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From the 11/19/2021 release of VAERS data:

Found 8,669 cases where Vaccine is COVID19 and Manufacturer is JANSSEN and Emergency Room/Doctor Visit

Government Disclaimer on use of this data



Case Details

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VAERS ID: 1742526 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-04-09
Onset:2021-05-12
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aortic valve replacement, Blood culture, Body temperature increased, Cardiac valve abscess, Cerebral thrombosis, Cerebrovascular accident, Chest X-ray, Computerised tomogram, Echocardiogram abnormal, Embolism, Endocarditis, Full blood count, Infection, Intracardiac thrombus, Myocardial infarction, Pulmonary thrombosis, Scan, Thrombosis, Ultrasound scan
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 35 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Doxycycline 100 mg BID Hydrocortisone 50 mg TID Gabapentin 800 mg TID Morphine ER 60 mg TID Percocet 10/325 mg Carafate 1 gm QID Cosentyx 100 mg once a month Rasavuo 150 mg once a week Robaxin 500 mg TID Potassium Liquid 20 mEq daily Lasix
Current Illness: None
Preexisting Conditions: Adrenal Insufficiency Sero Negative Inflammatory Arthritis MRSA
Allergies: No known drug allergies
Diagnostic Lab Data: Blood cultures Echo CBC CT Scan UltraSound Chest X-ray Nuclear Scan
CDC Split Type:

Write-up: Temp 104 Infection Blood clots in both legs, heart, lungs, right parietal lobe of brain Heart Attack due to emboli Stroke Coded X 3 Endocarditis Aortic valve abscess Aortic valve replacement


VAERS ID: 1743452 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-08-27
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Blood pressure increased, Blood pressure measurement, Cardiac flutter, Chest pain, Decreased activity, Dyspnoea, Echocardiogram, Electrocardiogram, Exercise lack of, Flatulence, Haemorrhoids, Headache, Lung hyperinflation, Movement disorder, Nausea, Neck mass, Oropharyngeal pain, Pain, Pain in extremity, Pain in jaw, Palpitations, Sensory disturbance, Sleep disorder, Swelling, Ultrasound chest, Ultrasound scan, X-ray
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tachyarrhythmia terms, nonspecific (narrow), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy (takes allergy medication); Blood pressure (history of blood pressure x5 years controlled with blood pressure medication, takes blood pressure medication)
Preexisting Conditions: Comments: Patient has no known drug allergies, lived a very active lifestyle was a body builder
Allergies:
Diagnostic Lab Data: Test Date: 20210828; Test Name: Blood pressure; Result Unstructured Data: 167/112 mmHg; Test Date: 20210828; Test Name: Echocardiogram; Result Unstructured Data: Cause not detected; Test Date: 20210828; Test Name: X-ray; Result Unstructured Data: Cause not detected; Test Name: Diagnostic ultrasound; Result Unstructured Data: Unknown; Test Name: Echocardiogram; Result Unstructured Data: awaiting results; Test Name: Blood pressure; Result Unstructured Data: highest being 142 over 90''s; Test Name: Ultrasound chest; Result Unstructured Data: unknown; Test Name: X-ray; Result Unstructured Data: Unknown; Test Name: EKG; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210941047

Write-up: HEART FLUTTERS WHILE SLEEPING AND/OR AWAKE; LEFT AND RIGHT JAWLINE PAIN; JAWLINE PULSATIONS/ RIGHT PECTORAL MUSCLE COLD AT FIRST THEN HOT; PAIN IN LEFT AND RIGHT CHEST/SPORADIC CHEST PAINS/PAIN IN STERNUM; SHOOTING PAIN THAT STARTS FROM SHOULDERS AND TRAVELS UP AND DOWN BOTH ARMS; FELT LIKE HEMORRHOIDS LIKE A BURNING SENSATION IN HIS ANUS; LUMP IN NECK; NECK WAS SWOLLEN AROUND THE AORTA AREA; UNABLE TO SLEEP; FELT LIKE LUNG IS BEING INFLATED AND DEFLATED; FELT LIKE THERE IS BUBBLES IN INTESTINAL TRACT AND THAT IT MAKES HIM VERY GASSY ON BOTH ENDS.; ANXIETY; UNABLE TO TURN HEAD; CANNOT BE ACTIVE; LIFESTYLE HAS CHANGED; SHARP PAINS IN LEFT ARM; HEADACHES; PAIN IN THROAT; BLOOD PRESSURE WAS ELEVATED; HEART PALPITATIONS; DIFFICULTY BREATHING/HARD TO BREATH; JOINT PAIN; NAUSEA; This spontaneous report received from a patient concerned a 38 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: blood pressure, and allergy. Was taking medication for both. Other pre-existing medical conditions included: no known drug allergies, lived a very active lifestyle, and was a body builder. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1816022 expiry: unknown) dose was not reported, frequency time 1 total administered to the left arm on 27-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-AUG-2021, the patient experienced heart palpitations, difficulty breathing/hard to breath, joint pain, and nausea. The heart palpitations and difficulty breathing got much worse on second day, therefore needed to go to the ER (emergency room) at the base. On 28-AUG-2021, the patient had blood pressure elevated. His blood pressure was 167/112 mmHg. At the ER, he was given a dose of Toradol (ketorolac tromethamine) and the physician changed his blood pressure medication. They also did X-rays and echocardiograms, but could not find a cause and so he was transported back for further evaluation. On 18-SEP-2021, the patient experienced pain in throat. On unspecified dates, the patient experienced heart flutters while sleeping and/or awake, left and right jawline pain, jawline pulsations, pain in left and right chest/sporadic chest pains/pain in sternum, shooting pain that starts from shoulders and travels up and down both arms, felt like hemorrhoids like a burning sensation in his anus, lump in neck, and neck was swollen around the aorta area, unable to sleep, felt like lung is being inflated and deflated, felt like there were bubbles in intestinal tract and that it made him very gassy on both ends, anxiety, right pectoral muscle cold at first then hot, unable to turn head, sharp pains in left arm, and headaches. He was not active, and his lifestyle was changed. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) highest being 142 over 90''s, diagnostic ultrasound (NR: not provided) unknown, EKG (NR: not provided) unknown, echocardiogram (NR: not provided) awaiting results, ultrasound chest (NR: not provided) unknown, and X-ray (NR: not provided) unknown. Patient had visited ER at least 5 times. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headaches, pain in left and right chest/sporadic chest pains/pain in sternum, anxiety, cannot be active, and lifestyle has changed, and the outcome of nausea, heart palpitations, difficulty breathing/hard to breath, joint pain, blood pressure was elevated, left and right jawline pain, shooting pain that starts from shoulders and travels up and down both arms, felt like hemorrhoids like a burning sensation in his anus, pain in throat, lump in neck, neck was swollen around the aorta area, unable to sleep, felt like lung is being inflated and deflated, felt like there is bubbles in intestinal tract and that it makes him very gassy on both ends, sharp pains in left arm, right pectoral muscle cold at first then hot, unable to turn head, heart flutters while sleeping and/or awake and jawline pulsations was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210941109.; Sender''s Comments: V0: 20210941047-COVID-19 VACCINE AD26.COV2.S- Heart flutters while sleeping and/or awake, Blood pressure was elevated. 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: 1743454 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210943950

Write-up: GUILLAIN BARRE SYNDROME; This spontaneous report received from a patient concerned a 43-year-old male of unspecified race. The patient''s weight was 147 pounds, and height was 67 inches. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1808982 expiry: unknown) dose was not reported, 01 total, administered on 09-APR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. In APR-2021, 3 weeks post vaccination, the patient started experiencing symptoms like muscle pain all over the body, his feet felt like he had walked for miles, the bottom of his feet and fingers felt numb, he felt tingling and numbness that was getting worse, his legs started to feel numb; and arms and hands also started to feel the same. He tried to remember what he ate and what he did and may be what was causing the symptoms, he was finding it hard to do his job. On 23-JUL-2021, the patient visited the emergency room and was diagnosed with Guillain Barre syndrome was hospitalized for 5 days and discharged on 28-Jul-2021. Patient was administered unspecified treatment medication and did not remember what it was. The patient''s symptoms were not resolved and he also reported that he felt worse when he laid down and was unable to sleep. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from guillain barre syndrome. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210943950-COVID-19 VACCINE AD26.COV2.S- Guillain barre syndrome. This event is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1743461 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-08-01
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Dyspnoea, Headache, Heart rate, Heart rate decreased, Inappropriate schedule of product administration, Off label use, Sickle cell anaemia with crisis, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Medication errors (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: Heart rate; Result Unstructured Data: slowed; Test Date: 202108; Test Name: Blood test; Result Unstructured Data: Low level of WBC
CDC Split Type: USJNJFOC20210949978

Write-up: INAPPROPRIATE SCHEDULE OF VACCINE ADMINISTERED; OFF LABEL USE; HEADACHES; SICKLE CELL CRISIS; BLURRED VISION; SHORTNESS OF BREATH; SLOWED HEART RATE; This spontaneous report received from a consumer concerned a 22 year old male . The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total administered on 09-AUG-2021 between 1 to 2 PM then another dose of Janssen vaccine was received around 5-6 PM for prophylactic vaccination (coded as Inappropriate schedule of vaccine administered and off label use). The batch number was not reported and has been requested. No concomitant medications were reported. The consumer mentioned that the patient (brother) complained of having headache since and had bloodwork done which showed low white blood cell and was in sickle cell crisis. The patient also complained of reporting blurred vision, shortness of breath and slowed heart rate. The consumer stated that the patient never had sickle cell before, even though the sister (consumer herself) was with the trait. On 22-SEP-2021 patient visited emergency room and for headaches Toradol was prescribed. Treatment medications (dates unspecified) included: ketorolac tromethamine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sickle cell crisis, headache, blurred vision, shortness of breath, and slowed heart rate, and the outcome of Inappropriate schedule of vaccine administered and off label use was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210949978-COVID-19 VACCINE AD26.COV2.S-Sickle cell crisis. 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: 1743486 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-09-17
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Knee osteoarthritis
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210925; Test Name: Body temperature; Result Unstructured Data: 105 F
CDC Split Type: USJNJFOC20210952767

Write-up: SHOOTING PAIN FROM KNEE TO INSIDE OF THIGH; SLIGHT FEVER ON 1ST 2 DAYS, HIGH FEVER SPIKES ON 9TH AND 10TH DAY; This spontaneous report received from a patient concerned a 78 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: osteoarthritis in left knee. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 206A21A expiry: 21-SEP-2021) dose was not reported, administered on 17-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-SEP-2021, the patient experienced shooting pain from knee to inside of thigh. On 17-SEP-2021, the patient experienced slight fever on 1st 2 days, high fever spikes on 9th and 10th day. On 25-SEP-2021, Laboratory data included: Body temperature (NR: not provided) 105 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from slight fever on 1st 2 days, high fever spikes on 9th and 10th day, and the outcome of shooting pain from knee to inside of thigh was not reported. This report was non-serious.


VAERS ID: 1744314 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-25
Onset:2021-04-05
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Amnesia, Aphasia, Balance disorder, Biopsy brain, Blindness, Blood test, Cognitive disorder, Confusional state, Delirium, Disturbance in attention, Feeling abnormal, Headache, Hypertension, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Magnetic resonance imaging head abnormal, White matter lesion
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Estradial Vitamin D
Current Illness: None
Preexisting Conditions: None prior to covid vaccine
Allergies: Erythromycin Penicillin Morphine MSG Nickel
Diagnostic Lab Data: Many MRIS, spinal taps, blood tests
CDC Split Type:

Write-up: I, recipient of shot, was in perfect health prior to shot on March 25, 2022. Eleven days later, on April 5, 2021, I started experiencing short 3-5 minute pockets of odd imbalance, confusion, delirium, no sense of gravity, loss of feeling in legs, and excessive high blood pressure spikes whenever I stood up. Health insurance with new kicked in late. I was finally able to go to my doctor after 90 days of experiencing adverse reactions. Doctor ran many inconclusuve tests. On July 13, at about 11:00am I was proving child care to 4 children. I suddenly lost cognitive ability to read, to see, to understand, and then loss consciousness. I awoke while in ambulance transfer to hospital. I could not speak. I dud not know my name. I didn''t know what year it was. After about 12 hours in ER, some speech & cognition came back. Neurologist ran numerous tests. Some limited white matter and lesion evidence was seen. I set up follow up appointments and returned to work. I had another unexpected episode about a month later. Had been feeling fine but out of nowhere lost the ability to read, speak correctly, move correctly, then lost the ability to know who I was and my brain underwent severe crippling pain. All symptoms subsided after about 12 hours. Three other crippling, terrifying, worsening episodes happened by mid September. Multiple Neurologists have run many MRIs, and the spread of white matter and lesions gets rapidly worse. I have lost more and more ability to focus and to hold memories. I was given a brain biopsy on Sept 27, 2021 and am awaiting results. None of these cognitive symptoms existed before the civid shot.


VAERS ID: 1744426 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-14
Onset:2021-08-05
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray, Cough, Laboratory test, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM, GERD
Allergies: NKA
Diagnostic Lab Data: Lab work, covid test, cxr.
CDC Split Type:

Write-up: Pt came to ER c/o cough onset 1 week prior.


VAERS ID: 1744448 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-06
Onset:2021-06-06
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A31A / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Cardiac failure, Catheterisation cardiac, Myocardial infarction
SMQs:, Cardiac failure (narrow), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (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, 28 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Heart bypass
Preexisting Conditions: SVT history
Allergies: Compazine zofran
Diagnostic Lab Data: Blood test heart catheterization
CDC Split Type:

Write-up: Heart attack and heart failure


VAERS ID: 1744487 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-29
Onset:2021-09-20
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Diarrhoea, Nausea, Presyncope, SARS-CoV-2 test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Clonazepam, Levothyroxine, Metoprolol, Pantoprazole, Pepcid,
Current Illness: Unknown
Preexisting Conditions: GERD, Hypothyroidism, Depression, HTN, Uterine CA
Allergies: No known Allergies
Diagnostic Lab Data: Not completed at this facility.
CDC Split Type:

Write-up: 09/20/21 The patient presents with 48 year old female who tested positive for COVID-19 on 09/10 and received Regeneron on 09/18. She states her symptoms have worsened. Statess she had intractable nausea, vomiting, diarrhea and a near syncopal episodes today. Denies: abdominal pain, headache, head trauma. The onset was 10 days ago. The degree at present is moderate. Risk factors consist of hypertension and COVID-19 (09/10). Therapy today: none. Associated symptoms: nausea, vomiting, diarrhea, denies chest pain, denies abdominal pain, denies shortness of breath, denies fever, denies chills, denies headache, denies dizziness, denies back pain.


VAERS ID: 1744626 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-01
Onset:2021-08-06
   Days after vaccination:66
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chest X-ray, Dizziness, SARS-CoV-2 test
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), COVID-19 (broad)

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

Write-up: Pt came to ER c/o weakness and dizziness x 2days.


VAERS ID: 1744668 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-05-18
Onset:2021-07-06
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test, Cold sweat, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dizziness, Dyspnoea, Heart rate increased, Hyperhidrosis, Muscle tightness, Nausea, Pallor, Peripheral swelling, Pulmonary embolism, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (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: Allopurinal 300mg Atenolol50mg Escitalopram 10mg Olanzapine 2.5mg VitD3 5000IU CPAP
Current Illness: none
Preexisting Conditions: HBP-controlled w/ medication Frontotemporal Disease (FTD) OSA
Allergies: none known
Diagnostic Lab Data: listed above
CDC Split Type:

Write-up: Initial event 7/6/2021 - Dizzy, nausea, couldn''t catch breath, ssweaty, clammy, pale, increased heart rate Continued to have shortness of breath / easily winded. PCP visit 7/29/2021 - had planned on discussing shortness of breath, while waiting to go into the appointment noticed along with a tightness in L leg- there was considerable swelling in calf. PCP''s reaction was immediate referral to ER. With CT scan, ultrasound and thorough eval including bloodwork was Dx DVT w/ PE in both lungs. Apixaban Prescribed and is currently still taking this.


VAERS ID: 1744694 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN D123UIT / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Neck pain, Pain in extremity, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Pain in arm (traveled up to neck and head area); vomiting; fainting.


VAERS ID: 1745063 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-03-01
Onset:2021-03-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anal incontinence, Laboratory test, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious diarrhoea (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Depakote-2000mg; Clopin-0.75; Lexapro-10mg; Lostartan-50mg; Nexium-40mg
Current Illness: None known
Preexisting Conditions: High Blood Pressure
Allergies: Iodine
Diagnostic Lab Data: For bowel incontinence laboratory test were from June 27-August 20. Tremors evaluation is still on-going. Doctor''s appt with Neurologist on October 22.
CDC Split Type:

Write-up: Bowel incontinence and tremors


VAERS ID: 1745105 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-24
Onset:2021-09-24
   Days after vaccination:184
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest X-ray, Diarrhoea, Dyspnoea, Fibrin D dimer increased, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amLODIPine (NORVASC) Ascorbic Acid atorvastatin (LIPITOR) buPROPion (WELLBUTRIN SR) cholecalciferol (VITAMIN D3) esomeprazole (NexIUM) gabapentin (NEURONTIN) hydroCHLOROthiazide (HYDRODIURIL) latanoprost (XALATAN)
Current Illness: None available
Preexisting Conditions: Lung cancer, Hypertension,
Allergies: Penicillin
Diagnostic Lab Data: COVID test is positive. D-dimer is elevated. O2 saturation was 77%, CHEST 1 VIEW AP/PA
CDC Split Type:

Write-up: Dyspnea, diarrhea.


VAERS ID: 1745116 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-18
Onset:2021-07-12
   Days after vaccination:116
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Death, Dyspnoea, Headache, Hypoxia, Mechanical ventilation, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-07-23
   Days after onset: 11
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: tested positive for COVID-19 at dr''s office approximately 1 week before being seen in the ED; presents to ED with SOB and is hypoxic, with runny nose, sore throat, headache, and cough; hx of COPD, placed on a ventilator; condition worsened; pt passed away in hospital


VAERS ID: 1745132 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-09-22
Onset:2021-09-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Oropharyngeal discomfort
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: none
Preexisting Conditions: none
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Coughing and throat discomfort.


VAERS ID: 1745181 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-26
Onset:2021-08-29
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Hypoaesthesia, Lip swelling, Paraesthesia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: In ER they did blood work and did not see anything abnormal.
CDC Split Type:

Write-up: On the 3rd day after the vaccine injection mi bottom lip swell up and I began to experience numbness and pins and needle feeling in my feet and hands. Then on the 10th day both of my lips (top and bottom) swell up significantly and my whole face was swollen for 24 hours. Feeling of numbness in feet and hands continued for 3 weeks and I went to ER.


VAERS ID: 1745239 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-27
Onset:2021-06-15
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Colonoscopy, Crohn's disease, Herpes zoster, Rectal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal premalignant disorders (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Trelegy, Duloxetine, Ventolin inhaler, Metoprolol, Elopidlgreo, Levothyroxine, Clonazepam, Metformin, Novolog 70/30 Insulin Montelukast,Januvia, Atorvastatin, kFurosemide, Axithromycin, Isosorbide Monitrate, Acetylcysteine solution for Neb
Current Illness: None
Preexisting Conditions: Diabetes, COPD, Emphysema, History of two cardiac stints
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Reports rectal bleeding around the middle of June Had Cologuard test and then colonoscopy in July/August with subsequent diagnosis of Crohn''s disease Reports developed shingles 9/19/21


VAERS ID: 1745302 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-15
Onset:2021-09-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 2024214 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Herpes zoster, Lumbar puncture, Meningitis viral, Neutropenia, Pyrexia, Seizure, Thrombosis, Ultrasound Doppler, Vomiting, X-ray
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Opportunistic infections (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, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid
Current Illness: none
Preexisting Conditions: Lymphedema Distichiasis
Allergies: Dairy, Gluten, some cosmetic chemicals
Diagnostic Lab Data: blood test, spinal tap, x-rays, CT scan, doppler ultra sound.
CDC Split Type:

Write-up: High fever and convulsions 9 hours after injection. Diagnosed with shingles 48 hours after injection, within another 48 hours violent vomiting and fever ensued and individual was diagnosed with viral meningitis and neutropenia. 7 days later individual was diagnosed with blood clots in arm and leg. Outcome is yet to be determined.


VAERS ID: 1745329 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-03-12
Onset:2021-03-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Gait disturbance, Gait inability, Headache, Hypoaesthesia, Impaired work ability, Laboratory test, Memory impairment, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Thyroid medication, kidney stone medication, Cyril Oil, Vitamin D, baby aspirin, multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal allergies, bee stings, morphine
Diagnostic Lab Data: Heart test, stroke test, breathing test
CDC Split Type:

Write-up: Extreme fatigue, headaches, tingling and numbness in whole body. Couldn''t walk. Now walks very very slowly, poor memory. Has had to cut back hours at work. Doctor has advised that shouldn''t work. Need to work to keep health insurance. Has seen several doctors and has done physical therapy.


VAERS ID: 1745368 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-08
Onset:2021-05-18
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Heart rate irregular, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 8/5/2021: Emergency room visit - (EKG). 8/24/21: Heart center (Holter monitor). 9/23/2021: Echocardiogram.
CDC Split Type:

Write-up: Premature ventricular contractions (PVC), irregular heartbeat and chest pain.


VAERS ID: 1745383 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-05
Onset:2021-09-29
   Days after vaccination:208
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 2 UN / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, Blood sodium decreased, COVID-19, Fatigue, Hallucination, SARS-CoV-2 test positive, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: CHIEF COMPLAINT AKI HISTORY OF PRESENT ILLNESS Patient is an 85 y.o. female with HTN/HLD, CAD s/p DES x2 (12/2020), atrial fibrillation (not on anticoagulation due to prior GI bleed), HFrEF (EF 32%) carotid artery stenosis, PAD, polycystic kidney disease s/p renal transplant 1998 on cyclosporine/cellcept/prednisone, bilateral renal artery stenosis, cerebral aneurysm s/p repair 2003, who is transferred from a facility for worsening kidney function and potential need for dialysis. Patient was initially admitted to a facility for fatigue/weakness and reported hallucinations, and was found to have AKI and UTI. Creatinine was 0.9-1.2 at baseline, 2.23 on admission, and 2.74 today. Lytes today showed Na 129 and K 5.1. CT abdomen without contrast showed no acute abdominal pathology. US kidneys showed right iliac fossa renal transplant with suggestion of mild hydronephrosis and mild diffuse increased parenchymal echotexture suspicious for sequela of AKI. Foley catheter was placed. Patient was given iv bumex 1mg, but urine output remained poor, and patient was transferred to a different hospital for possible dialysis. Patient was also started on ceftriaxone for possible UTI, and urine culture is still pending. Patient also has increased leukocytosis to 31.7. Note patient had been on bactrim since spring 2021 for UTI prophylaxis. She denies NSAID use or herbal supplementation. Patient is somnolent with decreased attention when she arrived. She is alert and oriented x3. She uses 1L NC at night at baseline. Patient''s bumex dose had been recently increased to 2mg PO in the morning and 1mg at noon.


VAERS ID: 1745429 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-03-05
Onset:2021-09-24
   Days after vaccination:203
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Anosmia, Asthenia, Blood potassium decreased, Burning sensation, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Diarrhoea, Dizziness postural, Dyspnoea, Fibrin D dimer, Gait disturbance, Headache, Hypoaesthesia, International normalised ratio increased, Lung infiltration, Micturition urgency, Oxygen saturation decreased, SARS-CoV-2 test positive, Taste disorder, Urge incontinence
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Hypokalaemia (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hospital Hyperlipidemia Hypertensive Heart Disease Without Heart Failure Apnea Sleep Obstructive Coronary Artery Disease Without Angina Pectoris Deficiency Vitamin B12 Polyneuritis Demyelinating Inflammatory Chronic Atrial Fibrillation Longstanding Persistent Diabetes Mellitus Drug Or Chemical Induced With Other Circulatory Complication Hyperglycemic Pneumonia Due To COVID-19 Hypocalcemia Lymphocytopenia Non-Hospital Benign Prostatic Hyperplasia Hypertrophy With Obstruction Dysfunction Erectile Depression Major Recurrent Full Remission Body Mass Index 37.0 To 37.9 Adult Polyp Colon Adenomatous Primary Osteoarthritis Hip Bilateral Spondylosis Advanced Care Planning Pain Neuropathic Gastroesophageal Reflux Disease NOS Anxiety Polyneuritis Demyelinating Inflammatory Chronic Posttraumatic Stress Disorder Prolonged Anticoagulant Therapy Tachycardia Supraventricular Atherosclerosis Of Native Arteries Of Extremities With Intermittent Claudication Bilateral Legs
Allergies:
Diagnostic Lab Data: Coronavirus 2 PCR Detect, V symptomatic POSITIVE
CDC Split Type:

Write-up: CHIEF COMPLAINT COVID-19 pneumonia HISTORY OF PRESENT ILLNESS Patient is a 75 y.o. male with medical comorbidities consisting atrial flutter on Eliquis, diabetes mellitus type 2 on oral agents, coronary artery disease, CIDP on CellCept and weekly IVIG infusions who presented to the emergency department with cough, shortness of breath and headache. He has experienced these symptoms since 9/24/2021. In the emergency department, COVID PCR returned positive. Labs revealed INR 1.6, D-dimer 402, potassium 3.4. Chest x-ray revealed vague patchy infiltrates in both lower lungs. He was noted to have oxygen desaturations with activity. He also had difficulty with ambulation. He lives alone and is now being admitted to the Medicine 18 team for further management. Upon my examination, he is lying in hospital bed. Currently he has a strong frequent cough that is nonproductive. He has also noted pretty persistent headache. He has noted loss strength and weakness as well as loss of smell. He notices his taste sensation has significantly changed. He states he uses a walker at baseline but has been challenged over the past couple days with activity. He states he has chronic dizziness with standing. He has 3-4 loose bowel movements per day that has been happening for a few months. He also has had some urinary urgency with urge incontinence for which he has urology appointment set. He also endorses chronic numbness of the bottom of bilateral feet as well as finger tip "burning". He denies chest pain, bleeding, skin wounds or rashes.


VAERS ID: 1745458 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: New York  
Vaccinated:2021-08-01
Onset:2021-08-30
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 5 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Amnesia, Chest pain, Extra dose administered, Headache, Injection site pain, Insomnia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: yes, a lot of shoulder pain.
Other Medications: Olmesarta medoxon 20 mg
Current Illness: high pressure
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Constant shoulder pain left arm, chest pain, constant headache, memory loss, unusual pain all over my body, sleep loss, intramuscular pain.


VAERS ID: 1745532 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-09-10
Onset:2021-09-20
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram thorax, Dyspnoea, Muscle spasms, Pulmonary artery dilatation
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LUMIGAN EYE DROPS, DUREZOL EYE DROPS, LISINOPRIL, ROYAL JELLY, PROBIOTIC, MULTIVITAMIN, BEE POLLEN, HYALURONIC ACID, VITAMIN D3, HONEY, TART CHERRY, CINNAMON, ACETAZOLAMIDE
Current Illness: OCULAR PRESSURE
Preexisting Conditions: HYPERTENSION, HYPERGLYCEMIA
Allergies: NONE
Diagnostic Lab Data: 9/28/21- CTA CHEST SHOWING DIFFUSE BILATERAL MULTIFOCAL MAIN SEGMENTAL AND SUBSEGMNTAL PULMONARY PE TO ALL LOBES WITH SLIGHTLY DILATED PULMONARY ARTERY, CHEST X-RAY - NORMAL
CDC Split Type:

Write-up: LEFT LEG MUSCLE CRAMPING 9/20/21. SHORTNESS OF BREATH 9/25/21. EVALUATION IN DOCTORS OFFICE 9/28/21. STAT PVL AND STAT CTA CHEST SCHEDULED 9/28/21 3PM. HOSPITAL ADMISSION 9/28/21- CURRENTLY ADMITTED AWAITING SURGERY. CTA RESULT WAS DIFFUSE BILATERAL MULTIFOCAL MAIN SEGMENTAL AND SUBSEGMNTAL PULMONARY PE TO ALL LOBES WITH SLIGHTLY DILATED PULMONARY ARTERY


VAERS ID: 1745583 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-12
Onset:2021-09-18
   Days after vaccination:159
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Diabetes, obesity
Allergies: none
Diagnostic Lab Data: vascular ultrasound confirming extensive L lower leg clot
CDC Split Type:

Write-up: left lower leg DVT Sept 2021


VAERS ID: 1745622 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-22
Onset:2021-09-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Dyspnoea, Oral pruritus, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Flonase, Zyrtec, omeprazole, prozac, buspirone, topamax, albuterol, iron
Current Illness: none
Preexisting Conditions: Fatigue, GAD, ADHD, Chronic Pain Syndrome, Seborrhea capitis, heartburn, left shoulder pain
Allergies: Sulfa abx
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient reported 30 minutes after having COVID J&J Vaccine noted shortness of breath, stomach pain, mouth and throat itchy called 911, patient was able to control shortness of breath as she has a hx of asthma with rescue her rescue inhaler . The next day patient on 09/23/2021 woke with stomach cramps, no diarrhea, no blood in stool, and hives diffuse across body. Patient on 09/24 went to hospital was started on oral steroids and benadryl. Patient was than followed up with my clinic as her PCM on 27 Sep 2021.


VAERS ID: 1745705 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-01
Onset:2021-09-06
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Haemoglobin decreased, Haemorrhage, Oesophagogastroduodenoscopy normal, Thrombocytopenia, Transfusion
SMQs:, Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Hypertension (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Abacavir, Tivicay, Lamivudine-iron
Current Illness: Kidney Failure (dialysis ) HIV
Preexisting Conditions: Kidney disease ,HIV
Allergies: Shellfish ,tylenol
Diagnostic Lab Data: More blood transfusions performed in the next week with more blood loss
CDC Split Type:

Write-up: Thrombocytopenia, was the result of getting this vaccine. Symptoms began during routine dialysis treatment with spikes in blood pressure and steady drop in hemoglobin values over a two week period. I was notified by my dialysis clinic that I was loosing blood some where. I went to the emergency room at Hospital on 9-16-2021 and was given three blood transfusions. An esophagogastroduodenoscopy was performed with no significant signs of bleeding and was told by Dr. at Hospital (Dignity )to schedule a colonoscopy as an outpatient


VAERS ID: 1745722 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-08-31
Onset:2021-08-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None of these taken at the time of vaccination.
Current Illness: No illness prior to vaccination
Preexisting Conditions: Nothing of note.
Allergies: No known allegeries
Diagnostic Lab Data: Oral Temp: 100.0 degrees F.
CDC Split Type:

Write-up: Symptoms started 9 hours post vaccination. Started feeling feverish, chills, body aches, headaches, and general malaise. After 8 hours of suffering, brought myself to ER to be seen. Fever at that time was recorded at 100 degrees Fahrenheit.


VAERS ID: 1745733 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-09-27
Onset:2021-09-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Brain natriuretic peptide, Chest X-ray, Electrocardiogram, Full blood count, Pericarditis, Troponin
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: acute pericardites


VAERS ID: 1747516 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-06
Onset:2021-04-10
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute motor-sensory axonal neuropathy, Computerised tomogram normal, Fine motor skill dysfunction, Grip strength decreased, Loss of personal independence in daily activities, Magnetic resonance imaging spinal normal, Mobility decreased, Nerve stimulation test abnormal, Paraesthesia, Spinal X-ray normal
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin
Current Illness:
Preexisting Conditions: diabetes
Allergies: strawberries and Tylenol
Diagnostic Lab Data: June 20th: Went to the emergency room and got a cat scan, nothing was found. July 1st: went to neurologist for nerve test they found abnormalities with the signals from my spine to my arms , was told it was a pressed nerve down my spine. July 8th: MRI imaging with done. July 28th: met with neurosurgeon and got my X-ray done. After comparing my MRI results and my x-ray results, my neurosurgeon confirmed that I did not have a press nerve on my spine.
CDC Split Type:

Write-up: April 10th: Woke up with "pins and needles" feeling sensation on all fingertips on my right hand for the entire day. Woke up the next day sensation went away. May 13th: Woke up with fingertips on both hands feeling the same "pins and needles" sensation. This "pins and needles" sensation is still occurring to this day. June 13th: I noticed that it was difficult to turn door knobs, water faucets, and hold certain objects. This phenomenon got worse and worse until June 20th where I lost the ability to move my wrists up and had trouble moving my fingers. Because of this, it is difficult for me grip certain objects, hold on to object such as a glass of water, or even type properly on a keyboard. This is still happening today. Neurologist have diagnosed me with Acute motor sensory axonal neuropathy, a variant of Guillain-Barr? syndrome. I also began seeing an occupational therapist to help me with day-to-day things like clean myself.


VAERS ID: 1747524 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-24
Onset:2021-08-01
   Days after vaccination:130
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Allergy to arthropod sting
SMQs:

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: Amlodopine, calcium, Vitamin D, progesterone, estrogen
Current Illness:
Preexisting Conditions:
Allergies: penicillin, Codine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe allergic reaction to a bee sting 4 months following vaccine. No previous reaction to bee stings. Resulted in an emergency room visit.


VAERS ID: 1747542 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-30
Onset:2021-05-15
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Biopsy, Blood test, Colitis microscopic, Colonoscopy, Diarrhoea, Impaired work ability, Stool analysis, X-ray
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (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: Daily multivitamin, fish oil, biotin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Colonoscopy with biopsies 9/16/21 stool samples 8/31/21 Comprehensive blood work 8/31/21 abdominal X-rays 5/31/21
CDC Split Type:

Write-up: Two weeks after receiving the vaccine, I experienced abdominal cramping that I would compare to being in labor. It was violent. Severe, unpredictable diarrhea. I didn?t associate it with the shot so I proceeded assuming I had eaten something bad etc. A few weeks later I ended up in urgent care and all tests were perfect. The doctor suggested I had an autoimmune response to the vaccine. My PCP concurred and tried me on a dose of prednisone and I had some relief until the prednisone ran out. Ultimately the cramps and diarrhea continued until I had to take short term disability from my job to get it under control. The ultimate diagnosis is that I now have microscopic colitis, which has a known trigger of medications.


VAERS ID: 1747652 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-05-03
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Angiogram abnormal, Arterial occlusive disease, Cardiac disorder, Catheterisation cardiac, Chest discomfort, Chest pain, Electrocardiogram, Electrocardiogram abnormal, Stent placement
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALEVE; TURMERIC CURCUMIN [CURCUMA LONGA]
Current Illness:
Preexisting Conditions: Comments: Patient had no known allergies and current illness and history.
Allergies:
Diagnostic Lab Data: Test Date: 20210602; Test Name: Angiogram; Result Unstructured Data: Artery blockage; Test Date: 20210602; Test Name: Stent placement; Result Unstructured Data: Unknown; Test Date: 20210602; Test Name: Electrocardiogram; Result Unstructured Data: Abnormal heart problem; Test Date: 20210602; Test Name: Catheterisation cardiac; Result Unstructured Data: Unknown
CDC Split Type: USJNJFOC20210751650

Write-up: ANGIOGRAM ABNORMAL; CATHETERISATION CARDIAC; ELECTROCARDIOGRAM ABNORMAL; STENT PLACEMENT; CARDIAC DISORDER; ARTERIAL OCCLUSIVE DISEASE; CHEST DISCOMFORT; CHEST PAIN; This spontaneous report received from a patient via Regulatory Authority Agency; concerned a 60 year old male. The patient''s height, and weight were not reported. The patient had no known allergies, no current illness and history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total, administered on 07-APR-2021 in right arm for prophylactic vaccination. All required follow up attempts have been made. The batch number for covid-19 vaccine ad26.cov2.s has not been provided. Concomitant medications included curcuma longa anti-inflammatory, multiple vitamins, naproxen sodium pain reliver and additional vitamins. On 03-MAY-2021, A few weeks receiving the vaccination, patient started having chest pressure and pain (chest discomfort, chest pain). He was hospitalized (date unspecified) for 1 day. On 02-JUN-2021, he had severe pressure and pain in his chest. He went to the emergency room. An electrocardiogram indicated an abnormal heart problem (cardiac disorder). Angiogram revealed an artery blockage (arterial occlusive disease). A stent was inserted into the artery to resume blood flow (stent placement). Laboratory data included: Angiogram (NR: not provided) Artery blockage (Abnormal), Catheterizations cardiac (NR: not provided) Unknown, Electrocardiogram (NR: not provided) Abnormal heart problem, and Stent placement (NR: not provided) Unknown. The action taken with covid-19 vaccine ad26.cov2. s was not applicable. The patient recovered from cardiac disorder, arterial occlusive disease, chest discomfort, chest pain, angiogram abnormal, catheterization cardiac, electrocardiogram abnormal, and stent placement. This report was serious (Hospitalization Caused / Prolonged, and Life Threatening). Additional information was received on 28-SEP-2021. All required follow up attempts have been made. The batch number for covid-19 vaccine ad26.cov2.s has not been provided.; Sender''s Comments: V1: Additional information in this version updates: All required follow up attempts have been made. The batch number for covid-19 vaccine ad26.cov2.s has not been provided. This updated information does not alter the causality of previously reported events. 20210751650-COVID-19 VACCINE AD26.COV2.S-Cardiac disorder, arterial occlusive disease, chest discomfort, chest pain, angiogram abnormal, catheterisation cardiac, electrocardiogram abnormal, stent placement. These events are considered unassessable. The events have a compatible/suggestive temporal relationship, are unlabeled, and have unknown scientific plausibility. There is no information on any other factors potentially associated with the events.


VAERS ID: 1747657 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Thrombocytopenia, Thrombosis
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210946732

Write-up: VACCINE INDUCED IMMUNE THROMBOTIC THROMBOCYTOPENIA (VITT) SYMPTOMS; THROMBOCYTOPENIA; This spontaneous report received from a pharmacist concerned a 44 year old female of unknown race and ethnicity. The patient''s height, and weight were not reported. The patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 10-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the patient experienced vaccine induced immune thrombotic thrombocytopenia (VITT) symptoms, and thrombocytopenia, and was hospitalized (date unspecified). The duration of hospitalization was unspecified. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the vaccine induced immune thrombotic thrombocytopenia (VITT) symptoms and thrombocytopenia was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210946732-covid-19 vaccine ad26.cov2.s-vaccine induced immune thrombotic thrombocytopenia (VITT) symptoms and thrombocytopenia. This event(s) is labeled per RA and is therefore considered potentially related.


VAERS ID: 1747663 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Amnesia, Blood pressure measurement, Blood test, Cardiac monitoring, Chest X-ray, Computerised tomogram, Eating disorder, Electroencephalogram, Fatigue, Hypersomnia, Hypertension, Magnetic resonance imaging, Malaise, Nausea, Oxygen saturation, Seizure, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PREVACID
Current Illness: Alcohol use (2 rum and cokes every day in the evening); Cigarette smoker (patient smokes at least 3 packs per day); Heartburn
Preexisting Conditions: Comments: The patient did not have any known allergy and did not have history of drug abuse and illicit drug use
Allergies:
Diagnostic Lab Data: Test Date: 202109; Test Name: Chest X-ray; Result Unstructured Data: showed nothing; Test Date: 202109; Test Name: Blood test; Result Unstructured Data: showed nothing; Test Date: 202109; Test Name: Oxygen saturation; Result Unstructured Data: showed nothing; Test Date: 202109; Test Name: Cardiac monitoring; Result Unstructured Data: Showed nothing; Test Date: 20210919; Test Name: Blood pressure; Result Unstructured Data: high; Test Date: 20210919; Test Name: Computerised tomogram; Result Unstructured Data: negative results and no tissue damage.; Comments: CT scan done 2 times; Test Date: 20210919; Test Name: Computerized tomogram; Result Unstructured Data: negative results and no tissue damage.; Comments: CT scan done 2 times; Test Date: 20210920; Test Name: Electroencephalogram; Result Unstructured Data: Non significant; Test Date: 20210921; Test Name: Magnetic resonance imaging; Result Unstructured Data: Non significant
CDC Split Type: USJNJFOC20210950659

Write-up: HORRIBLE SEIZURE; TIREDNESS; MEMORY LOSS; HIGH BLOOD PRESSURE; FELT REALLY SICK/ GENERALLY FEELING UNWELL SINCE SEIZURE OCCURRED; NASUEATED; THREW UP; SLEPT FOR 2 DAYS/SLEEPS A LOT; DID NOT EAT; This spontaneous report received from a consumer concerned a 64 year old male of unknown race and ethnicity. The patient''s height, and weight were not reported. The patient''s concurrent conditions included heartburn, alcohol use, and cigarette smoker, and other pre-existing medical conditions included, the patient did not have any known allergy and did not have history of drug abuse and illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total administered on JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included lansoprazole for heartburn. On an unspecified date, in JUN-2021, the patient, felt really sick for 48 hours after receiving the vaccine and patient felt nauseated, threw up, slept for 2 days and did not eat. On 19-SEP-2021, the patient experienced horrible seizure which lasted for 3 to 4 minutes. The reporter reported that this was the first time the patient had experienced a seizure ever in his life. The reporter called 911 and ambulance arrived in response to the seizure. The patient was taken by ambulance to a small Emergency medical service station (EMS) and since there was no hospital close enough. The patient was then air lifted to another hospital where he was admitted to hospital on 19-Sep-2021. The patient blood pressure was really high for a bit during transport by emergency services, but exact blood pressure value was not provided. On 19-Sep-2021 two brain Computerized tomogram (CT scans) were performed which showed negative results and no tissue damage. 20-SEP-2021 patient underwent Electroencephalography (EEG) and on 21-SEP-2021 Magnetic resonance imaging (MRI) on brain done which did not show anything everything was clear. The patient was in hospital from 19-Sep-2021 until 22-Sep-2021. While in hospital the patient had chest x-rays, heart monitor, oxygen, bloodwork which shows nothing, also patient had intravenous treatment. The reporter reported that the type of seizure was not classified by the doctor but the she thought it was grand mal seizure. The patient continues to feel unwell after the seizure occurred and continues to experience ongoing memory loss, ongoing tiredness, and sleeps a lot. The reporter reported that no new cleaning products were brought into the home, eating habits and general habits have not changed. The patient was taking vitamin B1 and levetiracetam 500mg 1 tablet twice daily since the seizure occurred. Patient admitted in hospital for 3 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from did not eat, nauseated, and threw up on JUN-2021, and high blood pressure on 19-SEP-2021, and had not recovered from slept for 2 days/sleeps a lot, memory loss, tiredness, felt really sick/ generally feeling unwell since seizure occurred, and horrible seizure. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210950659-Covid-19 vaccine ad26.cov2.s-Horrible seizure. 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: 1747671 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arterial rupture, Catheterisation cardiac, Myocardial infarction, Myocarditis, Reproductive tract disorder, Troponin
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Accidents and injuries (narrow), 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? 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: Comments: Patient had no pre-existing conditions. Patient never had coronavirus.
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Troponin; Result Unstructured Data: 7.3 ng/mL; Test Date: 202107; Test Name: Cardiac catheterization; Result Unstructured Data: Normal, no blockages were found
CDC Split Type: USJNJFOC20210953105

Write-up: APPARENT HEART ATTACK; MYOPERICARDITIS AND INFLAMED HEART; CORONARY TEAR; GYNECOLOGICAL PROBLEMS; This spontaneous report received from a Company representative concerned a 34 year old female of unknown race and ethnic origin. The patient''s height, and weight were not reported. The patient had no pre-existing conditions. The patient never had coronavirus. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry date: Unknown) dose was not reported, 1 total, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. The patient did not notice complications until three months later on 09-JUL-2021 the pain started with what felt like heartburn or indigestion, but three days later on 12-JUL-2021 pain intensified to the point that she was breathing into a paper bag for relief and body aches kept her up at night. After three days on 12-JUL-2021, the patient experienced apparent heart attack. By the time patient went to an emergency room, where the amount of troponin in her blood was 7.3 nanograms per milliliter (normal range between 0 to 0.04.), which indicates heart injury. They asked her to get done cardiac catheterization. They sent her by ambulance to hospital for treatment. Catheterization was done and they did not find any blockages and it was normal. The patient also experienced inflamed heart (myopericarditis and inflamed heart) and a coronary tear that will take six to eight months to heal. She met the next day with an infectious diseases team, which recommended additional testing before noting on her admissions paperwork. In addition to continuing to heal, she said she has also developed gynecological problems and her doctors have mentioned the potential for a hysterectomy. On an unspecified date patient was hospitalized. Number of days hospitalized was unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from myopericarditis and inflamed heart and coronary tear and the outcome of apparent heart attack, gynecological problems was not reported. This report was serious (Hospitalization Caused / Prolonged). This case, from the same reporter is linked to 20210953564.; Sender''s Comments: V0: 20210953105 -COVID-19 VACCINE AD26.COV2.S-Apparant Heart attack, Myopericarditis and inflamed heart ,Coronary tear. 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: 1747675 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Unknown  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-09-23
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood culture, Epstein-Barr virus test, Heart rate, Myalgia, Oropharyngeal pain, SARS-CoV-2 test, Sepsis, Streptococcus test, Urine analysis, White blood cell count
SMQs:, Rhabdomyolysis/myopathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Sepsis (narrow), 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? No
Previous Vaccinations:
Other Medications: FISH OIL
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no medical history. The patient had no known allergies. The patient did not had any drug abuse or illicit drug use. Patient had no respiratory condition.
Allergies:
Diagnostic Lab Data: Test Date: 202109; Test Name: Heart rate; Result Unstructured Data: 119; Test Date: 202109; Test Name: White blood cell count; Result Unstructured Data: 21000; Test Date: 202109; Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Test Date: 202109; Test Name: Streptococcus test; Result Unstructured Data: negative; Test Date: 202109; Test Name: Urinalysis; Result Unstructured Data: Negative; Test Date: 202109; Test Name: Blood culture; Result Unstructured Data: Not reported; Test Date: 202109; Test Name: Epstein-Barr virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210953480

Write-up: IN FULL SEPSIS; SORENESS IN THROAT; MUSCLE PAIN; This spontaneous report received from a patient concerned a 35 year old white patient of unspecified sex, race and ethnicity. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: non-smoker, and non-alcohol user. The patient had no medical history. The patient had no known allergies. The patient did not had any drug abuse or illicit drug use. Patient had no respiratory condition. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, expiry: unknown) dose was not reported, 1 total administered on 02-SEP-2021 at left arm for prophylactic vaccination. Concomitant medications included probiotics, and fish oil. On 23-SEP-2021, patient started having muscle pain and soreness in the throat. On 25-SEP-2021, saturday morning, patient woke up with fever, night sweats and also reported was losing a lot of water. By midday patient experienced nausea and vomiting. On Sep-2021, patient decided to go to urgent care as could not keep any food or water down. In the emergency room (ER), they told patient had sepsis. Patient reported resting heart rate was 119 and white blood cell count was 21,000. They had a covid test done that was negative, a streptococcus test that was negative, Epstein Barr test that was negative, urinalyses that was negative and blood culture tests were not reported. Patient reported no changes were made to diet, or exposure to anything. The discharge professional stated this was most likely related to the vaccine. In ER, patient was given broad spectrum antibiotic and IV (intravenous) fluids. Patient did not feel better at all and no symptoms had gone away or gotten any better since they started except for dehydration because patient received 4 IV bags in the ER, still had a fever and increased heart rate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from muscle pain, soreness in throat, and in full sepsis. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210953480-covid-19 vaccine ad26.cov2.s-in full sepsis. 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: 1747676 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-03-12
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK - / -

Administered by: Other       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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210953617

Write-up: SEVERE ANAPHYLACTIC ALLERGIC REACTION; This spontaneous report received from a patient concerned a 69-year-old, white and not Hispanic or Latino female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: allergic reaction. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number:1805018, and expiry: Unknown) dose was not reported, 1 total, administered on 12-MAR-2021 for prophylactic vaccination on left arm. No concomitant medications were reported. On 12-MAR-2021, 18 minutes after vaccination the patient experienced severe anaphylactic allergic reaction and they called code blue. The patient received epipen and they kept the patient for 4 to 5 hours after in emergency department. The patient received the shot in a Hospital as patient had allergic reactions previously. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from severe anaphylactic allergic reaction. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210953617-COVID-19 VACCINE AD26.COV2.S-Severe anaphylactic allergic reaction. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1747699 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-09-25
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Erythema, Eye swelling, Lip swelling, Pain, Pyrexia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210955960

Write-up: FEELING ACHY; EYES SWELLED SHUT; LIPS SWELLED; FACE HAD TURNED BRIGHT RED; FACE SWELLED TWICE ITS NORMAL SIZE; CHILLS; FEVER; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 212A21A expiry: UNKNOWN) dose was not reported, administered on 24-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 25-SEP-2021, the patient experienced feeling achy. On 25-SEP-2021, the patient experienced eyes swelled shut. On 25-SEP-2021, the patient experienced lips swelled. On 25-SEP-2021, the patient experienced face had turned bright red. On 25-SEP-2021, the patient experienced face swelled twice its normal size. On 25-SEP-2021, the patient experienced chills. On 25-SEP-2021, the patient experienced fever. Treatment medications included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the feeling achy, chills, fever, eyes swelled shut, lips swelled, face had turned bright red and face swelled twice its normal size was not reported. This report was non-serious.


VAERS ID: 1749453 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-09-28
Onset:2021-09-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Blood test, Hyperhidrosis, Musculoskeletal discomfort, Pain, Restless legs syndrome, Restlessness
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (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: Tegretol Ibuprofen
Current Illness: None
Preexisting Conditions: Seizure disorder
Allergies: None
Diagnostic Lab Data: Blood drawn at emergency room on 9/29/21 around 1:30pm but no lab results known and no treatment administered, he left there AMA after waiting over 5 hours for any treatment. He then presented to Medical Center with no tests or labs done there, they administered diphenhydramine and hydroxyzine.
CDC Split Type:

Write-up: He began to experience profuse sweating, extreme anxiety, pain/discomfort from shoulders to pelvis front and back, severe restlessness especially in legs.


VAERS ID: 1749461 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-24
Onset:2021-09-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Face oedema, Lip swelling, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Severe febrile illness related to FluMist in 2012
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Urticarial rash of upper extremities, anterior and posterior trunk as well as neck. Upper and lower lip swelling with mild facial edema


VAERS ID: 1749464 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-15
Onset:2021-05-25
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Fibrin D dimer, Hypoaesthesia, Paraesthesia, Peripheral coldness, Ultrasound Doppler, Ultrasound scan normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Venous US - negative (5/25/21), D-dimer positive 5/25/21), venous and arterial dopplers normal with subsequent testing.
CDC Split Type:

Write-up: Patient states that 10 days after vaccination he began to have swelling, numbness, tingling, and coolness in his L foot. He now reports that he has numbness and tingling in both feet and hands. His L foot continues to be the most affected.


VAERS ID: 1749478 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-09-24
   Days after vaccination:167
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HTN, chronic back pain, chronic pancreatitis, nephrolithiasis, PE, migraines, asthma, CAD, DM
Allergies: aspirin, darvocet A500
Diagnostic Lab Data:
CDC Split Type:

Write-up: 9/19/21: Patient arrived at the ER due to complaints of cough, chest pain, shortness of breath, onset a week ago, was seen on 09/16/2021, was tested for COVID and was COVID positive.


VAERS ID: 1749483 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-28
Onset:2021-09-17
   Days after vaccination:142
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Antiphospholipid antibodies negative, Blood bicarbonate decreased, Blood creatinine increased, Blood glucose increased, Blood ketone body increased, Blood pH decreased, Blood potassium increased, Blood sodium increased, Chest X-ray abnormal, Dyspnoea, Endotracheal intubation, Intensive care, International normalised ratio increased, Lung infiltration, Mechanical ventilation, Pneumonia, Positive airway pressure therapy, Respiratory distress, Tachycardia, Tachypnoea, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Lactic acidosis (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Renal transplant in 2019, DM, HTN, GERD, CVA x3 on wafarin, facial cellulitis
Allergies: Plavix
Diagnostic Lab Data:
CDC Split Type:

Write-up: 9/17/21: Patient arrived at the ER due to acute onset SOB the morning of presentation. She reports feeling well the day prior. Notes she stopped taking warfarin 2 days ago. In the ED she was tachypneic, tachycardia, INR $g13, BG 500, pH of 7.22, Bicarb of 5, K of 6.1, WBC 20, Cr 1.21 (baseline 1.1), LA 4.1, BHBT elevated. CXR showed diffuse b/l infiltrates. She was started on glucommander, and sepsis protocol for HCAP and placed on NC. Upon arrival to the ICU pt was placed on BiPAP due to resp distress without improvement and was subsequently intubated shortly after arrival. In addition Kcentra was initally ordered for elevated INR 2/2 warfarin. 9.29 : She is still on ventilator support. FiO2 of 40%. Good urine output. She has been placed on IV antibiotics. Chest x-ray is been improving. Sodium level is high at 153 mEq per L.


VAERS ID: 1749596 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-23
Onset:2021-09-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest pain, Computerised tomogram, Dizziness, Dyspnoea, Electrocardiogram, Feeling abnormal, Headache, Pneumonitis
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Per patient - ''FLU(shot) - body ache, rash, headache, chills, fever"
Other Medications: N/A
Current Illness: Hashimoto''s Disease
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Per patient - "CT(chest), EKG, blood work"
CDC Split Type:

Write-up: Per patient - "chest pain, SOB , dizziness, headache, foggy, inflammation of lungs"


VAERS ID: 1749778 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-23
Onset:2021-06-16
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Acoustic stimulation tests abnormal, Balance disorder, Condition aggravated, Deafness unilateral, Electrocardiogram normal, Fatigue, Hypertension, Laboratory test, Nasal congestion
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Hearing impairment (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hypertension medication; vitamin C; fish oil
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Clothes that are not from natural materials
Diagnostic Lab Data: EKGs and some tests to dismiss cerebral, heart, and renal damage, and everything came back fine.
CDC Split Type: vsafe

Write-up: I had the vaccine and I woke up the next morning with nasal congestion and fatigue. That lasted for over a week. On 06/16/2021 my hypertension went crazy. It was at around 230/120. My family called 911 and the ambulance came. They did some tests and they said they needed to take me to the hospital. I got to the hospital and they did EKGs and some tests to dismiss cerebral, heart, and renal damage, and everything came back fine. I noticed I lost my right hearing completely. This has affected my balance. Now I have to be really careful when I walk because I might fall. I was at the hospital for 4 days. After I was released, I saw an ENT and he did some hearing tests and confirmed I lost my hearing in my right ear. Now I am taking meclizine, atorvastatin, and losartan.


VAERS ID: 1749824 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-09-16
   Days after vaccination:160
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray, Chest pain, Cough, Dyspnoea, Electrocardiogram, Pleuritic pain, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol atorvastatin Cholecalciferol disulfiramfexofenadine fluticasone gabapentin hydrOXYzine HCl metFORMIN metoprolol SUMAtriptan traMADol traZODone
Current Illness: None
Preexisting Conditions: Arthritis Asthma o Breast CA age 18 right o Chronic cholecystitis o Chronic liver disease o Cirrhosis pt states stage 4 o DDD (degenerative disc disease), lumbosacral o Depression o Diabetes mellitus o Hypertension 5 YEARS o MRSA infection o Neuropathy o Ovarian cancer AGE 18 o Uterine cancer
Allergies: Actaminophen, Plastic and paper, Victoza
Diagnostic Lab Data: EKG Covid 19 Chest x-ray O2 monitoring
CDC Split Type:

Write-up: Cough, shortness of breath, pleuritic chest pain. -Spo2 94%. Temp: 98.7F. Treatment: Quarantine


VAERS ID: 1749826 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-24
Onset:2021-03-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18080609 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood gases, Blood test, Computerised tomogram head, Dehydration, Echocardiogram, Electrocardiogram, Electroencephalogram, Feeding disorder, Guillain-Barre syndrome, Infusion, Magnetic resonance imaging head, Respiratory viral panel, Scan brain, Staphylococcal infection, Tremor, Urine analysis, Wound, Wound drainage
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (broad), Demyelination (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Carbidopa and levodopa 25/100mg 3 in AM 5 more times daily at 2.5, 50/200 mg ER once twice a day, Pramipexole 15mg 1 tablet 3 times a day, Entacapone 200mg 1 tablet 5 times a day, Mycophenolate 500 mg 2 tablets twice a day, Levothyroxine 10
Current Illness: No
Preexisting Conditions: Thyroid, Parkinson, CIDP, Lymphoedema no medicine Cancer Survivor and Knee replacement
Allergies: Cats, Seasonal allergies no medicines.
Diagnostic Lab Data: Blood test, brain scan, Heart test, stroke test, Echo Service, MRI Brain EEG, Adult Routine, Respiratory Virus Panel, Blood Gas, CT Head, Urine Analysis, EKG 12 Lead
CDC Split Type: vsafe

Write-up: 03/24/2021 Patient had open wound that was draining and it was not diagnosed at the time of the vaccination. Six days later it was diagnosed as staff infection 03/30/2021 09:00 AM prescribed antibiotics for days and she was not able to eat and drink, became dehydrated and had violent shakes. Was sent to the hospital, tests performed by Doctors. Had a GBS 03/09/2021 prior to vaccination then after the vaccination on 03/29/2021 infusion. Nursing home facility for 1 month after the hospital.


VAERS ID: 1749923 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-18
Onset:2021-09-11
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN J4J / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram abnormal, Extremity necrosis, Peripheral arterial occlusive disease, Peripheral coldness, Poor peripheral circulation, Scan with contrast abnormal, Sensory loss, Skin discolouration, Thrombosis, Ultrasound Doppler abnormal
SMQs:, Peripheral neuropathy (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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: Vitamin D3, Nexium 40mg, Hydroxyzine 25mg, Phentermine, cont..
Current Illness: None
Preexisting Conditions: Obesity, GERD, Anxiety, Migraines, Hyperlipidemia
Allergies: Codeine, Duloxetine
Diagnostic Lab Data: 09/20/2021 - US upper extremity arteries right - peripheral artery disease 09/30/2021 - CTA upper extremity right with and without contrast - No significant flow is visualized to
CDC Split Type:

Write-up: 4 weeks after receiving Janssen vaccine, patient''s thumb and pointer fingers on her right hand became necrotic. She has no feeling, they are turning black and they are cold. Ultrasound and Cat Scan were done. Patient had blood clot in in her right arm that the doctors told her had broken apart and ended up in her fingers, causing them to lose circulation. Patient was recently told by hand surgeon that fingers will need to be amputated.


VAERS ID: 1750008 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-25
Onset:2021-05-01
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anti-ganglioside antibody, Antiacetylcholine receptor antibody, Antinuclear antibody, Blood magnesium, Condition aggravated, Electromyogram normal, Glycosylated haemoglobin, Guillain-Barre syndrome, Lyme disease, Magnetic resonance imaging normal, Methylmalonic aciduria, Muscle tightness, Myelitis transverse, Paraesthesia, Red blood cell sedimentation rate, Tinnitus, Vitamin B12
SMQs:, Peripheral neuropathy (narrow), Congenital, familial and genetic disorders (narrow), Dystonia (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hearing impairment (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; Levothyroxine; Paxil; Symbicort; Albuterol
Current Illness: none
Preexisting Conditions: asthma; allergies; hypothyroidism - corrected with meds
Allergies: sulfa drugs, penicillin, contrast dye
Diagnostic Lab Data: EMG - June 14 - normal; MRI of cervical spine July 27 - normal, aside from age related degeneration; All of the following labs were normal and done in June: Lyme Disease, Methylmalonic Acid, B12, Ganglioside Antibodies, Ertyhrocyte Sed Rate, magnesium, Acetylcholine receptor binding, Hemoglobin A1C; These tests were abonormal: CK Total - high; ANA - was mildly positive and retested in the normal range
CDC Split Type:

Write-up: 6 weeks post-vaccination experienced consistent tingling in feet. 8 weeks post vaccination, pins and needles and tingling in both arms from hands to elbows and in both legs from feet to knees. Tinnitus that I have had for years also became louder. Muscle tightness in calves and backs of arms and lower back muscles on either side of spine very tight at all times. These symptoms are still present today. Was diagnosed with a variant of Guillain Barre or Transverse Myelitis. Neurologist would not confirm that this is due to COVID shot - he stated, "we just don''t know."


VAERS ID: 1750011 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-24
Onset:2021-09-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Computerised tomogram, Dyspnoea, Electrocardiogram, Eye pain, Gait inability, Guillain-Barre syndrome, Headache, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging, Mobility decreased, Paraesthesia, Scan with contrast, Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Glaucoma (broad), Cardiomyopathy (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Motegrity, constipend, probiotic, vitamin c,claritin, famotide
Current Illness: none
Preexisting Conditions: celiac disease
Allergies: celiac disease, penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 9/24 at 5:40pm both my arms and legs started to fall asleep, get numb and tingle. I was unable to walk or move my arms properly. I started to have shortness of breathe and blurry vision as well as pain when moving my eyes. I had a severe headache. I went to the ER and was told this was a reaction to the COVID-19 vaccine and recieved two CAT scans and an EKG. I saw a neurologist that same evening on 9/24 who diagnoased weakness and parathesia in my limbs. Today, 9/30 I still have numbness and tingling in my arms and pain when moving my eyes. I saw the neurologist again today and she stated these are symptoms of gullian barre from the Janssen vaccine. She has ordered several MRI scans with dye and a spinal tap.


VAERS ID: 1750050 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-27
Onset:2021-09-29
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cellulitis, Dyspnoea, Injection site erythema, Injection site hypoaesthesia, Injection site inflammation, Injection site paraesthesia, Injection site warmth, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad)

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

Write-up: Within 24 hours of vaccine suffered shortness of breath then next day numbness tingling in injection site shooting down arm, area got extremely red, hot, inflamed and spread through the shoulder region on 9/29/21. Went to an urgent care once it began to spread on 9/30/21 where I was diagnosed with adverse reaction to vaccine product and cellulitis. Was prescribed betamethasone DP AUG 0.05% Cream and Cefadroxil 500 MG capsule for 7 days 2x a day.


VAERS ID: 1750087 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-03
Onset:2021-09-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Hypoaesthesia, Hypoaesthesia oral, Musculoskeletal chest pain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin D, Advair 250/50, Tumeric Supp, VIt E 400IU, Vit D 2000, Flonase, Pepcid, Progesterone only OCP, Tylenol as needed non 48 hours prior to shot, albuterol as needed
Current Illness: Seasonal allergies
Preexisting Conditions: Asthma, allergies, GERD, bronchitis, bradycardia
Allergies: Biaxin intol Doxycycline intol Flagyl intol Protonix, capsasin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe right arm pain within about 30 min, right medial elbow pain, right lateral chest wall pain, bilateral foot numbness, tongue and lip numbness, Lingering burning right arm continues as of 9-28-2021


VAERS ID: 1750193 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-10
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cerebral artery embolism
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

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, 21 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HTN with bilateral retinopathy, DM2 with peripheral neuropathy, CKD, OSA
Allergies: rosuvastatin
Diagnostic Lab Data:
CDC Split Type:

Write-up: patetin had an embolic cerebral vascular event 6/10/21- currently under investigation- remains cryptogenic


VAERS ID: 1750207 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-31
Onset:2021-07-19
   Days after vaccination:110
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180A978 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Deep vein thrombosis, Fatigue, Headache, Illness, Muscle spasms, Pain, Streptococcus test positive, Upper respiratory tract infection
SMQs:, Taste and smell disorders (narrow), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Baby Aspirin
Current Illness:
Preexisting Conditions:
Allergies: Sulfa; Doxycycline
Diagnostic Lab Data: Strep test and culture
CDC Split Type: vsafe

Write-up: At the time of the vaccine, I had a headache, a couple days of fatigue. It went away. In July I had minor aches and pains, I had Charlie horse in my legs and arms. I ended up having a blood clot in my leg. I was prescribed a topical cream to apply on my leg. I also had an upper respiratory injection; I was so sick and in bed the who time. Everyone around me got sick. I lost my smell, taste and felt run down. I never went and got tested. Yesterday I was hospitalized briefly I was seen in the ER; they did a strep test and a culture, and they found a virus. They have prescribed me with Sudafed.


VAERS ID: 1750211 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-07-06
Onset:2021-07-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Laboratory test
SMQs:, Guillain-Barre syndrome (broad)

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

Write-up: Patient seen in ED for generalized weakness which patient attributes to J&J COVID vaccine. MD notes indicate that the vaccine may be at least partly responsible. Examination & diagnostics (labs, did not indicate other likely cause. Patient given script for meclizine which was filled & patient took 1 dose by time clinic staff called and expressed improvement in symptoms compared to previous day.


VAERS ID: 1750302 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-16
Onset:2021-09-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest X-ray, Chest pain, Chills, Dyspnoea, Electrocardiogram, Pyrexia
SMQs:, Anaphylactic reaction (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), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Anthrax vaccine in 2019 from Hospital, almost immediately passed out but was monitored and stabilized
Other Medications: None
Current Illness: None
Preexisting Conditions: Heart Murmur
Allergies: None
Diagnostic Lab Data: EKG, Chesr X Ray both on 30SEP21
CDC Split Type:

Write-up: Night of recieving shot, fever, extreme chills, extreme joint pain, extreme difficulty breathing. Since date of shot have been having intense chest pain several times a day every day since lasting aproxomately 20 seconds each.


VAERS ID: 1750303 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-30
Onset:2021-04-14
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 UN / IM

Administered by: Work       Purchased by: ?
Symptoms: Cough, Fatigue, Feeling cold, Headache, Impaired work ability, Pruritus, Pyrexia, SARS-CoV-2 test negative, X-ray
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Epi-Pen
Current Illness: N/A
Preexisting Conditions: Lyme Disease 2006; Complex regional pain syndrome in my leg.
Allergies: Shellfish; CT dye; Penicillin; Topamax; Metformin; Wasp
Diagnostic Lab Data: X-Ray; COVID-19 Negative tests multiple times.
CDC Split Type: vsafe

Write-up: After I got the vaccine I being observed because of my existing allergies. I had a reaction after the shot after I left and took some Benadryl. I was itchy all over and when I woke up that night I got a fever and chills. I was so cold and I was super tired for 3-4 days. I was takin Nyquil and Dayquil and I had headaches. I felt like I was drunk. I developed a tickling uncontrollable cough which got worse. I missed work due to the cough for the first time 05/08/2021. The cough gets worse sometimes and I have had to miss work multiple times since then over the last. Sometimes it becomes hard to breath because the cough is constant. It is mostly a dry cough and sometimes I throw up because I can''t get it to stop. It had been six months and I am having trouble talking. I may have had COVID-19 during the winter of 2019-2020. I am a flight attendant and I was coughing for months then. I recovered but the cough came back after I got my shot. It is difficult for me to work. I went to Urgent care again and they prescribed Albuterol, Prednisone, Fluticasone and Benzonatate. I have had Advair added since then. I have been using all of those prescriptions for a month and it has improved slightly but it is still a constant cough.


VAERS ID: 1750307 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-03
Onset:2021-04-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Axillary pain, Blood test, Breast pain, Breast swelling, Computerised tomogram head, Contusion, Headache, Injection site erythema, Injection site pain, Injection site swelling, Oedema peripheral, Pain, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Lipodystrophy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Enalapril once a day
Current Illness: Lost voice
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: Blood work & CT of head on 04/14/21
CDC Split Type:

Write-up: Woke up with severe headache around 3am on 04/04/21. Had headache the whole day, was not able to get up from bed. Took Tylenol every 4 hrs. for 3 times. At night the headache got slightly better but continued till 04/05/21 afternoon. On 04/04/21: Injection site left arm was red, swollen and painful. Applied cold compress as per pharmacists suggestion. Got better on 04/06/2021. On 04/05/2021: started having swelling and pain in left armpit down to left breast. After 4 days it went away. On 04/07/2021: Has black & blue bruise on right thigh which stayed for few days and on 04/08/21, had pain in the right leg while walking. On 04/14/21 woke up with severe headache around 3am, stayed in bed whole day, Tylenol did not help. Called the doctor in the evening, advised to go to ER. Went to ER.


VAERS ID: 1750328 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-07-01
   Days after vaccination:91
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 AR / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Allergy to arthropod bite, Asthenia, Blood cholesterol increased, Chest pain, Dyspnoea, Electrocardiogram abnormal, Laboratory test normal, Moaning, Muscle spasms, Muscle twitching, Muscular weakness, Myocardial infarction, Nerve injury, Nervous system disorder, Pain in extremity, Pulmonary function test decreased, Screaming, Sleep disorder, Spinal pain, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Dyslipidaemia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Lipodystrophy (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: None
Current Illness: None
Preexisting Conditions: UTI''S / None
Allergies: Bactrim
Diagnostic Lab Data: Abnormal ekg (x3) Failed breathing tests (low lung function) Nerve problems-hospital visits also awaiting xray results Lab testing with fasting shows new unexplainable cholesterol spikes Urgent care visits with random bruising on legs As well as new bad reactions to mosquitoe bites in blood stream
CDC Split Type:

Write-up: Signs of neurological and nerve damage such as twitching and first to occur soonest after vaccine was SEVERE leg pain (especially in left) cramping to the point of waking up out of sleep screaming. Later began chest pain and trouble breathing, after 2 ekg''s at Hospital came back abnormal (showing ''old heart attack'') I visited my Doctor next day and again showed an abnormal ekg, breathing test showed extremely low lung functioning, they are expediting me to see a specialist for both (appointment is still in future). Also, since the vaccine, SEVERE back pain in spine, get stuck in certain positions in pain so badly causes outburst moans of pain, got xray waiting for results, Dr also put in referral for physical therapy. Did labs with included fasting which show my cholesterol is now high, I am thin, healthy, and work out when my body can handle it, this is bizarre. Had none of these issues (labs were all fine as well) before vaccine. My body is completely different and unpredictable now, my legs are unable to handle much of anything, along with my back, I have been prescribed inhalers for breathing now as well. I do not smoke, drink, nor use any drugs.


VAERS ID: 1750498 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-13
Onset:2021-09-22
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood magnesium, Cardiac function test, Chest pain, Chills, Electrocardiogram, Full blood count, Headache, Metabolic function test, Palpitations, Pyrexia, Stress echocardiogram, Troponin, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methylphenidate Singular Wellbutrin Vitamin b12
Current Illness:
Preexisting Conditions: Anxiety/depression Asthma
Allergies: N/a
Diagnostic Lab Data: Ekg (9/25). Lab work- troponin, mg, cmp, CBC (9/25). Ekg (9/25). Stress echo (9/30)
CDC Split Type:

Write-up: I started having fevers and chills along with headaches 7 hours after getting the vaccine that lasted about 40 hours. I started having vaginal bleeding 9 days after my injection. I do not get a period or have vaginal bleeding due to my depo shot/birth control. I haven?t bleed in almost 3.5 years. Now I haven?t stopped having vaginal bleeding at it?s been 8 days of bleeding. I also am a runner and have heart palpations and chest pain on exertion, currently in the process of a cardiac work up to figur out the problem. I have ran almost 900 miles just this year alone, I?ve never experienced anything like this before. And I?ve ran for many years and thousands of miles and again never experienced anything like this. The heart palpations and chest pain started during one of my runs 12 days after my vaccine


VAERS ID: 1751725 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Alanine aminotransferase, Amylase increased, Aspartate aminotransferase, Bilirubin conjugated, Blood albumin, Blood alkaline phosphatase, Blood bilirubin, Blood chloride, Blood creatinine, Blood glucose, Blood potassium, Blood sodium, Blood urea, Carbon dioxide, Computerised tomogram, Computerised tomogram head, Glomerular filtration rate, Haematocrit, Haemoglobin, Lipase, Platelet count, Protein total, Red blood cell count, Ultrasound scan, Urine analysis, White blood cell count
SMQs:, Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MODERNA VACCINE; FLUOXETINE; ERGOCALCIFEROL; IBUPROFEN; KETOROLAC; MINOXIDIL; PREDNISOLONE; TURMERIC
Current Illness: Depression; Non-smoker; Obesity; Sedentary; Sleep apnea; Vitamin D deficiency
Preexisting Conditions: Medical History/Concurrent Conditions: Cataract operation (Cataract surgery with intraocular lens right eye. Combined form of age-related cataract); Cataract operation (Cataract surgery with intraocular lens left eye. Combined form of age-related cataract); Comments: Patient had no history of abdominal surgery. Patient family history included hypertension and giant cell glioblastoma of the brain.
Allergies:
Diagnostic Lab Data: Test Date: 20210816; Test Name: Alanine aminotransferase; Result Unstructured Data: 21; Test Date: 20210816; Test Name: White blood cell count; Result Unstructured Data: 12.9; Test Date: 20210816; Test Name: Amylase increased; Result Unstructured Data: 404; Test Date: 20210816; Test Name: Blood albumin; Result Unstructured Data: 4.7; Test Date: 20210816; Test Name: Blood alkaline phosphatase; Result Unstructured Data: 86; Test Date: 20210816; Test Name: Blood chloride; Result Unstructured Data: 101; Test Date: 20210816; Test Name: Blood creatinine; Result Unstructured Data: 0.99; Test Date: 20210816; Test Name: Blood glucose; Result Unstructured Data: 130; Test Date: 20210816; Test Name: Blood potassium; Result Unstructured Data: 4.3; Test Date: 20210816; Test Name: Blood sodium; Result Unstructured Data: 139; Test Date: 20210816; Test Name: Blood urea; Result Unstructured Data: 14; Test Date: 20210816; Test Name: CT scan; Result Unstructured Data: abnormal; Comments: Cholelithiasis and sclerotic osseous lesions incidentally noted largest measuring approximately 2.1 cm in the left iliac wing which could be bone islands but are nonspecific and neoplasia cannot be fully excluded.; Test Date: 20210816; Test Name: Carbon dioxide; Result Unstructured Data: 24; Test Date: 20210816; Test Name: Computerised tomogram head; Result Unstructured Data: abnormal; Comments: no evidence for acute intracranial hemorrhage, midline shift or mass effect, however, the right maxillary sinus contained a large retention cyst measuring approximately 3.1 cm in greatest dimensions.; Test Date: 20210816; Test Name: Bilirubin direct; Result Unstructured Data: <0.2; Test Date: 20210816; Test Name: Estimated glomerular filtration rate; Result Unstructured Data: 94; Test Date: 20210816; Test Name: Estimated glomerular filtration rate; Result Unstructured Data: 81; Test Date: 20210816; Test Name: Hematocrit; Result Unstructured Data: 42; Test Date: 20210816; Test Name: Hemoglobin; Result Unstructured Data: 14.6; Test Date: 20210816; Test Name: Lipase; Result Unstructured Data: 19; Test Date: 20210816; Test Name: Platelet count; Result Unstructured Data: 271000; Test Date: 20210816; Test Name: Red blood cell count; Result Unstructured Data: 4.8; Test Date: 20210816; Test Name: Bilirubin total; Result Unstructured Data: 0.9; Test Date: 20210816; Test Name: Protein total; Result Unstructured Data: 7.6; Test Date: 20210816; Test Name: Diagnostic ultrasound; Result Unstructured Data: abnormal; Comments: Cholelithiasis, but no signs of acute cholecystitis; Test Date: 20210816; Test Name: Urine analysis; Result Unstructured Data: Ketones: 2+ UBLD: Trace; Test Date: 20210816; Test Name: Aspartate aminotransferase; Result Unstructured Data: 16
CDC Split Type: USJNJFOC20210858454

Write-up: ABDOMINAL PAIN; Protocol: 21-0012: After Receipt of EUA Vaccines Manufacturer Receipt Date: 24-AUG-2021 A clinical investigator reported that a 61-year old male (subject number: 808600959, site number not reported) experienced abdominal pain. The event occurred 16 days after COVID-19 vaccine Ad26.COV2.S was administered intramuscularly for prevention of symptomatic SARS-CoV-2 virus infection. The action taken with COVID-19 vaccine Ad26.COV2.S was not applicable. At reporting, the subject was recovering from abdominal pain. The subject''s weight was 103 kilograms, and height was not reported. The subject''s past medical history included: cataract surgery, and cataract surgery, and concurrent conditions included: depression, obesity, vitamin d deficiency, suspected sleep apnea, sedentary lifestyle, and non-smoker, and other pre-existing medical conditions included: Patient had no history of abdominal surgery. Patient family history included hypertension and giant cell glioblastoma of the brain. Concomitant medications included fluoxetine for depression, curcuma longa rhizome, ergocalciferol, ibuprofen, ketorolac, minoxidil, and prednisolone. The subject received 2 doses of Moderna vaccine (dates were not provided). On 30-JUL-2021, the subject was treated with COVID-19 vaccine Ad26.COV2.S (suspension for injection, intramuscular, batch number was not reported 0.5ml, anatomical vaccine site was not reported. On an unknown date, the subject has lower back pain. On 15-AUG-2021, the subject developed dull ache periumbilical pain. On 16-AUG-2021, the subject presented to emergency department (ED) with abdominal pain and back pain. His lower back pain showed improvement. The abdominal pain was associated with nausea, bloating, lightheadedness, dizziness, and headache, as well as some sweating and chills during the night. He denied vomiting and bowel movement changes. Review of systems was negative for shortness of breath and chest pain. Vitals showed blood pressure 172/102, respiratory rate 18, temperature 36.4 degrees Celsius (97.5 degrees Fahrenheit), SpO2 99% and heart rate 107. Abdominal examination showed tenderness in peri-umbilical area, however, there was no guarding or rebound. Musculoskeletal examination of the lumbar back showed no swelling, edema, deformity, signs of trauma, lacerations, spasms, tenderness, or scoliosis, as well as normal range of motion, negative right straight leg raise test and negative left straight leg raise test. Complete blood count with differential showed white blood cells 12.9 (elevated), red blood cells (RBC) 4.8, hemoglobin 14.6, hematocrit 42 and platelets 271 (Normal Range (NR) and units were not provided). Basic metabolic panel results showed glucose 130, sodium 139, potassium 4.3, chloride 101, carbon dioxide 24, anion gap 14, urea nitrogen 14, creatinine 0.99, calcium 9.9 (NR and units were not provided), glomerular filtration rate 81 ml/min/1.73, glomerular filtration rate 94 ml/min/1.73 (NR not provided). Right upper quadrant (RUQ) panel results showed amylase 404, lipase 19, total protein 7.6, albumin 4.7, total bilirubin 0.9, direct bilirubin < 0.2, alkaline phosphatase 86, aspartate transaminase 16, alanine transaminase 21 (NR and units were not provided). Urinalysis showed 2+ ketones and trace blood, 0-2 RBC and negative for leukocyte esterase, nitrites, protein and glucose. Computed tomography (CT) head without contrast showed no evidence for acute intracranial hemorrhage, midline shift or mass effect, however, the right maxillary sinus contained a large retention cyst measuring approximately 3.1 cm in its greatest dimensions. CT abdomen and pelvis with contrast showed cholelithiasis and two sclerotic osseous lesions incidentally noted, largest measuring approximately 2.1 cm in the left iliac wing which could be bone islands but are nonspecific and neoplasia cannot be fully excluded. Ultrasound abdomen showed cholelithiasis, but no signs of acute cholecystitis. The subject was recovering from abdominal pain. Investigator''s causality assessment: The event of abdominal pain was not related to the study vaccine. Company causality assessment: The event of abdominal pain was not related to the study vaccine.; Sender''s Comments: V0-Abdominal pain. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: MEDICAL HISTORY(obesity), UNDERLYING DISEASE(cholelithiasis)


VAERS ID: 1751735 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:0000-00-00
Onset:2021-05-01
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Dysphagia, Hypoaesthesia, Joint swelling, Magnetic resonance imaging, Nervous system disorder, Paraesthesia, Peripheral swelling, Seizure, Visual impairment
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Tendinopathies and ligament 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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Marijuana abuse (The patient do smoke a little marijuana every once in a while.); Non-smoker
Preexisting Conditions: Comments: Patient stated that he had no medical history and was very healthy. Patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210923; Test Name: MRI; Result Unstructured Data: Result not reported
CDC Split Type: USJNJFOC20210955573

Write-up: MULTIPLE (7 OR 8) SEIZURES; PROBLEMS/ISSUE SWALLOWING; NERVE ISSUE; DIZZY; TROUBLE SEEING/VISION PROBLEMS; TINGLING KNEE/TINGLING LEG; NUMBNESS IN RIGHT LEG; SWOLLEN KNEE; SWOLLEN LEG; This spontaneous report received from a patient concerned a 62 year old male of unspecified ethnicity. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: non-alcohol user, non-smoker, and marijuana drug abuse (every once in a while). The patient stated that he had no medical history and was very healthy. Patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 206A21A, and expiry: unknown) dose was not reported, 1 total administered in left arm on 03-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date in MAY-2021, few weeks after the vaccination, the patient had numbing in the right leg above his knee that has gone into his foot. The numbness was only in the right leg, in the surface of his leg in the nerves or veins and it swelled and got worse because he''s a tennis player. On 23-SEP-2021, the patient experienced multiple (7 or 8) seizures on the tennis court while playing and taken to the emergency room (ER) and was admitted to the hospital. The patient said that, doctors could not pinpoint what was going on but there were suspicions, and they were sure that the numbing in his leg was caused by the vaccine. While admitted he received Magnetic resonance imaging (MRI) scan (NR: not provided) result not reported and they put something on his head to record activity for 24 hours and determine if there were any more seizures to came. On an unspecified date, the patient had experienced dizzy, tingling knee/tingling leg, trouble seeing (vision problems) and problem/issues swallowing where if he drinks something very cold, he would gag. He reported that numbness in his leg was nothing that he had experienced before. He was prescribed with Levetiracetam 1000 milligram (mg) twice daily upon discharge. The patient was hospitalized for 4 days and discharged on 26-SEP-2021. The patient had made appointment with his primary care physician for next week. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from problems/issue swallowing, and had not recovered from numbness in right leg, nerve issue, dizzy, swollen knee, swollen leg, tingling knee/tingling leg, trouble seeing/vision problems, and multiple (7 or 8) seizures. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210955573-COVID-19 VACCINE AD26.COV2.S- Multiple (7 or 8) seizures. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1753012 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Candida infection, Gait disturbance, Laryngeal oedema, Pulmonary embolism, Pulmonary thrombosis
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcoholic; COPD; Smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Neck surgery; Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210958344

Write-up: PULMONARY EMBOLISM; BLOOD CLOT IN LUNGS; EDEMA IN HER VOCAL CORDS; ORAL THRUSH, THAT SPREAD TO ESOPHAGUS AND ALL OVER BODY AND INTO HER LUNGS; TROUBLE WALKING DOWN THE STAIRS/CAN NOT WALK; BODY IS WEAK; This spontaneous report received from a consumer concerned an adult white female of an unspecified ethnic origin. The patient''s height, and weight were not reported. The patient''s past medical history included: neck surgery, and concurrent conditions included: COPD (Chronic obstructive pulmonary disease), alcohol consumer, and smoker. The patient had no known drug allergies. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown, expiry: unknown) dose was not reported, frequency time 1 total was administered on JUN-2021 to right arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. Reporter stated that, the patient was fine at the first. On an unspecified date, (couple of weeks later) the patient had difficulty breathing and trouble walking down the stairs and patient''s throat was swollen (edema in her vocal cords). Patient went to the emergency room (ER) few times at night. At the ER, patient was treated with the Medrol IV (intravenous)- (methylprednisolone) and sent back to home with steroid as they thought it was from the edema and they did not checked if she had blood clots. Within a month after getting the vaccine, patient had difficulty breathing again but she didn''t go get checked. Patient started experiencing oral thrush, that spreads to her esophagus and all over her body. It went through her body, esophagus then into her lung. She went to the hospital and there she was diagnosed with the blood clot in her lungs and pulmonary embolism. She was on the ventilator and incubated in the hospital for 9 to 10 days. She was off ventilator now and was discharged from hospital to rehab. Her body became weak because she was on ventilator for longer time. She would be able to came home once she could walk again. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from pulmonary embolism (difficulty breathing), and blood clot in lungs, had not recovered from trouble walking down the stairs/can not walk, and body became weak, and the outcome of oral thrush, that spread to esophagus and all over body and into her lungs and her throat was swollen (edema in her vocal cords) was not reported. This report was serious (Hospitalization Caused / Prolonged, and Life Threatening).; Sender''s Comments: V0: 20210958344-covid-19 vaccine ad26.cov2.s-Pulmonary embolism, blood clot in lungs, edema in her vocal cords, oral thrush that spread to esophagus and all over body and into her lungs, trouble walking down the stairs/can not walk. 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). 20210958344-covid-19 vaccine ad26.cov2.s- body is weak. This event(s) is labeled per RSI and is therefore considered potentially related.


VAERS ID: 1753016 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-03-01
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Pain in extremity, Scan
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Scan; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210960361

Write-up: UNEXPLAINED HEADACHES; PROBLEMS IN BREATHING; PAIN IN LOWER EXTREMITIES; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the patient experienced problems in breathing. On MAR-2021, the patient experienced pain in lower extremities. On an unspecified date, the patient experienced unexplained headaches. Laboratory data (dates unspecified) included: Scan (NR: not provided) Not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from problems in breathing, and pain in lower extremities, and had not recovered from unexplained headaches. This report was non-serious.


VAERS ID: 1753504 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-29
Onset:2021-07-03
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test, Computerised tomogram, Fall, Renal failure, Sepsis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Accidents and injuries (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Seizure medication, Blood pressure medication, muscle relaxer, Heartburn medication, Vitamin D perscription strengh, anxiety medication, antidepressant, night-time medication, pain medication
Current Illness: None
Preexisting Conditions: Seizures, High blood pressure, migranes, epilepsy, anxiety, depression
Allergies: Adivan, Capazine, Dilantin, IV Benedryl
Diagnostic Lab Data: Cat scan Boodwork Neck IV
CDC Split Type:

Write-up: Fell on 07/04/2021. Fell again on 07/05/2021. Fell again on 7/06/2021 eight time. Extreme back pain, thought it was kidney stones.Taken to ER. Admitted to hospital. Diagnosed for kidney failure and septis. After hospital, transfered to in-patient rehab. Now in out patient rehab.


VAERS ID: 1753744 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-24
Onset:2021-08-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Heart rate increased, Hyperhidrosis, Syncope, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unsure. Called 911 and he was transported to the ER.
CDC Split Type:

Write-up: Excessive sweating, severe headache, ringing in ears, dizziness, syncope, and rapid heart beat.


VAERS ID: 1754041 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-30
Onset:2021-05-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Headache, Hyperhidrosis, Nausea, Pneumonia, SARS-CoV-2 test negative, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), COVID-19 (broad)

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

Write-up: Reported various symptoms such as fatigue, diarrhea, headache, nausea, sweats, chills, and cough following the vaccine. These lasted several weeks and turned into wheezing, coughing, and pneumonia.


VAERS ID: 1754047 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-30
Onset:2021-05-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Headache, Hyperhidrosis, Nausea, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: strong immune response to flu shot ~30 years
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Negative covid test
CDC Split Type:

Write-up: Patient reported several symptoms the days and weeks following vaccination. These included fatigue, diarrhea, headache, nausea, sweats, chills and cough. These persisted for 3 weeks.


VAERS ID: 1754327 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-31
Onset:2021-09-28
   Days after vaccination:181
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / SC

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 125 mcg., Spironolactone 50 mg., Restasis 0.05% eml., daily vitamin, daily calcium tablet, daily probiotic
Current Illness: season allergies
Preexisting Conditions: hypothyroidism, dry eyes, rosacea, hormonal acne
Allergies: none
Diagnostic Lab Data: ER evaluation of stroke protocol.
CDC Split Type:

Write-up: On Sept. 28 in the morning, I started to show signs of mild facial paralysis on the left side, mainly the mouth. By the afternoon, I noticed my left eye looked "off". On Sept. 29, I went to the Emergency Room and was diagnosed with Bell''s Palsy.


VAERS ID: 1754349 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-27
Onset:2021-09-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dizziness, Dyspnoea, Heart rate increased, Hypoaesthesia, Muscular weakness, Presyncope, Throat tightness, Vibratory sense increased, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

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

Write-up: Within 5 minutes of receiving the shot - Rapid heartrate, dizziness, focus on breathing Within 10 minutes - Continually increasing heartrate, dizziness, elevated legs and people fanning me Within 15 minutes - Lying down on floor because I was certain I was going to pass out After getting on floor, an ambulance was called. Loss of feeling in arms/legs/body and/or vibrating sensation, windpipe narrowing, difficulty breathing, blurred vision, sense of doom/impending death, loss of muscle control (could not control bowels, felt like I was going to defecate myself, began to release gas uncontrollably - could not clench or control lower muscles)


VAERS ID: 1754362 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-31
Onset:2021-07-23
   Days after vaccination:114
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, Blood test, COVID-19, Cough, Decreased appetite, Disorientation, Dizziness, Fatigue, Nasal congestion, Oropharyngeal pain, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive, Sleep disorder, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: probiotics, multivitamin, tylenol, pepsid (every other day)
Current Illness: none. PRP therapy on knee 5 weeks prior.
Preexisting Conditions: osteoarthritis, environmental allergies, chronic heartburn
Allergies: none
Diagnostic Lab Data: Rapid and PCR tests, antibody test, full blood panel (7-26-21, Hospital) Intermittent home rapid tests: positive PCR tests Sept 4 (negative) & Sept 5 (positive) (testing sites)
CDC Split Type:

Write-up: Upper respiratory symptoms (sore throat, nasal congestion, cough due to post-nasal drip) fever loss of smell, taste, and appetite fatigue, disorientation, dizziness disturbed sleep treated with monoclonal antibodies and oral steroids major symptoms persisted for 15 days


VAERS ID: 1754370 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-10-01
Onset:2021-10-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 LA / IM

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

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

Write-up: Patient fainted after 15 minutes from the shot and had a bump on the head from fainting.


VAERS ID: 1754514 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 211A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute cardiac event, Anaphylactic reaction, Arthralgia, Back pain, Blood test, Dyspnoea, Electrocardiogram abnormal, Flank pain, Headache, Hypoaesthesia, Pain in extremity, Paraesthesia, Pharyngeal swelling, Urticaria, X-ray
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot around 2006
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 9/30 ekg, blood draw at urgent care 9/30 ekg, blood draw, x-ray meds (records available) at Hospital 10/1 IM and IV fir anaphylaxis at Hospital (records available)
CDC Split Type:

Write-up: 11:43 shortness of breath, pain on left, side tingling, throat swelling, 12:14 hives, numbness in face -returned to urgent care with severe headach, anaphylactic symptoms, extreme flashing pain in upper back, left arm and shoulders-ekg indicated a cardiac event and was sent to Hospital. Tested and treated, released at 11pm. Next morning (10/1/2021) 08:30 anaphylaxis, went to Hospital -treated and released at 3pm


VAERS ID: 1754537 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone decreased, Dyspnoea, Headache, Hyperthyroidism, Lip dry, Pruritus, Tinnitus, Tremor
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (narrow), Hearing impairment (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Venlafaxine HCL ER 75 mg Losartan Potassium 50 mg Metoprolol Tartrate 25 mg Eszopiclone 3 mg Vitamin D3 5000IU
Current Illness: None
Preexisting Conditions: Hypertension Insomnia Depression
Allergies: Penicillian
Diagnostic Lab Data: Had labs done on Sept. 4th, came back with a tsh of 0.01. Hyperthyroidism
CDC Split Type:

Write-up: Had really excessively dry lips at first, within a few days, then over a few days developed headaches. Then a few weeks later itching started, then ringing in ears, then shaking, then shortness of breath. Didn''t report to my Dr. right away. Waited until approx. August. Didn''t think to report. Until symptoms became worse.


VAERS ID: 1754750 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-03
Onset:2021-09-04
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anaemia, Appendicectomy, Appendicitis, Appendicitis perforated, Candida infection, Clostridium difficile colitis, Haemoglobin decreased, Internal haemorrhage, Mineral supplementation, Post procedural drainage, Surgery, Transfusion
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Pseudomembranous colitis (narrow), Gastrointestinal perforation (narrow), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xyzal
Current Illness:
Preexisting Conditions:
Allergies: Watermelon, pistachio nuts
Diagnostic Lab Data:
CDC Split Type:

Write-up: Appendicitis, ruptured aappendix resulting in hospitalization and appendectomy 9/6/21. Complications of internal bleeding which necessitated transfusion and a second surgery. JP drain. Contracted c diff and thrush due to antibiotics. Developed anemia due to hemoglobin loss. Had treatment for c diff. Still with JP drain as of 10/1/21. Taking iron to treat low hemoglobin.


VAERS ID: 1755730 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Heart rate, Pyrexia, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 104 (unit not reported); Test Name: Heart rate; Result Unstructured Data: 180 (unit not reported)
CDC Split Type: USJNJFOC20210958445

Write-up: 180 RESTING HEART RATE; RIGORS; FEVER; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown expiry: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patient experienced 180 resting heart rate, rigors, and fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 104 (unit not reported), and Heart rate (NR: not provided) 180 (unit not reported). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the 180 resting heart rate, rigors and fever was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1755733 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-08-05
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Chest pain, Computerised tomogram, Constipation, Deep vein thrombosis, Fibrin D dimer, Malaise, Pericarditis, Pneumonia, Pulmonary embolism, Pyrexia, Scan with contrast
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: COLCHICINE; METOPROLOL; VITAMIN D3; ELIQUIS; XARELTO; AMITRIPTYLINE; IBUPROFEN
Current Illness: Abstains from alcohol; Hypertension ((well-controlled)); Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (prior to vaccination.); Comments: The patient did not have any history of drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210824; Test Name: Fibrin D dimer; Result Unstructured Data: Elevated; Test Date: 20210824; Test Name: CT scan; Result Unstructured Data: did not see anything; Test Date: 20210830; Test Name: Scan with contrast; Result Unstructured Data: Pulmonary embolism, 1 deep vein thrombosis in each leg
CDC Split Type: USJNJFOC20210958673

Write-up: ATRIAL FIBRILLATION; PULMONARY EMBOLISM; DEEP VEIN THROMBOSIS; PNEUMONIA; PERICARDITIS; CONSTIPATION; SEVERE CHEST PAIN THAT RADIATED UP TO SHOULDERS; MALAISE; LOW-GRADE FEVER; This spontaneous report received from a health care professional (nurse) concerned a 65 year old male. The patient''s weight was 205 pounds, and height was 74 inches. The patient''s past medical history included: COVID-19 in JAN-2021, and concurrent conditions included: non alcohol user, non smoker, and well controlled hypertension. The patient did not have any history of drug abuse or illicit drug use. The patient experienced drug allergy when treated with levofloxacin for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 204A21A expiry: UNKNOWN) dose was not reported, 1 total, administered on 03-AUG-2021 to left arm for prophylactic vaccination. Concomitant medications included amitriptyline for drug used for unknown indication, apixaban for drug used for unknown indication, colchicine for drug used for unknown indication, colecalciferol for drug used for unknown indication, ibuprofen for drug used for unknown indication, rivaroxaban for drug used for unknown indication, and metoprolol. On 05-AUG-2021, the patient had malaise and typical low-grade fever. On 24-AUG-2021, the patient experienced severe chest pain that radiated up to shoulders. The patient went to emergency room and laboratory data included Fibrin D dimer Elevated, but the emergency room doctor said it was likely due to constipation. They also performed computerized tomogram (CT) without contrast and did not see anything. They sent patient to home, but on 30-AUG-2021, the pain came back worse than before. The patient went back to emergency room. Laboratory data included CT scan with contrast, which showed pulmonary embolism and 1 deep vein thrombosis in each leg. The patient was transferred and admitted to hospital on 30-AUG-2021. Treatment medications included: heparin drip. They thought they might had to surgically remove the pulmonary embolism, but ended up just treated medically, and was converted to Eliquis (apixaban). During the hospital admission, the patient experienced atrial fibrillation and was cardioverted. The patient was discharged from hospital on 07-SEP-2021. The patient was admitted for 8 days during first admission. The patient was home for a week. On 13-SEP-2021, the patient experienced pneumonia and went back to hospital was re-admitted on 13-SEP-2021 with pneumonia and pericarditis (built up fluid in the pericardium). The doctors at previous hospital mentioned inflammation but they never treated it. The patient was discharged from hospital on 19-SEP-2021. The patient was admitted for 6 days during second admission. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from malaise, and low-grade fever on 09-AUG-2021, and the outcome of constipation, pulmonary embolism, deep vein thrombosis, atrial fibrillation, pneumonia, pericarditis and severe chest pain that radiated up to shoulders was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210958673 -COVID-19 VACCINE AD26.COV2.S-Pulmonary embolism, deep vein thrombosis, atrial fibrillation, pneumonia, pericarditis .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: 1756647 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Malaise, Myalgia, Pain, Pyrexia, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin Pro-biotic Cranberry supplement
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Minocycline
Diagnostic Lab Data: COVID nasal swab on 10/01/2021, no results received yet
CDC Split Type:

Write-up: Body aches, chills, high fever (102.4), malaise, fatigue, loss of appetite. Lasted for about 24 hours then much improved. Took Tylenol every 6 hours to try and help relieve muscle and joint aches and pains


VAERS ID: 1756750 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-12
Onset:2021-05-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chills, Computerised tomogram head, Electrocardiogram, Fall, Head injury, Hyperhidrosis, Loss of consciousness, Suture insertion
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfua
Diagnostic Lab Data: Ambulance transport to ER EKG blood work chest x-ray CT scan of head multiple sutures from the fall during loss of consciousness.
CDC Split Type:

Write-up: Chills sweats loss of consciousness


VAERS ID: 1756920 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Blindness transient, Blood test, Headache, Magnetic resonance imaging, Seizure
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Embolic and thrombotic events, arterial (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Headaches, starting the day of the COVID vaccine, continuing every day since that vaccine (through my last conversation with patient on 09/29/2021). One week after the same vaccine, total vision loss in both eyes occurred, lasting approximately ten minutes. Subsequently, a similar transient vision loss event occurred three additional times. On 09/29/2021, patient visited hospital urgently for her first ever seizure.


VAERS ID: 1756956 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-18
Onset:2021-09-08
   Days after vaccination:174
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute kidney injury, COVID-19 pneumonia, Dyspnoea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Came to the emergency room with shortness of breath. and was diagnosed with COVID-19 pneumonia. Then patient was started on remdesivir and steroids. Patient started feeling better and patient started breathing on room air. Patient also had acute kidney injury that was also resolved. Since patient was stable enough, patient was discharged home on dexamethasone.


VAERS ID: 1757010 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-28
Onset:2021-07-06
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Neurological symptom
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Stroke like symptoms leading to hospitalization . Diagnosed with GBS. Continuing to have issues to present day with no explaination.


VAERS ID: 1757020 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-09-24
Onset:2021-09-28
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Hypoaesthesia, Muscle spasms, Myalgia, Nausea, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

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

Write-up: Severe Headache - Sept 25 - Oct 1 Numbness, cramping, and tingling in both arms and legs - Sept 28 through Oct 1 Dizzy - Sept 28-Oct 1 Nausea Sept 28-Oct 1 Faint Sept 28-Oct 1 Muscle Aches Sept 25 - Sept 26 Fatigue/Weakness - Sept 25 - Oct 2


VAERS ID: 1757053 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-20
Onset:2021-03-01
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain lower, Heavy menstrual bleeding, Menstruation irregular, Smear cervix normal, Thrombosis, Ultrasound scan normal, Ultrasound scan vagina, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: PCOS
Allergies: None
Diagnostic Lab Data: I had severe low left abdominal pain and went to the ER. They did an internal pelvic ultrasound and found no irregularities. I also went to my primary doctor who did a pelvic exam and pap. Also no issues found.
CDC Split Type:

Write-up: About 2 weeks (maybe less) after the vaccine I began to have some very light vaginal bleeding, spotting, and some clots. It lasted about 10 days. I then went over 5 months without a menstrual cycle. When I did start what I believed to be my period, it was more spotting and light clotting. A couple months later I began spotting again, this lasted for about 4-5 days. Then the bleeding became much heavier and many more clots (which is unusual for me). I have been bleeding heavier & clotting consistently for 4 more days and counting.


VAERS ID: 1757212 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-24
Onset:2021-09-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster, Neuralgia, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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? 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: Penicillin, COVID vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: developed shingles 48hrs after vaccine administration, required to be placed on Valcyclovir...still experiencing nerve pain and rash


VAERS ID: 1757253 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-08-30
Onset:2021-09-11
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute coronary syndrome, Arterial catheterisation, Electrocardiogram, Myalgia, Myocarditis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D3, 5000 IU, every other day Fexofenadine, OTC, one daily Multivitamin, One-A-Day Men''s
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NSAID medications Tylenol Aspirin Nightshade food group
Diagnostic Lab Data: EKG (multiple), 09/22 - 09/23 Radial Artery Catheterization, 09/22
CDC Split Type:

Write-up: Myopericarditis, extreme fever (105+ degree), muscular soreness, acute coronary syndrome


VAERS ID: 1757351 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-14
Onset:2021-03-19
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Central nervous system inflammation, Ear pain, Eye operation, Eyelid function disorder, Eyelids protective suture
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bisoprolol/HCTZ 2.5/6.25 Biotin, Vitamin D, Tumeric, Fish Oil
Current Illness: None
Preexisting Conditions: Arthritis - Knees
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: March 19 - Ear Ache started March 21 - Went to urgent care for ear ache Neomycin Polymyxin Sulfate and Hydrocortisone prescribed, The ear ache was a symptom of the Bell''s Palsy due to the inflamed nerve which we did not realize at the time. March 22 - Bell''s Palsy Appeared - went to Urgent Care then to Emergency Room July 21 - Stitches in corner of eye to protect Cornea - Plastic Surgeon August 12 - Eye surgery to correct droopy eye - Plastic Surgeon (more eye surgery will be required) Bell''s Palsy Assessment - House Brackman - V - Severe Dysfunction More eye surgery is required in a few months I go to speech therapy weekly


VAERS ID: 1757365 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-09-01
Onset:2021-09-29
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cardiac telemetry, Electrocardiogram, Fatigue, Malaise, Nasopharyngitis, Tinnitus, Vertigo
SMQs:, Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Valtrex 1 GM daily Multivitamin
Current Illness: None
Preexisting Conditions: HSV 2 Hyperlipidemia Grover?s Disease
Allergies: Demerol Morphine Tetracycline Clindamycin Acetaminophen
Diagnostic Lab Data: Bloodwork EKG Telemetry IV insertion
CDC Split Type:

Write-up: Vaccinated 9/25/21 Malaise & fatigue within 24 hours Mild cold symptoms 3 days later Ringing in left ear within 5 days later Vertigo treatment at ER 8 days later


VAERS ID: 1757448 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-05-07
Onset:2021-06-05
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Asthenia, Blood creatine phosphokinase normal, C-reactive protein, Chest X-ray, Chills, Diarrhoea, Fatigue, Full blood count, Gait disturbance, Hyperreflexia, Impaired work ability, Inflammatory marker test, Laboratory test normal, Malaise, Metabolic function test, Mobility decreased, Muscle spasms, Muscular weakness, Pain, Pyrexia, SARS-CoV-2 test, Troponin I, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omprezole, Lisinopril
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Listed in item 18
CDC Split Type:

Write-up: June 14th: Treated for fatigue In ER by MD. Labs completed:C-Reactive Protein CBC CK Comprehensive Metabolic Panel Troponin I Urinalysis (Macro w/Microscopic if Indicated) Urine Microscopic. Labs in process:COVID-19 Symptomatic Priority 2: Result will change management in the next 1-2 days Gray Tube Serum Separator Tube Urine Container June 15th: Visit with primary provider NP at 6/15/2021 10:45 AM Chief Complaint: ED Follow-up and Fatigue (overall feeling unwell since Friday) 1. Distal muscle weakness He has diffuse distal muscle weakness of bilateral upper and lower extremities on exam. Upper muscle strength is equal and strong. Mild bilateral patellar hyperreflexia. Unclear etiology at this point. Concern is for motor/neuron cause. Labs were normal. CK is normal. Guillain Barre? He has good DTR. He does not have any neck pain or nuchal rigidity. Inflammatory markers are normal to think infectious process. We''ll get an MG panel, repeat inflammatory markers, CK, aldolase levels today. Check chest x-ray. Consider MRI of the spine looking for cord compression? Consider lumbar puncture. Addendum 6/16/21: Dr. talked to Dr.. Per neurology''s recommendation, stat MRI of the cervical, thoracic and lumbar spine to evaluate for cord compression or MS plaques. Stat Lumbar Puncture looking for protein. Concern for Guillain Barre, despite normal reflexes. No orders of the defined types were placed in this encounter. History ofPresent Illness: Patient is a 58 y.o. male who presents today with a chief complaint of ED Follow-up and Fatigue (overall feeling unwell since Friday) He has not felt well for 2 weeks. He initially started with body aches and fatigue. He was having some chills. The next day, he went to work, and his boss sent him home because he did not look good. He spent the next few days resting. He had diarrhea during this time and fever of 102. He improved. He went back to work for 2 days then started feeling some cramps in his left leg. The next day he wanted to play basketball. His muscles gave out. He just did not have the strength to keep playing. His legs were giving out. He felt like he couldn''t run. He didn''t push himself too much. The next day he had a hard time getting out of bed to mow the yard, but couldn''t. He woke up Saturday (3 days ago) and had no strength. He can''t put socks on because he is too weak. His muscles aren''t working well. He denies any shortness of breath, chest pain, or cough. He has not had any recurrent abdominal pain, nausea, vomiting, or fevers. His ONLY symptom now is muscle weakness and fatigue. Nobody else is sick. June 16th: NP at 6/16/2021 9:30 AM Ambulatory Visit In an effort to avoid potential COVID-19 exposure in this patient, this visit occurred by telehealth. Verbal informed consent was obtained from patient, parent or guardian to proceed with telehealth service. Patient identification completed: Yes Mode of Communication: Telephone Application Used: Phone Patient Location: Home Residence Provider Location: Clinic Subjective: HPI: Patient is a 58 y.o. male patient with chief complaint of Extremity Weakness One day follow up on distal muscle weakness. Labs were reviewed. The patient is feeling worse. His legs are weaker. His ability to walk is affected. Denies respiratory symptoms. Discussed with neuro. Concern for Guillan-Barre. Given his worsening weakness, an in-patient admission is recommended. June 16th-21st- Hospitalized: 6/21/2021 12:06 PM Discharge Summary 6/21/2021 8:45 AM Progress Notes 6/21/2021 8:19 AM Progress Notes 6/20/2021 5:12 PM Progress Notes 6/19/2021 2:51 PM Progress Notes 6/19/2021 12:15 PM Progress Notes 6/18/2021 1:52 PM Progress Notes 6/18/2021 3:56 PM Progress Notes 6/18/2021 3:33 PM Progress Notes 6/17/2021 5:56 PM Progress Notes addendum by Speech and Language Pathologist 6/17/2021 4:11 PM Progress Notes 6/17/2021 3:51 PM Progress Notes 6/17/2021 2:39 PM Progress Notes 6/17/2021 12:27 PM Progress Notes 6/17/2021 11:49 AM Progress Notes 6/16/2021 6:53 PM H&P 6/16/2021 4:40 PM Progress Notes signed by Speech and Language Pathologist


VAERS ID: 1757555 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-29
Onset:2021-09-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206ASIA / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft. No other medications.
Current Illness: no sickness. Never have had covid.
Preexisting Conditions: none.
Allergies: flu vaccine. No other allergies.
Diagnostic Lab Data: urgent care visit- 10/3/21. Doctor communication throughout September. I will now have to see a dermatologist and from what the urgent care doctor said, maybe a lifelong prescription of cetirizine to control the hives. This will result in numerous dermatologist tests that I cannot afford and a new medication that actually interacts with a medication I am on (Zoloft.)
CDC Split Type:

Write-up: Ever since the I have recieved the vaccine, I have been breaking out in intermittent Hives- which i have documented pictures of. I have never had hives prior to this vaccine. I tried coming off my medication to see if that was the cause, coming off certain food to see if that was the trigger of the hives- but still Hives keep appearing and nothing triggers them. They use to come once a day, now every few hours and they are all over my body. To the extent that my doctor has had to put me on cetirizine BID to see if that can control the hives. There is no cause for the hives- I got the vaccine and now i am developing severe Hives that are getting worse.


VAERS ID: 1757628 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-09
Onset:2021-04-01
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802072 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, COVID-19, Central nervous system inflammation, Computerised tomogram head normal, Hypoaesthesia, Laboratory test abnormal, Noninfective encephalitis, Oropharyngeal plaque, Paraesthesia, SARS-CoV-2 test positive, Vaccination complication
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I can share the link to the test results, if needed. Inflammation in the brain is clearly reported.
CDC Split Type:

Write-up: March 9th - Took vaccine April 1st - started feeling tingling sensations and numbness in both arms, and sometimes the legs April 15th - a white plaque under tongue April 23rd - went to a doctor''s office in Mexico to get blood test and a CAT scan of the brain to check neuro activity due to tingling sensations (they said nothing was found) July 7th - tested positive for COVID July 15th - tingling sensation and numbness started again, even worse August 25th - flew to see the best neurologist in town August 29th - discovered I was suffering from a viral inflammation that attacked my nervous system, caused by vaccines (ADEM) September 1st - started my treatment with corticosteroids for 5 consecutive days by IV injections September 5th - last day of treatment October 1st - no signs of betterment, started another treatment with corticosteroids


VAERS ID: 1757632 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-05
Onset:2021-08-07
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Cerebrovascular accident, Coagulation test normal, Computerised tomogram abnormal, Headache, Hypoaesthesia oral, Magnetic resonance imaging abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (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: olmesartan 20 mg, januvia 25 mg, lipitor 80 mg, Vitamin D 2000 IU
Current Illness: None
Preexisting Conditions: Type 2 diabetes mellitus, well controlled
Allergies: none
Diagnostic Lab Data: 8/11 - Blood coagulation studies - normal 8/11 - CT Scan - showed stroke evidence 8/11 - MRI - showed evidence of stroke
CDC Split Type:

Write-up: Lips became numb 30 minutes after vaccine and stayed numb for 3 hours - no treatment as it resolved on its own Blood pressure was elevated 40 mm Systolic and 25 mm Diastolic for ~3 weeks post vaccine. Saw Primary Care Physician who prescribed calcium channel blocker if it continued to rise. Fortunately, it resolved on its own. I had a headache that started about 2 1/2 days post vaccine. It was in the front of my head and would not resolve. I saw my Primary Care Physician who suggested I go to Emergency Room if it didn''t resolve. I went to ER on 8/11, where I had a CT Scan and an MRI - both of which noted I''d had a stroke. I''m currently being evaluated by a neurologist. I''m still having headaches nearly every day.


VAERS ID: 1757843 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure decreased, Blood pressure measurement, Computerised tomogram head, Dizziness, Electrocardiogram, Fall, Fear, Heart rate irregular, Insomnia, Loss of consciousness, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: EKG; Result Unstructured Data: Normal; Test Name: Head CT; Result Unstructured Data: Normal; Test Name: Blood pressure; Result Unstructured Data: leveled off (normal); Test Name: Blood pressure; Result Unstructured Data: not above 100/70; Test Name: Blood pressure; Result Unstructured Data: 78/50 mmHg
CDC Split Type: USJNJFOC20211000598

Write-up: PASSED OUT; CONVULSIONS; BLOOD PRESSURE CRASHED TO 78/50; IRREGULAR HEART ACTIVITY; LIGHT-HEADED; FELL OUT OF CHAIR; CAN''T SLEEP; LIVING IN FEAR; This spontaneous report received from a parent concerned a male of unspecified age, race and ethnic origin. 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, start therapy date were not reported, 1 total was administered for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the patient was waiting in the seating area with reporter''s wife when he felt light-headed, passed out, and fell out of the chair. Reporter''s wife helped him back to his chair wherein he again passed out for the second time and went into convulsions. During this time the nurses called 911 and he was transported by ambulance to the hospital where he was admitted to emergency room (ER). The doctor had ordered electrocardiogram (EKG) and head computed tomography (CT) of the patient which was normal. The blood pressure of the patient had crashed to 78/50 mmHg and even after two bags of intravenous (IV) fluid the blood pressure was not above 100/70 mmHg. After remaining in the ER for the remainder of the day the patients blood pressure (BP) leveled off (normal) and he was released that evening. The attending physician recommended that the patient not receive a follow up or booster vaccine in the future. The patient continued to have irregular heart activity and was seeing an internal medicine doctor near his college. It was reported that the patient had been in the hospital twice in his life, the day he was born and the day he had received the johnson and johnson vaccine. The patient was living in fear and struggling with classes as he could not sleep due to heart irregularities and was placed on beta blockers. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood pressure crashed to 78/50, had not recovered from irregular heart activity, and can''t sleep, and the outcome of light-headed, passed out, fell out of chair, convulsions and living in fear was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20211000598-COVID-19 VACCINE AD26.COV2.S-Passed out, Convulsions, Blood pressure crashed to 78/50. These events are considered unassessable. The events have a compatible/suggestive temporal relationship, are unlabeled, and have unknown scientific plausibility. There is no information on any other factors potentially associated with the events.


VAERS ID: 1758599 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-04-01
Onset:2021-08-01
   Days after vaccination:122
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Atrial fibrillation
SMQs:, Supraventricular tachyarrhythmias (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: anti depressant aripiprazole januvia ozempic
Current Illness: shingles
Preexisting Conditions:
Allergies: codeine
Diagnostic Lab Data: 2 day hospital stay in September. Seeing specialist to decide next step
CDC Split Type:

Write-up: I have never had heart issues and I am now in A-fib. I believe this could have been brought on by the Johnson & Johnson Covid-19 Vaccination.


VAERS ID: 1758604 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: California  
Vaccinated:2021-09-30
Onset:2021-10-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 211A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Cerebrovascular accident, Laboratory test, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), 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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: Statin drugs
Diagnostic Lab Data: Various Tests Ran
CDC Split Type:

Write-up: Woke up and entire left side of body was swollen and dragging. Went to the ER and was admitted and diagnosed with a stroke.


VAERS ID: 1758791 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-05-13
Onset:2021-05-31
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Albumin CSF increased, Back pain, Blood albumin increased, Blood calcium increased, Blood cholesterol increased, Blood immunoglobulin G increased, Blood immunoglobulin G normal, Blood test, Blood triglycerides increased, CSF immunoglobulin increased, CSF protein increased, Facial paralysis, Haematocrit increased, Headache, Hypoaesthesia, Impaired work ability, Low density lipoprotein increased, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Muscle twitching, Muscular weakness, Neck pain, Pain, Pain in extremity, Spinal disorder, Spinal osteoarthritis, Tremor, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Dyslipidaemia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Lipodystrophy (broad), Hypersensitivity (broad), Arthritis (narrow), Tendinopathies and ligament 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? No
Previous Vaccinations:
Other Medications: none, other than Ambien (5MG-10MG) for sleep
Current Illness: none
Preexisting Conditions: very mild asthma (although medication/inhaler hasn''t been needed in years for this condition)
Allergies: none
Diagnostic Lab Data: MRI brain shows some white matter (06/04/2021 and 08/16/2021). Lumbar puncture shows Protein, CSF level at 335 when it should be between 12-60 (09/02/2021). Blood work (MS Panel) off in Immunoglobulin G, Serum (768-1632, Low 763), Immunoglobulin G, CSF (0.0-6.0, High 31.3), Albumin, CSF (0-35, High 258), Albumin Index (0.0-9.0, High 55.2), IgG Index (0.28-0.66, High 0.74), (09/02/2021). Blood work off in Albumin high, A/G Ratio high (08/02/2021). Also, Blood work off in Hematocrit high, Cholesterol Total high, Triglycerides high, LDL Chol Calc high (06/14/2021). MRI spine c shows minimal hypertrophy and mild cervical spine degeneration (09/21/2021).
CDC Split Type:

Write-up: Facial paralysis (05/31/2021, this lasted about 2 weeks), Lower back and leg pain (05/31/2021, this continues to this day), Headache/neck ache (06/11/2021, this continues to this day), Poor eye vision (06/11/2021, this lasted about 3 weeks), Arm pain and leg pain and hand tremors and body twitching and muscle weakness and limb numbness (06/15/2021, this continues to this day). I am being seen by my PCP, a neurologist, and a pain specialist. I am in constant pain and my hands and/or feet feel like they are asleep. I had to withdraw from an internship and leave my job as I am no longer to do either of them. I have not recovered from the adverse health events.


VAERS ID: 1758808 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-27
Onset:2021-05-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Condition aggravated, Cough, Death, Escherichia infection, Fatigue, Hepatic cirrhosis, Hepatitis B, Hypertension, Jaundice, Laboratory test, Lymphoma, Malaise, Pain, Platelet count decreased, Platelet transfusion
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Liver infections (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Malignant lymphomas (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-08-10
   Days after onset: 74
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 22 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: None
Diagnostic Lab Data: Please check with the hospital, there were so many to list
CDC Split Type:

Write-up: Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood platelets. He stayed in the hospital for 3-4 days and was released. 4-5 days later we went to the hospital again with the same symptoms. This time they told him he had hepatitis B along with the other things already diagnosed, again he was released from the hospital after a few days. 5-6 days later he had a doctors appointment, she told him he needed to go back to the hospital. This stay was for 16 days. He needed platelets and was then diagnosed with an aggressive form of lymphoma, received treatment and was released on July 30. That evening he started with a cough and felt progressively worse. August 3rd he was scheduled for more blood platelets, arrived to the hospital and was again admitted. They then diagnosed him with an ecoli infection which was to much for his weakened state and he passed away on August 10


VAERS ID: 1758933 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-01
Onset:2021-10-01
   Days after vaccination:183
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802065 / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, COVID-19, Chest X-ray normal, Cough, Diverticulitis, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Current Home Medications 1. atorvastatin 40 mg oral tablet : 1 tab(s) orally once a day 2. bisoprolol 10 mg oral tablet : 1 tab(s) orally once a day 3. clopidogrel 75 mg oral tablet : 1 tab(s) orally once a day 4. fenofibrate 160 mg oral ta
Current Illness:
Preexisting Conditions: COPD Asthma CAD CHF HTN anemia
Allergies: Aleve
Diagnostic Lab Data:
CDC Split Type:

Write-up: fevers as high as 101 ?F as well as worsening left lower quadrant abdominal discomfort and a worsening cough and shortness of breath. Patient''s oxygen saturation was 73% on room air on presentation. 9:56 AM patient was placed on supplemental oxygen at 3 L and immediately went to 94%. Remaining vitals are stable. She will have some repeat abdominal labs as well as chest x-ray. She will also be tested for Covid. Patient will be given Decadron for her breathing. Further disposition is to follow. 11:07 AM patient''s x-ray is unremarkable however she is positive for Covid. Patient will be admitted for further care and treatment with supplemental oxygen and continued treatment of her diverticulitis.


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