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

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



Case Details

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VAERS ID: 1693790 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-09-10
Onset:2021-09-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Nausea, Pain, Pneumonitis, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuteral, duoneb, symbicort, delta 8, kratom, percocet
Current Illness: Had teeth removed Wednesday September 8th, no other illnesses was in perfect health other then having to have two painful teeth extracted
Preexisting Conditions: Asthma
Allergies: Sulfa, cephelexon, ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, fatigue, mental fogginess, difficulty breathing due to inflammation in my lungs, random sharp pain all over body, nausea. Treated by steroids and multiple duonebs at the er. At home I had to take 3 albuteral and 3 duonebs as well as 4 extra doses of my symbicort to try to control my breathing and get out under control


VAERS ID: 1693792 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-01
Onset:2021-04-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Decreased appetite, Gastrointestinal disorder, Hypoaesthesia, Impaired work ability, Pain, Visual field defect, Visual impairment
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen
Current Illness: PTSD and Depression from childhood.
Preexisting Conditions: Just been diagnosed after six months of testing, with Small nerve fiber neuropathy. Pain started in my feet and progressively got worse. Now the pain is up to my thighs of pins and needles, shocking, burning, leg spasms, swelling, arms go numb. Gastrointestinal issues along.
Allergies: No
Diagnostic Lab Data: All medical records on file.
CDC Split Type:

Write-up: Gastrointestinal issues Constant pain along with multiple sensations from the soles of my feet to my groin. Numb/dead arm. Vision and peripheral decreased Loss of appetite Over the six to seven months these symptoms progressed. I am currently behind on bills due to missing work due to all the specialists I have had to see. Currently waiting for my appointment to meet the neurologist that I will have to see now for the rest of my life. Medications are being altered to help relieve the pain. This has taken a toll on me. Something I couldn?t afford. I am a single mother of five children who struggled to get herself through school to be a medical assistant after spending 10 plus years being a CNA/Home Health Aid. First it was fighting with my apartment complex to keep hot water on so we can bathe and begging for them to fix the ceiling and water that flooded my kitchen. Now on top of that and million and one things I have to worry about? I also have to worry about fighting to stay alive to see my children grow and marry and have babies.


VAERS ID: 1693835 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Hypoaesthesia, Paraesthesia, Vitreous floaters
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Retinal disorders (narrow), Hearing impairment (broad), Sexual dysfunction (broad)

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

Write-up: The day after vaccination, I began to feel slight tingles and numbness in the left side of my face. Two days after that, it had intensified and had also spread to my left arm and left leg. The day after that, I became aware of a large floater in my left eye. On occasion, I have also felt milder tingles in the right side of my face. I first visited the ER, and all they could determine was that I hadn''t had a stroke. I later talked to my PCP, who explained that he has seen these kinds of effects with some regularity following COVID vaccination. He believes I have a case of Bell''s palsy, and that my nerves should gradually return to normal without further action. At his suggestion, I''m taking an 81 mg aspirin once a day as a precaution against micro blood clots. I believe my left arm and left leg have returned to normal, though my face is still irregular. Exact symptoms seem to depend on the temperature. The floater in my left eye is still there, and I intend to talk to my eye doctor about it.


VAERS ID: 1693844 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-08-24
Onset:2021-08-29
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac stress test, Condition aggravated, Echocardiogram, Heart rate increased, Hypertension, Supraventricular tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Hypertension (narrow), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprol and Rosuvastatin
Current Illness: NONE!!!!!!
Preexisting Conditions: High Blood Pressure and high cholesterol
Allergies:
Diagnostic Lab Data: All test related to a cardiac event including Stress Test and Echocardiogram. Aug. 31, 2021
CDC Split Type:

Write-up: Elevated Heart rate, extremely high blood pressure. Hospital ER {Cardizem administered), two days in the telemetry unit. Now diagnosed with supraventricular tachycardia, scheduled for ablation Sept. 24, 2021.


VAERS ID: 1694059 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-03-11
Onset:2021-08-23
   Days after vaccination:165
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 805029 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, COVID-19, Computerised tomogram, Dyspnoea, Magnetic resonance imaging, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: metformin
Current Illness: none
Preexisting Conditions: diabetes, COPD
Allergies: none
Diagnostic Lab Data: MRI, CAT scan, blood work- I do not know the results Covid test- positive
CDC Split Type: vsafe

Write-up: I was at home in bed and I was very lucky to wake up. I told my wife I needed medical attention right away because I could not breathe. We got in the car and drove to the hospital. They did a whole bunch of tests. MRI, CAT scan, blood work, Covid test. I do not know the results of the tests, only the Covid test, which was positive. Once I was admitted they did 2 treatments through IV. I was only there for one day and a half. They gave me a steroid for 5 days.


VAERS ID: 1694101 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-03-11
Onset:2021-09-06
   Days after vaccination:179
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Decreased appetite, Diarrhoea, Fatigue, Headache, Laboratory test, Paranasal sinus discomfort, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Adderall XR 30 mg, Vit D3, Vit B
Current Illness: None
Preexisting Conditions: ADD only
Allergies: Penicillin, Shrimp
Diagnostic Lab Data: Lab test 9/7/21 confirmed "positive A" SARS from SARS Antigen FIA rapid test.
CDC Split Type:

Write-up: Monday, 9/6: symptom onset. Persistent headache, fatigue, low-grade fever (1.5 degrees higher than normal). Tues: Persistent headache, fatigue, low-grade fever (1.5 degrees higher than normal). Sinus pressure affecting ears (new). Wed: Persistent headache, fatigue. Diarrhea (new). Thurs: Persistent headache, fatigue. Loss of appetite, taste and smell (new). Fri-Sun: Persistent headache, fatigue, loss of appetite, taste and smell. Monday, 9/13: Loss of taste and smell.


VAERS ID: 1694108 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Pain in the muscle from just above the elbow to the back of the shoulder. Redness and swelling increased over time. Visited an ER on 9/12/21 for redness, swelling, pain, and hot to the touch. Diagnosed with cellulitis and treated with antibiotics.


VAERS ID: 1694240 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-09-09
Onset:2021-09-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Erythema, Haematochezia, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Varicella (24 years old, Merck, Lot# K003421, 17 December 2014) and some years I react to the flu shot
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclor
Diagnostic Lab Data: Some years when I get the flu vaccine I get hives and itchy In December 2014 when I received the first of 2 doses I was red/hives, itchy and almost fainted
CDC Split Type:

Write-up: Itchiness, lightheaded, hives/red, blood in stool


VAERS ID: 1694267 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-08-06
Onset:2021-08-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 10808978 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amnesia, Aphasia, Asthenia, Back pain, Balance disorder, Blood test, Cognitive disorder, Computerised tomogram, Condition aggravated, Confusional state, Crying, Dysarthria, Electroencephalogram, Eyelid function disorder, Fatigue, Feeling abnormal, Hemiparesis, Hyperacusis, Hypoaesthesia, Hypoaesthesia oral, Inflammation, Injected limb mobility decreased, Lacrimation increased, Magnetic resonance imaging, Mental impairment, Motor dysfunction, Muscle spasticity, Myositis, Neck pain, Neurological examination, Nightmare, Pain, Pain in extremity, Photophobia, Restlessness, Sensory disturbance, Sleep disorder, Spinal pain, Tinnitus, Vision blurred, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Lacrimal disorders (narrow), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen, Gummie Fiber, Gummie Multi-vitamin
Current Illness: none
Preexisting Conditions: Cervical myelopathy Cervical spondylosis without myelopathy Cervical radiculitis SVT (supraventricular tachycardia) severe narrowing at the T11-12 disc space with some mild spurring L4-5, mild facet arthritis L5-S1, there is mild narrowing and signal loss at the disc space with a very small central broad-based protrusion
Allergies: none
Diagnostic Lab Data: CT, MRI, blood work/tests, EEG, neuro exams, spine assessment
CDC Split Type:

Write-up: Aug 8- my Left arm aches terribly, difficult to move or lift. Also, spine (neck and lower back pain) inflameed terribly, having to take ibuprofen every 4 hours just to take edge off. Aug 13- Spine pain so bad I called DO to make an appt for follow up. Starting to feel "fog" that I did when I had Covid last winter. Aug 20- Fog turned into left sided weakness and first "episode" of dysarthria, confusion, vision changes, sensory changes, taken via ambulence to hosptial. Aug 24- DO appt., he assessed my spine & stated that muscle groups were back to "last Covid" Inflammatory response- spastic, started treatment Aug 25-27- Covid fog getting wores, morning of Aug 27 had next "episode" in the middle of talking tto my husband, my brain and body "froze", I was unable to speak, think, or understand what was happening. My husband reported my eyes stopped blinking, tears came of my eyes, this lasted several seconds. After I "froze", I felt confused, my husband said I kept asking what happened and cried. I was so tired I needed to lay down, felt like I ran a race. Ears ringing often Aug 28- had two more of these episodes of "freezing". My husband took me to hospital, they quickly ruled out stroke and sent me home with no follow up. Ears ringing often. Aug 29- had two more episodes- same freezing in the middle of talking- note that it happens when I am trying to work/process information or recall information Other symptoms, short term memory loss, inablity to process information, vision changes with difficulty focusing with Left eye, ear ringing, sensory sensitivity to lights and sounds, pain in neck and spine, not sleeping at night/restless, nightmares, numbness in face/lips, weakness, loss of balance, slowed motor responses. Aug 30-Sept 1- hospitalized for MRI, EEG, monitoring OT/PT/SLP. Had several witnessed episodes of freezing mid sentence when trying to explain what was happening. Sept 1- today (9/13/2021)- all above symptoms continue, unable to function at typical cognitive or sensory level. Ears ringing a lot. NOTE: I had Covid19 with minor flu symptoms (stuffed sinuses and body aches) and loss of smell beginning on Dec 19, 2020, followed by unsual cognitive and emotional symptoms over the next 3 weeks and an episode on Jan 8, 2021 of Left sided paralasis, aphasia, decreased vision- leading being taken by ambluance to hospital, admitted and 3 day stay- MRI w and w/o contrast of brain with unable to rule out TIA and of cervical spine revealing cervical spine dx (listed above)- OT/PT eval, loss of balance, motor delays, sensory symptoms. Followed by Covid "fog" with cognitive and sensory issues and inablity to function until Feb 8, 2021. Spine dx treatment included PT and osteopathic manipulative treatments. After Feb 8, 2021 cognitive symptoms had fully resolved, ear ringing and spine pain remained, but managable. Further MRI of lower spine (due to increasing pain after Covid19 infection) revelaed other dx, see above.


VAERS ID: 1694270 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-11
Onset:2021-04-17
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bed rest, Blood test, Eosinophil count increased, Foetal death, Foetal heart rate abnormal, Haemorrhage, In vitro fertilisation, Muscle spasms, Pain, Twin pregnancy, Ultrasound foetal abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility disorders (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: prenatal vitamin DHA vitamin D estradiol patches 0.1 ml applying them every 3 days for IVF estradiol tablets 2 mg 3x day for IVF
Current Illness: I had a migraine from the estradiol
Preexisting Conditions: diverticulosis
Allergies: no
Diagnostic Lab Data: ultrasound-showed one baby did not have a heartbeat blood work- Eosinophil was high
CDC Split Type: vsafe

Write-up: 03/11/2021 - I was not pregnant at the time of the vaccination. I started taking progesterone injection 2ml a day on 03/20/2021. I did an embryo transfer on 03/25/2021. On 04/17/2021 in the evening, I suddenly stated cramping, I was bent over, it was hurting really bad and shortly after that I started bleeding. I went to the Emergency Room. I''m RH negative blood type, to get a Rhogam shot. I had an ultrasound and I was told I was carrying twins. They also did blood work and my Eosinophil count was high. They both (babies) had heart beats, but one was lower than the other. I was put on bedrest. I saw my fertility doctor on 04/20/2021, the one (baby) where the bleed was coming from no longer had a heartbeat. The other one (baby) did have a good heartbeat. I was put back on bed rest, On the 04/27/2021, I returned to the fertility doctor, and neither one (baby) had a heartbeat anymore.


VAERS ID: 1694275 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-09-05
Onset:2021-09-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Heart rate irregular, Pyrexia, Seizure, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiac arrhythmia terms, nonspecific (narrow), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: 105.8 fever and seizures for several hours. Woke up the next day at 1am. ER didn''t admit me on 6Sep2021 at 11pm . Shakes and chest is feeling weird. Pain in shoulders, hip and knees. My heart is going weird. Still have fever at 101. About an hour ago , there is pain in my chest. I have a slow heart and its beating at 90.


VAERS ID: 1694306 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cold sweat, Computerised tomogram, Dizziness, Fall, Head injury, Hyperhidrosis, Pallor, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: DJD
Allergies: NKDA
Diagnostic Lab Data: Patient declined squad ride to local hospital, but did go by private car and was driven by a friend on 9/8/2021. Patient went to ED and was discharged after CT cleared him with no concerning injuries from fall.
CDC Split Type:

Write-up: Patient received J & J vaccine in the clinic and approximately 3 mins after administration of vaccine, patient fell to the floor from a sitting position and was unresponsive. Smelling salt was used, patient then became alert but stated "Im dizzy". Patient was clammy, pale and diaphoretic. VS obtained at 1459 BP-122/92, HR-56, SPO2-RA 98%, Left patient on the floor for approximately 20 mins until he was in no acute distress. VS obtained at 1505 BP 130/92, HR-64, SP02- RA 99%, VS obtained AT 1515 BP-136/92, HR-56. When patient fell to the floor he was twisted to the left of his body. Bump noted to left temple region approximately 15mins after fall. Face mask was on patient and staff.


VAERS ID: 1694394 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Burning sensation, Chest pain, Chills, Dyspnoea, Headache, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: ACUTE GASTRONENTERITIS
Allergies: FLU VACCINE
Diagnostic Lab Data: Awaiting medical documentation from Hospital. Pt is now at home but states he still does not feel well.
CDC Split Type:

Write-up: Pt stated that once he received the vaccine on Saturday, 11 Sep 2021 at 11:00, he felt left arm pain and burning sensations throughout his arm. Later on in the evening, he experienced chills, fever and a severe headache. Pt came to work on Sunday and complained of chest pain and difficulty breathing. Pt was transported to ER.


VAERS ID: 1694559 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-07-15
Onset:2021-07-29
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dizziness, Electrocardiogram, Hypoaesthesia, Hypoaesthesia oral, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: Both arms legs and tongue started going numb and vision gets blurry and feeling like I am going to faint. Started about 10 days after vaccine and happened several times a day for 2 weeks. Then it didn''t happen for 7 days and came back 1 time. Now it''s been almost 3 weeks with no occurrences until the last 2 days and its really bad this time.


VAERS ID: 1694569 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-11
Onset:2021-08-01
   Days after vaccination:143
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, COVID-19, Computerised tomogram thorax, Cough, Dyspnoea, Headache, Human rhinovirus test positive, Muscle spasms, Pneumonia, Rhinovirus infection, SARS-CoV-2 test positive, X-ray
SMQs:, Anaphylactic reaction (broad), Dystonia (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 (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sentraline 50 mg
Current Illness: N/A
Preexisting Conditions: Since Covid positive, battling double pneumonia
Allergies: Nuts
Diagnostic Lab Data: August 4, xray August 4, blood tests September 1, lung CT September 3, blood tests, xrays September 21-another lung CT scan scheduled
CDC Split Type:

Write-up: Coughing, headache, severe leg cramps, trouble breathing. Double pneumonia, Covid 19, & Rhino virus. X-rays, lung CT scan, blood tests, 3 different antibotics, breathing treatments, cough & cold meds.


VAERS ID: 1694604 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-15
Onset:2021-09-10
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Breakthrough COVID case. Development of symptoms 9/10/21. Tested positive for COVID on 9/12/21.


VAERS ID: 1694644 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-15
Onset:2021-07-19
   Days after vaccination:126
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cardiac arrest, Chills, Cough, Death, Dyspnoea, Fatigue, Headache, Hypertension, Myalgia, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (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: 2021-07-31
   Days after onset: 12
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: 07/22/2021 PCR+ COVID-19 test at Health center; 07/31/2021 PCR+ COVID-19 test at Hospital
CDC Split Type:

Write-up: Breakthrough COVID-19 case with symptom onset 7/19/2021: Fever $g100.4, Chills, Muscle or body aches, Runny nose/Congestion, Sore throat, Cough (new onset or worsening of chronic cough), Shortness of breath or difficulty breathing, Fatigue or tiredness, Headache. Death 7/31/2021, from vital records: CARDIAC ARREST, COVID 19 POSITIVE, Per vital records, Other Significant Conditions include: HYPERTENSION. place of death: HOSPITAL-EMERGENCY ROOM/OUTPATIENT.


VAERS ID: 1694698 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Hyperhidrosis, Vertigo
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Vestibular disorders (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: MDI asthma inhaler and loratadine.
Current Illness: None reported.
Preexisting Conditions: Asthma and seasonal allergies.
Allergies: Aspirin, pneumonia and flu vaccine.
Diagnostic Lab Data: Unknown.
CDC Split Type:

Write-up: This patient presented stating that she had an anaphylactic reaction after receiving a pneumonia vaccine. She spoke with her PCP about receiving a Janssen COVID 19 vaccine. The patient''s PCP advised her to receive the Janssen COVID vaccine. This patient went to a pharmacy and her PCP to receive a Janssen COVID vaccine. Both facilities refused to vaccinate her secondary to HX of anaphylactic reaction to the pneumonia. This facility pre-medicated this patient with 50 mg. of Benadryl PO at 11:30 AM. She developed left sided throat "tightness", diaphoresis, and vertigo at 12:20 PM. Epinephrine 0.3 mg. IM administered left thigh x one injection. 911 called. VS HR 92. RR 24. 152/88. 99% on RA. Pink color. No rash. No SOB. Patient transported to hospital at 12:40 PM.


VAERS ID: 1694757 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-07-12
Onset:2021-07-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aspartate aminotransferase increased, Cardiac disorder, Deafness, Ear discomfort, Ear infection, Feeling abnormal, Head discomfort, Heart rate increased, Lymphadenopathy, Malaise, Pain, Pyrexia, Sinusitis
SMQs:, Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Hearing impairment (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations:
Other Medications: Mili birth control
Current Illness: Cold in previous month
Preexisting Conditions: None
Allergies: Seasonal allergies
Diagnostic Lab Data: July 27, 2021 ASPARTATE TRANSAMINASE : 45
CDC Split Type:

Write-up: I would like to start out by saying I am a very healthy 21 year old. 10 minutes after shot was given my heart rate shot up to 150. Stayed up there for a couple minutes. I drank some water and it slowly went down. About 45 minutes later I left the pharmacy and felt sick immediately. My ears clogged up and I couldn?t hear. For the next 2 days I had a fever and body aches. That eventually subsided but I still had ear and head fullness. I went to the doctor 3 days after I had the vaccine and they said I had a sinus infection and ear infection. Gave antibiotics but they did not help. After antibiotics were finished I was left with constant head pressure that wouldn?t go away. It?s like I?m constantly in a daze. It has been 2 months post shot and I still have intermittent head pressure and swollen lymph nodes. I also saw a cardiologist because I have been having heart issues ever since the shot. I am still waiting on my tests.


VAERS ID: 1694782 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-09-11
Onset:2021-09-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Asthenia, Chills, Decreased appetite, Dyspnoea, Feeling of body temperature change, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Waiting on Patient to bring in documentation when he returns to work on 14 Sep 2021.
CDC Split Type:

Write-up: Patient stated he received vaccine on Saturday 11 Sep 2021 at 1118. When he arrived home at 1630, he had no energy and was experiencing all over body aches and pain. He went to sleep and didn''t wake up until the next morning. Once he arrived at work the next day he had a severe headache, fever, chills, feeling hot and cold at the same time, loss of appetite and difficulty breathing. Patient left work at 0720 and went to clinic.


VAERS ID: 1694806 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-09-03
Onset:2021-09-06
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood lactic acid, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram, Full blood count, Hypoxia, Metabolic function test, Scan with contrast
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: 9/7-8/2021: CBC, CMP, Lactic q 6hr, EKG, Echo, CT with contract, cardiac ultrasound.
CDC Split Type:

Write-up: Hypoxia and dyspnea with ambulation.


VAERS ID: 1694826 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-09-06
   Days after vaccination:150
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Malaise, Myalgia, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: POSITIVE SARS-COV-2 BY PCR
CDC Split Type:

Write-up: This case meets vaccine breakthrough criteria . SXS INCLUDE GENERAL MALAISE, FEVER, MUSCLE PAINS, COUGH, SOB


VAERS ID: 1694865 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-09-10
Onset:2021-09-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu Shot
Other Medications: jardiance 25 mg Tylenol
Current Illness: no
Preexisting Conditions: type 2 diabetic alpha 1
Allergies: coconut ,penicillin, artificial sweetener latex
Diagnostic Lab Data: Went to ER was given Benadryl IV
CDC Split Type:

Write-up: Anaphylaxis reaction .


VAERS ID: 1694936 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Consciousness fluctuating, Disorientation, Dizziness, Hot flush, Hypotonia, Syncope, Unresponsive to stimuli, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Minutes after receiving the shot, the patient began to feel light headed. Shortly after, she slumped over in the chair where we ask patients to sit after the shots are administered. The staff pharmacist attended to the patient immediately and stayed with her throughout the incident. She was unresponsive at first, but eventually would rotate between moments of consciousness and syncope. She had to vomit once, had hot flashes, and was disoriented. We focused on trying to keep her attention and preventing her from losing consciousness again. We provided an ice pack to help with her hot flashes. An ambulance was notified shortly into the event when it was apparent that she was not improving. When the paramedics arrived, we provided as much information as we could. We were able to get in touch with a family member, and the paramedics left with her on a stretcher.


VAERS ID: 1694990 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-11
Onset:2021-09-12
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Loss of consciousness, Lumbar puncture, Magnetic resonance imaging, Neurological examination, Positron emission tomogram, Seizure, Single photon emission computerised tomogram
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: All tests on May 11, 2021- Neurological exam Blood tests Lumbar puncture EEG, MRI, CT scan, PET, SPECT
CDC Split Type:

Write-up: Seizures and loss of consciousness


VAERS ID: 1695257 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Head injury, Loss of consciousness, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: On 9/13/2021 the patient had been sitting in a chair by the pharmacy after his Janssen COVID vaccine for almost 15 minutes and then got up to stand at the counter to ask the tech if he could leave yet. The tech told him he just had a little bit of time left to wait (maybe 3 more minutes?) when the patient fainted and fell to the floor. Another customer thought he hit his head on the way down. I was alerted by the tech & went to the patient who was lying on the floor unconscious but was breathing and had a strong carotid pulse. I told the tech to call an ambulance. After maybe a minute the patient started to make bending movements upwards with his legs and stretched one arm out and up. Then he started to lift his head a little and wake up. I told him to stay down on the floor and rest since he had fainted and may have hit his head. He said he was nauseous after another couple minutes. I gave him a wastebasket and he sat on the floor and threw up. After a few minutes the EMS crew came in and took over. They took him to the hospital.


VAERS ID: 1695473 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-26
Onset:2021-09-07
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram, Blood magnesium, Blood test normal, Chest X-ray normal, Computerised tomogram, Computerised tomogram head, Differential white blood cell count, Fibrin D dimer increased, Full blood count, Headache, Hyperhidrosis, Magnetic resonance imaging head, Metabolic function test, Migraine, Muscle spasms, Pain in extremity, Pyrexia, Red blood cell sedimentation rate, SARS-CoV-2 test negative, Scan with contrast, Ultrasound Doppler normal
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfur drugs
Diagnostic Lab Data: 9/9/2021 - CT of Head, Basic Metabolic Panel, D-Dimer, Quantitative. D-Dimer value 10,540 NG/ML FEU Flag H 9/9/2021-9/10/2021 - CBC and Differential CK, COVID - 19, NAA/PCR Nasopharyngeal Swab, Comprehensive Metabolic Panel, D-dimmer, Quantitative, Gold SST, Lavender Top, Magnesium, Mint Green - Top Tube (PST Gel/Li Hep), US Venous Lower Extremity Bilateral, XR Chest AP Portable, Initiate COVID-19/Flu Symptoms Diagnostic Panel 9/1202021 - CBC and Differential, COVID-19, NAA/PCR Nasopharyngeal Swab, Comprehensive Metabolic Panel, POCT iStat Generic Panel, Sedimentation Rate, Automated, CT Angio Head Neck, CT Head WO IV Contrast, MRV Head. Venom ram WO IV Contrast, Initiate COVID-19/Flu Symptoms Diagnostic Panel
CDC Split Type:

Write-up: 1 trip to physician office due to unmanageable migraine and leg cramping pain on 9/9/21. After doctor visit, doctor called that evening saying that my D-Dimer was too high and to immediately go to the ED. Went to ED that evening. Low fever, sweating, excruciating headache and leg cramping for 3 days. They did ultrasound on legs and chest x-ray for blood clots. Performed a COVID test, more blood work, and administered pain meds through IV. All tests were negative. The excruciating migraine and leg cramping continued for 3 more days. On Sunday, went back to the ED. They did 2 cat scans (1 with contrast), MRI of head, more blood work, another IV, etc. They administered more pain meds and a steroid. Discharged with allergenic reaction to vaccine as the most likely cause.


VAERS ID: 1695482 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-09-02
Onset:2021-09-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Fibrin D dimer, Gait inability, Impaired work ability, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: Allergies to pertussis vaccine and amoxicillin
Diagnostic Lab Data: D-dimer at ER.
CDC Split Type:

Write-up: Arm swollen and extremely painful. Morning after vaccine same reaction on lower leg. Went to ER and they refused an ultrasound to check for blood clot but did a d-diner. Same place on leg has gotten worse, unable to walk right. Fatigue so bad I am unable to get out of bed to work. Had not ever felt this way prior to this vaccine.


VAERS ID: 1695487 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-12
Onset:2021-03-29
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram cerebral abnormal, Bell's palsy, Cerebellar tumour, Cerebrovascular arteriovenous malformation, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal normal, Neuropathy peripheral, SARS-CoV-2 test negative, Ultrasound Doppler, Ultrasound Doppler normal
SMQs:, Peripheral neuropathy (narrow), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Non-haematological tumours of unspecified malignancy (narrow), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: history of testicular cancer 2010
Allergies: none
Diagnostic Lab Data: MRI angiogram head 4/10/21 - posterior R dural AVM MRI lumbar 4/10/21 - no significant spinal or neuroforaminal stenosis MRI brain 4/10/21 - 15x10 mm cerebellar pontine mass Carotid doppler 4/9/21 no significant stenosis COVID PCR 4/9/21 - neg
CDC Split Type:

Write-up: Neuropathy affecting bilateral feet starting 3/29/21 followed by bells palsy 4/9/21


VAERS ID: 1695494 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-05-12
Onset:2021-05-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Chills, Constipation, Erectile dysfunction, Feeling of body temperature change, Haematochezia, Hyperhidrosis, Pain
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypoglycaemia (broad), Sexual dysfunction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Went to urgent care and I was just told that I was constipated.
CDC Split Type:

Write-up: Before going to bed began having intense body pain all over. Cold and hot episodes followed by sweating and shivering. Next day felt very bad pain in my abdomen and when using the restroom noticed a significant amount of blood in my stool and around the bowl of the toilet. It was very painful to use the restroom and continued for days. Stomach pain worsened to the point where waist bands from shorts or underwear were excruciating and I couldn''t wear anything anymore. Body pain remained and I also noticed I could no longer get erections which was very concerning.


VAERS ID: 1695517 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-17
Onset:2021-08-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anger, Arthralgia, Fatigue, Headache, Impaired work ability, Loss of personal independence in daily activities, Muscle spasms, Pain, Urine analysis normal
SMQs:, Dementia (broad), Dystonia (broad), Hostility/aggression (narrow), Arthritis (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I thought it was a UTI, but results are negative. Doctors are now taking me off of antibiotics and telling me to try to keep moving. 2 Visits 9.4.21, 9.11.21
CDC Split Type:

Write-up: Severe headaches and mild fatigue, turned into body cramps all over. Joint pain is keeping me from being able to work and take care of my children and house responsibilities. I am hurting and very angry, as I only took the vaccine for upcoming travel (in Oct. 2021) and now I''m in very bad shape.


VAERS ID: 1695519 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-08-06
Onset:2021-08-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Computerised tomogram, Cough, Eye haemorrhage, Eye pain, Headache, Influenza
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Glaucoma (broad), Retinal disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot done yearly gets me very sick. Have gotten a week long flu nearly every time I receive it
Other Medications: None
Current Illness: None
Preexisting Conditions: None diagnosed
Allergies: None
Diagnostic Lab Data: CT scan and Chest Xray approximately 4 weeks ago. Negative Brain MRI scheduled for 2 weeks from now.
CDC Split Type:

Write-up: 12 hours post vaccination the worst headache of my life and severe flu symptoms which calmed down after 24 hours. At the 24 hour mark a cough developed and has not gone away since. It is a non productive dry cough that has not improved since onset. The headaches have also been consistent since the onset, but have toned down to a moderate headache. Headaches have been consistent for 5-6x per week since vaccination. Broken blood vessels in eyes and pain with eye movements was a symptom from week 1 to last week. Now my eyes are just full of broken blood vessels, but not as much pain with movement.


VAERS ID: 1695729 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-06
Onset:2021-08-22
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaphylactic reaction, Dyspnoea, Erythema, Flushing, Pruritus, Rash macular, Sneezing, Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), 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), Cardiomyopathy (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: losartan 12.5mg
Current Illness: None
Preexisting Conditions: Slightly elevated Blood Pressure
Allergies: Previously allergy mapped with only minor responses (sneezing/tearing) to: cats cockroaches molds Never had an allergy to any chemical, food, or medicine in 54 years!
Diagnostic Lab Data: No labs
CDC Split Type:

Write-up: While on work assignment, I was returning from lunch where I began to exhibit normal allergy symptoms-sneezing. I had eaten the exact same menu item at the exact same restaurant roughly 4 days prior. (The order was identical and I have eaten at the location many times before) I have never in my life had a food or medicinal allergy. Likewise in over 30 years experience in the aerospace field, I have been exposed to a number of chemicals and never had any sort of severe response to any checmical. Upon reaching my office within approximately 5-10 muntes of the allergy manifesting, I continued to sneeze so I took a 25mg benadryl tablet. Shortly after (within 5 minutes) that I noted that my face felt flush so I took my temperature which was normal. I then noted my forearms were beginning to turn red & itch. I noted that I felt like I wanted to sneeze but couldn''t but noted that my airway was clear with no adverse breathing. At that point I took a second benadryl tablet and notified a coworker that something was amiss and to keep an eye on me. I returned back to my office and within another 5-10 minutes, I noted my scalp began to itch severely along with the soles of my feet. My tongue became thick and I noted that my breathing was becoming slightly labored. At that point I took a tird benadryl tablet & two hits of fluticasone propionate (50mcg) nasal spray and notified my coworkers that I was experiencing some sort of anaphylaxis event and that if things did not improve in the next 10-15 minutes we would need to call EMS as only epinehrine was likely to help! I also noted at this time that my torso was blotched and covered with numerous hives. Fortunately within the next 10 minutes as we prepared to forgo EMS and make a run to the nearest ER, the symptoms began to subside. Most notably the thickened tongue and breathing issues, then slowly the itching dimished and began to return to normal. After allowing myself to relax for another 30-45 minutes, I then decided I felt well enough to drive myself to a local ER near my hotel and I had a coworker follow me there where I received follow-up treatment. The ER administered methylprednisone Sod Suc (steroidal shot) and famotidine while they kept me under observation for any rebound activity. I was prescribed an Epipen upon being discharged a couple hours later.


VAERS ID: 1695737 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Unknown  
Location: California  
Vaccinated:2021-09-11
Onset:2021-09-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JNJ201A21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chest pain, Dizziness, Heart rate irregular
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Seroquel 14 mg
Current Illness:
Preexisting Conditions: Lyme disease
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizziness, heart irregular beating , chest pain , weakness


VAERS ID: 1695761 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-08-16
Onset:2021-08-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Dry mouth, Erectile dysfunction, Fatigue, Injection site pain, Libido decreased, Migraine, Pain, Paraesthesia, Pyrexia, Sneezing, Tinnitus, Tremor, Vision blurred
SMQs:, Anaphylactic reaction (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 encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (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: Warafin St. John''s Wort Vitamin B12 Vitamin D3 Vitamin C Zinc Men''s Multivitamin Ginger Melatonin Apple Cider Biotin
Current Illness: None
Preexisting Conditions: Portal vein thrombosis
Allergies: Hyperactivity to Mucinex-D
Diagnostic Lab Data: 8/28: Uranalysis, Chemistry Panel, White Blood Cell Differential, and Complete Blood Count
CDC Split Type:

Write-up: 8/16: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, blurred vision, ringing in both ears, coughing, and sneezing, reduced sex drive, inability to become erect 8/17: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, coughing, and sneezing, reduced sex drive, inability to become erect 8/18: Soreness at injection site, bodily pains, migraines, dry mouth, fatigue, reduced sex drive, inability to become erect 8/19: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive, inability to become erect 8/20: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive, inability to become erect 8/21: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive 8/22: Soreness at injection site, bodily pains, migraines, fatigue 8/23: Soreness at injection site, bodily pains, migraines, fatigue 8/24: Soreness at injection site, bodily pains, migraines, fatigue 8/25: Soreness at injection site, bodily pains, migraines, fatigue 8/26: Soreness at injection site, bodily pains, migraines, fatigue 8/27: Soreness at injection site, bodily pains, migraines, fatigue 8/28: Soreness at injection site, bodily pains, migraines, fatigue 8/29: Soreness at injection site, bodily pains, migraines, fatigue 8/30: Soreness at injection site, bodily pains, migraines, fatigue 8/31: Soreness at injection site, bodily pains, migraines, fatigue 9/1: Soreness at injection site, bodily pains, migraines, fatigue 9/2: Soreness at injection site, bodily pains, migraines, fatigue


VAERS ID: 1695775 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-08
Onset:2021-09-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Cough, Dizziness, Dyspnoea, Fatigue, Influenza virus test negative, Pharyngeal swelling, Productive cough, SARS-CoV-2 test negative, Throat irritation, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Nexplanon 10mg implant
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: covid test, flu test both negative
CDC Split Type:

Write-up: Throat swelling, throat itching, chronic fatigue, trouble breathing, wheezing on 9/9/2021 cough, mucus coughing, dizzy spells, fatigue, coughing fits. 9/9/2021- current date of 9/13/2021


VAERS ID: 1695811 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-25
Onset:2021-06-09
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Choking, Dysphagia, Dysstasia, Electromyogram, Endotracheal intubation, Fall, Gait inability, Gastrointestinal tube insertion, Hypertension, Hypoaesthesia, Intensive care, Laboratory test, Loss of personal independence in daily activities, Lumbar puncture, Nerve conduction studies, Paraesthesia, Paralysis, Pneumothorax, Tracheostomy
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (broad), Respiratory failure (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 47 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No medication was taken at the time.
Current Illness: No illnesses prior to or at the time of vaccination.
Preexisting Conditions: No chronic or long standing health conditions.
Allergies: NKA
Diagnostic Lab Data: Spinal Tap, Nerve Conduction Study, Electromyography, and full lab panels.
CDC Split Type:

Write-up: On 6/9/21 Pt started having tingling in his feet, on 6/10/21 the tingling continued to worsen and he went to ER were he was diagnosis with high blood pressure and sent home. On 6/11/21 pt. fell in his bedroom and the tingling had moved up his legs and he could not feel his feet. He went back to ER were he was admitted for high blood pressure and discharged on 6/12/21 to follow up with a cardiologist. Pt was taken to a different Hospital on 6/12/21 after discharge from pervious hospital because he was unable to stand or walk. Pt admitted, pt then continued to complete the following tests; Spinal Tap, Nerve Conduction Study, Electromyography, and full lab panels. On 6/17/21 pt was unable to swallow and was choking on saliva. He was intubated on 6/17/21 and moved to ICU. On 6/18/21 pt had one of his lungs collapse. pt had a feeding tube and trach placed. The week of 7/8/21 pt was moved to PPCU . Pt went to rehab on 7/29/21. Pt is still not able to move from his neck down and is 100% dependent on other for full care.


VAERS ID: 1695814 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-07
Onset:2021-09-11
   Days after vaccination:127
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test Ultrasound 9-12-2021
CDC Split Type:

Write-up: Deep Vein Thrombus. Mid femoral vein to calf.


VAERS ID: 1695819 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-01
Onset:2021-09-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Headache, Mouth swelling, Myalgia, Paraesthesia, Pharyngeal swelling, Pruritus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Ibuprofen, Multivitamin
Current Illness: Sinus and ear infection previously but cleared-up
Preexisting Conditions: Asthma, migraines
Allergies: Sulfa, Topamax, Adhesive, Z-pack antibiotic, Pineapple
Diagnostic Lab Data: EKG; bloodwork.
CDC Split Type:

Write-up: Tingling and itching, mouth and throat swelling, fatigue, muscle pain, headache, lightheadedness, dizziness, tightening of chest and difficulty breathing.


VAERS ID: 1695837 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-08-27
Onset:2021-08-31
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Appendicitis, Computerised tomogram abdomen abnormal, Gait disturbance, Laboratory test, Pain
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin, vyvanse
Current Illness: none
Preexisting Conditions: None
Allergies: No allergies
Diagnostic Lab Data: They did a lot of labs and CT scan at the hospital.
CDC Split Type:

Write-up: Started having sharp pains in abdomen that led to lingering pain all over. Next day could barely walk the pain was so bad and ended up in the ER per my doctors orders. They did a CT and diagnosed me with appendicitis and had to get my appendix removed that night.


VAERS ID: 1696101 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-14
Onset:2021-09-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Immediate post-injection reaction, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Covid-19 mRNA (Pfizer) 1/14/21
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Covid-19 vaccine mRNA (Pfizer) 1/14/21
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed throat swelling immediately following administration of the Janssen Covid-19 vaccine


VAERS ID: 1696107 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-13
Onset:2021-07-12
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID test
CDC Split Type: vsafe

Write-up: On 8/25/2021 I develop break through COVID infection. I did the rapid nasal swab PCR test and I went to the ER and did another COVID test. I was having trouble breathing and that is why I decided to go to the ER. They did monoclonal antibodies and discharged with cough medication Tessalon Perles, albuterol inhaler and nebulizer medication. I am still having shortness of breath, coughing and having to use my nebulizer.


VAERS ID: 1696178 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-09-04
Onset:2021-09-08
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster, Musculoskeletal chest pain, Rash
SMQs:, Anaphylactic reaction (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: HPV (Merck) vaccine 8/30/2007 Lot 1062u. Immidiately after vaccine, mentrual cycle stopped, was diagnosed with Premature Ovarian
Other Medications: Amitryptaline, Sertraline, Yaz, Protonix, Synthroid, Zertec
Current Illness: no acute illnesses
Preexisting Conditions: Fibromyalgia, Hashimotos, Premature Ovarian Failure, migraines, GERD
Allergies: peanuts, ketamine
Diagnostic Lab Data: no tests were performed, doctor started me on antiviral medication.
CDC Split Type:

Write-up: I was Vaccinated on 9/4. On 9/8 in the evening time, I began having rib pain. I assumed I had dislocated it (I have before)and tried to fix it at home. After a few days of pain, I went to the urgent care and they saw a rash that indicated shingles. After talking with the doctor about what could have triggered this, I meantioned I had been vacinated a few days before symptoms started. The doctor stated that the shingles were liekly triggered by the vaccine.


VAERS ID: 1696191 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-04-07
Onset:2021-05-01
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Hyperhidrosis, Malaise, Mobility decreased, Pain, Rash, Rash macular, Rash pruritic, Restless legs syndrome, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? Yes
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: First thing that I got vaccinated I was sick as I?ve ever been in my entire life thought I was going to die shivers again sweats sore could barely move the next day was the worst I?ve been sick that I have a remember. I haven?t went to the dr in over 10 years before getting vacationed and this year I?ve went multiple times i even have A primary care. I?m a healthy person but the out break I had from I know 100% it was from the shot a couple weeks later maybe a month after taking I?m not excited sure dates I can provide doctor visits dates necessary. Anyways after i had taken the vaccine I begin to break out into a red circle hive like dots that completely covered my body. It Itched like crazy constantly was bearable went to the doctor multiple times they placed me on steroids didn?t help went back a couple weeks later because it covered me from head to toe still doctors didn?t know what it was from or what it was. I don?t have health issues nor go to the doctor and I know this was an outbreak from the vaccine Johnson and Johnson that got recalled The same day I took it. These circle spots were there for approximately three months
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: First visit I was told it could be shingles started as a young age he prescribed steroids and was send on my way. witch The steroids didn?t work at all the out break got worse went back to the dr got told it could be bug bed bugs ext and was told to try Benadryl for the itching but that made everything completely unbearable to sleep or anything with restless leg syndrome etc. Was informed if continue to carry to going to see a dermatologist. I started to put apple spider vinegar rub banana peels home remedies I found online with Eventually helped cus nothing else did the dr didn?t know why. I last 3-4 months. This is the only vaccine I?ve ever took and the only outbreak I?ve ever had since I was a child and had chicken pocks.
CDC Split Type:

Write-up: First thing that I got vaccinated I was sick as I?ve ever been in my entire life thought I was going to die shivers again sweats sore could barely move the next day was the worst I?ve been sick that I have a remember. I haven?t went to the dr in over 10 years before getting vacationed and this year I?ve went multiple times i even have A primary care. I?m a healthy person but the out break I had from I know 100% it was from the shot a couple weeks later maybe a month after taking I?m not excited sure dates I can provide doctor visits dates necessary. Anyways after i had taken the vaccine I begin to break out into a red circle hive like dots that completely covered my body. It Itched like crazy constantly was bearable went to the doctor multiple times they placed me on steroids didn?t help went back a couple weeks later because it covered me from head to toe still doctors didn?t know what it was from or what it was. I don?t have health issues nor go to the doctor and I know this was an outbreak from the vaccine Johnson and Johnson that got recalled The same day I took it. These circle spots were there for approximately three months


VAERS ID: 1696211 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-13
Onset:2021-03-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Back pain, Blood test, Cardiac disorder, Cough, Crying, Dyspnoea, Dysstasia, Feeling cold, Headache, Hyperventilation, Pyrexia, Sleep disorder, Sneezing, X-ray
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allergic - 10 mg - Cetirizine; Lansoprazole - for chronic gastritis
Current Illness: no
Preexisting Conditions: asthma - severe
Allergies: ibuprofen - very allergic; Meloxicam - and everything related - I get a breathing attack from them where I can''t breathe
Diagnostic Lab Data: Tests at ER - was in there for about 7 hours.
CDC Split Type: vsafe

Write-up: Everything started at 01:30 am - I was getting ready to go to sleep and going on Sunday. Multiple joint pains - knees, shoulders, elbows. I took two Tylenol. It didn''t help. 10 or 15 minutes after, I started coughing and sneezing and I was cold - I was freezing. Nothing was helping. Then 15 minutes later, my lower back started to kill me. I was feeling like my back was broken in two. I was crying in pain from 01:30 - 3:30 am. My husband tried to call 9-1-1 and they said that I needed to go to hospital but I was afraid of getting put on the breathing machine. But my husband did tell me around 04:30 am in the morning. I had really been suffering from pain and crying. I thought I was getting a hyperventilation attack when I was in the car. I know how to handle - a breathing attack from when I have a regular asthma attack but this one was different - I started to get a strong pain on my left side of chest and I was feeling in my arm. I was not being able to breathe. I asked my husband to please let them put me on the artificial machine because I knew my lungs wouldn''t make it if they did. I got into the hospital and they didn''t allow my husband to come in. My first nurse, 102 fever and I was not able to breathe very good. I felt my head and it was about to explode. I think they started to 4:45 am - an IV - started to give me medication - it was some kind of steroids. My breathing condition started to normalize. Did a lot of blood tests and cardiovascular test and did an x-ray. Around 07:30 am, the doctor came to my room and a nurse came and asked me if I ever had a heart attack or any heart condition? I said no. She told me I needed to sleep. She wanted to make sure that my Cardio REM was getting back to normal. I tried to sleep but my body was so painful. She gave me a medication to sleep and I slept and until 11:00 and a doctor said he''d send me home to recover. Told me to take medication. I got home about Sunday noon. By Wednesday, and they gave me an appt for Televisit for doctor. Between Sunday- Friday, I was in my bed. I could only walk to the bathroom I had body pain and I was hyperventilated just to walk to the bathroom which is close to my bed. Five days completely in bed. I couldn''t stand up and make food. Friday, Televist, the doctor put me on Methylprednisolone Steroid again for 6 days (4 mg is the lowest one). I started to recover by the end of those 6 days. It took me three weeks to do my regular work again. In my recent heath event, on Monday, the 30th of August, my son had symptoms. We went to Care Spot - Urgent care - for COVID test for him. On Sunday before my son got symptoms, I was having small breathing issues - with a little hyperventilating . The nurse at the Urgent Care - said she needed to put me on medication. She put me on the same medication I was on before . I took Methylprednisolone again - Tuesday - Sunday - I was on them. Now I''m breathing better but after the vaccine, my breathing has never come back to being the same as it was before the vaccine. I train and do exercise daily with a virtual coach through Zoom. We are working specifically in the training to get my breathing back to my regular condition. It''s just not back to that yet. On June 3rd, Thursday, I visit Dr. - he checked me and it was all about the same but the specific instructions: Doctor said: I have systematic inflammation as a result of vaccination. He said that I am in a higher risk to get a cardio-attack immediately. He said to take the medications with me - antibiotics, steroids and told me that any symptoms - get right away on the medication and try not to do stairs or high level exercise because my heart condition is not optimal. Note -Between Sept and October of 2019 - because of my allergies - my allergist told me to go three year treatment of allergy injections.. I had hyperventilation at the very first one and had to stop that treatment. I have had the flu vaccines without complications.


VAERS ID: 1696239 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-22
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180898 / 1 - / -

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

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

Write-up: None stated.


VAERS ID: 1696245 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-08-28
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Covid19 positive


VAERS ID: 1696281 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-06
Onset:2021-09-09
   Days after vaccination:187
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, COVID-19, Chest pain, Cough, Diarrhoea, Dizziness, Dyspnoea, Headache, Nausea, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HTN, HLD, CAD, MI, CHF, hypothyroidism, diabetes, GERD, antiphospholipid syndrome, SLE, COPD, DVT, CVA, TIA,OSA
Allergies: amoxicillin, bactrim, betadine, contrast dye, fish, flagyl,
Diagnostic Lab Data:
CDC Split Type:

Write-up: 9/9/21: Patient arrived at the ER due to shortness of breath, chest pain, has had a cough and diarrhea. Also mentions headache and dizziness, abdominal pain, nausea and vomiting. Patient tested positive for COVID on 9/11/2021


VAERS ID: 1696286 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-24
Onset:2021-09-13
   Days after vaccination:173
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, Dyspnoea exertional, Fatigue, Pyrexia, Respiratory tract congestion, 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No significant past medical history
Allergies: Zithromax
Diagnostic Lab Data:
CDC Split Type:

Write-up: 9/13/21: Patient arrived at the ER due to worsening cough and shortness of breath. Per patient she returned from traveling on last Tuesday and since then experiencing worsening shortness of breath with exertion and dry cough. Associated with chest tightness and congestion and fatigue. The patient also reported recurring fevers. The patient was exposed to COVID-19 cases while traveling. The patient went to Clinic on Friday, COVID test was negative and the patient was started on doxycycline. Despite taking the medication her symptoms were getting worse therefore she decided to come to the ER. Patient tested positive for COVID on 9/13/21.


VAERS ID: 1696340 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-12
Onset:2021-03-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Blood test, Cardiac monitoring, Chest discomfort, Computerised tomogram, Dizziness, Dyspnoea, Electrocardiogram, Myocardial infarction, Scan
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular 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: flu vaccine, arm swelled and had difficulty breathing
Other Medications: No
Current Illness: No
Preexisting Conditions: Microvalve prolapse
Allergies: Penicillin, eggs whites, gluten, ragweed, sulfa drugs, cats
Diagnostic Lab Data: EKG heart monitor blood work cat scan scan of my legs
CDC Split Type: vsafe

Write-up: The day of the vaccine I experienced shortness of breathe and tightness in my chest. That lasted off and on for a couple weeks, it was like I had to force myself to breathe. On 06/26/2021 I woke up a heart beat of 165/minute and I felt dizzy. I was rushed to the hospital, the ambulance showed I was having a mild heart attack. the hospital diagnosis it as a attrofiblation.


VAERS ID: 1696447 (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: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Electrocardiogram, Fatigue, Headache, Heart rate decreased, Laboratory test, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ED admissions, with lab work and EKG.
CDC Split Type:

Write-up: Patient reported a drop in heart during the 15 minute monitoring period. heart palpitation, fatigue, headache. Symptoms are continuing to this day. Was seen at Hospital Ed, and again on Friday at the ED.


VAERS ID: 1696517 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-12
Onset:2021-05-28
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Asthenia, Atrial fibrillation, Blood test, Cholecystectomy, Diverticulitis, Echocardiogram, Nausea
SMQs:, Acute pancreatitis (broad), Supraventricular tachyarrhythmias (narrow), Gallbladder related disorders (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, omeprazole, Pravastatin, bisobr-hctz (blood pressure medicine), niloped, trazodone, gabapentin, vitamin b.
Current Illness: None.
Preexisting Conditions: High blood pressure, high cholesterol, insomnia, chronic back pain (discs bad in lower back).
Allergies: hydrocodone, oxycodone, tramadol, lisinopril.
Diagnostic Lab Data: Echocardiogram, blood work.
CDC Split Type: vsafe

Write-up: Around April or May I had nausea all the time and I went to our local surgeon and they tested my gallbladder and I had to have it removed. End of May ? around May 28. After that around the end of June ? June 24, I ended up in hospital for 4 days with diverticulitis and then then on August 26 I ended up in the ER again with Afib and I was in the hospital overnight and all the next day. They did an echocardiogram of my heart last Wednesday but I don?t go until next week to get my results. I haven''t gotten energy back or had the same kind of energy since August 30. I might have one or two good days and I run out of energy pretty easily. The doctor did give me new medication which was blood thinner and he also changed my blood pressure medicine to metoprolol and I''m taking hydrochlorazide water pills now. He discontinued my other blood pressure medicine. The doctor removed my gallbladder was.


VAERS ID: 1696617 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-09
Onset:2021-04-09
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arterial stent insertion, Echocardiogram, Intracardiac thrombus
SMQs:, Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: 7-6-21 ultra sound imagery of heart
CDC Split Type:

Write-up: Cardiac arterial clot on right side of heart. Signs began on 4-9-21 and culminated 7-5-21 with a stint in artery


VAERS ID: 1696650 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-09-07
Onset:2021-09-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Dizziness, Flushing, Hyperhidrosis, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Client presented for vaccination at county jail and was vaccinated with J &J Covid vaccine at 11:00 am without incident. At 11:05 am client appeared flushed and diaphoretic. C/O nausea and dizziness. BP 165/121; HR 121. Client repositioned, offered cool water and cloth and removed mask. MD on site assessed lungs and heart. 8 mg Zofran administered subq at 11:15. Client continued to complain of nausea and at 11:20 am complained of chest pain 3-4/10 with no change with repositioning. Jail staff called for ambulance to take client to ED for further assessment. Client was transported at 11:50 am.


VAERS ID: 1696695 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-03-09
Onset:2021-04-23
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1A05020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Back pain, Groin pain, Magnetic resonance imaging abnormal, Neoplasm, Renal injury
SMQs:, Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Accidents and injuries (broad), Osteonecrosis (broad), Arthritis (narrow), Non-haematological tumours of unspecified malignancy (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: abdominal imaging vaginal imaging MRI
CDC Split Type: vsafe

Write-up: A little over a month after I received the vaccine, my back started hurting. My lower back was hurting. My hip and both of my groins were hurting. I went to the ER on the 22nd or 23rd of April. He told me that I had a kidney injury. He gave me some medication. It still felt like my back and hips were busting open. I made an appointment with another doctor to check my tumors because I was in so much pain. He was a gynecologist. He sent me to have imaging done of my abdomen. They were not able to get anything from that because I have tumors that were obstructing the view. I got in with my gynecologist and she also did vaginal imaging. She also did abdominal imaging so she could see my tumors. I thought maybe my tumors were growing and that''s what was causing the pain. After she did the imaging, she told me that she didn''t think that that was the source for why my back was hurting so bad. I saw a different doctor on the 28th of May and I received an injection in my back. I was still in so much pain. He gave me some medication to help with the pain. It helped, but then he put me in therapy for about 2 months. It was not helping my back pain at all. I got an MRI done on the 12th of August. It had some bulging and a little arthritis. It was still unexplainable as to why I was in so much pain. I went back on the 16th for a follow up and I let him know that I was still in a lot of pain. He scheduled me for an outpatient procedure and they gave me 4 injections in my back to help with the pain. It was a joint injection. On the 3rd of September, my back and everything is still hurting a lot. I don''t go back to the doctor for 3 weeks after my outpatient surgery. I am still in pain. When I go back, I will have to let them know that the injections did not work either. I go back on the 24th of September to follow up after my outpatient surgery.


VAERS ID: 1696795 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Pain in extremity, Paraesthesia, Ultrasound scan normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, D, Zinc
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: Ultrasound to look for blood clots. No clots found.
CDC Split Type:

Write-up: Pain in both legs, tingling, joint pain.


VAERS ID: 1696941 (history)  
Form: Version 2.0  
Age: 95.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-08-07
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chest X-ray abnormal, Infection, Interstitial lung disease, Pulmonary oedema, Pyrexia, Somnolence
SMQs:, Cardiac failure (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Immune-mediated/autoimmune 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, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Furosemide, levothyroxine, lovastatin, metoprolol succinate, nitro PRN, omeprazole, miralax, raloxifene
Current Illness:
Preexisting Conditions: Barrett''s esophagus, hypertension , IBS, shingles, hypothyroid
Allergies: Dexfenfluramine
Diagnostic Lab Data: 8/7/21 Chest xray: Bilateral increased interstitial markings of uncertain etiology. Atypical infection and pulmonary edema are considerations. 8/13/21 Chest xray: same as 8/7/21
CDC Split Type:

Write-up: Came to ER with fever, generalized weakness starting on 8/7/2021. Temp of 101.9, Saturating 90s on 2L NC. Patient was drowsy and alert and oriented x 1. Received azithromycin and ceftriaxone. Admitted to the hospital. Through stay was treated with supplemental oxygen, Decadron, azithromycin, ceftriaxone.Over the course of hospitalization patient was successfully weaned off the oxygen. Had no noted fever spikes. Was breathing on room air. Finished antibiotics and steroids. Patient was taken of isolation precautions before discharge based on institutional protocols. discharged to SNF on 8/18/21


VAERS ID: 1696972 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-13
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Dyspnoea, Electrocardiogram, Headache, Magnetic resonance imaging abnormal, Myalgia, Nausea, Thrombosis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: I was taking prescribed medication.
Current Illness: None.
Preexisting Conditions: None.
Allergies: I am allergic to tetracycline.
Diagnostic Lab Data: I had a EKG test done and a MRI.
CDC Split Type: vsafe

Write-up: After the vaccine every joint in my body was aching, my muscles were aching. I was also nausea and I had a very headache. I went to my doctor on April 13, 2021. My doctor sent me to the emergency room because I had shortness of breath. When I got to the ER I was placed on oxygen. I had a MRI test done and this is when the doctor told me I had blood clots.


VAERS ID: 1697159 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-09
Onset:2021-09-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood pressure increased, Dysarthria, Hypopnoea, Loss of consciousness, Somnolence
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: mild reaction to flu vaccine
Other Medications: Tylenol
Current Illness: none
Preexisting Conditions: SLE
Allergies: Sulfa Environmental
Diagnostic Lab Data: ER 9/9/21
CDC Split Type:

Write-up: I had an appointment at the local health dept 9/9/21 to receive the Janssen Vaccine. I went in with a friend, completed the required paperwork, and received the injection, 11:16. We sat in the back of the clinic together. At 11:24 I felt odd and sleepy and immediately fell over, unconscious, into my friend''s side. My BP at this time sitting was 182/104 and heart rate 137.- taken by a nurse at the health dept. (My normal is 108/70 and my weight is 105lbs- no history of hypertension, cardiac issues.) My friend said that my speech slurred and then I fell over onto him with him stabilizing me so that I didn''t fall into the floor. After they took my BP he moved me to lie on the floor during which time I was conscious but not able to assist much in the movement. He said that I kept saying , " I am sleepy." My heart rate and BP continued to be elevated and my breathing was shallow and rapid. I recall having diffculty staying awake with my friend telling me to keep my eyes open. I would fade off he said and then he would tap me and call my name and I would open my eyes. My body began to shake and I felt like I was very cold. All of this occurred within approximately 15 mins after the injection and continued on for some time, over an hour lying on the health dept floor with them monitoring me. I was unable to stand and every time they sat me up I would increase BP. They called 911 and I went to the ER.


VAERS ID: 1697164 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-08
Onset:2021-09-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Laboratory test, Mononucleosis heterophile test negative, Mouth swelling, Pharyngeal swelling, SARS-CoV-2 test, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormone medication
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa iodine shellfish. Percocet Bactrim
Diagnostic Lab Data: Phone appointment on 9-9 with primary care and emergency room on 9-10. Tested for covid. Strep throat and mononucleosis all negative other labs were taken as well.
CDC Split Type:

Write-up: Swelling In mouth and throat


VAERS ID: 1697185 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Confusional state, Dyspnoea, Nausea, Palpitations, Pharyngeal swelling, Thirst
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), 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: Unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Morphine,unknown other allergies
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: Client became nauseous,felt like throat was swelling,dyspneic,palpitatipns,thirsty,confused as to location. Oxygen started at 4liters, epinephrine 0.3mg given right lateral thigh at 1139. Placed on mat in supine position with legs elevated. BP 166/95,HR 112,R22 at 1138. Client was able to speak without difficulty,reports feeling as if is running,leg tremors noted. Pulse ox range from 95 to99%. 911 called at 1136,arrived at 1150. Client reported feeling A little better at 1145, VS 140/82,p 111,resp18 at this time. 1147 ambulance here,started saline lock at 1150,Benadryl 50 mg given IVP by EMT. Client placed on g,urney and taken to hospital ER.


VAERS ID: 1697357 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-09-14
Onset:2021-09-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dysphagia, Hypopnoea, Interchange of vaccine products, Respiration abnormal, Respiratory rate increased
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Respiratory failure (narrow), Medication errors (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: Anaphylaxis from Moderna Covid 19 first dose
Other Medications: Unknown
Current Illness: unknown
Preexisting Conditions: Diabetic, High blood pressure, Chronic Kidney Disease.
Allergies: Previous anaphylaxis reaction to Moderna Covid-19 Vaccine. (Cleared today by patient''s PCP to receive Johnson and Johnson vaccine).
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Patient became unable to swallow, then tripod and purse lip breathing. Patient stated it felt like the Moderna Anaphylaxis reaction she previously had. Respirations became shallow and rapid. Administered Epi 0.3 mg into left anterior lateral quad and called 9-1-1. Patient respirations after administration of Epi was 22 bpm, P 97, SaO2 98% on Room Air, B/P 110/84. Patient taken by ambulance to ED.


VAERS ID: 1697377 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-25
Onset:2021-08-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

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

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

Write-up: Went to ER and diagnosed by ER doctor that she has Bell''s Palsy due to the Janssen Covid Vaccine


VAERS ID: 1697378 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-04-06
Onset:2021-04-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood glucose increased, Computerised tomogram head normal, Electroencephalogram normal, Generalised tonic-clonic seizure, Headache, Hypertension, Loss of consciousness, Magnetic resonance imaging normal, Neurological examination normal
SMQs:, Torsade de pointes/QT prolongation (broad), Liver related investigations, signs and symptoms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Pt reports acute loss of consciousness followed by tonic-clonic seizure while sitting watching TV with her husband. Pt reported this was preceded by headache. Pt was seen, evaluated in ER , seen by a Dr. and had CT imaging of her head which was reported as normal. On admission to the ER, pt was afebrile, with mild hypertension, elevated ALT/AST, elevated glucose on 4/8-4/9 ER admission. Pt was stabilized and discharged home with outpatient follow up. Pt had follow up with neurology, MRI and EEG as part of follow up 4/19 and these were read as normal. Pt had had no further seizure activity as of today''s date.


VAERS ID: 1697596 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-18
Onset:2021-08-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Chest X-ray abnormal, Chills, Decreased appetite, Dizziness, Dysgeusia, Dyspnoea, Fatigue, Feeling abnormal, Fibrin D dimer, Head discomfort, Headache, Hypoaesthesia, Impaired work ability, Injected limb mobility decreased, Insomnia, Laboratory test, Lethargy, Malaise, Mobility decreased, Muscle spasms, Muscular weakness, Musculoskeletal disorder, Myalgia, Neck pain, Pneumonia, Pyrexia, Vertigo, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ACYCLOVIR, AMITRIPTYLINE, EFFEXOR, ADDERALL, ROSUVAS,HORM PELL
Current Illness: NONE
Preexisting Conditions: AUTO IMMUNE DISEASE - FIBROMYALGIA-ASTHMA-ADHD
Allergies: ALLERGIC TO SURGICAL MASKS
Diagnostic Lab Data: Chest X Ray - 9.1.2021 D Dimer lab work 9.1.2021
CDC Split Type:

Write-up: 8.18.2021 - 3:00pm metal taste in mouth - 10:00pm severe head pressure/head ache- extremely weak and lethargy/could not get out of bed. 8.19.2021 - 6:30am called in sick from work - problems with vision -had hard time texting to my boss to call in sick/extremely weak and fatigue/sick/ could not lift head off pillow/fever symptoms/severe head pressure and pain. 8.19.2021 - 2:30pm - started taking advil and tynelol and aspirin. felt a little better with medication, but once the medication was wearing off felt extremely bad again. 8.19.2021-8.24.2021 - fever symptoms- chills - headache /pressure- brain fog-muscle pain- winded/weakness-vison problems- loss of appetite-fatigue-stomach ache-leg cramps-insomnia. Continue symptoms and time frames 8.24.2021 -Care Now due to my continue symptons. PA instruced me to return if symptoms did not totally improve - case was still open. PA released me back to work for 8.25-2021. 8.25.2021 Worked - head pressue - fatigue- weakness-muscle pain- winded/weakness 8.26.2021 - called in sick - vision problems - vertigo - head pressue- fatigue - weakness - muscle pain 8.27-2021 - called in sick - went back to Care now due to still having symptoms - winded/weakness - headache - felt better but still active symptoms. 8.28.2021 - 8.31.2021 - noticed harder to breathe/ very winded/short of breath-weakness- muscle pain - headache - chills 9.1.2021 - went to doctor - diagnosed with pneumonia - chest x ray - lab work to check for blood clots - 9.8.2021 - chest x ray - lungs good - no blood clots -still weakness/fatigue/muscle pain 9.9.2021 8:30pm - noticed right muscle soreness from neck to shoulder and slight shoulder pain- muscle weakness - numbness in right arm - fingers tingling 9.10.2021-9.13.2021 extreme right shoulder pain - very sharp pain - right arm numbness- hard to lift anything with right arm/or make a fist- fingers tingling- trouble sleeping due to the pain. 9.14.2021 - severe right shoulder pain/could not use right arm due to numbness and pain/dizzy/veritgo/thought i was going to passout/joint and muscle pain moved to left shoulder,neck and lower hip. 9.15.2021 doctor appointment to get muscle and joint pain treated.- still active symptoms - further test for treatments.


VAERS ID: 1698519 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Diarrhoea, Headache, Pyrexia, Tremor, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (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), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Suboxone 8 mg +twice daily Gabapentin 600 mg twice daily
Current Illness: None
Preexisting Conditions: Lower backL1 - L5 degenerated disc disorder, L2 hemorrhage
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 104.3 fever, diarrhea, confusion, headaches that are still persistent to today, shakiness in the hands and legs, blurriness in the vision still to today,


VAERS ID: 1700203 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-01
Onset:2021-06-21
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN CVS17781 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram, Electrocardiogram, Myocarditis, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loloestrine Birth Control
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: N/a
Diagnostic Lab Data: 10+ EKG, Bloodtests, Chest Xrays, CT scan (all preformed at ER)
CDC Split Type:

Write-up: Roughly 3 months after receiving J&J I was admitted into the ER with severe chest pains. I had inflamed arteries suggesting a pulmonary embolism. After many tests they suggested myocarditis. It cleared up in about 4 days (received blood thinners at the ER & took 1000mg ibuprofen for 7 days). I believe that this wasn''t more harmful to me as I am in great health. I was also on a estrogen birth control for about 5 years. I also received 2 rounds of the HPV vaccine within the past 12 months. It''s hard to assume what could have caused this but wanted to share my experience


VAERS ID: 1700278 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-09-15
Onset:2021-09-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysphagia, Nausea, Pharyngeal swelling, Tachycardia, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt c/o feeling like "throat swelling" and difficult to swallow approx 5 min after receiving vaccine. Also c/o nausea, tachycardia and shaking.


VAERS ID: 1700311 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-06
Onset:2021-08-19
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20FA21A / 1 RA / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Cardiac monitoring, Chest X-ray normal, Chest discomfort, Chills, Dizziness, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Flushing, Heart rate increased, Hot flush, Palpitations, Paraesthesia, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: FLO gummy vitamins for PMS
Current Illness: Mononucleosis almost exactly one month prior
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Chest x-ray (8/21), multiple EKGs, and echocardiogram (9/13) all came back normal. All blood work came back normal and covid tests all negative. I currently have a heart monitor in place.
CDC Split Type:

Write-up: The night/day following vaccination (8/6-8/7), I experienced chills and hot flashes and also an accelerated heart rate/pounding heart. These symptoms only lasted for a day. About two weeks later, I started experiencing frequent episodes of an extremely accelerated heart rate, along with feeling flushed, a fever, tingling all over body but primarily hands and feet, chest tightness, shortness of breath, and feeling faint. These symptoms have continued for a month but have diminished in intensity and I now only feel a slightly accelerated heart rate while feeling like my heart is pounding and slight tingling in my hands and feet.


VAERS ID: 1700327 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-20
Onset:2021-08-06
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Cough, Headache, Malaise, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: Singulair, Losartan, Cardizem LA, Nexium
Current Illness: Unknown
Preexisting Conditions: HTN, GERD
Allergies: No known allergies
Diagnostic Lab Data: 09/03/2021 SARS COV2 COVID 19 PCR (POSITIVE)
CDC Split Type:

Write-up: 09/06/2021 The patient presents with COVID-19 symptoms x1 days. Pt states she tested positive for COVID-19 on 9/3 and c/o subjective fever, body aches, HA, cough, and chest tightness. Pt reports speaking to her PCP who advised her to come to the ED. Pt is vaccinated with J&J in March and denies any other symptoms or complaints. The onset was 1 days ago.


VAERS ID: 1700334 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-12
Onset:2021-09-12
   Days after vaccination:184
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Oxygen saturation decreased, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: HTN, Atherosclerosis of bilat legs, meningioma of brain
Allergies: Lisinopril (swelling), Choline and Magnesium salicylate (swelling of face)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt acquired covid-19 several months after administration of vaccine that requires hospitalization. Symptoms include sever, cough, decreased O2 saturation requiring supplemental oxygen administration.


VAERS ID: 1700390 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-11
Onset:2021-09-01
   Days after vaccination:174
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anosmia, COVID-19, Cough, Decreased appetite, Dyspnoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril, Metformin, Rosuvastatin, Jardiance, Midodrine
Current Illness: Unknown
Preexisting Conditions: DM type 2, HTN
Allergies: No known allergies
Diagnostic Lab Data: 09/01/21 SARS COV2 COVID 19 PCR (DETECTED)
CDC Split Type:

Write-up: 09/01/21 The patient presents with Possible COVID-19 symptoms x1 week. Pt who is fully vaccinated states he was tested for COVID-19 screening last week and was negative. However, pt is c/o SOB, cough, and loss of appetite and smell. Denies any other symptoms or complaints. The onset was 1 weeks ago.


VAERS ID: 1700459 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-09
Onset:2021-09-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Flushing, Headache, Pharyngeal swelling, Photophobia
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Medications at the time of vaccination: loratadine 10mg PO daily
Current Illness:
Preexisting Conditions: Patient has no other known medical history.
Allergies: Pt w/ a hx of anaphylactic reaction to Amoxicillin, Penicillin G, and the Moderna Covid Vaccine.
Diagnostic Lab Data:
CDC Split Type:

Write-up: "Pt w/ a hx of anaphylactic reaction to Amoxicillin, Penicillin G, and the Moderna Covid Vaccine. Patient has no other known medical history. Medications at the time of vaccination: loratadine 10mg PO daily Pt presented to the vaccination clinic for Janssen vaccination to complete the Covid vaccination series after having an anaphylactic reaction to the first dose Moderna 3/5/21. Within 5mins of Janssen vaccination, pt c/o swelling in her throat and difficulty swallowing. The patient was noted to have some facial flushing around lips. Assessed by RN/PA: AOx4, VSS, BP 137/77, HR 87 Resp 18 SpO2 97% @1739. Per PA recommendation, PA administered 1 dose 0.3mg EpiPen @1733 to left leg. VSS, SpO2 97-100% on RA, GCS 15, lungs CTAB. @1739 Pt reported that she felt better after Epi injection but still symptomatic. Charge RN called 911 for transport to the hospital for additional evaluation and management. EMS arrival @1747, PA report for EMS transport. Patient left clinic via EMS transport to hospital at approx 1750. In the ED, pt was given another dose of Epi 0.3mg IM, Diphenhydramine 50mg IV x1, famotidine 20mg IV x1, methlprednisolone sod. succ 40mg IV x1, and ondansetron 4mg IV x1. Pt was discharged with a new presciption for EpiPen 0.3mg IM PRN anaphylaxis. 24hrs post vaccination pt developed a HA w/ light sensitivity. Pt returned to the ED 9/14 c/o HAx3 days. Pt was treated and discharged w/ new Rx for APAP 1000mg PO TID PRN HA. Per provider note after D/C, pt HA resolved."


VAERS ID: 1700758 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-25
Onset:2021-07-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram head, Electrocardiogram, Fatigue, Laboratory test, Migraine, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG CT scan of the head EKG lab work
CDC Split Type: vsafe

Write-up: I experienced migraine headaches after my vaccine. I went to the ER got a lab work, EKG test, CT scan of the head on 07-0-2021. On 07-05-2021 I went to urgent care I got IV because I was vomiting a lot. My symptoms of vomiting and migraines stopped around 07-17-2021. I also had extreme fatigue that kicked in after that and that fully subsided on 07-31-2021. I have no symptoms today.


VAERS ID: 1700799 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-07
Onset:2021-09-06
   Days after vaccination:152
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cardiac arrest, Cardioversion, Cough, Death, Endotracheal intubation, Exposure to SARS-CoV-2, Feeling abnormal, Haemoptysis, Resuscitation, SARS-CoV-2 test positive, Sleep disorder, Therapeutic hypothermia, Unresponsive to stimuli, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-09-14
   Days after onset: 8
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol MDI PRN, Amiodarone 200 mg BID, Apixaban 5 mg BID, Aspirin 81 mg QD, Atorvastatin 40 mg QD, Benzonatate 100-200 mg TID PRN, Furosemide 40 mg QD, Losartan 100 mg QD, Metoprolol 100 mg BID, Multiple vitamin QD, Pantoprazole 20 mg QD
Current Illness:
Preexisting Conditions: CAD (angiogram August 2013 shows three vessel disease with preserved systolic function), Hyperlipidemia, Hypertension, Class 2 Obseity, Chronic Kidney Disease stage 3, Chronic combined systolic and diastolic congestive heart failure
Allergies: NKDA
Diagnostic Lab Data: Covid-19 positive from sample collected 9/6/2021 using PCR or equivalent nucleic acid amplification technology.
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 4/7/2021. Patient had a preoperative COVID-19 screening test performed on 9/6/2021 that resulted positive. On 9/8/2021 patient requested telemedicine visit due to relentless cough interfering with sleep and hemoptysis. Also noted that wife and son are also COVID positive with symptoms. Patient was prescribed Casirivimab+Imdevimab which was administered on 9/10/2021, with a noted SpO2 of 98% on room air. On 9/13/2021 patient was transported to ED for evaluation of cardiac arrest. Patient had a witnessed arrest with CPR initiated while awaiting EMS. The treatment prior to presentation was 6mg Epinephrine, 450mg Amiodarone, 600 ml fluid, and 100 Fentanyl per EMS. The patient was shocked x2 before cardioverting. The patient was intubated by EMS. EMS states that the patient was taking a shower and started to feel "crummy" when he became unresponsive. This is when his wife started CPR and called EMS. Total CPR time per EMS was 30 minutes. Patient was initiated on therapeutic hypothermia and was unresponsive after his event. Unfortunately he experienced a recurrent cardiac arrest in the ER with Ventricular Fibrillation that was refractory to again prolonged CPR and resuscitative efforts. After prolonged efforts he was pronounced deceased in the ER by the ER physician on duty at 0354 on 9/14/2021.


VAERS ID: 1700836 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-10
Onset:2021-08-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Limb discomfort
SMQs:, Anaphylactic reaction (broad), 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? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC Allergy meds, Bupropion
Current Illness:
Preexisting Conditions:
Allergies: Penicillin, aspirin
Diagnostic Lab Data: EKG taken on 8/25/2021; 8/26/2021 & 8/30/2021 Chest X-ray 8/25/2021 & 8/26/2021
CDC Split Type:

Write-up: Heavy left arm. Chest pain. Shortness of breath. Given Albuterol Inhaler, Wixal Inhaler and Anti Inflammatories.


VAERS ID: 1700856 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-22
Onset:2021-08-24
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Death, Diarrhoea, Dyspnoea, Endotracheal intubation, Intensive care, Nausea, Positive airway pressure therapy, Respiratory failure, SARS-CoV-2 test positive, Vomiting, Withdrawal of life support
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (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), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Infective pneumonia (narrow), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-09-13
   Days after onset: 20
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: Albuterol MDI PRN, Apixaban 5 mg QD, Bumetanide 2 mg QD,
Current Illness:
Preexisting Conditions: A-Fib, CHF, CAD, Type 2 DM, Hyperlipidemia, Hypertension, Rheumatoid arthritis, Obstructive sleep apnea
Allergies: Methylprednisolone (itching)
Diagnostic Lab Data: COVID-19 Positive Test on 9/5/2021 using PCR based methods
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 5/22/2021. Patient was diagnosed with COVID-19 on 8/25/2021 with symptoms of nausea, vomiting, diarrhea starting on 8/24/2021. Per patient reoprt, she was admitted to a different facility for COVID-19 Pneumonia for two days. Patient did not require oxygen at that time. On 9/4/2021 patient presented to ED via EMS with complaints of shortness of breath. When EMS arrived patient was 55-70% on room air, was placed on a non-rebreather and came up to 88%, and was then placed on CPAP en route. Patient was admitted and started on dexamethasone and empiric ceftriaxone. On 9/10/2021, respiratory status


VAERS ID: 1700857 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-28
Onset:2021-09-14
   Days after vaccination:139
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Angiogram cerebral normal, Drug screen negative, Full blood count normal, Hypoaesthesia, Hypoaesthesia oral, Laboratory test normal, Magnetic resonance imaging head normal, Muscular weakness, SARS-CoV-2 test negative, Scan with contrast normal, Tongue movement disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), COVID-19 (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 9/14/21 CBC and chem panel - all within normal 9/14/21 SARS-CoV-2 PCR - negative 9/14/21 Drug of Abuse test (Ethanol, Barbituate, Benzodiazepine, TCA, Phenytoin, Acetaminophen, Salicylate, Cannabinoid, Cocaine, Opiate, PCP, Methamphetamine) - All negative 9/14/21 CT Angio Head with IV contrast and whole brain perfusion - No acute intracranial large vessel occlusion, no focal perfusion deficit 9/15/21 MRI of the brain without contrast - Negative MRI of brain without contrast
CDC Split Type:

Write-up: 28 year old male with no past medical history who presents to the hospital with acute onset right arm and leg weakness and numbness, and weakness and numbness of the tongue, given alteplase for concern for stroke, now returned to baseline neuro function with no deficits.


VAERS ID: 1700865 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-10
Onset:2021-08-24
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Influenza, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: losartan potassium, florastor probiotic , claritin, vit e, Vit d,
Current Illness:
Preexisting Conditions: high blood pressure,
Allergies:
Diagnostic Lab Data: Covid test positive both a rapid and PCR
CDC Split Type: vsafe

Write-up: I started off with cold and flu symptoms and first few days I really believed it was a cold then I started having a fever so I went in got a covid test it came back positive, I kept running fevers at 102.5 . I went in for a chest x-ray, they put me on antibiotic for double pneumonia, Then I went in for monoclonal antibodies, I had covid Pneumonia from the 24th to the 5th . I feel like I''m about 85% back, I definitely still have chest congestion.


VAERS ID: 1700897 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Monoplegia
SMQs:, Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Patient reports arm being numb and paralyzed


VAERS ID: 1700898 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-03
Onset:2021-08-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: HAD A MILD ANAPHYLAXIS REACTION TO MMR IN APPROXIMATELY 2006
Other Medications: SYNTHROID, RANEXA, LASIX, FARXIGA,J ANUMET, VITAMIN D, LOSARTAN, HCTZ, BYSTOLIC, ESTRACE, TRAZODONE, ZANAFLEX, POTASSIUM, ASA, ISOSORBIDE, VESCEPA
Current Illness: NO OTHER ILLNESSES AT TIME OF VACCINE
Preexisting Conditions: ADD, CHRONIC SINUSITIS, SEVERE APICAL HYPERTROPHIC CARDIOMYOPATHY, MIGRAINES, DM TYPE 2, HASHIMOTO''S DISEASE, HTN
Allergies: MORPHINE, VICTOZA AND ADHESIVE TAPE
Diagnostic Lab Data: EVER SINCE GETTING THE VACCINE, I HAVE BEEN TESTED ON 4 DIFFERENT OCCASIONS FOR COVID JUST SO I COULD GO BACK TO WORK SINCE THE SYMPTOMS ;CONTINUE.
CDC Split Type:

Write-up: AFTER RECEIVING THE VACCINE, BY 9PM THE JOINT PAIN HAD ALREADY STARTED. THE NEXT DAY I RAN A FEVER OF 102.1 AND CONTINUED UNTIL SATURDAY EVENING OR SUNDAY. I HAVE A COUGH, SHORTNESS OF BREATH, SEVERE JOINT PAIN THAT IS WORSE IN THE JOINT I ALREADY HAD ARTHRITIS IN. THE SYMPTOMS HAVE CONTINUED ON FOR THE LAST 6 WEEKS. THE PERIODIC FEVERS STOPPED ABOUT 3 WEEKS IN BUT THE OTHER SYMTPOMS CONTINUE. IT HAS EFFECTED MY WHOLE LIFE. I HAVE MISSED DAYS AT WORK DUE TO THE SIDE EFFECTS.


VAERS ID: 1700906 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-13
Onset:2021-09-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu vaccine results on hospitalization 2006
Other Medications: Buspar
Current Illness: Asthma and anxiety
Preexisting Conditions: Asthma
Allergies: Oxycodone
Diagnostic Lab Data:
CDC Split Type:

Write-up: Unconscious, nausea, vomiting


VAERS ID: 1700911 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-11
Onset:2021-09-04
   Days after vaccination:177
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Chills, Dyskinesia, Electrocardiogram, Eyelid function disorder, Fatigue, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (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: Calcium, Vitamin D, Remicade
Current Illness: none
Preexisting Conditions: chrohn''s disease
Allergies: codeine
Diagnostic Lab Data: EKG bloodwork
CDC Split Type: vsafe

Write-up: After the vaccine, I had fever, chills, fatigue, and arm soreness. On 9/4/2021, I woke up at 6:30AM and noticed I could not spit or smile and could not control my mouth movement. I also could not close my left eye. The right side of my face was not affected. I went to the ER and was diagnosed with Bells Palsey and discharged with antiviral medications and steroids. I have finished the course of medications. I am still having symptoms of unable to control the left side of my face and mouth movement. I am having no trouble swallowing.


VAERS ID: 1700914 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-08-20
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Patient did state on vaccine consent form that had, allergic reactions to other medications or vaccines other than the COVID vaccine
Diagnostic Lab Data: I do not have that information
CDC Split Type:

Write-up: Patient fainted and was dizzy within a few minutes of getting the vaccine (Janssen), patient was alert. Made the patient comfortable and helped to keep her cool, with an ice pack, as the pharmacist I spoke with her and did not see any signs of swelling. There was no loss of conscienceness and 911 was called with the ambulance coming to escort the patient. A follow up call was made the following day and the patient was doing fine.


VAERS ID: 1700936 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-24
Onset:2021-04-09
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Computerised tomogram normal, Dysstasia, Electromyogram normal, Gait disturbance, Hypoaesthesia, Laboratory test normal, Magnetic resonance imaging normal, Tremor
SMQs:, 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), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-Vitamin; Calcium; D3; Zyrtec; Amitriptyline; Gabapentin; Sertraline; Flonase; Advair
Current Illness: N/A
Preexisting Conditions: Asthma; Fibromyalgia; PTSD
Allergies: Milk-related products; Erythromycin; Fluoxetine
Diagnostic Lab Data: 04-14-21 MRI & CT; 04-20-21 Labs; 04-23-21 MRI; 05-07-21 MRI; 05-17-21 MRI; 06-03-21 PT; 06-10-21 PT; 06-16-21 Chiropractor; 06-17-21 EMG; 06-17-21 Chiropractor; 06-18-21 Chiropractor; 06-21-21 PT; 09-03-21 Consult at clinic; 09-14-21 Test at clinic; 09-14-21 Meds prescribed
CDC Split Type:

Write-up: 2 weeks or so, after injection. Left leg numbness for 2 hours. Then, left leg tremors when standing and walking. Has continued ever since the onset, when standing and walking. MRIs; CT Scans; EMG; Blood Tests. Nothing shown as the cause. Tried PT. Doesn''t do anything to help the tremors. Just began taking Clonazepam .5 mg tablets/day to start. Don''t know if it will alleviate the tremors or not.


VAERS ID: 1700940 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-09-03
Onset:2021-09-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dyspnoea, Pyrexia
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)

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: Fevers, chills, shortness of breath, hyperventilating.


VAERS ID: 1700945 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-06
Onset:2021-09-10
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Appendicitis, Computerised tomogram abdomen abnormal
SMQs:, Retroperitoneal fibrosis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keppra XR, Seasonique, Vitamin D, Vitamin B 12, Magnesium, Elderberry sambuccus,
Current Illness: None
Preexisting Conditions: Seizure disorder, morbid obesity
Allergies: Penicillin
Diagnostic Lab Data: CT done in ER 9/10 confirming acute appendicitis
CDC Split Type:

Write-up: Developed acute appendicitis approx. 5 weeks after vaccine


VAERS ID: 1701313 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-26
Onset:2021-08-30
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Condition aggravated, Herpes zoster, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multi vitamin, Zinc, Vitamin D
Current Illness: I had shingles and was taking medication for that I was on about day 4 of that medication.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: We went to the hospital the evening of 8/30/2021 and was released 8/31/2021
CDC Split Type:

Write-up: About 3 weeks later she broke out with a painful bumps under my arm that felt like nothing she had experienced before. They wouldn''t go away she was diagnosed with shingles. Then about 4 days after starting the medication we were on vacation and she had a severe stomach ache. She was in a lot of pain I took her to the hospital where they diagnosed with the an Appendicitis, and needed it removed.


VAERS ID: 1701718 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-28
Onset:2021-08-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Breast mass, Breast pain, Breast tenderness, Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Lipodystrophy (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: adderall alprazolam omeprazole cefadroxil
Current Illness: abdominal pain
Preexisting Conditions: chronic abdominal pain
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Left breast painful lump about the size of a golf ball behind areola with a vertical red line up and down and veiny breast. Incapable of wearing bra and sensitive to touch it lasted that size for 24-48 hours, treated with antibiotics at an Urgent Care. I followed up with OB 2 days later, swelling improved and slimmed lump flat like a quarter, however lump is still present and painful. The plan is to follow up with OB in 2 weeks. Primary suggested 12 weeks for full recovery.


VAERS ID: 1702852 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-10
Onset:2021-08-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Discomfort, Dysstasia, Gait inability, Hepatic steatosis, Hypoaesthesia, Magnetic resonance imaging, Pain, Pain in extremity, Splenomegaly
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lyrica
Current Illness:
Preexisting Conditions: Lupus ; CREST syndrome; high blood pressure
Allergies: Sulfa drugs; bactrim
Diagnostic Lab Data: 8/11/2021 I had an MRI and a CT scan done of my entire mid section.
CDC Split Type:

Write-up: My symptoms onset right about the 24 hour mark. I thought I avoided all side affects other than a sore arm but I suddenly couldn?t walk. I couldn?t stand up straight. I screamed in pain trying to find a position to lay in. I could hardly hold my phone. My whole right side was affected from about mid rib cage to the knee area. My entire thigh and butt cheek was numb. I couldn?t use the restroom. It lasted exactly 7 days of which I was in fairly excruciating discomfort for at least 4 days. It was like I was being shocked in my back. I also had a CT scan which reflected a fatty liver and spleen this scan was compared to a scan just two months earlier thats was unremarkable. I can?t say that was from the vaccine but I do find it odd that I would develop such condition. I do not drink alcohol at all.


VAERS ID: 1703518 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-12
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Breast pain, Fall, Fatigue, Herpes zoster, Hypertension, Muscle strain, Nasopharyngitis, Neuralgia, Pain in extremity, Rhinorrhoea, SARS-CoV-2 test, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Lipodystrophy (broad), Tendinopathies and ligament disorders (broad), Opportunistic infections (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE; ATORVASTATIN; ASPRIN; MONTELUKAST; ALBUTEROL [SALBUTAMOL]
Current Illness: Abstains from alcohol; Asthma; Cholesterol; Non-smoker; Thyroid disorder
Preexisting Conditions: Comments: The patient had allergy to Iron and charlie perfume and no abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Blood pressure; Result Unstructured Data: 245/120; Test Date: 20210805; Test Name: COVID-19 virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210915462

Write-up: FALL; NERVE PAIN; ELEVATED BLOOD PRESSURE 245/120; SHINGLES INFECTION; PULLED MUSCLE, BUT WHEN IT STARTED GETTING WORSE AND WORSE, MUSCLE SPRAIN; VOMITING; RUNNY NOSE; COLD; SHARP PAIN AROUND SIDE AND UNDER BREAST ON LEFT SIDE; FELT VERY TIRED; SORE ARM; This spontaneous report received from a patient concerned a 64 year old female of unknown ethnicity. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: asthma, thyroid, cholesterol, non alcohol user, and non smoker. The patient had allergy to Iron, charlie perfume and no abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: Unknown) dose was not reported, 1 total, administered on 12-APR-2021 to left arm for prophylactic vaccination. The patient indicated vaccination card was difficult to read and was not certain of lot number which was reported. The patient was reported batch number 180501 which was not match with any vaxchek records. The batch number was not reported and has been requested. Concomitant medications included montelukast and salbutamol for asthma, atorvastatin for cholesterol, levothyroxine for thyroid, and acetylsalicylic acid. On 12-APR-2021, the patient experienced sore arm began during vaccine administration and lasted for couple hours. On 25-JUL-2021, the patient experienced sharp pain around side and under breast on left side. The patient initially thought she a pulled muscle, but when it started getting worse and worse the patient went to emergency for assessment. During this emergency room (ER) visit there was no sign of rash at that time. The patient was provided pain medication, told she had a bad muscle sprain and to avoid work for a couple of days and was sent home from the emergency room. On unspecified date in JUL-2021, the patient said she felt very tired and about 48 hours after ER visit, big blisters appeared on back. The patient did not know the date the rash appeared but said it began about 5-7 days after pain developed. The patient said she contacted her family physician and notified doctor that she thought she had shingles and was told by her doctor not to come into office. The patient reports that 1 day or so after rash appeared (date unknown) she could not stand and fell down and an ambulance was called for assistance. The patient blood pressure was checked and reading 245/120. The patient indicated her usual pressure was 135/70. On unspecified date the patient was again taken to the ER. Once pain was treated and under control, the patient said her blood pressure dropped back to normal. The patient was diagnosed with shingles and provided pain medication baby Vicodin to control pain and stop vomiting. The patient was discharged on the same day. The patient also started taking Tylenol extra strength 2 tablets twice daily after ER visit and shingles diagnosis. The patient also said she applied Terassil over the counter (OTC) topical ointment, Asper cream and lots of ice packs to help with pain. On an unspecified date, patient experienced nerve pain. The patient reported a second fall which occurred 02-AUG-2021. The ambulance was called again, and the patient was taken to ER and admitted to hospital on 02-AUG-2021. The patient was again given Vicodin to control pain. The patient reports she spent 3 days in hospital and was discharged 05-AUG-2021. The patient reported she was doing better now but feel like hell. The patient also reports she might have picked up cold too and had a runny nose. The patient was concerned more likely to pick up illnesses now after vaccination. On 05-AUG-2021, the patient had a COVID-19 virus test when leaving hospital and had a negative result. The patient was taking prednisone 10mg daily, Gabapentin 300mg 6x/day after the shingles outbreak. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from elevated blood pressure 245/120, and sore arm on 12-APR-2021, was recovering from shingles infection, sharp pain around side and under breast on left side, nerve pain, and pulled muscle, but when it started getting worse and worse, muscle sprain, had not recovered from felt very tired, and runny nose, and the outcome of fall, vomiting and cold was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210915462-COVID-19 VACCINE AD26.COV2.S-shingles infection, nerve pain, Elevated blood pressure 245/120, Fall. 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: 1703532 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:2021-03-12
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Nausea, Pyrexia, SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies and was not on any medications.
Allergies:
Diagnostic Lab Data: Test Date: 20210808; Test Name: COVID-19 antigen test; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20210918762

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; FEVER; HEADACHE; NAUSEA; This spontaneous report received from a parent concerned a 27 year old white female. The patient''s height, and weight were not reported. The patient had no known allergies and was not on any medications. 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, 1 total, administered on 12-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-MAR-2021, 10 hours after vaccination the patient experienced fever, headache, and nausea which lasted about 8 hours. On 06-AUG-2021, the patient started experiencing symptoms of COVID-19 (stuffed nose, fever, suspected clinical vaccination failure and suspected covid-19 infection). On 08-AUG-2021, the patient went to doctor care (urgent care center) where she had nasal swab rapid test. Laboratory data: COVID-19 antigen test (NR: not provided) positive. The reporter stated that the patient had not notified her Health Care Professional (HCP) that she had tested positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from suspected covid-19 infection, and fever, headache, and nausea on 13-MAR-2021, and the outcome of suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with a product quality complaint: 90000192839. The suspected product quality complaint has been confirmed to be the reported allegation could not be confirmed. A manufacturing related root cause could not be identified based on the PQC evaluation/investigation performed. This case, from the same reporter is linked to 20210851625.; Sender''s Comments: V0: 20210918762-Covid-19 vaccine ad26.cov2.s-Suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1703548 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-27
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Back pain, Blood test, Blood zinc, Breast cyst, COVID-19, Computerised tomogram, Computerised tomogram head, Face and mouth X-ray, Hypoaesthesia, Neck pain, Oestradiol, Oestradiol increased, Ovarian cyst, Pain, Paraesthesia, Paraesthesia oral, SARS-CoV-2 test, Sinusitis, Ultrasound Doppler, Vaccination failure, Vaginal haemorrhage, Vitamin D
SMQs:, Lack of efficacy/effect (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Arthritis (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: INTRAUTERINE CONTRACEPTIVE DEVICE
Current Illness: Fear
Preexisting Conditions: Comments: Patient had not took any other dose of vaccine for COVID-19. No illness at time of vaccination. Patient had no past history of similar event. Patient never had altered health exams, but that she started to have post-vaccination. Patient undergoes regular exams, including thrombolism exams and never had any changes. No adverse event after any previous vaccination(s) and no history of allergy to vaccine, drug or food. Patient had no pre-existing acute illness 30 days prior to vaccination and no history of hospitalization in last 30 days. No family history of any disease or allergy (relevant to vaccination). Patient was not pregnant at the time of vaccination and not Breastfeeding.
Allergies:
Diagnostic Lab Data: Test Date: 20210803; Test Name: SARS-CoV-2 RT-PCR test; Result Unstructured Data: Negative; Test Date: 20210806; Test Name: X-ray of nasal sinuses; Result Unstructured Data: showed little secretion, had no fever, cough or runny nose; Test Date: 20210806; Test Name: SARS-CoV-2 RT-PCR test; Result Unstructured Data: Negative; Test Date: 20210809; Test Name: SARS-CoV-2 RT-PCR test; Result Unstructured Data: Positive for Covid-19; Test Name: Zinc; Result Unstructured Data: unknown; Test Name: Doppler scan; Result Unstructured Data: normal; Test Name: Vitamin D; Result Unstructured Data: level dropped a lot after the diagnosis of COVID-19; Test Name: Computerized tomography; Result Unstructured Data: showed 30% of the compromised lung; Test Name: Blood test; Result Unstructured Data: Normal; Test Name: Estradiol; Result Unstructured Data: Elevated; Test Name: Brain computerised tomography; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210920710

Write-up: MENSTRUAL BLEEDING; CYSTS APPEAR IN THE BREASTS; CYSTS APPEAR IN THE OVARIES; ELEVATION IN ESTRADIOL; FELT NUMBNESS IN CALVES; CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; LACK OF ENERGY; PAIN IN BACK; PAIN IN THE BACK OF THE NECK ON THE RIGHT SIDE; TINGLING IN THE CALVES; TINGLING IN THE MOUTH; THROBBING PAIN IN THE RIGHT NAPE OF THE NECK; SINUSITIS; This spontaneous report received from a patient concerned a 42 years old female of unspecified race and ethnicity. The patient''s weight was 69 kilograms, and height was 175 centimeters. The patient''s pre-existing medical conditions included the patient had not taken any other dose of vaccine for Covid-19, the patient had no illness at time of vaccination. The Patient had no past history of similar event. The Patient never had altered health exams, but had post-vaccination. The Patient undergoes regular exams, including thrombolism exams and never had any changes. The patient had no adverse event after any previous vaccinations and no history of allergy to vaccine, drug or food. The patient had no pre-existing acute illness 30 days prior to vaccination and no history of hospitalization in last 30 days. The patient had no family history of any disease or allergy (relevant to vaccination). The Patient was not pregnant at the time of vaccination and was not Breastfeeding. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: Unknown) dose was not reported, 1 total, administered on 27-Apr-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included intrauterine contraceptive device for more than three years for drug used for unknown indication. On the day of Vaccination, the pharmacist instructed her to take 500 ml of water and as she was afraid, she ingested 3 liters of water and went for the vaccination. On 27-Apr-2021, minutes after receiving the vaccine, she began to feel tingling in her mouth and calves. The tingling in her calves stopped but she still feels numbness in the region. On the same day of the vaccine, she developed severe headaches that concentrated from the middle of her forehead to the middle of her head, and then developed pain that throbbed in the right nape of the neck. The patient still feels pain in the back of her neck, the pain that comes and goes. The patient stated that in the first 60 days after the vaccination it was more intense and then it started to be intermittent. On 28-Apr-2021, the day after the vaccination, she started to feel pain in her back (the bra strap region radiating to her neck). The patient undergoes regular exams, including thrombolism exams and stated never had any changes, but regardless of her health history, the patient''s gynecologist prescribed her Aspirin 100mg/day after vaccination for unknown indication. The patient stated that when she returned to after 10 days of vaccination, the back pain and tingling in her mouth had passed, but the headaches and tingling/numbness in her right calf continued. Upon returning to Brazil, the patient went for her regular check-ups to renew her license at ANAC and while performing checkups it was discovered the gynecological illness (Alteration of Estradiol (Estradiol with high rate as if patient had cancer) and cysts in the breast and ovary). The patient reported that the exams had no malignant results and the medical indication was only to follow up with routine exams and treatments were not prescribed. As the months went by the symptoms subsided and she began to feel well and fully recovered. On 03-Aug-2021, the patient again had severe headaches like the ones she had post vaccination, she was attended to in an emergency where she was tested for Covid, results were negative. The patient was not medicated on that occasion. On 06-Aug-2021, the patient started to have severe headaches again and felt it was very similar to sinusitis. The patient sought new assistance at the emergency department and the doctor on duty examined it, requested an X-ray of the sinuses and a COVID exam. The Covid test was negative, and the sinus X-ray showed little secretion, the patient had no fever, cough or runny nose. The doctor diagnosed it as sinusitis and started treatment with antibiotics (Amoxicillin + Clavulanate 875mg) for 2 days. The patient stated that when she took the 3rd dose she was unable to stand the headache. The patient contacted the doctor who took care of her husband and children when they had Covid-19 and reported the entire case. The doctor changed the antibiotic (levofloxacin 750mg, 1 for 7 days) and requested blood tests and tomography. On 08-Aug-2021, Sunday, she started to feel better, but the headache persisted. On 09-Aug-2021, Monday, she underwent RTPCR again and the result were positive for COVID-19. On the night of 09-Aug-2021, she felt the same pain in her back as she had in the post-vaccination (from the middle of her back to the top) and was a little "nasal speech", the doctor assured that her that she was probably in 4 or 5 days of virus contamination. On Tuesday of 10-Aug-2021, the Patient woke up with an unbearable headache and could not open her eyes or put her feet on the floor from headache. The tomography of the brain was Normal, but the chest tomography showed 30% compromised lung. That day the doctor prescribed other medications and the doctor stated that she was in the inflammatory phase. The doctor changed the corticoid and prescribed other medications: Hydroxychloroquine for 5 days, Ivermectin for 5 days, anticoagulant dose increased to 100mg/day, started to take 100mg/2xday, intensified Vitamin D and Zinc, (levels of Vitamin D dropped a lot after the diagnosis of COVID-19). After confirming the inflation and lung involvement and the headache did not go away, the doctor prescribed Colchicine 0.5mg (2x/day for 7 days; 1x/day for 10 days), Spironolactone 50 mg/ daily for 10 days, Cimecort spray 6/200mcg twice a day, Predsim (40 mg 3 tablets on the first day- 80mg/day for 4 days; 40mg/day for 5 days). After the end of Predsim, the patient still had pains in the body and lack of energy, the doctor prescribed Curcuma 500mg/day, Quercetin, and went back to the 100mg/day dose of preventive aspirin and the patient was taking it until the time of reporting. On 03-Sep-2021, the patient still felt little headache, pain in the back of the neck on the right side, and pain in the back (middle of the back, near the scapula on the left side). The patient plans to go to the cardiologist for routine tests. The patient also stated that she lost her sense of smell but recovered completely. Post vaccination, the patient underwent exams related to trobolism, as it is required at work (Doppler and blood tests) and the results were all within the normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from menstrual bleeding, cysts appear in the breasts, cysts appear in the ovaries, elevation in estradiol, and throbbing pain in the right nape of the neck, and tingling in the calves, and tingling in the mouth on 27-MAY-2021, was recovering from sinusitis, had not recovered from pain in back, felt numbness in calves, lack of energy, and pain in the back of the neck on the right side, and the outcome of confirmed clinical vaccination failure and confirmed covid-19 infection was not reported. This report was serious (Other Medically Important Condition). This report is associated with product quality complaint. Following receipt of additional information, it was determined that nullification was required for 20210803282. The information indicated that 20210803282 originated from as previously reported. Therefore, this case 20210920710 was created to correct the country of primary source. All relevant information will be submitted under new case.; Sender''s Comments: V0: 20210920710- covid-19 vaccine ad26.cov2.s-Confirmed clinical vaccine failure. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1703549 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-07-23
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Adverse drug reaction, Blood test, Emotional distress, Feeling hot, Hyperhidrosis, Nausea, Pain, Pain in extremity, SARS-CoV-2 test, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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 Name: COVID-19 virus test; Result Unstructured Data: negative; Test Name: Blood test; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210920770

Write-up: SUFFER; WEIGHT LOSS; SIDE EFFECTS; BOTH MY LEGS FROM THE BOTTOM OF MY FEET TO MY THIGHS STARTED HURTING ME REALLY BAD; NAUSEA, START FEELING SICK TO MY STOMACH SO I STOP EATING; VOMITING; BODY ACHES; HEAT INSIDE THAT SEEMS TO MAKE MY BODY FEEL LIKE IT WAS JUST ON FIRE; BROKE OUT IN A SWEAT SOAKING MY CLOTHES; 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 23-JUL-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 23-JUL-2021, the patient experienced heat inside that seems to make my body feel like it was just on fire. On 23-JUL-2021, the patient experienced broke out in a sweat soaking my clothes. On 23-JUL-2021, the patient experienced body aches. On an unspecified date, the patient experienced suffer, weight loss, side effects, both my legs from the bottom of my feet to my thighs started hurting me really bad, nausea, start feeling sick to my stomach so i stop eating, and vomiting. Laboratory data (dates unspecified) included: Blood test (not provided) Normal and COVID-19 virus test (not provided) negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heat inside that seems to make my body feel like it was just on fire, broke out in a sweat soaking my clothes, and body aches on 26-JUL-2021, had not recovered from nausea, start feeling sick to my stomach so i stop eating, both my legs from the bottom of my feet to my thighs started hurting me really bad, vomiting, and weight loss, and the outcome of suffer and side effects was not reported. This report was non-serious.


VAERS ID: 1703888 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-14
Onset:2021-07-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Decreased appetite, Feeling abnormal, Headache, Hyperhidrosis, Muscle fatigue, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Fever, incontrollable sweating, muscle fatigue, brain fog, headaches, lack of hunger, vomiting & extreme muscle soreness.


VAERS ID: 1703980 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-12
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Chest X-ray normal, Dyspnoea, Full blood count normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Flonase
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Chest x-ray showed no abnormality; CBC was normal
CDC Split Type:

Write-up: Extreme shortness of breath, which last for approximately 4 days. Patient had no history of shortness of breath and has had no recurrence.


VAERS ID: 1704175 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-12
Onset:2021-03-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Bronchitis, Dyspnoea, Feeling abnormal, Hypersomnia, Immune system disorder, Impaired work ability, Loss of personal independence in daily activities, Skin lesion, Thyroid function test abnormal
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Depression (excl suicide and self injury) (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, Lisinopril
Current Illness: Diverticulitis - was being treated with antibiotics
Preexisting Conditions: High Blood Pressure, Thyroid taken out
Allergies: Raspberries
Diagnostic Lab Data: Blood work - thyroid levels are way off - August 5th 2021 Blood work - thyroid levels are way off - July 19 2021 Blood work - thyroid levels are way off - July 14 2021
CDC Split Type: vsafe

Write-up: Well in the middle of on the 13th I was diagnosed with Bronchitis. It went on all summer long and continues to this day. I am on inhalers, nebulizers and cannot walk thirty feet without being winded. I am out on long term disability now. My family has to help me get dressed and help me otherwise physically. I sleep about 17 hours a day. I got foggy brain really bad and my thyroid numbers have been really messed up from the shot. I was due for my 6 months check up and my endo DR cannot get my numbers to stabilize. I have hypothyroidism. Also my immune system is shot, I cannot leave my house now. I''ve also seen an ENT for lesions on the side of my tongue, that was on August 11 2021.


VAERS ID: 1704259 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-09-10
Onset:2021-09-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Military       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Chills, Diarrhoea, Dyspnoea, Electrocardiogram normal, Full blood count normal, Laboratory test normal, Pyrexia
SMQs:, Anaphylactic reaction (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), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Pine nuts, shellfish
Diagnostic Lab Data: See item 18
CDC Split Type:

Write-up: 22-year-old male who reports that on 9/10/21 he received the J&J COVID19 vaccine. He was not taking any medication at that time, and had no previous symptoms or medical problems/conditions. Patient states he had about 1 day history of fevers and chills that then resolved. On 9/13 he began experiencing some shortness of air and presented to the medicine clinic. CBC, EKG, chest x-ray were all normal. Patient was satting above 94% on stationary and exertional SPO2. Duo nebs nebulizer treatment was given. The next day (9/14), patient reports one episode of diarrhea in the morning. He then called clinic in the afternoon reporting approximately one hour history of substernal pressure-like chest pain about 3/10 in severity, which was associated with increased difficulty of breathing. He was directed to go to the ED at that time. During his stay. Chest x-ray, EKG, and labs were unremarkable, however troponins were not drawn. Patient was diagnosed with chest pain, unspecified type, and shortness of breath. He was prescribed Atrovent and Toradol, and discharged. Patient has not yet filled his medications. Patient reports he again had one more episode of chest pain with shortness of air that evening before going to bed. Patient additionally notes he went traveled on 3-7 September, but was not around any sick contacts that he was aware of. Also went fishing recently and used some mosquito spray, of which some may have gotten into his mouth. He notes allergy to pine nuts and shellfish, but no medications. Patient states he does not currently have chest pain, but still feels decreased ability to take in a deep breath. No other symptoms or concerns at this time. Troponins taken in clinic for due diligence and are pending.


VAERS ID: 1704292 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-12
Onset:2021-04-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: 5-hydroxyindolacetic acid in urine, Activated partial thromboplastin time, Angiogram pulmonary, Anti-RNA polymerase III antibody, Anti-thyroid antibody, Antibody test, Antinuclear antibody, Antiphospholipid syndrome, Back pain, Blood aldosterone, Blood catecholamines, Blood chromogranin A, Blood corticotrophin, Blood cortisol, Blood creatine phosphokinase, Blood folate, Blood follicle stimulating hormone, Blood glucose, Blood luteinising hormone, Blood prolactin, Blood thyroid stimulating hormone, Burning sensation, C-reactive protein, Cardiac monitoring, Chest X-ray, Computerised tomogram neck, Connective tissue disorder, Contusion, Culture urine, Cytomegalovirus test, Depression, Diarrhoea, Differential white blood cell count, Double stranded DNA antibody, Electric shock sensation, Electrocardiogram, Electrophoresis, Epstein-Barr virus test, Fibrin D dimer, Flushing, Full blood count, Glycosylated haemoglobin, HLA-B*27 assay, Haematocrit, Haemoglobin, Headache, Heart rate increased, Hepatitis B antibody, Hepatitis B antigen, Hepatitis C antibody, Hypertension, Influenza A virus test, Influenza B virus test, International normalised ratio, Labile hypertension, Laboratory test, Lipase, Lipids, Liver function test, Lymphadenopathy, Magnetic resonance imaging head, Mast cell activation syndrome, Metabolic function test, Metanephrine urine, Myalgia, N-terminal prohormone brain natriuretic peptide, Neuralgia, Neuropathy peripheral, Occult blood, Oestradiol, Paraesthesia, Peripheral venous disease, Petechiae, Post-traumatic stress disorder, Prothrombin time, Raynaud's phenomenon, Red blood cell sedimentation rate, Renin, Rheumatoid factor, SARS-CoV-2 test, Scan with contrast, Serum ferritin, Spinal X-ray, Stress echocardiogram, Thyroid stimulating immunoglobulin, Thyroxine free, Tremor, Treponema test, Tri-iodothyronine free, Troponin I, Tryptase, Ultrasound Doppler, Ultrasound breast, Ultrasound scan, Ultrasound thyroid, Urine albumin/creatinine ratio, Urine analysis, Vaginal infection, Venogram, Vitamin B12, Vitamin D, X-ray limb
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Depression (excl suicide and self injury) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow), 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: Levothyroxine
Current Illness: Hyperthyroid, anxiety
Preexisting Conditions: Hyperthyroid, anxiety
Allergies: Sulfa antibiotics, nitrofurtoin
Diagnostic Lab Data: Test Ordered By Date VAS VENOUS REFLUX BILATERAL MD Sep 14, 2021 CBC W/DIFFERENTIAL MD Sep 8, 2021 VITAMIN D, 25 HYDROXY MD Sep 8, 2021 VAS UPPER EXTREMITY VENOUS BIL? MD Aug 17, 2021 VAS ARTERIAL BILATERAL UPPER EX? MD Aug 17, 2021 LABS - EXTERNAL SCAN Onbase Scan Wamt Aug 7, 2021 CBC W/AUTO DIFFERENTIAL MD Aug 4, 2021 COMPREHENSIVE METABOLIC PANEL MD Aug 4, 2021 LIPID PANEL W/ LDL DIRECT MD Aug 4, 2021 US, EXTREMITY, NONVASCULAR, REA? Aug 4, 2021 MYOMARKER 3 (RESULTS ONLY) Jul 22, 2021 ANTIPHOSPHOLIPID SYNDROME Jul 22, 2021 HYPERCOAG CONSULT, EXTENDED P? Jul 22, 2021 ELECTROPHORESIS, SERUM, REFLEX? Jul 22, 2021 Hepatitis B Core Total Antibodies Jul 22, 2021 HEPATITIS B SURFACE ANTIBODY Jul 22, 2021 HEPATITIS B SURFACE ANTIGEN Jul 22, 2021 HEPATITIS C ANTIBODY,SERUM Jul 22, 2021 CMV ANTIBODIES IGG-IGM Jul 22, 2021 RPR RFX QN RPR, CONFIRM TP Jul 22, 2021 SPECIAL COAGULATION INTERPRETA? Jul 22, 2021 INFLUENZA A,B,COVID-19,NAAT Jul 21, 2021 XR CHEST AP PORTABLE Jul 21, 2021 POC GROUP CHEM 8+ (HGB,HCT,BM? Jul 21, 2021 POC TROPONIN I (RESULTS ONLY) Jul 21, 2021 CBC W/DIFFERENTIAL Jul 21, 2021 Liver Panel Jul 21, 2021 Thyroid Stimulating Hormone Jul 21, 2021 ECG 12 LEAD MD Jul 21, 2021 CONTINUOUS AMB MONITOR 8 TO 1? MD Jul 20, 2021 XR FOOT RIGHT 3 + VW MD Jul 15, 2021 XR FOOT LEFT 3 + VW MD Jul 15, 2021 DDimer Quant MD Jul 15, 2021 CBC W/DIFFERENTIAL MD Jul 15, 2021 APTT MD Jul 15, 2021 PROTIME W/INR MD Jul 15, 2021 GLUCOSE, FASTING Jul 15, 2021 PROLACTIN Jul 15, 2021 VAS RENAL ARTERY COMPLETE MD Jul 15, 2021 VAS CAROTID DUPLEX BILATERAL MD Jul 15, 2021 ECHO STRESS TEST EXERCISE MD Jul 14, 2021 VAS BILATERAL VENOUS DOPPLER E? PA Jul 13, 2021 CORONAVIRUS (COVID-19) NAAT MD Jul 11, 2021 US BREAST LIMITED LEFT MD Jul 9, 2021 FECAL IMMUNOCHEMICAL TEST (FIT? MD Jul 9, 2021 Free T4 Jul 8, 2021 T3, FREE Jul 8, 2021 Thyroid Stimulating Hormone Jul 8, 2021 PROLACTIN Jul 8, 2021 Cortisol Jul 8, 2021 ACTH Jul 8, 2021 Misc Referral Jul 8, 2021 LH - LUTEINIZING HORMONE Jul 8, 2021 FSH - FOLLICLE STIMULATING HORM? Jul 8, 2021 ESTRADIOL Jul 8, 2021 COMPREHENSIVE METABOLIC PANEL Jul 8, 2021 POC TROPONIN I (RESULTS ONLY) MD Jul 5, 2021 ECG 12 LEAD MD Jul 5, 2021 ECG 12 LEAD MD Jul 5, 2021 POC TROPONIN I (RESULTS ONLY) MD Jul 5, 2021 CT SOFT TISSUE NECK W CONTRAST Jul 3, 2021 CBC W/DIFFERENTIAL Jul 3, 2021 BASIC METABOLIC PANEL Jul 3, 2021 EPSTEIN BARR VIRUS EARLY ANTIGE? MD Jun 30, 2021 Epstein-Barr Virus Antibody Profile MD Jun 30, 2021 Glyco Hgb MD Jun 23, 2021 SEDIMENTATION RATE Jun 23, 2021 C-REACTIVE PROTEIN Jun 23, 2021 CK,TOTAL Jun 23, 2021 ANTINUCLEAR AB, TITER + PATTERN Jun 23, 2021 C3 AND C4 Jun 23, 2021 UA W/MICROSCOPIC W/CULTURE IF I? Jun 23, 2021 UA, MICROSCOPIC, REFLEX Jun 23, 2021 CULTURE, URINE, REFLEXIVE Jun 23, 2021 THYROID PEROXIDASE (TPO) ANTIB? MD Jun 23, 2021 Thyroid-Stimulating Immunoglobulin MD Jun 23, 2021 THYROTROPIN RECEPTOR ANTIBODY MD Jun 23, 2021 RNA POLYMERASE III AB IGG MD Jun 23, 2021 5 HIAA, QUANTITATIVE, URINE, 24 H? MD Jun 23, 2021 MICROALBUMIN/CREATININE RATIO,? MD Jun 21, 2021 TSH, REFLEX FREE T4 MD Jun 21, 2021 ALDOSTERONE RENIN RATIO MD Jun 21, 2021 ANA PROFILE, REFLEX MD Jun 21, 2021 CENTROMERE ANTIBODIES, IGG, SE? MD Jun 21, 2021 CHROMOGRANIN A MD Jun 21, 2021 DNA DOUBLE-STRANDED AB, IGG (C? MD Jun 21, 2021 ENDOMYSIAL AB IGA + T-TRANSGLUT? MD Jun 21, 2021 GLIADIN ANTIBODIES, SERUM MD Jun 21, 2021 HLA B27 MD Jun 21, 2021 Jo 1 Antibodies, IgG, Serum MD Jun 21, 2021 RHEUMATOID FACTOR, IGA, IGG AND ? MD Jun 21, 2021 RNA POLYMERASE III AB IGG MD Jun 21, 2021 VITAMIN D, 25 HYDROXY MD Jun 21, 2021 B12+FOLATE MD Jun 21, 2021 SMITH ANTIBODIES, IGG, SERUM MD Jun 21, 2021 SJOGREN''S AB, QUANT MD Jun 21, 2021 Scl 70 Antibodies, IgG, Serum MD Jun 21, 2021 RNP Antibodies, IgG, Serum MD Jun 21, 2021 ANA QUANTITATIVE, PANEL MD Jun 21, 2021 Glyco Hgb MD Jun 21, 2021 ECG 12 LEAD Jun 13, 2021 POC TROPONIN I (RESULTS ONLY) Jun 13, 2021 CT ANGIO CHEST W CONTRAST Jun 13, 2021 ECG 12 LEAD Jun 13, 2021 CBC W/DIFFERENTIAL Jun 13, 2021 BASIC METABOLIC PANEL Jun 13, 2021 PROTIME W/INR Jun 13, 2021 POC TROPONIN I (RESULTS ONLY) Jun 13, 2021 CATECHOLAMINES FRACTIONATED, ? MD Jun 4, 2021 METANEPHRINES, URINE, FRACTION? MD Jun 3, 2021 5 HIAA, QUANTITATIVE, URINE, 24 H? MD Jun 3, 2021 XR CHEST AP PORTABLE Jun 1, 2021 CBC W/DIFFERENTIAL Jun 1, 2021 COMPREHENSIVE METABOLIC PANEL Jun 1, 2021 NT-PRO BNP Jun 1, 2021 POC TROPONIN I (RESULTS ONLY) Jun 1, 2021 ECG 12 LEAD Jun 1, 2021 US THYROID MD May 28, 2021 FSH - FOLLICLE STIMULATING HORM? MD May 28, 2021 ESTRADIOL MD May 28, 2021 Tryptase, Serum MD May 28, 2021 T3, FREE MD May 28, 2021 Free T4 MD May 28, 2021 UA,MICROSCOPIC ONLY May 24, 2021 CULTURE, URINE May 24, 2021 POCT URINALYSIS, AUTOMATED May 20, 2021 DDimer Quant May 20, 2021 TSH WITH REFLEX May 20, 2021 CBC W/DIFFERENTIAL May 20, 2021 COMPREHENSIVE METABOLIC PANEL May 20, 2021 LIPASE May 20, 2021 C-REACTIVE PROTEIN May 20, 2021 CK,TOTAL May 20, 2021 ECG 12 LEAD May 20, 2021 XR THORACIC SPINE 3 VW ROUTINE MD May 10, 2021 URINALYSIS, CULTURE REFLEX MD May 7, 2021 UA, MICROSCOPIC, REFLEX MD May 7, 2021 VAGINTIS/VAGINOSIS DNA MD May 7, 2021 URINALYSIS, CULTURE REFLEX Apr 30, 2021 UA, MICROSCOPIC, REFLEX Apr 30, 2021 CULTURE, URINE, REFLEXIVE Apr 30, 2021 FERRITIN Apr 30, 2021 MRI BRAIN W/WO CONTRAST Apr 26, 2021 MRI VENOGRAM WO CONTRAST Apr 26, 2021 CBC W/DIFFERENTIAL Apr 26, 2021 COMPREHENSIVE METABOLIC PANEL Apr 26, 2021 PROTIME W/INR Apr 26, 2021 APTT Apr 26, 2021 C-REACTIVE PROTEIN Apr 26, 2021 SEDIMENTATION RATE Apr 26, 2021
CDC Split Type:

Write-up: On April 12 I received the J&J vaccine, 2 days later I began having bruising on my arms and legs and pernio in my left index finger which resolved. From April 20 ? present, my symptoms are flushing in face/chest/arms, high blood pressure, fast heart rate, back pain, upper body muscular pain, headaches, nerve pain in limbs, bruising on legs and torso, body tremors, swollen lymph nodes, diarrhea, Raynaud''s syndrome in toes, petechiae, paresthesia, neuropathy (burning, electric shocks in legs and groin). Post vaccine, I have been diagnosed with labile hypertension, deep vein insufficiency in the left CFV, connective tissue disorder unspecified, mast cell activation syndrome, depression, and Post traumatic stress disorder. Currently schedule to be tested for dysautonomia on October. There is no medical history in my family for autoimmune, disautonomia or mast cell issues. Treatment is ongoing and includes blood pressure medication, Naltrexone for autoimmune, prednisone in past, anti inflammatory supplements, physical therapy, cognitive therapy, antihistamine diet, allergy medication, SSRIs.


VAERS ID: 1704434 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-09-16
Onset:2021-09-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling hot, Hyperhidrosis, Loss of consciousness, Posture abnormal, Staring, Tension, 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), Dystonia (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? 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: Patient was administer a Janssen vaccine on 09/16/21 at 10:30 a.m.. patient was walked over to the waiting area and started feeling hot with in 3 minutes. He was accompanied by his sister and father who also received the same vaccine.. his sister gave him some water...then in a few minutes pt had a blank stare look on his face, he had no response, head went backwards, hand clamped tight into a fist, pt was out and no response for a few seconds. I was assisted by the store manager who called 911.. patient came back and was responsive, he knew his name and where he was he was sweating profusely and very damp... I had patient lay down on the floor and gave him some orange juice. Patient had nothing to eat or drink that morning.. EMT arrived and assessed patient and pt went to the hospital.. I called pt to follow up but no answer, at arounf 12:00 pt and sister came back to pharmacy to let me know everything was ok and to thank me for helping..


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