: The lung bases are clear. The heart size is normal. No pericardial or pleural fluid. ABDOMEN: No free fluid or free air. Liver and biliary system:The liver is normal in size and enhances homogeneously without focal mass. The portal vein is patent. No intra or extrahepatic biliary ductal dilatation. No radiopaque gallstones. Spleen:The spleen is normal in size without focal lesion. Adrenals:8 mm hypodense left adrenal lesion, image 71 of series 4 Pancreas:The pancreas enhances homogeneously without mass or surrounding inflammatory changes. No pancreatic duct dilation. Kidneys and ureters:The kidneys are symmetric in size and enhancement. No suspicious mass or hydronephrosis on either side. GI tract:The stomach is decompressed and suboptimally evaluated. No dilated loops of small bowel or colon. Normal appendix. Vasculature and lymph nodes:The abdominal aorta is normal in caliber where visualized. The celiac, superior mesenteric and bilateral renal arteries are patent. No abdominal or pelvic lymphadenopathy. PELVIS: No free fluid. Genitourinary system:Normal appearance of the uterus. The bilateral adnexa appear unremarkable. The bladder is unremarkable. Bones and soft tissues:No aggressive osseous lytic or blastic lesions leftward convexity lumbar curvature.. The soft tissues are within normal limits. Impression: 1. No acute infectious/inflammatory process within the abdomen or pelvis. No bowel obstruction. Normal appendix. 07/01/2021 - Ultrasound: Pelvic Non/OB Finds showed no signs of ruptured ovarian cyst or other explanations for pain.
CDC Split Type:

Write-up: Morning of June 16, 2021, I began feeling pain in right abdomen and had a low-grade fever. By that evening, the pain was excruciating (9/10) and had a fever of 101. That night I went to the emergency room. The doctor assumed appendicitis and ordered a CT scan. The results showed no abnormalities. He ordered a future ultrasound to look for a ruptured ovarian cyst. Ultrasound showed that my reproductive system was "unremarkable" and showed no signs of a ruptured ovarian cyst or any other explanation for the pain. Three days later (06/19/2021) I started my menstrual cycle on schedule. It lasted the normal 6 days and had no unordinary pains. On July 17, 2021, I had my next menstrual cycle on schedule but it was extremely light and only lasted 2 days. Pain was unordinary. Negative pregnancy test. On August 9, 2021 I started my next menstrual cycle but it was 5 days early and extremely heavy resulting in more than usual pain and lasted 10 days. I have no prior history of abnormal menstrual cycles or reproductive complications/concerns.


VAERS ID: 1683324 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-29
Onset:2021-09-05
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Antibody test positive, Anticoagulant therapy, Blood fibrinogen decreased, Blood lactate dehydrogenase normal, Brain death, Cerebral haemorrhage, Computerised tomogram head abnormal, Craniotomy, Death, Fibrin D dimer increased, Haemoglobin normal, Haemostasis, Haptoglobin normal, Headache, Heparin-induced thrombocytopenia test positive, Immunoglobulin therapy, Infarction, International normalised ratio increased, Intracranial pressure increased, Neurological decompensation, Ovarian vein thrombosis, Platelet count decreased, Prothrombin time prolonged, Renal vein thrombosis, Thrombocytopenia, Transfusion, Ventricular drainage, White blood cell count increased, Withdrawal of life support
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Haemorrhagic central nervous system vascular conditions (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vasculitis (broad), Renovascular disorders (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-09-07
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: History of pre-eclampsia (2015)
Allergies: None
Diagnostic Lab Data: WBC 11.77, Hgb 13.2, Plt 31 (nadir). INR 1.4, PT 16.7, PTT 34. D-Dimer $g 40.00. Fibrinogen 74. Haptoglobin 192. LDH 158. HIT panel with strong positive, HIT optical density 2.552 (this was after she had already received IVIG and some transfusions).
CDC Split Type:

Write-up: Patient presented to the ED around 10pm on 4/21, ~one week after her J&J COVID vaccine (exact date of initial vaccination not confirmed but was reportedly 1 week prior) with abdominal pain and headache. She was found to have thrombocytopenia (Plt 38) on presentation as well as renal and ovarian vein thrombosis. CT head showed a large right frontal intraparenchymal hemorrhage. She was taken for urgent craniotomy on 9/5 with EVD placement. Brain tissue was noted to have bleeding spots unresponsive to cautery and requiring local hemostatic agents. Repeat imaging showed worsening infarction. She had continued elevated intracranial pressures, so was taken back to the OR on the morning of 9/6 for bilateral EVD placement to help relieve pressure. Given her thrombocytopenia, thrombosis, significantly elevated D-dimer, low fibrinogen, and +HIT Ab test, she was diagnosed with vaccine-induced thrombocytopenia and thrombosis (VITT). She was started on IVIG 1g/kg daily x 2 days, bivalirudin with supportive transfusions to maintain goal plts $g50K, fibrinogen $g 150. Despite this, her neurologic status deteriorated due to elevated pressures, clotting off of her EVDs, and ultimately was declared brain dead in the afternoon on 9/7. Family withdrew supportive care and patient passed at 3:57PM on 9/7/21.


VAERS ID: 1683449 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-01
Onset:2021-08-28
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, COVID-19, Cardiac arrest, Cough, Death, Dyskinesia, Endotracheal intubation, Haemodialysis, Hyponatraemia, Mechanical ventilation, Neutropenia, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Acute renal failure (narrow), Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (broad), Haematopoietic leukopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dyskinesia (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-09-04
   Days after onset: 7
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastatin 20 mg QD, Calcitriol 0.5 mg TIW, Clonidine 0.1 mg
Current Illness:
Preexisting Conditions: Anemia, Coagulopathy, Dementia, Depression, DM type 1, Dialysis, hearing loss, hyperlipidemia, hypertension,
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Jannsen Vaccine on 4/01/2021 and 3/23/2021. Presented to facility of 8/28/2021 with a chief complaint of cough without SOB, with room sats of 85%, fever, and COVID positive. Patient required intubation on 8/30/2021 during a cardiac arrest. On 8/31/2021 patient transferred to facility. On arrival with air transport, patient is hemodynamically stable, sedated on propofol. Patient is connected to MV with settings CMV 20/450/.70 +10. On 9/2/2021, spontaneous movement but not following commands. Remains in prone position. HD yesterday.


VAERS ID: 1683472 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

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

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

Write-up: Patient started sweating , loosing consciousness, eyes open but not responding about 5 minutes after vaccination, this happened twice before paramedics arrived. Paramedic said blood pressure was low and drove patient to ER.


VAERS ID: 1683702 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-06
Onset:2021-05-21
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Blood test abnormal, Colonoscopy normal, Computerised tomogram abdomen normal, Dizziness, Duodenal ulcer, Endoscopy abnormal, Gastrointestinal haemorrhage, Haematemesis, Haematochezia, Haemoglobin decreased, Hypoalbuminaemia, Iron deficiency anaemia, Lymphocytosis, Protein total decreased, Tachycardia, Transfusion
SMQs:, Liver related investigations, signs and symptoms (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Dulera inhaler, ibuprofen, acetaminophen
Current Illness: None
Preexisting Conditions: Asthma, fibromyalgia, degenerative disc disease
Allergies: Levaquin
Diagnostic Lab Data: Initial BW on 5/22 showed a HGB of 9.0 which dropped to 7.8 on 5/23 resulting in blood transfusion. BW also indicated lymphocytosis, hypoalbuminemia, and low total protein. Other BW was mostly normal. Colonoscopy was normal, endoscopy showed very small, non bleeding duodenal ulcer that could not explain the amount of blood loss. Abdominal CT was normal. Capsule endoscopy was normal.
CDC Split Type:

Write-up: Unsure if vaccine related. Received vaccine on 3/6/21. On 5/21/21 I started having abdominal pain followed by coffee ground emesis and multiple bouts of large amounts of bloody stool. In the morning, on 5/22, I woke up dizzy, light headed, and tachycardic. Went to the ED where I was admitted to the hospital. Initial vitals were T 98.1, HR 159bpm, RR 16, BP 132/93. Remained in hospital until 5/27. Received IV fluids, Protonix, Carafate, Zofran, Compazine, Norco. folic acid, thiamine, Venofer, potassium chloride, and a blood transfusion while hospitalized. Diagnosed with iron deficiency anemia due to acute gastrointestinal hemorrhage.


VAERS ID: 1683723 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-07-26
Onset:2021-07-27
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Ear discomfort, Feeling abnormal, Flushing, Headache, Micturition urgency, Muscular weakness, Throat tightness, Tryptase
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypersensitivity (broad)

Life Threatening? Yes
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: Zyrtec, Pepcid, Montelukast, Ketotifen, Vit. D, Vit. C
Current Illness: Mast Cell Activation Syndrome
Preexisting Conditions: Mast Cell Activation Syndrome
Allergies: Keflex
Diagnostic Lab Data: Serum tryptase level results: 11 serum tryptase
CDC Split Type:

Write-up: Sudden onset of chest tightness, flushing, headache, stuffy ears, muscle weakness, brain fog, bladder urgency, throat tightness, shortness of breath, difficulty breathing. Initially, I took 50mg of liquid, diphenhydramine, Allegra, and Ketotifen. When it was difficult to breathe, I used my epi-pen and called 911. Treated with IV benadryl, solumedrol, and nebulized epinephrine in the ambulance.


VAERS ID: 1684116 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Dysstasia, Headache, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (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)

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

Write-up: Severe body aches, fever, chills, nausea, throwing up, headache, inability to stand.


VAERS ID: 1684245 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Electrocardiogram abnormal, Headache, Sinus bradycardia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: sildenafil (REVATIO) 20 mg tablet 20 mg, 1 Hour Prior to Sexual Activity IBUPROFEN 400 MG ORAL TAB HYDROcodone-acetaminophen (NORCO) 7.5-325 mg tablet 1-2 tablet, Every 6 Hours PRN cephALEXin (KEFLEX) 500 mg capsule 500 mg,
Current Illness: UTI
Preexisting Conditions: No
Allergies: Citalopram
Diagnostic Lab Data: EKG: Sinus bradycardia without evidence of ACS or ectopy.
CDC Split Type:

Write-up: Patient is a 41 year old male With history of WPW with ablation who presented today at 3:45 p.m. before his 1st COVID-19 vaccination. He received the Johnson and Johnson Vaccine and reports that within an hour and a half he began having chest pain /tightness, throat tightness and a headache. No prior history of allergic reaction. He was assessed in triage and found to have stable vital signs with a heart rate of 58 beats per minute, a blood pressure of 125/ 67 and a O2 sat of 95% on room air. He was immediately given Solu-Medrol 125 mg IM and 325 mg of aspirin. EMS was called and arrived with a stretcher to take him to emergency department. The patient reported that he began feeling better with less chest tightness and throat tightness after the Solu-Medrol. He declined EMS transport and ER evaluation and reported that he would like to leave AMA. He was counseled on the potential consequences of this decision and given strict instructions to call 911 should he again began having symptoms.


VAERS ID: 1684713 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-07
Onset:2021-08-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Insomnia, Renal pain, Sensory loss
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: I had a nerve reaction to a flu shot in 2016. Within 48 hours of the vaccination I began experiencing shooting pains down both
Other Medications: Aviane- Oral birth control Vitamin B12 Vitamin D
Current Illness: none
Preexisting Conditions: Positive rheumatoid factor
Allergies: All Seafood, egg, penicillin, bactrim, codeine
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: 1. I lost the sense of touch from my elbow up to my shoulder and down the left half of my back. A month after the vaccine I have regained some feeling, but the skin on my left should still cant sense touch. 2. 12 hours after vaccination, I experienced severe kidney pain that lasted 72 hours. I have had kidney stones and a kidney infection so I know that it was my kidneys that felt as though they were rupturing. I couldn''t sleep or sit still for three days. I did not take any pain medication as I did not want to overwhelm kidneys. After 72 hours the pain finally subsided.


VAERS ID: 1684820 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-05-14
Onset:2021-09-08
   Days after vaccination:117
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
SMQs:, Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Patient admitted on 9/8/21 with increased generalized weakness and falls x2 in last 72 hours. COVID swab performed as precautionary anticipating admission resulted positive. O2 SAT STABLE ON 3L/M N/C, no steroids given


VAERS ID: 1684910 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-02
Onset:2021-09-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202AZ1A / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Anxiety
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)

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

Write-up: anxiety vs anaphylaxis. Favor anxiety


VAERS ID: 1684937 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-08-27
Onset:2021-08-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 04A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Electrocardiogram, Fatigue, Loss of consciousness, Respiratory arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Respiratory failure (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: paxil
Current Illness: N/A
Preexisting Conditions: unknown
Allergies: bee stings
Diagnostic Lab Data: EKG
CDC Split Type:

Write-up: Patient waited out 15 required minutes, plus another 15 just incase due to the bee sting issue. Patient was fine the duration of the day The next morning patient woke up not feeling well, had extreme fatigue and was having difficulty breathing Patients daughter put her in the car and headed to the hospital, on route to the hospital the patient started to become unconscious and was not breathing a passer by had an epinephrine pen and injected the patient into the thigh. Patient immediately came out of the previous state. The recuse squad was called and they brought patient to the Emergency room. The patient was monitored and ultimately discharged with no further issues.


VAERS ID: 1684968 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-12
Onset:2021-04-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angina pectoris, Antibody test positive, Aphonia, Asthenia, Autoantibody positive, Back pain, Blepharospasm, Burning sensation, Cardiac stress test normal, Computerised tomogram normal, Confusional state, Coordination abnormal, Cough, Dissociation, Dysphonia, Dyspnoea, Echocardiogram normal, Eyelid rash, Fatigue, Feeling abnormal, Gait disturbance, Headache, Hyperaesthesia, Hypoaesthesia, Influenza, Laboratory test, Magnetic resonance imaging head normal, Mean cell volume increased, Mean platelet volume decreased, Memory impairment, Mobility decreased, Muscle twitching, Muscular weakness, Neurological symptom, Oropharyngeal discomfort, Pain, Pain in extremity, Painful respiration, Paraesthesia, Pericarditis, Purpura, Pyrexia, Rash, Rash pustular, Scan with contrast normal, Sick relative, Skin haemorrhage, Somnolence, Ultrasound scan normal, Vision blurred, Vitamin D decreased, Vitamin supplementation, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Other ischaemic heart disease (narrow), Vasculitis (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Myelodysplastic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine 1x daily
Current Illness: None
Preexisting Conditions: Total thyroidectomy
Allergies: Tetracycline
Diagnostic Lab Data: Had the JJ vaccine April 12, within hours I had a nerve in my right eye that would not quit (have video). For several days had severe pain in my arm and severe flu symptoms with fever, bloody rash on arms developed the following week. Wouldn?t itch, would just bleed constantly. The eye twitch continued, and I started to experience full body pain, some tingling that travelled and coordination issues (dropping and tripping). I went to see my endocrinologist on April 26 Doctor, explained my symptoms because I thought they may be thyroid related. Blood: High WBC High MCV Low MPV Low vitamin d so he put me on a daily regimen of D to bring my levels up. The eye twitch continued constant for about a month, deep pain and sensitivity to touch continued. (Video) on June 17th an ambulance took me to Magnolia for symptoms of heart attack. Severe chest pains that wrapped around to my back, shortness of breath. Referred to cardiologist Doctor. Saw him the 23rd, ordered stress test and echocardiogram ultrasound. Everything came back good the chest pain lasted for 11 days straight, could not lay down lean forward or side to side, breathing was painful and difficult constant dry cough. Intermittent headaches, lost feeling in the entire left side of my head when laying down on July 8th, so much so I could pull my hair the hardest I could and not feel it, hit myself and not feel it this only lasted minutes. Body pain continues. If my husband wraps his arms around me or tries to massage my back it hurts. Mostly all touch from mid abdomen down to feet hurts especially thighs and calves. Occasional sharp burning sensation on tips of toes. July 15th a nerve in my right hand has started pulsing and will not stop, hand feels very weak. (video) July 15th Pain in fingertips like burning very local to fingertips just on the ends when I place my fingers in water, left hand only and only when I place my hand in water. Tingling sensations from bottom of rib cage to hip on left side only. July 21st saw Endo, at office 90/50 bp with symptoms (drowsiness, blurred vision, fatigue and a disconnected confused feeling, did not feel present) July 21. Severe chest Pain begins that evening in heart again Cardiologist orders more tests (pain continued until 8/3) primary Dr runs more labs on 7/22 to check for blood clotting issues related to vaccine, results Neg, went for CT scan/contrast normal results on 8/2, met with Doctor (cardiologist) 8/2 diagnosed with incessant Pericarditis (lasted 13 days of intense pain could not lay down lean forward or side to side when this happens) started on Cholchicine, pain in chest has become manageable with only dull aching pain, did have the signature stabbing pain 8/8 at 8pm. Did lose voice and voice change/ throat sensation for the duration of each episode with dry cough. Pain continues on and off saw cardiologist 8/17 about pain breaking through the meds, says to continue treatment and document. 8/18 rash began on legs and midsection, deep body pain and fatigue. Brain fog and severe memory issues began around 8/10 and continue. Brain MRI and more labs performed 8/30 will get results 9/8 Spike protein antibody test taken on 8/30, results show only .82 (.80 and below is considered negative for vaccine induced spike protein antibodies) very low antibody response right now 8/31 developed multiple pustular lumps in left eye lower lid. (Pic) Sidenote: (daughter) was diagnosed with Mono this week. Debilitating fatigue 9/2 9/8 Neurologist gives me Emgality injection. Normal MRI results.
CDC Split Type:

Write-up: Had the JJ vaccine April 12, within hour I had a nerve in my right eye that would not quit (have video). For several days had severe pain in my arm and severe flu symptoms with fever, bloody rash on arms developed the following week. Wouldn?t itch, would just bleed constantly. The eye twitch continued, and I started to experience full body pain, some tingling that travelled and coordination issues (dropping and tripping). I went to see my Dr on April 26 Doctor, explained my symptoms because I thought they may be thyroid related. Blood: High WBC High MCV Low MPV Low vitamin d so he put me on a daily regimen of D to bring my levels up. The eye twitch continued constant for about a month, deep pain and sensitivity to touch continued. (Video) on June 17th an ambulance took me to Magnolia for symptoms of heart attack. Severe chest pains that wrapped around to my back, shortness of breath. Referred to cardiologist Doctor. Saw him the 23rd, ordered stress test and echocardiogram ultrasound. Everything came back good the chest pain lasted for 11 days straight, could not lay down lean forward or side to side, breathing was painful and difficult constant dry cough. Intermittent headaches, lost feeling in the entire left side of my head when laying down on July 8th, so much so I could pull my hair the hardest I could and not feel it, hit myself and not feel it this only lasted minutes. Body pain continues. Mostly all touch from mid abdomen down to feet hurts especially thighs and calves. Occasional sharp burning sensation on tips of toes. July 15th a nerve in my right hand has started pulsing and will not stop, hand feels very weak. (video) July 15th Pain in fingertips like burning very local to fingertips just on the ends when I place my fingers in water, left hand only and only when I place my hand in water. Tingling sensations from bottom of rib cage to hip on left side only this continued for days. July 21st saw Doctor, at office 90/50 bp with symptoms (drowsiness, blurred vision, fatigue and a disconnected confused feeling, did not feel present) July 21. Severe chest Pain begins that evening in heart again Cardiologist orders more tests (pain continued until 8/3) primary Dr runs more labs on 7/22 went for CT scan/contrast normal results on 8/2, met with Doctor (cardiologist) 8/2 diagnosed with incessant Pericarditis (lasted 13 days of intense pain could not lay down lean forward or side to side when this happens) started on Cholchicine, pain in chest has become manageable with only dull aching pain, did have the signature stabbing pain 8/8 at 8pm. Did lose voice and voice change/ throat sensation for the duration of each episode with dry cough. Pain continues on and off saw cardiologist 8/17 about pain breaking through the meds, says to continue treatment and document until next visit in October. 8/18 rash began on legs and midsection, deep body pain and fatigue. Brain fog and severe memory issues began around 8/10 and continue. Brain MRI and more labs performed 8/30 will get results 9/8 Spike protein antibody test taken on 8/30, results show only .82 (.80 and below is considered negative for vaccine induced spike protein antibodies) very low antibody response right now 8/31 developed multiple pustular lumps in left eye lower lid. (Pic) Debilitating fatigue neurological symptoms continue 9/2 9/8 Neurologist gives me Emgality injection. Normal MRI results.


VAERS ID: 1685039 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-09-02
Onset:2021-09-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Blood test, Chills, Computerised tomogram, Pain, Pyrexia, Urine analysis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra
Current Illness:
Preexisting Conditions: Asthma
Allergies: Peanuts, tree nuts
Diagnostic Lab Data: Blood work, urinalysis and CAT scan 09/09/2021
CDC Split Type:

Write-up: Day 1: Fever, chills, body aches within 12 hours. Day 3- until current Day 7 extreme abdominal pain. Pain when moving, staying still. Pain will not go away


VAERS ID: 1685073 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-27
Onset:2021-07-28
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: CKD, HTN, Obesity, Hyperlipidemia
Allergies:
Diagnostic Lab Data: Rapid COVID Test (7.28.2021) = positive COVID 19 antibody IgG (7.28.2021) = positive
CDC Split Type:

Write-up: An 81 y.o. female presented to the emergency department on 7/28/2021 for evaluation of generalized weakness, SOB, and cough that started approximately one week ago. Patient was admitted to hospital and started on oxygen, remdesivir, and steroids. She received 5 days of remdesivir and 12 days of steroids while in the hospital. She was discharged on oxygen.


VAERS ID: 1685153 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Headache, Hypoaesthesia, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Sexual dysfunction (broad)

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

Write-up: Client states that approximately one hour after receiving vaccine his left arm became numb and the numbness progressively descended to his left leg and his left foot. He also reports nausea, headache, and dizziness.


VAERS ID: 1685233 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-16
Onset:2021-05-20
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Arthralgia, Blood test normal, Computerised tomogram abdomen abnormal, Endocrine test, Fatigue, Limb discomfort, Magnetic resonance imaging spinal normal, Pain in extremity, Pulmonary embolism, Spinal X-ray normal, Ultrasound scan, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ibuprofen occasionally
Current Illness: none
Preexisting Conditions: hyperparathyroidism
Allergies: ciproflaxin
Diagnostic Lab Data: july 19 endochronology test Aug 17 MRI Aug 25 Rheumatology Aug 29 Nuerology Sept 4 CT scan Sept 7 Anticoagulation clinic Sept 7 Head and Neck surgery consult Sept 8 Ultrasound Sept 8 CT scan
CDC Split Type:

Write-up: I had knee replacement surgery on Feb. 17th and the recovery went well. I am a healthy, athletic 63 year old male with no prior history of clots nor any known family history. On March 16th, I received the J & J vaccine at the urging of PCP and so I could visit my elderly aunt, who was on hospice care. Toward the end of May I started to feel very fatigued and was having bilateral joint pain and achy legs which was worse at night when I layed down. My legs had an incredible ?heaviness? to them, almost like It got so bad that in mid june I contacted my primary doctor and he referred me to the knee surgeon. The knee surgeon said it wasn?t related to the knee surgery because it was bi-lateral and heaviness is not a common issue related to knee replacement issues. He thought it might be vascular or nerve or spine related. I was out of state and flew home to have blood tests done and basically they all retuned normal. Eventually from insistence by myself, my doctor had mri?s and x-rays done which revealed my spine was not causing the issues with the legs. During a CT scan for my kidneys, the tech found a pulmonary embolism of my right lower lobe and extending into several segmental arteries. The doctor is calling it a ?unprovoked? pulmonary embolism. over the last few weeks, I have noticed my eye sight has had moment difficulty focusing long distance and then will clear. I have better then 20/20 vision. Throughout my treatment, PCP has repeatedly denied that any of my issues can be related to the JJ vaccine and my doctor said it was ?google? searches that made me think this. While meeting with a facility Head and Throat surgeon for a parathyroid surgery consult, he urged me to notify the VAERS system because he believed it was all related to J&J vaccine as well. I am now on blood thinners looking for answers and hoping that some answer can be given as to how this happened by a specialist.


VAERS ID: 1685262 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-09-03
Onset:2021-09-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Computerised tomogram, Dyspnoea, Myocardial infarction, X-ray
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: I experienced shortness of breath that escalated to chest/lung pain and the sensation that the lungs are compressed by some one''s hands. I ended up transported to Hospital by Fire Department suspecting a heart attack. That was cleared by several tests. While in the Hospital the pain increased and was unbearable. I was given Tramadol and discharged later with heartburn diagnosis. I have been dealing with heartburn and acid reflux for years and did not experience any such symptoms on the above date and time. later that night the pain increased again and Diclofenac would not help. I used Excedrin and the pain subsided to a bearable level and was able to sleep early in the morning. Throughout this experience, the pain was located specifically in the lungs and I could feel the the bronchia tensed up. I did not feel pain or discomfort anywhere else in my body. The following day, I kept on taking Excedrin a couple of times. Now the pain decreased but did not go away.


VAERS ID: 1685434 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-06
Onset:2021-03-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood 25-hydroxycholecalciferol, Blood potassium, Bone pain, COVID-19, Chest X-ray, Chest discomfort, Chills, Computerised tomogram abdomen, Cough, Diarrhoea, Differential white blood cell count, Fatigue, Flank pain, Full blood count, Gastrooesophageal reflux disease, Headache, Heart rate increased, Magnetic resonance imaging abdominal, Metabolic function test, Pyrexia, SARS-CoV-2 test positive, Scan with contrast, Secretion discharge, Taste disorder, Tremor, Ultrasound abdomen, Urine analysis, Vomiting projectile, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: TB @ age 17 Shingles part2 @ age 71
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma Allergies
Allergies: None
Diagnostic Lab Data: 3/17/21 : Differential, Hemogram, Basic Metabolic Profile w/co stat, Potassium, Vitamin D 25- Hydroxy 3/17/21 Coronavirus Disease (COVID-19 PCR) 3/17/21 Abdomen/Pelvis CT w/contrast 3/20/21 Chest X-Ray PA + Lateral 3/20/21 Urinalysis Macrosopic w/ Reflex Micro 3/24/21 US Abdomen Complete 4/10/21 Abdomen MRI w/o + w/contrast 5/19/21 Chest X-Ray PA + Lateral
CDC Split Type:

Write-up: Extreme Chills, Shaking, Racing Pulse, Fever, Projectile Vomiting, Stomach ache, Headache, Fatigue, Acid Reflux, Wheezing, Explosive Diarrhea, Cough, Mucus, Chest Tightness, Bones Ache, Left Side Pain, Taste Change ( for 1 day everything tasted like onions)


VAERS ID: 1685514 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-16
Onset:2021-05-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine 20 mg 2 tabs taily
Current Illness: none
Preexisting Conditions: IBS, Anxiety, Depression
Allergies: Bees
Diagnostic Lab Data: Blood work: normal; Chest X-ray: normal
CDC Split Type: vsafe

Write-up: I went to Hospital via ambulance because I was having heart palpitations and chest pains. It started the night before and went into the next day. I am seeing a cardiologist 9/10/2021 for follow up. Cardiologist.


VAERS ID: 1685518 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-02
Onset:2021-09-06
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, Diplopia, Magnetic resonance imaging normal
SMQs:, Ocular motility disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Progesterone, Estrogen, Vitamin D, Vitamin C, Magnesium
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI & Blood work on 9/7/2021
CDC Split Type:

Write-up: Sept 6th, 7:00 p.m. had double vision. Went to Hospital Emergency Room on Sept. 7th, 2:00 pm. and they ran blood work, and MRI. Results showed no stroke, bleeding on the brain or tumor. ER Dr. couldn''t diagnose why I was having double vision which is neurological disorder. Referred me to Neuro Ophthamologist.


VAERS ID: 1685532 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-07-12
Onset:2021-09-06
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Echocardiogram, Electrocardiogram
SMQs:, Supraventricular tachyarrhythmias (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin 500 mg bid, metoprolol 25mg bid
Current Illness: None
Preexisting Conditions: Mitral valve regurgitation and sleep apnea
Allergies: Benadryl and eryremicn
Diagnostic Lab Data: Echocardiogram 9/7/21 and ekg 9/6/21
CDC Split Type:

Write-up: Developed AFIB never had before


VAERS ID: 1685609 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-06
Onset:2021-07-30
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, COVID-19, Chest X-ray abnormal, Chest pain, Computerised tomogram thorax abnormal, Cough, Diarrhoea, Dyspnoea, Fibrin D dimer increased, Hypoxia, Inflammatory marker test, Lung opacity, SARS-CoV-2 test positive, Tachycardia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: 7/30/2021 CXR - possible infiltrate 7/26/2021 Covid 19 detected per PCR 8/9/2021 CT - ground glass opacities
CDC Split Type:

Write-up: Presented to ED on 7/30/2021 with cough, chest pain, shortness of breath, abdominal pain and diarrhea, hypoxia and tachycardia. -s/p Decadron 10 mg IV in ER, continue Decadron 10 mg x2 doses, then transition to 6 m g x7 pending course, Supportive cares, Antioxidant vitamins, Contact and Droplet precautions, Wean O2 as tolerated, Trend inflammatory markers, D-Dimer elevated to 981, will assess for PE with CT:PE She was discharged to home 8/2/2021. She presented again to the ED on 8/9/2021 with persistent SOB and cough. Patient was given albuterol inhaler, IV fluids, dose of Decadron. She went home with telemedicine/pulse oximetry home monitoring program Submitter does not have access to further detailed medical records or follow up information. If this information is required, please contact Hospital.


VAERS ID: 1685612 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-06
Onset:2021-06-26
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Nausea, Peripheral swelling, Pulmonary thrombosis, Pyrexia
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: surtuleen , loryna, hydroxoline
Current Illness:
Preexisting Conditions:
Allergies: seasonal allergies and melons
Diagnostic Lab Data: blood clot on lung
CDC Split Type: vsafe

Write-up: swelling in left arm, headache, extreme dizziness, nausea, fever


VAERS ID: 1685649 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-08-25
Onset:2021-08-27
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

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

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

Write-up: numbness on fingertips,


VAERS ID: 1685701 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-03
Onset:2021-09-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Lip pruritus, Pruritus, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: influenza vaccine, IV contrast, penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: itching to throat, ears, and lips that began 10 minutes after J&J Covid vaccine. Progressed to chest pain.


VAERS ID: 1685773 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-05-20
Onset:2021-06-15
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Electromyogram, Hypoaesthesia, Impaired work ability, Lumbar puncture, Nerve conduction studies, Paraesthesia, Peripheral sensory neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

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

Write-up: Patient developed numbness and tingling in feet followed by weakness. Nerve conduction and EMG showed evidence of a sensory neuropathy with absent sural response and prolonged F-waves. Lumbar puncture did not show elevated protein or cells. Her symptoms have persisted since June. She has been unable to return to work. She packs and ships orders. She is recovering her strength with physical therapy and plans to return to work in October.


VAERS ID: 1685780 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-09
Onset:2021-09-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anaphylactic reaction, Chills, Dysphagia, Dyspnoea, Nausea, Productive cough, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Infective pneumonia (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: Anaphylaxis to Pfizer in January 2021
Other Medications: During the code the patient''s family member stated that she used an inhaler. She has a history of Asthma and bronchitis.
Current Illness: Asthma, Bronchitis
Preexisting Conditions: Asthma, bronchitis
Allergies: Penicillin, Amoxicillin, Toradol, Morphine, Ibuprophen, Pfizer
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA Patient came to vaccine clinic with her family member and received J&J vaccine at 1245. I took her to the back room to observe her for 30 minutes. She reported history of anaphylaxis to Pfizer in January of 2021. I took her vitals at 1253. BP 119/64; HR 96, SpO2 97 % on RA. At 1301 she reported difficulty breathing. I administered 3 mg of Epi via left lateral thigh. Vitals after first dose of Epi was: BP 120/63; HR 91, SpO2 99% on 6 liters via nasal cannula. Patient reported that her breathing was getting better. At 1310 patient stated that she was having difficulty swallowing her saliva. I administered 50 mg IM Benadryl. I called Dr.and reported patient had Anaphylaxis and was not improving. Dr. and his team came right away. Nurse called urgent care. Nurse called emergency services. At 1315 second dose of Epi was given. Vital signs at 1318 were BP 92/73; HR 111, SpO2 100% on 6 liters via nasal cannula. She was shivering and coughing out phlegm. Silver blanket was applied to keep patient warm. At 1320 the third dose of Epi was given and patient reported some relief. Paramedics came around 1325. Patient BP was 160/100. Patient had two episodes of nausea and vomiting. She was taken to Medical Center via ambulance. Nurse manager was notified.


VAERS ID: 1686226 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Agoraphobia, Anxiety, Asthenia, Blood test normal, Chest discomfort, Chest pain, Delusion, Dizziness, Dyspnoea, Endoscopy normal, Fatigue, Feeding disorder, Feeling abnormal, Gait inability, Headache, Heart rate increased, Hypophagia, Impaired driving ability, Oversensing, Palpitations, Pyrexia, Sinus arrhythmia, Social anxiety disorder, Tachycardia, X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Dementia (broad), Dystonia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular 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: Flu shot, 17 years ago
Other Medications: Vitamin C
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Every single one. X-rays, blood tests, general ER checks, etc. And that is just general doctors. All negative. Endoscopy, negative. Cardiogram, negative. Pulmonologist review, negative (thought it was Asthma so was prescribed three different inhalers).
CDC Split Type:

Write-up: The week after getting vaccinated, I was not able to walk, eat, drink normally, I had headaches, I had a fever, I was delusional. It felt like I was hit by a truck. And then it slowly got better and I felt absolutely fine. After getting vaccinated, I started going outside a bit more, and walking more, and that is when I realized that my stamina had completely decreased. Then, in late May, I was at the mall walking and my heart skyrocketed. I had severe heart palpitations, chest pain, and extremely weird tachycardic beats. I was diagnosed with sinus arrhythmia and benign not common heart palpitations that lasted very little. This was completely different. If I had to estimate it would be close to The 200s. I called EMS And they had to walk me out to where my ride walked me back to the car. Ever since that day my body has completely changed. I am constantly exhausted, exhausted actually is an understatement. The immediate day after my heart was still seemingly tachycardic, I had chest pains, my heartfelt week, it felt like my ribs and my chest cavity were breaking, I could not walk or get up from bed or even shift positions while I was sleeping without my heart rate skyrocketing and the blood rushing from my head and feeling lightheaded and dizzy. Psychologically I was also not my best. My body not working the way it needs to give me extreme anxiety, and I could not be alone for the longest time. It started to get better but four months later I still have lingering symptoms. I had Covid back in Christmas of 2020 but it felt like allergies and we did not have a severe effect on me it seemed. The vaccination and how it reeked havoc on my body has seemed worse than the actual disease. Symptoms I have now is consistent breathlessness which worsens on some days and is better on others, but it is always there. I can?t run or walk fast without my body seeming like it has to catch up with me. I get chest pains I still get heart palpitations and sometimes my heart races for no reason at all and my resting heart rate is about 110 generally. And the worst one of all is I feel this constant pressure under my rib cage and above my belly button that never goes away and it was not there before. I have gone to two cardiologists Since then, my primary care doctor multiple times, made multiple ER visits, I?ve gone to a pulmonologist, and I?ve gone to a gastroenterologist and did an endoscopy. Every single doctor I go to says there?s nothing wrong with my body. I am in the mist of getting a second opinion for a pulmonologist and a check up on my gallbladder but every test consistently comes back negative. I I have always been around tons of people, been around crowds, and have loved exploring in the past. Now I have developed severe social anxiety where I can?t even drive through cities without someone with me or walk down the street. I have become hyper sensitive to loud noises, vibrant displays, and I prefer the silence. And for weeks I could not leave my house and I was afraid I was agoraphobic. All in all I feel like a completely different person than I was before getting the vaccine. No one knows what is going on with me and I can?t often articulate or verbalize the experience that I?m dealing with. The worst part of it all is the breathlessness part and the feeling of my body deconditioning from the vaccine. Some days it feels like my lungs are full of hot air but to no avail.


VAERS ID: 1686232 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Hypoaesthesia oral, Tachypnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Respiratory failure (broad), Infective pneumonia (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: Acetomenophen, hydrocodone. ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received 1st dose J&J COVID vaccine right deltoid @ 1413. Around 1428, pt c/o chest tightness, lips feeling numb, tachypneic, and dizziness post vaccination. V/S: 102/85, HR 108, SPO2 95% RA, RR 26. EKG done in clinic. SPO2 93% noted, started on 2 LPM via nasal cannula. RRT notified. RN-to-MD report given to Dr. Pt transferred to UC via wheelchair via 2-person assist @ 1453.


VAERS ID: 1686427 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-10
Onset:2021-03-29
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Bronchitis, Condition aggravated, Cough, Infection, Productive cough
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, Metoprolol Tartate, Astorvastatin, Pantorprazole, Alendronate, Estadadiol, Asprin 81mg, Caltrate, Multi Vitamin
Current Illness: None
Preexisting Conditions: Prone to bronchitis/pneumonia. but have not had it for a few years? now going through third bout of bronchitis since vaccine. Just can?t get rid of productive cough.
Allergies: Sulfa Drugs, Lisinpril, Doxycycline, Flagyl, Morphine Sulfate, Codine, Ranexa,
Diagnostic Lab Data: I wouldn?t consider this an adverse reaction since it in the start right away but it does seem like it has become bothersome and I can trace it back to two weeks after my vaccination.
CDC Split Type:

Write-up: I have just had three cases of bronchitis since my COVID-19 vaccination. I don?t seem to be able to get rid of a long-term productive cough. * also I was contacted in April by your service and did call back and leave my telephone number because I was having bronchitis issues and I never received a callback. I did give them my availability time and tried to call a few times and was unable to get a hold of anyone. I hope this information helps.


VAERS ID: 1686752 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821288 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Blood 25-hydroxycholecalciferol decreased, Blood glucose decreased, Blood thyroid stimulating hormone normal, Chest X-ray abnormal, Differential white blood cell count normal, Dizziness, Dizziness exertional, Electrocardiogram normal, Fatigue, Fibrin D dimer normal, Full blood count normal, Glomerular filtration rate normal, Injection site pain, Lymphocyte count, Metabolic function test, Metabolic function test normal, Neurological examination normal, Thyroxine free normal, Troponin T
SMQs:, Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Alpralozam - .5mg x 1 nightly at bedtime for insomnia ($g 2 years) Androgel - 4 pumps x 1 daily ($g 2 years)
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin - shortness of breath
Diagnostic Lab Data: 9/3/2021 - Outpatient Visit to PA due to dizziness and severe fatigue - Baseline neurological exam was normal - CBC w/Auto Differential - all results in normal ranges - Comprehensive Metabolic Panel - Glucose a bit low at 60mg - all other results within normal ranges - Vitamin D 25-hydroxy - 21.7ng/ml - TSH REFLEX FREE T4 - Normal range 9/7/2021 - Outpatient visit to ER due to dizziness and severe fatigue - ECG 12-LEAD - Normal ECG - XR Chest 1 Vw - Mild hazy markings left lower lung adjacent left heart border with lungs otherwise clear. - EGFR - 67 mL/min/1.73 m2 - Differential Auto - Lymphocyte abs: 3.5 K/cumm - all other results within normal ranges - Troponin T high-sensitivity series - Normal (<6 ng/L) - Basic Metabolic Panel - all within normal ranges - CBC w/Auto Differential - all results in normal ranges - D-Dimers Quantitative - normal (<215 ng/mL FEU)
CDC Split Type:

Write-up: Submitting a new report to update my initial report as adverse reactions have not subsided as previously stated Normal expected side effects for 36-48 hours following vaccination. Dizziness, severe fatigue, and pain at injection site for 6-8 days following vaccination. Dizziness and severe fatigue returned for 6 weeks post vaccination whenever patient has exerted himself slightly above normal routine Dizziness and sever fatigue are now (7 weeks to present) presenting after normal activity. 1-2 days of normal activity results in 1-2 days of dizziness and severe fatigue.


VAERS ID: 1688665 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-27
Onset:2021-08-24
   Days after vaccination:119
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Hypoxia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flomax Synthroid
Current Illness: unknown
Preexisting Conditions: hypertension hypothyroidism
Allergies: none known
Diagnostic Lab Data: SARS-CoV-2 RNA = DETECTED on 9/7/21
CDC Split Type:

Write-up: severe fatigue, cough, fever increasing over 2 weeks, hypoxic at ER presentation requiring oxygen. Admitted for further care and treatment


VAERS ID: 1688847 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2021-03-06
Onset:2021-07-23
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Blood test, Computerised tomogram, Electrocardiogram, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: Issue with nickel plated syringes
Other Medications: Sudafed, aspirin, Claritin, calcium, vitamin D3, multi vitamin, fish oil, cinnamon, biotin, Kariva, Mucinex
Current Illness: None
Preexisting Conditions: Sinusitis, asthma
Allergies: Scopolamine
Diagnostic Lab Data: EKG, blood pressure machine, CT scan, blood work
CDC Split Type:

Write-up: Escalated heart rate and blood pressure.


VAERS ID: 1688866 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-13
Onset:2021-08-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac disorder, Chest discomfort, Chest pain, Dyspnoea, Fatigue, Headache, Pain, Palpitations, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Dermoid cyst
Allergies: Nkda
Diagnostic Lab Data: 8/19/2021: blood work, d-Dimer, EKG, CT-scan 9-1/2021, MRI HEART
CDC Split Type:

Write-up: Hi August 13, 2021 I receive the Covid vaccine at 3:30 PM. Later on that evening at 7:45 PM I began to experience severe fatigue headache bodyaches and tingling in both legs. On August 15, symptoms began to improve slightly but we''re still present. On August 18, 2021, I began to experience a new onset of severe chest pain, tightness, palpitations, difficulty breathing and headache at 4:45 PM. On August 19, 2021 I went to work despite still experiencing symptoms from the day before I was taken to Occupational medicine and advised to be seen in the ER. While in Emergency room, a blood test, EKG and CT scan were done. D/dimer test came back elevated CT scan showed no signs of low clots in my lungs. I was referred to my primary care physician. On August 20, 2021, I will send an occupational medicine at 2:49 PM I explain my symptoms I was still experiencing headache chest pain tingling only now in the right leg shortness of breath. At 4 PM that same day I was seen by my primary care doctor and explained my symptoms since receiving the vaccine my lungs were examined with a stethoscope. They tested my reflexes and strength in both legs and arms. It was discovered that my right lower extremities in my leg or weaker than my left. MRI of the brain/Spine, and heart will order. On September 1, 2021 MRI of my chest was done. On September 3, 2021, MRI was interpreted and it was discovered that I had inflammation of the lateral and inferolateral walls of my heart. There was also around nodules structure seen in the left atrial which prevented them from ruling out thrombus.


VAERS ID: 1688940 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-03-06
Onset:2021-03-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Computerised tomogram, Dysstasia, Full blood count, Gait disturbance, Headache, Magnetic resonance imaging, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ometrazole 40mg, Rosuvastatin 10mg, Sertraline 50mg, Nifedipine 60mg, Vit. D2 5000U, Aspirin
Current Illness: no
Preexisting Conditions: Hypertension
Allergies: bactrium, All Opium Pain relievers
Diagnostic Lab Data: MRI CT Scan COVID-19-positive CBC
CDC Split Type: vsafe

Write-up: The next night after I could not stand or walk. I had such a severe headache causing me to be out of it and lay in the bed for about 24hrs. A few weeks later again I could not stand or walk again and the headache returned very severely so I reached out to my PCP who advised I immediately went to the hospital. I had to be transported by ambulance and immediately ambulance attendants asked if I had either vaccine and immediately when I arrived at Hospital. I had an MRI and CT Scan done and was diagnosed as having Vertigo. I had vestibular treatment and PT to treat the Vertigo and about a week later things had balanced. 8/28 I developed 103 fever, was vomiting and my head felt as if it was going to explode feeling like I had a bad head cold and on 8/29 I tested positive for COVID-19.


VAERS ID: 1689143 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-03-07
Onset:2021-08-13
   Days after vaccination:159
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Feeling cold, Influenza like illness, Nausea, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair; Furosemide; POTA Chloride; Montelukast; Candesartan; Caltrate 600 plus D-3; Injection Cyanocobalamin; One a day for women; Osteo biflex with Vitamin D
Current Illness: No
Preexisting Conditions: Asthmatic my entire life; Irregular heart beat.
Allergies: Penicillin; Sulfa
Diagnostic Lab Data: COVID-19 TEST/ 08/13/201- Results were positive.
CDC Split Type: vsafe

Write-up: Following the vaccine I had no AEs the entire time. Not even a sore arm. On 08/13/2021, I had fever of 100 degrees, body aches much like the flu, nauseous but didn''t get sick, very tired and nasal drainage. On the onset, 08/13/2021, I went to Urgent Care. I tested positive for COVID-19. The following day at 1:00 PM they gave me the infusion at the hospital, as an outpatient. 2 hours later I had horrendous chills, ice piercing cold, I literally had to put on my robe, I was shaking and I could not stop from the cold. It lasted for like 3 hours. Then I had the flu like symptoms and doing breathing treatments-albuterol 0.5/3 (2.5 mg) 4 treatments 4 x day, inhalation. Prescriptions from the pharmacy: Prednisone 10 mg 1 tablet by mouth for 5 days, azithromycin 200 mg 2 tablet on the 1st day, and then 1 tablet for 4 days, treatments for my lungs. After 2 weeks, I''m back to normal. I have totally recovered.


VAERS ID: 1689182 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-18
Onset:2021-05-29
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-30
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 10 MG
Current Illness: none
Preexisting Conditions: blood pressure - sometimes acid reflux
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was sleeping, rolled over siezed up body postured with arms drawn. Called 911.Patient was unconscious and appeared to take his last breath as medics arrived. Medics and sheriffs arrived. I verified patient did not hit his head, fall or have any injury. They worked on the patient and transferred him to the hospital. Patient was pronounced Dead at the hospital.


VAERS ID: 1689196 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-19
Onset:2021-09-09
   Days after vaccination:82
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue, Lung infiltration, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Patient''s isolation based off positive 9/2/21 COVID PCR test.
CDC Split Type:

Write-up: Patient presented to facility ED with shortness of breath, fevers, cough and fatigue. patient had previously been seen in ED a week prior on 9/2/21. Patient was admitted after x-ray showed diffused patchy bilateral pulmonary infiltrate.


VAERS ID: 1689215 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-24
Onset:2021-09-04
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Mouth ulceration, Pain
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Multiple large mouth ulcerations (between 30-40 ulcers). Extremely painful. Have lasted 6 days so far. No sign of improvement.


VAERS ID: 1689264 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Herpes zoster, Laboratory test, Pain, Pain in extremity, Peripheral swelling, Rash, Ultrasound abdomen, Urine analysis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ATorvastatin 5mg Amlodipine 10mg cetirizine 10mg bioitin 250 citracal plus D3
Current Illness: Osteoporosis
Preexisting Conditions: no
Allergies: Singulair seasonal allergies and strong smells
Diagnostic Lab Data: HNL lab 7/23, US Abdomen Complete, 8/20/21 Mycardial Perfusionk, 8/22/21 Lab 254 hour urine test.8/23/21 lab tests
CDC Split Type:

Write-up: 4 days after shot I got shingles stabbing pain in right leg. Went to emergeny twice, clinic, and family doctor talked to on phone 3 times for horrible pain. Lasted 6 weeks. Day after pain subsided I got a rash over my whole body. Doctor prescribed more antibiotics. When that went away my lets started swelling. Had many tests and utra sound on lets stomach and many blood tests. My legs still swell at times.


VAERS ID: 1689278 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-06-22
Onset:2021-08-26
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness unilateral, Eye haemorrhage, Eye operation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad)

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

Write-up: blood vessel burst in back of eye and an ophthamologist did surgery to stop the hemorrhaging. Still recovering. Some sight has returned to the eye.


VAERS ID: 1689290 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-21
Onset:2021-06-10
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Complex regional pain syndrome, Condition aggravated, Deep vein thrombosis, Oedema peripheral, Pain, Pain in extremity, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: along with other things, patient was already taking Rivaroxaban 20 mg daily for long term VTE prophylaxis. He had not missed any doses.
Current Illness:
Preexisting Conditions:
Allergies: vancomycin, sulfa
Diagnostic Lab Data: Doppler Us 6.10.2021 - chronic DVT of left mid and popliteal vein. Acute DVT left soleal vein DVT
CDC Split Type:

Write-up: Patient developed left lower extremity pain and edema 1 week after J&J Covid vaccination. He was on therapeutic Rivaroxaban given a past h/o DVT. He did not miss any doses. He was diagnosed with a left soleall vein DVT on 06.10.2021 and was switched to Lovenox. He saw me later for follow up in clinic. He has chronic pain of his left lower extremity now and is now daignosed with to have Chronic Regional Pain Syndrome type 1 as per pain management.


VAERS ID: 1689298 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-03-29
Onset:2021-07-07
   Days after vaccination:100
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Myalgia, Urticaria, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Eosinophilic pneumonia (broad), Hearing impairment (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Multiple of the following from 7/7 to 9/10: - blood tests - CAT scans - Xrays
CDC Split Type:

Write-up: Symptoms similar to Shingles in head without rash. 7/7 to 7/21 Diagnosed with bells palsy. 7/22 to 8/19 Random hives and muscle pain 8/20 to 9/10


VAERS ID: 1689391 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-05
Onset:2021-08-24
   Days after vaccination:172
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Malaise, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Alfuzosin, calcium-vitamin D3, cholecalciferol, cyanocobalamin, dutasteride, esomeprazole, fluticasone propionate, misoprostol, pregabalin, Xtampza ER
Current Illness:
Preexisting Conditions: Benign prostatic hyperplasia, GERD, hepatitis, erectile disorder, diabetes mellitus, psoriasis, vitamin D deficiency
Allergies: Bupropion (hives), penicillins (hives)
Diagnostic Lab Data: COVID-19 Positive (8/19/2021)
CDC Split Type:

Write-up: Patient came to the emergency department with complaints of feeling unwell increased shortness of breath increased cough due to COVID-19. Patient states he was diagnosed with COVID-19 on August 19, 2021. The patient was supposed to be having an outpatient infusion starting today but missed the appointment secondary to being here. States when he takes a deep respiration has significant coughing fit and has had intermittent fevers. The patient was in the hospital for 10 days before being discharged to a skilled nursing facility.


VAERS ID: 1689428 (history)  
Form: Version 2.0  
Age: 97.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-03-30
Onset:2021-08-28
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction, Asthenia, COVID-19, Cough, Death, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-09-01
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine, vitamin C, aspirin, cimetidine, diclofenac gel, fish oil, gabapentin, Humalog KwikPen, Lantus Solostar, latanoprost, Miralax, pravastatin, Tradjenta, zinc
Current Illness:
Preexisting Conditions: Dementia, diabetes, blindness, GERD, chronic kidney disease, hyperlipidemia, peripheral vascular disease
Allergies: Tramadol (confusion, duloxetine (confusion)
Diagnostic Lab Data: COVID-19 Positive (8/28/2021)
CDC Split Type:

Write-up: This patient presented to the emergency department with shortness of breath, cough, fevers, and generalized weakness. Patient tested positive for COVID-19 on 8/28/2021 and was hospitalized for 4 days until she ultimately expired after experiencing a NSTEMI during admission.


VAERS ID: 1689429 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-17
Onset:2021-06-30
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / N/A LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Computerised tomogram, Fatigue, Feeling abnormal, Guillain-Barre syndrome, Hemiplegia, Impaired work ability, Magnetic resonance imaging, Malaise, Migraine, Paraesthesia, Stress, Tremor, X-ray
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: metformin, lisinopril, aspirin 325mg, xanax prn
Current Illness: Denies any acute illnesses prior to vaccination
Preexisting Conditions: DM, HTN, Depression
Allergies: NKDA, denies allergies to foods
Diagnostic Lab Data: Unable to provide this information at this time. He will log into the patient portals and obtain this when he has time. He has had MRI''s, CT''s, x-rays and underwent PT.
CDC Split Type:

Write-up: Had migraine for the 1st 3 days following the vaccine. Over the next couple of weeks became "mentally foggy and fatigued". Patient attributed that to the recent stress of 2 deaths of close family/friend. When he came to me for a first aid/vital sign check at the occupational clinic, I observed that both of his hands were trembling and did not appear to feel well. I asked that he leave and follow up with his PCP and obtain a full medical release to return to work. He has returned back to work this week and informed me of the events /reaction that he attributes to the vaccine. Although his neurologist and PCP has not clinically diagnosed him with Guillen Barre, I highly suspect that this is what he experienced. He reports resolved left sided paralysis. He reports a tough recovery and is back to work but stills has some tingling sensations and mental fogginess.


VAERS ID: 1689462 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-07
Onset:2021-09-08
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin, clopidogrel (Plavix), lovastatin (mevacor), meloxicam (mobic), metoprolol tartrate (lopressor), fish oil, oxycodone (roxicodone), excedrin, sildenafil (revatio)
Current Illness: Coronary artery disease (post stenting on 2020) with stable angina for "last few months."
Preexisting Conditions: COPD, hyperlipidemia, sleep apnea, obesity without diabetes, hypertension.
Allergies: Atorvastatin, codeine
Diagnostic Lab Data: COVID PCR via nasopharyngeal swab, positive 9/8 Chest XR 9/8, cardiomediastinal contours and pulmonary vasculature within normal limits. No confluent consolidation, pneumothorax or pleural effusion
CDC Split Type:

Write-up: Patient received Janssen vaccine on 4/7/21. Started having symptoms approx Labor Day weekend (9/4/21). Started with chills and malaise and progressed over the next few days with cough, runny nose, mild SOB, and fatigue. Presented to ED 9/7, COVID PCR via NP was sampled 9/7 and positive 9/8, transferred to Hospital for admit to IMC unit on 9/8/21. Remains in hospital at time of submission with primary diagnosis of acute hypoxic respiratory failure secondary to COVID pneumonia.


VAERS ID: 1689466 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-08
Onset:2021-03-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Echocardiogram, Electrocardiogram, Flank pain, Haematoma, Herpes zoster, Injection site erythema, Magnetic resonance imaging, Rash, Urinary tract infection, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: penicillin , sensitive to codeine
Diagnostic Lab Data: EKG, MRI, CT Scans, echocardiogram, blood work
CDC Split Type: vsafe

Write-up: Two days after I received vaccine I woke up in middle of night and I developed a hematoma it was the size a baseball, it was the color of a lobster it was an inch below the injection site. It took almost 2-3 weeks to go away and then when it went down, I developed shingles anterior side of my elbow. I was in vacation when the shingles started and I broke out from head to toe in hives. When I got back I went to the doctors . The doctor said it was too late for medication and it needed to run its course. I started having left flank pain on April 30th, I woke up with severe flank pain. On May 7th I saw the doctor again, she was surprised that shingles had not gone away. The shingles started in my arm internally into my kidney . I lost all feeling in my left abdomen . The doctor thought i had a UTI and she gave me medicine for UTI , the test came back I didn''t have a UTI. On May 12 They did an ultrasound of my left quadrant . On May 14th I went back to doctor I was still having a rash. On May 16th I went to the ER. They did every test you could imagine because I was in such pain. They could not find anything sent me home with Pain meds and referred me to gastrologist, He did a colonoscopy and that was normal. Then I developed a rash over my kidney , and the pain started to decrease.


VAERS ID: 1689638 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-03-18
Onset:2021-04-29
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acoustic stimulation tests, Dizziness, Ear discomfort, Ear pain, Herpes zoster oticus, Pain, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow), Opportunistic infections (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol PRN, lisinopril 20mg daily
Current Illness: hypertension
Preexisting Conditions:
Allergies: No known food or drug allergies
Diagnostic Lab Data: Audiology testing
CDC Split Type:

Write-up: April 29th patient started having ear pain and pressure in left ear. May 6thsaw urgent care for pain and started antibiotics. May 9th returned to urgent care after no improvement. Mild dizziness started May 9. May 10th went to ED for severe persistent vertigo, was discharged home. Saw ENT May 11th and received diagnosis of Ramsey Hunt Syndrome.


VAERS ID: 1689743 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-16
Onset:2021-09-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Angiogram cerebral, Antinuclear antibody, Antiphospholipid antibodies, Antithrombin III, Aspartate aminotransferase, Balance disorder, Beta-2 glycoprotein antibody, Blood creatinine, Blood electrolytes, Blood fibrinogen, Blood glucose, Blood grouping, Blood magnesium, Blood urea, Cardiolipin antibody, Cerebrovascular accident, Chest X-ray, Computerised tomogram head, Differential white blood cell count, Echocardiogram, Fibrin D dimer, Full blood count, Haemoglobin, Heparin-induced thrombocytopenia test, Hypoaesthesia, Lipase, Lipids, Liver function test, Magnetic resonance imaging head, Protein C, Protein S, Prothrombin time, Red blood cell sedimentation rate, SARS-CoV-2 test, Ultrasound Doppler, Urine analysis
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad), COVID-19 (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol, Truvada, multi vititman
Current Illness: NONE
Preexisting Conditions: borderline high blood pressure.
Allergies: NONE
Diagnostic Lab Data: Test Ordered by Date, DOPPLER ECHO TRANSTHORACIC, COMPLETE Sep 3, 2021, D-DIMER FOR DEEP VENOUS THROMBOSIS, Sep 3, 2021, FIBRINOGEN, HEPARIN INDUCED PLATELET ANTIBODY, Sep 3, 2021, US DUPLEX EXTRACRANIAL CAROTID ARTERIES, BILAT, Sep 3, 2021 MRI AND MR ANGIOGRAM BRAIN, Sep 3, 2021 CREATININE, Sep 3, 2021, MAGNESIUM, Sep 3, 2021 WHITE BLOOD CELL DIFFERENTIAL, Sep 3, 2021 ERYTHROCYTE SEDIMENTATION RATE (ESR), Sep 3, 2021 CBC (COMPLETE BLOOD COUNT) WITH DIFFERENTIAL, Sep 3, 2021 ELECTROLYTE PANEL, Sep 3, 2021 BLOOD UREA NITROGEN (BUN), Sep 3, 2021 ANTINUCLEAR ANTIBODY, Sep 3, 2021 CARDIOLIPIN IMMUNOGLOBULINS G AND M, Sep 3, 2021, BETA 2-GLYCOPROTEIN 1 IMMUNOGLOBULIN G, A AND M, Sep 3, 2021, LUPUS ANTICOAGULANT PANEL, Sep 3, 2021 PROTEIN S ACTIVITY, Sep 3, 2021 PROTEIN C ACTIVITY, Sep 3, 2021 ANTITHROMBIN III ACTIVITY, Sep 3, 2021 LIPID PANEL, Sep 3, 2021 HEMOGLOBIN A1C, Sep 3, 2021 URINALYSIS, Sep 2, 2021 SARS-COV-2 (COVID-19), FLU A, B, MOLECULAR ASSAY, NAA/PCR, Sep 2, 2021 X-RAY CHEST, Sep 2, 2021 ASPARTATE AMINOTRANSFERASE (AST), Sep 2, 2021 LIPASE, Sep 2, 2021 PROTHROMBIN TIME, Sep 2, 2021 ABO AND RH BLOOD TYPING, Sep 2, 2021 WHITE BLOOD CELL DIFFERENTIAL, Sep 2, 2021 ELECTROLYTE PANEL, Sep 2, 2021 CBC (COMPLETE BLOOD COUNT) WITH DIFFERENTIAL, Sep 2, 2021 BLOOD UREA NITROGEN (BUN), Sep 2, 2021 CREATININE, Sep 2, 2021 GLUCOSE, Sep 2, 2021 LIVER FUNCTION PANEL, Sep 2, 2021 CT SCAN HEAD.
CDC Split Type:

Write-up: Stroke. Loss of balance, loss of feeling in left face and right arm.


VAERS ID: 1689789 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-07
Onset:2021-07-06
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dizziness, Electroencephalogram, Magnetic resonance imaging head, Muscle spasms, Pain in extremity, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Snowy/blurred vision Dizzy spells Leg pain and cramping


VAERS ID: 1689793 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A201A / 1 RA / IM

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

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

Write-up: Anaphylaxis


VAERS ID: 1689827 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-11
Onset:2021-08-27
   Days after vaccination:169
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / N/A AR / SYR

Administered by: School       Purchased by: ?
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Decreased appetite, Fatigue, Head discomfort, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid; Allergy medication; Vitamin D3; Vitamin D2.
Current Illness: No.
Preexisting Conditions: Thyroid.
Allergies: Augmentin.
Diagnostic Lab Data: COVID test, positive result, 30th of August.
CDC Split Type: vsafe

Write-up: Started feeling tired and weak; 102-degree fever; loss of my appetite; didn''t eat much. When I got to the point where I was hungry, I lost my taste and smell senses, 5 or 6 days in. Monday, the 30th, the doctor prescribed (at a walk-in clinic) erythromycin, five days. I also had very bad headaches. I took hydrocodone (take that for my regular headaches) but it wasn''t helping with the headaches. I still have headaches now, it comes every day. It''s not a migraine but it''s pressure on top of my head. It''s not as bad as they had been. I have the congestion still, it''s not going away. I am barely getting my taste and smell back, they aren''t back to where they use to be. I am slowly getting my energy back but I tire more easily now. It comes and goes. Not as bad as it was at the beginning. Next week, I''ll probably see my regular doctor if I''m still having the congestion and pressure on top of my head.


VAERS ID: 1689936 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-09
Onset:2021-03-23
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Amylase, Blood test, Computerised tomogram, Full blood count, Medical diet, Pain, Pain in extremity, Pancreatitis
SMQs:, Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Alopurinol, Beclomethasone, Bupropion, Novolog, Levemir, Levothyroxine, Lisinopril, Pancrelipase, Pantoprazole, Prednisone, Benadryl, Trazodone, D3, Centrum Silver Women''s, albuterol,
Current Illness: None
Preexisting Conditions: Diabetic, (Dexcom G6 continuous glucometer), Seasonal Allergies
Allergies: Prednisone, Codeine, Iodine
Diagnostic Lab Data: CBC, Amylase, Blood work, CAT
CDC Split Type: vsafe

Write-up: Severe shooting pain in left arm that persisted for 3-4min after. It lasted until 8/27. Severe abdominal pain and pancreatitis esp. when eating fatty foods. Change in diet and scheduled to see a gastrointerologist. ongoing issue.


VAERS ID: 1689953 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-06
Onset:2021-08-04
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Migraine, Oral discomfort, Oropharyngeal pain, Pain, SARS-CoV-2 test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, Zofran, Hydroxine, Gabapentin, turmeric
Current Illness:
Preexisting Conditions: neuropathy, anxiety
Allergies: codeine, dairy, eggs
Diagnostic Lab Data: COVID test August 4th 2021 ; negative on both the rapid and PCR
CDC Split Type:

Write-up: Mouth felt like it was on fire, fatigue, throat was sore, migraine. It was allergies.. Relocated in Apfil. They gave me a shot in my arm for the pain, just said not to take anything OTC for 24 hours because the shot was like a ''little bit of everything''. Also gave me a steroid pack and antibiotics. I was worried about having COVID again or a virus or something. So, they gave me all of that just to be safe. I started taking Zyrtec, got a humidifier and took Mucinex for about 10 days and was good to go, it was definitely allergies.


VAERS ID: 1690658 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-09-08
Onset:2021-09-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood lactic acid, Chest X-ray normal, Dizziness, Electrocardiogram normal, Fatigue, Feeling abnormal, Full blood count normal, Gait inability, Heart rate irregular, Hyperhidrosis, Lip dry, Metabolic function test, Pallor, Paraesthesia, Pulse absent, Pyrexia, Restlessness, Syncope, Troponin normal
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Akathisia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid Lexapro
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 12lead EKG, normal 9/10 Chest x-ray, normal 9/10 CBC and CMP unremarkable 9/10 Triponin and lactic acid, normal 9/10
CDC Split Type:

Write-up: Intermittently febrile early morning on second day after J&J. Afternoon became suddenly dizzy and lightheaded. Briefly passed out. Was pale, had dusky lips and sudden, perfuse sweating. I drove him immediately to the hospital. On the way there he complained of tingling in both arm and I was unable to palpate a radial pulse. Had weak carotid pulse that skipped beats for a few seconds. Duskiness worsened during this, and improved when normal bets returned. Was weak and dizzy and unable to walk to into the ER. Had elevated BP 143/92. HR 74. O2 sat 96% Resp 17. Orthostatic BP obtained, no hypotension noted. Received 1L bolus of normal saline. Discharged after testing complete and syncope resolved, roughly 2 hours later. Remains intermittently febrile, fatigued, restless and "not feeling right", thought the evening at home.


VAERS ID: 1691298 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-08
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Cardiac monitoring, Chest pain, Dyspnoea, Electrocardiogram, Exposure during pregnancy
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: ADDERALL; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS ; PRENATAL DHA; FLONASE ALLERGY RELIEF; CLARITIN ALLERGIC; ZYRTEC ALLERGY; CHILDRENS DIMETAPP MULTISYMPTOM COLD AND FLU
Current Illness: Abstains from alcohol; Attention deficit hyperactivity disorder; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: E-cigarette smoker (before this pregnancy/ Less than monthly); Ectopic pregnancy; Recreational drug use (before this pregnancy/ Less than monthly)
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: Cardiac monitoring; Result Unstructured Data: No abnormalities; Test Date: 20210824; Test Name: Electrocardiogram; Result Unstructured Data: Normal; Test Date: 20210825; Test Name: Electrocardiogram; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210801145

Write-up: ARRHYTHMIA; CHEST PAIN; SHORTNESS OF BREATH; MATERNAL EXPOSURE DURING PREGNANCY; This solicited pregnancy report received from a consumer concerned a 29 year old female of unknown race and ethnic origin. The patient was enrolled in a non-company sponsored study. The patient''s weight was 72.56 kilograms, and height was not reported. The patient''s past medical history included: e-cigarette smoker, recreational drug use, and ectopic or tubal pregnancy, and concurrent conditions included: attention deficit hyperactivity disorder, non alcohol user, and non tobacco user. The patient initiated treatment with covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, 1 total administered at gestational age 3 weeks and 5 days on 08-APR-2021 for covid-19 immunisation. Concomitant medications included amfetamine aspartate/amfetamine sulfate/dexamfetamine saccharate/dexamfetamine sulfate, ascorbic acid/betacarotene/calcium sulfate/colecalciferol/cyanocobalamin/ferrous fumarate/folic acid/nicotinamide/pyridoxine hydrochloride/retinol acetate/riboflavin/thiamine mononitrate/tocopheryl acetate/zinc oxide, cetirizine hydrochloride, chlorphenamine maleate/dextromethorphan hydrobromide/paracetamol/phenylephrine hydrochloride, docosahexaenoic acid, fluticasone propionate, and oxymetazoline hydrochloride. On 08-APR-2021, the patient experienced maternal exposure during pregnancy. The date of the patient''s last menstrual period was 13-MAR-2021 and expected delivery date was 18-DEC-2021.The patient reported that was singleton pregnancy. On 24-AUG-2021, the patient experienced arrhythmia, chest pain and shortness of breath. On 24-AUG-2021 and 25-AUG-2021 the patient went to emergency room (ER) and tested with Electrocardiogram (ECG) came back normal. On AUG-2021,heart monitoring in ER revealed no abnormalities. The pregnancy was continuing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from arrhythmia, chest pain, shortness of breath and maternal exposure during pregnancy. The reporter considered the causality between covid-19 vaccine ad26.cov2.s, and arrhythmia as related. The reporter did not provide a causality assessment between covid-19 vaccine ad26.cov2.s, and maternal exposure during pregnancy, chest pain, and shortness of breath. Company causality between covid-19 vaccine ad26.cov2.s, and maternal exposure during pregnancy was not related, and between covid-19 vaccine ad26.cov2.s, and chest pain, arrhythmia and shortness of breath was related. This report was serious (Other Medically Important Condition). This case was reassessed as serious based on additional information received from consumer on 06-SEP-2021. The following information was updated and incorporated into the case narrative: Disease(Non alcohol user, non tobacco user),Pregnancy(LMP, gestation period, expected delivery date), lab data (Electrocardiogram, heart monitoring), Events(Arrythmia, chest pain and shortness of breath),labelling and causality were updated, narrative regenerated.; Sender''s Comments: V1: 20210801145-covid-19 vaccine ad26.cov2.s-arrhythmia, chest pain, shortness of breath . This event(s) is considered related. 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). 20210801145-covid-19 vaccine ad26.cov2.s-maternal exposure during pregnancy. 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: 1691299 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Antibody test, CSF protein, CSF test abnormal, Chest X-ray, Coma scale, Computerised tomogram head, Guillain-Barre syndrome, Magnetic resonance imaging head, Neurological examination, Physical examination, Sensory level
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Food allergy; Hyperlipidemia; Hypertension; Penicillin allergy; Type II diabetes mellitus
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Glasgow coma scale; Result Unstructured Data: 15/15; Test Name: Neurological examination; Result Unstructured Data: Bilateral CN VII lower motor neuron lesion signs present.; Test Name: Chest X-ray; Result Unstructured Data: negative; Test Name: Computerised tomogram head; Result Unstructured Data: negative; Test Name: Magnetic resonance imaging head; Result Unstructured Data: no acute infarct, hydrocephalus, acute intracranial hemorrhage; Test Name: CT angiography; Result Unstructured Data: less than 50% stenosis in left and right internal carotid arteries; Test Name: Cerebrospinal fluid protein; Result Unstructured Data: 302 mg/mL; Test Name: Cerebrospinal fluid abnormal; Result Unstructured Data: absence of white blood cell yielding albuminocytologic dissociation; Test Name: Neurological examination; Result Unstructured Data: examination of CN II to XII, the pupils reacted light bilaterally.; Test Name: Physical examination; Result Unstructured Data: normal muscle tone throughout all four extremities; Test Name: Sensory level; Result Unstructured Data: normal, and toes were down-going bilaterally; Test Name: Antibody test; Result Unstructured Data: negative, anti-GQ1b antibodies less than 1:100; Test Name: Neurological examination; Result Unstructured Data: improvement in the power in the orbicularis oculi muscles; Test Name: Physical examination; Result Unstructured Data: Muscle tone was normal in all four extremities; Test Name: Sensory level; Result Unstructured Data: intact; Test Name: Neurological examination; Result Unstructured Data: Gag reflex was weak and bilateral loss of power in facial nerve
CDC Split Type: USJNJFOC20210903117

Write-up: FACIAL DIPLEGIA RARE VARIANT OF GUILLAIN-BARRE SYNDROME; This spontaneous report was received from literature: This report concerned a 65 year old female. The objective of this study was Facial Diplegia: A Rare, Atypical Variant of Guillain-Barre Syndrome and Ad26.COV2.S Vaccine. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hypertension, diabetes mellitus type 2, hyperlipidemia, penicillin allergy, and egg white allergy. The patient experienced drug allergy when treated with ciprofloxacin, and codeine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, and expiry: Unknown) dose, frequency 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. The patient received the Ad26.COV2.S vaccine presented to the emergency department (ED) as she endorsed a headache in the frontal and periorbital regions for four days, along with left neck and shoulder pain from day 15 post-vaccination. Simultaneously, she experienced ageusia and hyposalivation. On day 19 post-vaccination, the patient woke up with dysarthria, dysphagia, dysphasia, and bilateral facial weakness, which prompted the patient to visit the ED the following day. Neurological assessment upon arrival showed that the patients'' Glasgow Coma Scale was 15/15, and the patient had significant dysarthria. Gag reflex was weak and there was a bilateral loss of power in the distribution of the facial nerve. The remainder of the central and peripheral neurological examination was normal. Chest X-ray and computed tomography (CT) of the head were negative. Magnetic resonance imaging (MRI) of the head demonstrated no acute infarct, hydrocephalus, acute intracranial hemorrhage, or mass effect. CT angiography of the head and neck demonstrated less than 50 percent stenosis in left and right internal carotid arteries. A stroke code was activated on patient arrival to the ED, which was ruled out by the neurology team. Due to the bilateral cranial nerve (CN) VII lower motor neuron lesions, the patient was promptly admitted to the intensive care unit. A lumbar puncture was performed to rule out the Miller Fisher variant of Guillain Barre Syndrome (GBS). Results of CSF showed protein of 302 mg/mL, and absence of white blood cell yielding albuminocytologic dissociation with IgA level of 163 mg/dL. Following diligent clinical and physical assessment, and analyzing CSF results via lumbar puncture, empiric treatment was initiated for GBS, and the patient was diagnosed with facial diplegia, a rare variant of GBS. The patient was administered intravenous immunoglobulin (IVIG) (0.4 g/kg) for 10 days followed by 10 sessions of plasmapheresis. She was provided with supplemental oxygen and close monitoring for potential diaphragmatic paralysis. On day 3 of hospitalization, the patient was awake, alert, oriented, and able to follow commands. She denied any respiratory distress; however, slurred speech with mild dysarthria was noted. On examination of CN II to XII, the pupils reacted light bilaterally. Extraocular muscles were intact bilaterally, and nystagmus/diplopia was absent. When asked to close her eyes, there was a bilateral loss of power in the orbicularis oculi muscles. There was a significant CN VII lower motor neuron lesion bilaterally. The patient exemplified bilateral upper and lower facial motor weakness and decreased gag reflex. The tongue and uvula were in the midline, and there was a normal, symmetric movement of the soft palate. Motor examination showed a normal muscle tone throughout all four extremities. Power was 4/5 in the left lower extremity. Deep tendon reflexes were 0 at the left upper extremity, 1 plus at the right upper extremity, bilateral knees, and left ankle were 0, and the right ankle had 2 plus reflex present. Sensory examination was normal, and toes were down-going bilaterally. Acetylcholine receptor binding and modulating antibodies were negative, and anti-GQ1b antibodies less than 1:100 (normal titer is less than 1/200). On day 9 of hospitalization, the patient showed notable improvement in her speech. CN examination showed an improvement in the power in the orbicularis oculi muscles. There was notable bilateral CN VII lower motor neuron lesion, bilateral upper and lower facial weakness, and decreased gag reflex. Muscle tone was normal in all four extremities; however, power in the left lower extremity was 4/5. Deep tendon reflexes of the left upper extremity and right upper extremity were 0 and 1 plus, respectively. Furthermore, that of bilateral knees, left ankle, and right ankle were 1 plus, 0, and 2 plus, respectively. Sensory examination was intact. The remainder of the CN exam was the same as day 3. On day 12 of hospitalization, the patient''s speech was slightly slurred with mild dysarthria, and the patient was able to close her eyes and keep them closed, which she was unable to do before. Nasolabial folds were slightly deeper. Bilateral CN VII lower motor neuron lesion signs were still present with bilateral upper and lower facial weakness and decreased gag reflex. The patient had negative titers of IgG anti-GQ1b antibody and normal findings for MRI of brain, thus ruling out Bickerstaff''s brainstem encephalitis (BBE) or Fisher syndrome. On an unspecified date, the patient experienced neck pain. On day 14, the patient was discharged and outpatient follow-up with a neurologist was recommended. Treatment with IVIG and plasmapheresis was observed to be successful with the patient being able to return to her normal baseline health at the time of discharge. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from facial diplegia rare variant of guillain-barre syndrome. The purpose of the article was to bring awareness to the facial diplegia variant of GBS and the importance of reporting the potential adverse reactions post-COVID-19 vaccination. Prompt management with IVIG should be initiated if facial diplegia was diagnosed. Adverse events after vaccination must be reported as they need to be further investigated, considering the fact that vaccination was needed to control the ongoing pandemic situation. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210903117- COVID-19 VACCINE AD26.COV2.S- Facial diplegia rare variant of guillain-barre syndrome. This event is labeled per Agency and is therefore considered potentially related.


VAERS ID: 1691305 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-08-21
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Fatigue, Feeling abnormal, Frustration tolerance decreased, Hallucination, Laboratory test, Nausea, Pyrexia, X-ray
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient reported no prior contact/ exposure to anyone infected with COVID-19.
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: Body temperature; Result Unstructured Data: 100 F; Test Date: 20210821; Test Name: Body temperature; Result Unstructured Data: 102 F; Test Date: 20210826; Test Name: Lab test; Result Unstructured Data: not reported; Test Date: 20210826; Test Name: X-ray; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20210908135

Write-up: FRUSTRATED; NAUSEA; HALLUCINATION; VERY EXHAUSTED; FEELING BAD; FEVER; This spontaneous report received from a patient concerned a 56 year old female and unspecified ethnic origin. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included: The patient reported no prior contact/ exposure to anyone infected with COVID-19. The patient was not pregnant at the time of vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 201A21A, expiry: 21-SEP-2021) dose was not reported, 1 total administered to left arm on 18-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On AUG-2021, Laboratory data included: Body temperature (NR: not provided) 100 Fahrenheit (F). On 21-AUG-2021, 3 days after receiving the COVID-19 vaccine, she started feeling bad. She began to have a fever that maybe reached 102 F. On AUG-2021, she took treatment medication: Day/Nyquil (dextromethorphan hydrobromide/paracetamol/pseudoephedrine hydrochloride) for fever which brought her fever down to around 100 F. On 26-AUG-2021, after about 5 days of feeling bad, she was very exhausted and visited urgent care. MD did Laboratory data included: Lab test (NR: not provided) not reported, and X-ray (NR: not provided) not reported and while she did not specify breakthrough COVID-19 infection, she was treated with antibody infusions. On 31-AUG-2021, (for the last 3 days when she was reporting) she stated that she was feeling a little better since her fever went down, but she was still generally feeling bad, like she was poisoned and has been experiencing nausea and hallucinations. She describes the hallucinations as feeling really weird like she was in another world. It has been 15 days since she received her vaccination and on 03-SEP-2021, she was frustrated that she was still feeling this bad. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, had not recovered from hallucination, feeling bad, frustrated, nausea, and the outcome of very exhausted was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210908135- Covid-19 vaccine ad26.cov2.s- Hallucination, feeling bad, frustrated. 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). 20210908135- Covid-19 vaccine ad26.cov2.s- Nausea, fever, very exhausted. This event(s) is labeled per Agency and is therefore considered potentially related.


VAERS ID: 1691311 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Rhode Island  
Vaccinated:0000-00-00
Onset:2021-09-03
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram, Contusion, Dizziness, Electrocardiogram, Fibrin D dimer, Headache, Injection site pain, Injection site pruritus, Laboratory test, Nausea, Pain in extremity, Pleurisy, Vision blurred
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE
Current Illness: Thyroid disorder
Preexisting Conditions: Comments: Patient was not sick prior to vaccine and have not had any vaccinations for at least 20 years. Patient did not have a family or personal history of heart disease, clotting issues, or cancer.
Allergies:
Diagnostic Lab Data: Test Date: 20210905; Test Name: Fibrin D dimer; Result Unstructured Data: Elevated; Test Date: 20210905; Test Name: CAT scan; Result Unstructured Data: No sign of blood clots; Test Date: 20210905; Test Name: Electrocardiogram; Result Unstructured Data: No sign of blood clots; Test Date: 20210905; Test Name: Laboratory test; Result Unstructured Data: No sign of blood clots; Test Date: 20210905; Test Name: Chest X-ray; Result Unstructured Data: No sign of blood clots
CDC Split Type: USJNJFOC20210910715

Write-up: PLEURISY; SORE ARM (ELBOW TO SHOULDER); HEADACHE; NAUSEA; SORE ARM AT INJECTION SITE; LIGHTHEADED; BLURRED VISION; ITCHY ARM AT INJECTION SITE; BRUISE ON RIGHT LEG; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: thyroid, and other pre-existing medical conditions included: Patient was not sick prior to vaccine and have not had any vaccinations for at least 20 years. Patient did not have a family or personal history of heart disease, clotting issues, or cancer. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, expiry: UNKNOWN) dose was not reported, administered on 03-SEP-2021 for prophylactic vaccination. Concomitant medications included levothyroxine for thyroid. On 03-SEP-2021, the patient experienced lightheaded. On 03-SEP-2021, the patient experienced blurred vision. On 03-SEP-2021, the patient experienced itchy arm at injection site. On 03-SEP-2021, the patient experienced bruise on right leg. On 03-SEP-2021, the patient experienced headache. On 03-SEP-2021, the patient experienced nausea. On 03-SEP-2021, the patient experienced sore arm at injection site. On 05-SEP-2021, the patient experienced pleurisy. On 05-SEP-2021, the patient experienced sore arm (elbow to shoulder). Laboratory data included: CAT scan (NR: not provided) No sign of blood clots, Chest X-ray (NR: not provided) No sign of blood clots, Electrocardiogram (NR: not provided) No sign of blood clots, Fibrin D dimer (NR: not provided) Elevated, and Laboratory test (NR: not provided) No sign of blood clots. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, nausea, bruise on right leg, lightheaded, blurred vision, itchy arm at injection site, sore arm at injection site, sore arm (elbow to shoulder) and pleurisy was not reported. This report was non-serious.; Sender''s Comments: V0. Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1691313 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Blood lactate dehydrogenase, Computerised tomogram, Dental examination, Fibrin D dimer, Full blood count, HIV test, Haematocrit, Haemoglobin, Haptoglobin, Heparin-induced thrombocytopenia test, Hepatitis B virus test, Hepatitis C virus test, Immune thrombocytopenia, International normalised ratio, Magnetic resonance imaging head, Myalgia, Platelet count, Prothrombin time, Ultrasound Doppler, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Cervical cancer
Preexisting Conditions: Medical History/Concurrent Conditions: Total hysterectomy
Allergies:
Diagnostic Lab Data: Test Name: Hemoglobin; Result Unstructured Data: 12.2 g/dL; Test Name: Dental examination; Result Unstructured Data: was unremarkable; Test Name: White blood cell count; Result Unstructured Data: 10.9 x10^3 cells/microL; Test Name: Complete blood count; Result Unstructured Data: significant severe thrombocytopenia 2x10^9/L; Test Name: International normalized ratio; Result Unstructured Data: 1.02; Test Name: Prothrombin time; Result Unstructured Data: 13.5 sec; Test Name: Activated partial thromboplastin time; Result Unstructured Data: 27 sec; Test Name: Lactate dehydrogenase; Result Unstructured Data: 150 U/L; Test Name: Haptoglobin; Result Unstructured Data: 192 mg/dL; Test Name: Fibrin D dimer; Result Unstructured Data: 0.76; Test Name: Platelet count; Result Unstructured Data: 14x10^9 /L, improved; Test Name: HIV test; Result Unstructured Data: Negative; Test Name: Hepatitis B virus test; Result Unstructured Data: Negative; Test Name: Hepatitis C virus test; Result Unstructured Data: Negative; Test Name: Heparin-induced platelet antibody; Result Unstructured Data: Negative; Test Name: Ultrasound Doppler; Result Unstructured Data: no evidence of thrombosis; Test Name: Ultrasound Doppler; Result Unstructured Data: no evidence of thrombosis; Test Name: Magnetic resonance imaging head; Result Unstructured Data: no evidence of thrombosis; Test Name: Computerised tomography; Result Unstructured Data: no evidence of thrombosis; Test Name: Platelet count; Result Unstructured Data: 252x10^9 /L; Test Name: Platelet count; Result Unstructured Data: steadily increased; Test Name: Hematocrit; Result Unstructured Data: 36.3 %
CDC Split Type: USJNJFOC20210911676

Write-up: IMMUNE THROMBOCYTOPENIA PURPURA; MUSCLE SORENESS AT THE ADMINISTRATION SITE; This spontaneous report was received from literature. This report concerned a 63 year old female. The objective of study was to assess causal or coincidental relationship between Immune-Mediated thrombocytopenia and COVID-19 vaccination. The patient''s height, and weight were not reported. The patient''s past medical history included: total hysterectomy, and concurrent conditions included: cervical cancer. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin was not reported) 1 total, dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. It was reported that, the patient did not experience any major side effects after her vaccination except for muscle soreness at the administration site. She did not have fever, chills, shortness of breath, or recent infections. A week later (unspecified), the patient went for a routine dental checkup which was unremarkable. The patient started experiencing bleeding in her gums and was presented to the hospital. The patient later had sudden onset nose bleeds which prompted her to go to the emergency department. On presentation to the emergency department, the patient was hemodynamically stable and afebrile. Her bleeding had resolved. On an unspecified date, the patient was diagnosed with immune thrombocytopenia purpura (ITP). The complete blood count showed hemoglobin 12.2 g/dL, hematocrit 36.3 percent, white blood white blood cell count 10.9 x10exp3 cells/microL, and significant severe thrombocytopenia 2x10exp9/L, her international normalized ratio was 1.02, with a prothrombin time of 13.5 seconds and a partial thromboplastin time of 27.0 seconds. The hemolytic workup was completed with lactate dehydrogenase 150 U/L, haptoglobin 192 mg/dL, and D-dimer was 0.76. On admission, the patient received 2 units of platelets. She was also given a one time dose of prednisone 60 mg orally. Her repeat platelet count post transfusion improved to 14x10exp9 /L. The hematology was consulted and recommended starting the patient on immune globulin (human) infusion intravenously and dexamethasone 20 mg daily. Throughout admission, the patient''s platelet count steadily increased. She did not have further bleeding episodes and did not require additional platelet transfusions. The testing for HIV and hepatitis B and C was negative. The patient''s heparin-induced platelet IgG antibody was negative. Imaging including ultrasound Doppler of the abdomen/pelvis, ultrasound Doppler of upper and lower extremities, magnetic resonance venogram of the head, and computed tomography angiography of the thorax showed no evidence of thrombosis. The patient remained hemodynamically stable throughout admission with no signs of active bleeding. She was ultimately deemed stable for discharge 5 days after admission, with a platelet count of 252x10exp9 /L. The number of days of hospitalization was reported as 5. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from immune thrombocytopenia purpura, and the outcome of muscle soreness at the administration site was not reported. The Authors discussed to the best of their knowledge, this was the first case of an individual with no other identifiable cause experiencing ITP after receiving the Ad26.COV2.S (Janssen; Johnson & Johnson) vaccine. The possibility of vaccination triggered de novo ITP could not be excluded; however, the abrupt occurrence 17 days after vaccine administration and a severe drop in platelets to 2 x 10exp9 /L raise concern for drug-induced thrombocytopenia. The Authors believed with widespread distribution and administration of the COVID-19 vaccine, additional surveillance and analysis of data are needed to determine the true correlation or causation of severe thrombocytopenia after vaccination. This report was serious (Hospitalization Caused / Prolonged, and Life Threatening).; Sender''s Comments: V0:20210911676-COVID-19 VACCINE AD26.COV2.S- Immune thrombocytopenia purpura. 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: 1691315 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-05-13
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram, Magnetic resonance imaging, Pain in extremity
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LISINOPRIL; PLAVIX
Current Illness: Abstains from alcohol; Cigarette smoker (Patient used cigarettes as a teen and has used it off and on since then. After his stroke in 2016 he stopped smoking and now sometimes smoke.); Hypertension; Marijuana abuse (Patient has used pot (marijuana) in the past and he still uses but not that frequently and not for pleasure.); Specific allergy (drug) (One was rash and the other one made him edgy and patient does not know which is which.)
Preexisting Conditions: Medical History/Concurrent Conditions: Transient ischemic attack (Patient was under stress looking after his mother who had Alzheimer''s.)
Allergies:
Diagnostic Lab Data: Test Date: 20210612; Test Name: Magnetic resonance imaging; Result Unstructured Data: Stroke; Test Date: 20210612; Test Name: CT scan; Result Unstructured Data: Stroke
CDC Split Type: USJNJFOC20210912862

Write-up: STROKE; SORE ARM; This spontaneous report received from a patient concerned a 63 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included: stroke (transient ischemic attack), and concurrent conditions included: hypertension, tylenol and ibuprofen allergy (one was rash and the other one made him edgy) and he did not know which was which, marijuana drug abuse, patient had used a pot (marijuana) in the past and he still uses but not that frequently and not for pleasure, non alcohol user, and cigarette smoker. Patient used cigarettes as a teen and had used it off and on since then but after his stroke in 2016 he stopped smoking and now sometimes smokes. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 205A21A expiry: 21-SEP-2021) dose was not reported, 1 total, administered on 13-MAY-2021 in left arm for prophylactic vaccination. Concomitant medications included clopidogrel bisulfate, and lisinopril. On 13-MAY-2021, the patient experienced sore arm and he mentioned that he could not recall any adverse events except a sore arm. The caller stated that 30 to 37 days later (not sure about the exact date) on 12-JUN-2021, patient had a stroke, patient got up up in the morning and felt crappy, Later he called ambulance and was transferred to the hospital, where they did computerized tomography (CT scan) and Magnetic resonance imaging (MRI) and patient diagnosed with stroke. On 12-JUN-2021 patient was hospitalized and he was there for 2 days and was transferred to the other center and he was there for 19 days. Patient still feels numb and weak, nothing like a sharp pain in the chest but his sensation was odd feeling like his skin was being in somebody else''s body. He mentioned it felt like his body went to sleep. His leg had been numb (he used cane at the beginning but not anymore) but not to the degree that cannot walk but it was not easy to walk. Patient reported that he will see a neurologist and a cardiologist in future. It was notable that the patient could not recall the specific dates of hospitalization or other incidences. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm, and outcome of stroke was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0; 20210912862-Covid-19 vaccine ad26.cov2. s- stroke. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: Medical History


VAERS ID: 1691324 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Rhode Island  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Epistaxis, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210913219

Write-up: CLOTS WERE 4 INCHES LONG/BIG; PROFUSE NOSE BLEED; This spontaneous report received from a patient concerned a female of unspecified age, race and ethnicity. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown and Expiry: Unknown) dose was not reported, frequency 1 total administered, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the patient experienced profuse nose bleed a couple days after receiving the vaccine. The nosebleed lasted for 1 and 1/2 hours and had to go to the emergency department due to the amount of blood and length of time the patient nose was bleeding. At the emergency department cauterize was done in order to stop the bleed. The patient reported that clots were 4 inches long/big. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from profuse nose bleed, and the outcome of clots were 4 inches long/big was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210913219-covid-19 vaccine ad26.cov2.s-clots were 4 inches long/big, profuse nose bleed. 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: 1691339 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-08-30
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Back pain, Chest discomfort, Dyspnoea, Electrocardiogram, Headache, Heart rate increased, Laboratory test, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use; Allergic reaction to antibiotics; Non-smoker
Preexisting Conditions: Comments: Patient had no drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data: Test Date: 20210904; Test Name: Electrocardiogram; Result Unstructured Data: no sign of heart attack or pulmonary embolism; Test Date: 20210904; Test Name: Laboratory test; Result Unstructured Data: normal; Test Date: 20210904; Test Name: CT angiography; Result Unstructured Data: no sign of heart attack or pulmonary embolism; Comments: Did not find a sign of heart attack or pulmonary embolism.
CDC Split Type: USJNJFOC20210914117

Write-up: CHEST TIGHTNESS; SHARP PAIN IN THE BACK BETWEEN HER SHOULDER BLADES; DIFFICULTY BREATHING; RAPID HEART BEAT; SEVERE HEADACHE; NAUSEA; This spontaneous report received from a patient concerned a 49 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: sulfa (hives) allergy, alcohol user (infrequently and just socially), and non smoker, and other pre-existing medical conditions included: Patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: 21-SEP-2021) dose was not reported, administered on 29-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 30-AUG-2021, the patient experienced severe headache. On 30-AUG-2021, the patient experienced nausea. On 01-SEP-2021, the patient experienced chest tightness. On 01-SEP-2021, the patient experienced sharp pain in the back between her shoulder blades. On 01-SEP-2021, the patient experienced difficulty breathing. On 01-SEP-2021, the patient experienced rapid heart beat. On 04-SEP-2021, Laboratory data included: CT angiography (NR: not provided) no sign of heart attack or pulmonary embolism, Electrocardiogram (NR: not provided) no sign of heart attack or pulmonary embolism, and Laboratory test (NR: not provided) normal. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from severe headache, and nausea on 01-SEP-2021, and had not recovered from chest tightness, sharp pain in the back between her shoulder blades, difficulty breathing, and rapid heart beat. This report was non-serious.


VAERS ID: 1692876 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-16
Onset:2021-05-21
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Blood test normal, Cardiac function test normal, Chest discomfort, Chest pain, Ear discomfort, Headache, Hypoaesthesia, Pain, Pain in jaw, Paraesthesia, Visual impairment
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Osteonecrosis (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamin and fish oil
Current Illness: N/A
Preexisting Conditions:
Allergies: No known allergies
Diagnostic Lab Data: Received blood test from Hospital on 5/24/21. There were no signs of blood clots.
CDC Split Type:

Write-up: After five days, the left side of my body (foot, arm, face) started going numb, my chest tightened, and my vision started to narrow. The numbness did not show noticeable drooping but the tingling lasted over two weeks. The pain in the left side of my chest lasted for over a month. My ears popped constantly for about over 2 months and had a headache impacting my right temple and the back right side of my head. I had some sharp pain to my chest that radiated to my jaw at about the 2+ month mark. I went in to the emergency clinic at the deployed hospital to get a heart reading. Results looked normal.


VAERS ID: 1692903 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-03-08
Onset:2021-05-17
   Days after vaccination:70
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Cerebrovascular accident, Computerised tomogram, Echocardiogram, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head abnormal, Neurological symptom, Transient ischaemic attack, Vertigo, Vision blurred, Visual impairment
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine .075 mg 1 per day, Atorvastatin 20 mg 1 per day, Aspirin 81mg per day, glucosamine chondroitin,
Current Illness:
Preexisting Conditions: follow up care for open heart surgery
Allergies: penicillin, sulfa
Diagnostic Lab Data: CT scan, Mri, cardiac ultrasound and lots of labs on June 14 and June 18th and 26th
CDC Split Type: vsafe

Write-up: First even I had I did not think twice about I went to Emergency room because I woke up with Vertigo so I rode in an ambulance there On May 17. I was ok for a while and then on June 14th I had symptoms of stroke on June 14th I had numbness on left side of my body and cloudy vision, I rode in the ambulance went to another er and I was admitted for an overnight stay. They said it was a TIA. On June 18th I had exactly the same symptoms except for vision, I called 911 and they insisted that I go to the ER again, I rode in the ambulance to er and they said I had a probable TIA. On August 26th at 9 am and I was driving in car I noticed I had patchy vision and that went on all day, next I still had it and a friend drove me to the ER. They admitted me. On that MRI it showed changes that I had occurred and the area of brain was consistent with vision problems and that one they diagnosed it as a small stroke. Now I am on blood thinners and when I finish I will start a aspirin regimen.


VAERS ID: 1692913 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-04-25
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Cellulitis, Depression, Fatigue, Heavy menstrual bleeding, Injection site erythema, Injection site swelling, Injection site warmth, Laboratory test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Hsv.
Allergies: Sulfa and aspirin
Diagnostic Lab Data: Lab test was done on 8/27/21
CDC Split Type:

Write-up: I had cellulitis in my arm. Swelling, redness and heat on the shot site. I have hemorrhaging menstrual periods that last 2 weeks. Causing me extreme weakness, fatigue and depression. Periods are getting worse. I waited 4 months to report to make sure the symptoms were vaccine relatares and I know for certain they are.


VAERS ID: 1692950 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-04
Onset:2021-07-09
   Days after vaccination:127
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Biopsy, Computerised tomogram, Endoscopy, Pancreatitis, Ultrasound scan
SMQs:, Acute pancreatitis (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound CT scan, endoscopy and ultrasound and biopsy done on abdomen
CDC Split Type:

Write-up: Pancreatitis. The major causes of pancreatitis were ruled out in my case. after thorough testing


VAERS ID: 1693051 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-29
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043421A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye disorder, Eye irritation, Eye pain, Eye pruritus, Ocular deposits removal, Pain, Skin erosion
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A. treatment is still ongoing and am taking the following medications: Timolol, Prednisolone, and Valtrex.
CDC Split Type:

Write-up: adverse events: left eye became itchy, leading to skin around the under side of the to become slightly raw from rubbing. within 24 hrs. of the eye becoming itchy, my eye became more irritated and slowly became painful to blink. Within about 4 days, it was too painful to bare and ended up going to the ER, followed by seeing a cornea specialist. The cornea specialist noted several filaments skin from the eye) that were scattered around my, which she ended up removing (about 7 pieces i believe). She was not quite sure what it was and eventually went to go see a cornea specialist at Medical Hospital (near where i live/work). No specific diagnosis was given except possibly being herpetic, but even then the specialist didn''t think that was the cause.


VAERS ID: 1693108 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-19
Onset:2021-09-08
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Brain stem infarction, Cerebellar infarction, Dizziness, Magnetic resonance imaging head abnormal, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Pt admitted to hospital with severe dizziness and nausea. MRI positive for cerebellar and medulla infarct


VAERS ID: 1693153 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-07
Onset:2021-09-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anaphylactic reaction, Angioedema, Dizziness, Dyspnoea, Nausea, Pharyngeal swelling, Scrotal oedema, Scrotal pain, Scrotal swelling, Ultrasound Doppler, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: history of hemophilia A
Allergies: eggshell membrane, tree nuts, polyethylene glycol
Diagnostic Lab Data: 9/8/21 scrotal US performed and showed scrotal wall edema but otherwise normal.
CDC Split Type:

Write-up: scrotal swelling and pain - onset about 12-18 hours after vaccination and then anaphylaxis type symptoms (angioedema, throat swelling, shortness of breath, hives, lightheadedness, nausea) about 24-36 hours after vaccination requiring epinephrine injection; lip swelling improved but not fully resolved but no further anaphylaxis in the ED and sent home with script for Epipen


VAERS ID: 1693273 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-10
Onset:2021-09-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Burning sensation, Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Latex, erythromycin
Diagnostic Lab Data: There were none. The hospital, refused to do them.
CDC Split Type:

Write-up: After the vaccine I had burning in my arm off an on the day of injection. Today at around 9:30 am I developed numbness, tingling, and pain going down my right arm. The pain radiated into my back and shoulders. I called the vaccine manufacturer and was told to go to the hospital. My treatment consisted of Tylenol and a physical exam. I was told to watch out for nerve damage in a few days and look for severe swelling in my arm due to possible blood clot. I''m still having pain


VAERS ID: 1693340 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-08-29
Onset:2021-08-31
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Electrocardiogram, Laboratory test, Pericarditis, Troponin
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Ammox
Diagnostic Lab Data: ER - ECG, Chest X-ray, Labs, Traponin
CDC Split Type:

Write-up: Pericarditis - present 2 weeks


VAERS ID: 1693384 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-03-09
Onset:2021-07-19
   Days after vaccination:132
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Deafness, Deafness neurosensory, Feeling abnormal, Magnetic resonance imaging, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Shingrix
Other Medications: Modafinil; lisinopril; atorvastatin; trazodone; escitalopram; baby aspirin; omega 3; vit D; fish oil supplement; multivitamin
Current Illness:
Preexisting Conditions: Migraines; depression; anxiety; hypertension; hyperlipidemia
Allergies: Steroids; sulfa drugs; seasonal allergies
Diagnostic Lab Data: CT scan and MRI
CDC Split Type: vsafe

Write-up: I went to bed at night feeling off, I woke up the next day felt worse, everything was spinning I threw up and I called 911 and went to the emergency room in an ambulance. At the the emergency room they diagnosed me with peripheral vertigo. I started experiencing hearing loss so the ER directed me to see an ENT who diagnosed me with Sensorineural hearing loss.


VAERS ID: 1693525 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-07
Onset:2021-09-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN N/A / UNK - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Inflammation, Mesenteric vein thrombosis, Vasodilatation
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Ischaemic colitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: insulin
Current Illness: n/a
Preexisting Conditions: diabetes, emphysema
Allergies: n/a
Diagnostic Lab Data: cat scans, blood work
CDC Split Type:

Write-up: Inflamed blood vessel, blood clot in vein leading to rectum


VAERS ID: 1693537 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Feeling hot, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

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

Write-up: A few minutes after giving a Janssen COVID 19 vaccine, the patient was warm to the touch, visibly sweaty, and very nauseous. She sat down with her head resting on her boyfriend, eyes closed, and complained she didn''t feel herself at all. I observed/verified with the patient that there was no rash, swelling, or breathing issues. She was able to speak the whole time. She does not have any allergies and did not faint. She does have a fear of needles. I called EMS to evaluate her and they took her to the hospital. When EMS arrived she stated she felt slightly better than she did ten minutes ago.


VAERS ID: 1693544 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-09-11
Onset:2021-09-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, 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)

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

Write-up: patient reported headache then passed out; 1 dose of epipen given; patient left store with paramedics


VAERS ID: 1693551 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-09-12
Onset:2021-09-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Erythema, Paraesthesia, Paraesthesia oral, Pharyngeal swelling, Taste disorder
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Soapy taste, tingling in the left arm, tingling in the mouth. Red face, throat swollen. 1 Epi dose given, NRB applied with O2.


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