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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: 1758939 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-17
Onset:2021-09-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Gait inability, Laboratory test, Rash macular, Swelling, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Throat started closing, entire body swollen and is blotchy and red. Unable to walk.


VAERS ID: 1759001 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-03
Onset:2021-03-24
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / -

Administered by: Senior Living       Purchased by: ?
Symptoms: Gait inability
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad)

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

Write-up: 3 weeks later unable to walk


VAERS ID: 1759012 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-05
Onset:2021-08-12
   Days after vaccination:129
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

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

Write-up: I had a miscarriage at 5 weeks pregnancy. Conception on July 18-20, positive pregnancy test August 5, miscarriage August 12-13.


VAERS ID: 1759043 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-05
Onset:2021-09-25
   Days after vaccination:204
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Oxygen saturation decreased
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: SHORTNESS OF BREATH pt diagnosed with COVID Thursday 9/23, reports progressive SOB, tonight states that he was coughing and couldn''t catch his breath also noted low spo2 when ambulating. per EMS pt spo2 drops to 70''s when ambulating


VAERS ID: 1759174 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-09-24
Onset:2021-09-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 process - CT scans/bloodwork
CDC Split Type:

Write-up: Extreme migraines, nausea, vomiting, fatigue ongoing 10 +days, symptoms worsening leading to emergency room treatment, bloodwork, and follow up with primary care, CT scan needed (results pending)


VAERS ID: 1759177 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-22
Onset:2021-09-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal, Malaise, SARS-CoV-2 test positive, Syncope, Tachycardia, Troponin normal, Unresponsive to stimuli, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Per ED report, similar vasovagal reaction after flu shot.
Other Medications: Albuterol Inhaler PRN Methadone 95mg PO QD Omeprazole 20mg PO BID Ondansetron 4mg PO QD
Current Illness: Unknown
Preexisting Conditions: Anxiety Fractures GERD Peptic Ulceration Seizures Sepsis
Allergies: Cyclobenzaprine Darvocet Gabapentin Lyrica
Diagnostic Lab Data: COVID positive 9/22/21 at ED Troponin negative EKG- no findings consistent with acute ischemia CXR- no acute cardiopulmonary process
CDC Split Type:

Write-up: Patient received J&J vaccine. Within 30 minute monitoring, reports "seeing spots" and not feeling well. HR WNL, O2 sats 80''s. Complained of difficulty breathing and chest pain. Tachycardic, sats 90''s. Syncopal episode, minimally responsive to sternal rub. Maintained pulse and spontaneous breathing. 2:48PM- Vomited x 2, HR 133, O2 97%. 2:52PM- HR 121, O2 98% BP: 163/114 HR: 122 O2: 96% EMS arrived and patient transported to ER.


VAERS ID: 1759227 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-09-17
Onset:2021-09-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood test normal, Dizziness, Fatigue, Feeling abnormal, Haematemesis, Illness, Injection site nerve damage, Injection site pain, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal haemorrhage (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Clonodin, Licenopril, Dul (Nerve Pain), Unasom (Acid Remover)
Current Illness: N/A
Preexisting Conditions: Was in a car accident (have some residual pain issues)
Allergies: Oxycodon
Diagnostic Lab Data: Took Covid Test: Negative
CDC Split Type: vsafe

Write-up: Next day after vaccine, nerve pain on the shot arm, it felt like burning sensation down the entire arm''s skin, extremely sensitive. Then began experiencing heavy fatigue, aches and pains, symptoms began to worsen on 9/29. Extremely sick on 9/30, dizziness, nausea, 99-100 degree fever, thursday vomited blood (large amounts), went to walk-in clinic because it was faster than the ER. Having extreme brain fog as well. 10/01/2021 called doctor and advised to go to walk-in clinic, extremely sick but turned away because of pending covid test. Went to ER, blood taken (was fine), given antinausea pill, given benadryl due to fluid buildup behind the ears. Helped some but did not resolve all issues. Covid test came back negative. Brain fog, fatigue, weakness, and still easily dizzy. Have not vomited since the first time.


VAERS ID: 1759486 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-11
Onset:2021-03-18
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Blindness, Blood test, Fatigue, Muscle spasms, Muscular weakness, Myalgia, Night sweats, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Blood Work 10/04/2021
CDC Split Type:

Write-up: Pt. states that after receiving the 1st dose of J&J 03/11/2021, started experiencing symptoms 03/18/2021 of night sweats, leg weakness and shaking, vision loss, leg cramping, fatigue, and muscle aches. Emergency Room visit 10/04/2021, Blood Work and Observation. Pt. continues to experience symptoms.


VAERS ID: 1759603 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-05
Onset:2021-07-31
   Days after vaccination:117
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Lung opacity, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Not applicable
Preexisting Conditions: hypertension, gout
Allergies: No known allergies
Diagnostic Lab Data: covid positive test on 7/25/21 7/31/21 chest x ray showed patchy bilateral airspace opacities. No evidence of pulmonary edema
CDC Split Type:

Write-up: Patient presented to ED on 7/31/21 with dyspnea and cough with covid infection. Patient was fully vaccinated. Patient was treated for covid and was discharged on 8/5/21.


VAERS ID: 1759605 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-09-20
Onset:2021-09-22
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Chest pain, Influenza like illness, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient reported going to the ER 24-48 hours after vaccination. Severe chest pains, severe abdominal pain, 104 fever and other flu-like symptoms


VAERS ID: 1759676 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-28
Onset:2021-09-26
   Days after vaccination:182
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Myalgia, SARS-CoV-2 test negative, Sick relative
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: cough and shortness of breath. Pt notes his wife and daughter are recently covid-19 +. He tested negative ~10 days ago but developed symptoms ~2 days ago. He notes cough, shortness of breath, myalgias. ? Fever. No vomiting. No alleviating or aggravating factors.


VAERS ID: 1759708 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray normal, Dizziness, Haemoptysis, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: yes, ER did blood work, chest x-rays
CDC Split Type:

Write-up: Had continuous headaches since the took the vaccine, Headaches, dizziness, tingling in chest area. He stated he coughed up some blood about a week ago which a few times then stopped. Went ER and the dr, which stated they couldn''t find anything and he has a 2nd dr appt.


VAERS ID: 1759714 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-09-03
Onset:2021-09-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Alopecia, Blood test, Chest pain, Disturbance in attention, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Headache, Heart rate decreased, Inflammation, Lymphadenopathy, Menstrual disorder, Pyrexia, Rash, Swollen tongue, Vision blurred
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Flu vaccine
Other Medications: Melatonin, Norlynda
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin, amoxicillin, erythromycin, Sudafed, pumpkin,MSG, seasonal environmental
Diagnostic Lab Data: EKG/ECG, Cray, blood work... Hospital ED 9/3/21 & 9/4/21
CDC Split Type:

Write-up: Tongue swelling, rash on thighs & torso, headache, fever, chest pain, dizziness, blurred vision, fatigue, disruption in menstrual cycle, unable to focus/concentrate,low heart rate, inflammation in the lymph nodes, hair loss , inflammation in chest,shortness of breath


VAERS ID: 1759989 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-09-02
Onset:2021-09-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Bowel movement irregularity, Decreased appetite, Illness, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad)

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

Write-up: Patient reports one day after J/J COVID vaccine, intense vomiting and nausea. Symptoms have persisted and he is eating much less. He notes after eating any food, having "violent" BMs about every hour. He reports eating at midnight last night and having 6 BMs between then and now. He also reports becoming ill and vomiting almost every time after he eats, stating he has stopped eating to vomit.


VAERS ID: 1760011 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 211A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram, Hypersensitivity, Laboratory test, Oropharyngeal pain, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: L-thyroxine, Liothyronine, Naltrexone, Fluoxetine, Deplin, Trazodone, Glatiramer, Meloxicam, Amlodipine, Lisinopril, vit D, multivitamin, fish oil, probiotic, Zyflamend Whole Body (supplement)
Current Illness: none
Preexisting Conditions: Hashimoto''s Disease, hypertension, arthritis, psoriasis, endometriosis, MS
Allergies: sulfa, aspirin, Flexoril
Diagnostic Lab Data: EKG, chest xray, lab work, oxygen levels, signs of allergic reaction, blood pressure - all normal.
CDC Split Type:

Write-up: Over 4 hours, gradual tightness in throat followed by pain at base of throat and pain in center, upper chest. Asymmetric, high blood pressure in left and right arms over an hour. (220/? on right; 180/? on left) Throat tightness subsided but pain remained at base of throat and pain increased in center of chest and was followed by tightness of breath within 24 hours. Pain in chest and shortness of breath was identical to symptoms I experienced for 4 or 5 months following contracting COVID-19 in March, 2020. No fever. No signs of allergic reaction. Pain and shortness of breath lasted over 72 hours and began to improve in the 24 hours following that. Approx. 5 days of symptoms.


VAERS ID: 1760017 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-09-21
Onset:2021-10-01
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Hypoaesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (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: glucosamine and krill oil
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Did a full motor and sensory check on pt.
CDC Split Type:

Write-up: Pt comes in today for a numbness in left foot and is now starting in left hand x1 day. C/O shortness of breath a few days after receiving vaccine but denies SOB now. Pt states he had J/J vaccine on 9/21/21. Pt present to ER if any worsening symptoms or new symptoms that concern you. If symptoms are not severe you may consult a provider by phone for recommendations. I suspect this may be a vaccine reaction. The patient received the J&J Vaccine.


VAERS ID: 1760463 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-17
Onset:2021-09-25
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Cardiac arrest, Dyspnoea, Flank pain, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-09-27
   Days after onset: 2
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:
Current Illness: None
Preexisting Conditions: Pace maker
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Backache/side ache most of the day on Sept 25th. My mother thought it might be a kidney stone so she took Ibuprofen every 4 hours. She also had nausea most of the morning of the 25th. She woke up around 2am on the 26th gasping for air and could barely breathe. She went into cardiac arrest.


VAERS ID: 1760646 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-09-07
Onset:2021-09-21
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Acute respiratory failure, Ageusia, Anosmia, Blood culture, Blood pressure increased, C-reactive protein, COVID-19, Chronic obstructive pulmonary disease, Cough, Dyspnoea, Ex-tobacco user, Exposure to SARS-CoV-2, Hypophagia, Lactic acidosis, Malaise, Pneumonia, Procalcitonin, Pyrexia, SARS-CoV-2 test positive, Serum ferritin, Taste disorder, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Enlarged heart, Diabetes Type 2, Hyperlipidemia, hypertension, obesity
Preexisting Conditions: Enlarged heart, Diabetes Type 2, Hyperlipidemia, hypertension, obesity, gestational diabetes, migraine, bilateral cataract
Allergies:
Diagnostic Lab Data: CRP, procalcitonin, ferritin, blood cultures, troponin
CDC Split Type:

Write-up: Presented to ED and seen by Dr. who noted some of the following: History of Present Illness: complaints of shortness of breath, symptoms of COVID after vaccination on the 7th with manufacturer. Developed cough a couple days ago. Occasional fever. Poor taste for 4 days. Quit smoking 7 days ago. Known diabetic and elevated BP. No heart attack history and no chest pain now. Tested positive for COVID on July 27th, and tested positive again on 9/7/21. No symptoms either of those times, and testing was done due to exposure. COVID symptoms started on 9/19. Tested positive on admission. RN note stated that patient was vaccinated on 8/27/21 Dr. was hospitalist who wrote noting: Complaints of shortness of breath, female. Vaccinated in July with change of vaccine. Exposed earlier this month. Tested positive on 9/7/21. Complains now of SOB with cough, loss of taste and smell. Significantly decreased p.o. intake in the last 5 days. Denies any fever or chills. On arrival O2 SATs 87% on room air and was placed on 2L via nasal cannula, and says rose to 92%. Diagnoses: Pneumonia secondary to COVID-19 infection Acute hypoxic respiratory failure COPD with acute exacerbation Lactic acidosis Smoker 6-7/day Acute kidney injury Increased troponin


VAERS ID: 1760970 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-05
Onset:2021-09-11
   Days after vaccination:159
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Catheterisation cardiac abnormal, Chest X-ray, Chest discomfort, Chest pain, Coronary artery dissection, Electrocardiogram, Fatigue, Hypertension, Myocardial infarction, Troponin increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: multi vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG Chest/Lung XRAY Blood work 9/13/2021 showed troponin levels elevated Heart Cath 9/14/2021 showed the large tear in main artery (SCAD) no known cause
CDC Split Type:

Write-up: Spontaneous Coronary Artery Dissection which led to a heart attack and hospitalization from Sept 13-Sept 16. Fatigue and unusual tiredness when physically exercising and mowing grass began April 10th and continued everytime with extreme physical activity until heart attack. In the beginning wondered if adverse effect from vaccine then wrote it off getting older. slight chest pains more of a discomfort began on Sept 11, then got worse on Sept 13th blood pressure was extremely high so went to emergency room at hospital tests were run and diagnosed with heart attack caused by Spontaneous Coronary Artery Dissection (SCAD)


VAERS ID: 1761222 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-01
Onset:2021-07-16
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Nodule, X-ray
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zioptan; Combigan; Azopt; pantoprazole; multivitamin
Current Illness: N/A
Preexisting Conditions: History of Lyme Disease; History of Breast Cancer; History of Thyroiditis
Allergies: Augmentin; azithromycin; Levaquin; Bactrim; sulfa drugs
Diagnostic Lab Data: X-ray on left hand, nothing broken, July 16th 2021
CDC Split Type: vsafe

Write-up: I woke up with an unexplained lump on my left hand, the back of my left hand. It was a burst vein under the skin that created an inch and a half high lump of blood. This was in July. There was no known cause for it to happen, I just woke up with it and it got progressively fatter as I moved about that morning. When I went to my chiropractor he suggested I went to the ER and so I went to urgent care, they said nothing was broken and they iced it and wrapped it in gauze. They also had me keep it elevated above my head. I have recovered now but it lasted about 4 weeks. The lump reduced in a few days, but bruising lasted for weeks.


VAERS ID: 1761266 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Groin pain, Headache, Injection site paraesthesia, Muscular weakness, Myalgia, Platelet count increased, Skin irritation, Spinal disorder, Viral infection
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (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: Xanax, Zoloft.
Current Illness:
Preexisting Conditions: COPD, anxiety, PTSD.
Allergies: None.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Muscle pain, diagnosed with viral syndrome, inflammation on spine, weakening of muscles, groin pain on right side, injection side has tingling sensation, chest pain. platelet levels high. GF factors abnormal, blood surfaces to skin, headaches.


VAERS ID: 1761300 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-09-15
Onset:2021-09-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac monitoring, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram, Fibrin D dimer increased, Impaired work ability, Myocardial necrosis marker, Palpitations, Tachycardia
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: 120 Amrour thyroid 450mg XL Buproprion 20mg Viibryd 200mg Magnesium HRT cream - estrogen, progesterone, testosterone
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies: PCN
Diagnostic Lab Data: Elevated D Dimer test CT scan to rule out pulmonary emboli Cardiac enzyme testing EKG Echocardiogram 24 hour cardiac monitoring
CDC Split Type:

Write-up: Consistent heart palpitations and tachycardia 48 hours post-vaccine Dyspnea with and without exertion 48 hours post-vaccine Unable to perform duties as RN since the vaccination


VAERS ID: 1761322 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-09-13
Onset:2021-09-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Testicular pain, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Hypokalaemia (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: medical weed
Current Illness:
Preexisting Conditions:
Allergies: Sudafed
Diagnostic Lab Data:
CDC Split Type:

Write-up: Testical pain, diagnosed with premature ventricular contractions


VAERS ID: 1761370 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-09-16
Onset:2021-09-27
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Cardiomegaly, Death, Influenza like illness, Malaise, Overweight, Skin warm
SMQs:, Cardiac failure (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Cardiomyopathy (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-09-27
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Wife called to report a COVID-19 vaccine reaction. Patient received the J&J vaccine on 9/16 at Pharmacy. He did not feel well that night- achy joints, "fever skin", states skin felt as if he had the flu. He felt well after 3 days. On 9/27, Patient developed achy joints and stated he did not feel well. He died on their driveway. He was transported to Hospital and pronounced dead. Wife states she was informed he had an enlarged heart. Reports autopsy pending. States he was overweight, but had no medical history.


VAERS ID: 1761371 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-12
Onset:2021-06-01
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Ear pain, Eustachian tube disorder, Otorrhoea
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Excessive wax build up in ears. Fluid leaking from ears. Persistent swollen/clogged Eustachian tubes.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Persistent swollen Eustachian tubes. Excessive wax build up in ears. Fluid dripping from ears. Continuing for 4+ months


VAERS ID: 1761418 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-30
Onset:2021-04-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Computerised tomogram abnormal, Fatigue, Headache, Laboratory test, Nephrolithiasis, Pulmonary mass, Urinary tract infection
SMQs:, Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu- Estimated 2015
Other Medications: Ritalin, Trileptal, Xanax, Allegra, 5 htp, hcu ez caps, Benadryl, Insulin, Humalog
Current Illness: Anaphylactic reaction a couple of weeks prior.
Preexisting Conditions: Diabetes, TBI, HCU, Pituitary growth hormone deficiency, thyroid issues related to head injury, endometriosis, anemia, fibromyalgia, Chronic Ebc, Acid Reflux.
Allergies: Peanuts, Tree Nuts, Latex, Adderall, Clindamycin, Keflex, erythromycin, hydrocortisone, generic of Synthroid, Butran patch, Augmentin, Pepcid, generic version of Claritin, and MANY others.
Diagnostic Lab Data: Lab work, Thyroid, Electrolytes, many tests, micro hormone levels, CT scan.
CDC Split Type: vsafe

Write-up: I had some symptoms the day of I just felt tired and then a headache but then Within 48 hours I?ve been very exhausted for months now. I''ve been to doctors, and I''ve been to urgent cares. They''ve done every test in the book. It''s been this extreme fatigue with joint pain, but I don''t know if it''s related, and it comes and goes. I''ve seen urgent care, primary care, endocrinology, neuroendocrinology, allergist, immunology and none of them have been able to help. I had kidney stones and I had a severe UTI 2 weeks after I got shot and they did a CAT Scan and the CAT Scan showed a nodule on my lung and a stone on my kidney which they thought was strange because I''ve had tons of scans prior, but they figured they''d just repeat the scan and my insurance has to approve it so I had to reschedule it for October 12. I?m still dealing with fatigue.


VAERS ID: 1761434 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-09-20
Onset:2021-09-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 211A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Diarrhoea, Fatigue, Headache, Heart rate increased, Impaired work ability, Injection site pain, Insomnia, Laboratory test, Nausea, Oral herpes, Pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Dehydration (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Emergency Room tested for blood clots, heart attack, pulminary embolism. They provided IV fluids and a shot of Ativan to try to calm my heart rate. They then sent me home.
CDC Split Type:

Write-up: Injection site soreness (first 72 hours); Severe Headache (within first 12 hours), caused a day of missed work; Body aches, extreme fatigue (starting about 72 hours after vaccine and continues to Present (Oct 5th)); Cold Sore (appeared 1 week after vaccine); Nausea (appeared 8 days after vaccine); Extreme body aches, fatigue, nausea, diarhea (ramp up at 9 days after vaccine); Missed work days 9-11 after vaccine. Rapid heart rate (appears 10 days after vaccine.); Visited ER on day 12. No sleep/insomnia (nights 10 and 11 after vaccine).; Chest pain (appears day 11 after vaccine); Visited ER on day 12.


VAERS ID: 1761454 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-03-06
Onset:2021-03-26
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Nausea, Vertigo, Vertigo positional, X-ray
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Aleve
Diagnostic Lab Data: 3/26/21 x-ray and bloodwork. 9/24/21 bloodwork.
CDC Split Type:

Write-up: 3/26/21 Vertigo with nausea and epigastric pain , went to local ER. 9/24/21 Vertigo with nausea and epigastric pain, after calling insurance nurse line, was advised to go to ER. 09/30/21 Follow up with physician at local Health Center, referral for physical therapy. 10/01/21 Physical therapy, which resulted in a positive test for benign paroxysmal positional vertigo.


VAERS ID: 1761470 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-09-16
Onset:2021-09-18
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Influenza like illness, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: chest pain, sore left arm, fever, flu-like symptoms


VAERS ID: 1761598 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-17
Onset:2021-06-23
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Demyelinating polyneuropathy, Electromyogram abnormal, Hypoaesthesia, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Asprin, Atorvastatin, Ziac, Pepcid, Farxiga, Lasix, Amaryl, Insulin glargine, lisinopril, metformin, naproxen, Norflex, Ozempic
Current Illness:
Preexisting Conditions: Type 2 diabetes, Hypertension, hyperlipidemia
Allergies: Penicillin
Diagnostic Lab Data: EMG performed on October 5th shows evidence of a demyelinating polyneuropathy, supporting concern for Guillain-Barre syndrome that began shortly after vaccine administration
CDC Split Type:

Write-up: symptoms of Guillain-Barre including progressive numbness and weakness in the lower extremities beginning 5-6 days after vaccine administration, progressing further over the next couple of weeks. He was hospitalized for observation but did not see a neurologist at that time. He was later referred to our outpatient neurology clinic


VAERS ID: 1761673 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-09-27
Onset:2021-09-29
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Confusional state, Dizziness, Fatigue, Hypertension, Hypotension, Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shot felt weird when injected and felt dizzy. Two days after vaccine I had low blood pressure and very tired. That lasted 2 days. Then my blood pressure became high. I have had dizziness, heart palpitations, confusion and fatigue since then. ER visit with blood pressure of 165/92. Still no answer. Waiting to see cardiologist


VAERS ID: 1761679 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN Z01A21A / 1 AR / IM

Administered by: Military       Purchased by: ?
Symptoms: Electrocardiogram normal, Full blood count normal, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging head normal, Metabolic function test, Musculoskeletal stiffness, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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: preworkout, protein
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: EKG- sinus tach MRI brain w/ and w/o contrast- wnl CMP/CBC- WNL
CDC Split Type:

Write-up: Pt notes that he had LE numbness (dead feeling) and heaviness 30 min after vaccination and then the Fri afterwards started to feel muscle stiffness which has resolved but he also has been having pretty steady lack of discriminatory sensation in the toes, he has intermittent periods of time where he has numbness and tingling that rapidly involves the upper body and face as well but is intermittent. these episodes last for 30 minutes. He had decreased sharp/dull in the ED in the toes, neuro was consulted and rec MRI which was normal, pt declined LP at that time, distant fam hx of MS potentially. Denies vision changes, HA, chest pain, SOB, wheezing.


VAERS ID: 1761693 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-26
Onset:2021-05-28
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Biopsy, Diffuse large B-cell lymphoma, Fluorescent in situ hybridisation, Full blood count, Injection site lymphadenopathy, Injection site swelling, Lymphadenopathy, Pathology test, Positron emission tomogram abnormal, Prothrombin time, Surgery, Upper limb fracture
SMQs:, Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Malignant lymphomas (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multi-Vitamin Losartan 100mg Tab Blood Pressure Medication
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: IR BIOPSY HEMOGRAM PROTHROMBIN TIME AGGRESSIVE B CELL LYMPHOMA FISH RFLX,TISSUE IGH BCL2 FUSION BY FISH SURGICAL PATHOLOGY PROCEDURE
CDC Split Type:

Write-up: Swelling of Lymphnode in chest/shoulder near injection site. Within 2 days it was visible swelling (large). Within 30 days the enlarged lymphnode caused 2 fractures in shoulder/arm at swelling site (also near injection site). Diagnosed with diffuse large B-cell lymphomas (DLBCL). PET Scan showed majority of cancer was at injection site but did spread into other lymphnodes as well.


VAERS ID: 1761861 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20/A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal discomfort, Amnesia, Blood test normal, Breath odour, Computerised tomogram normal, Confusional state, Decreased appetite, Disorientation, Dizziness, Dyspnoea, Electroencephalogram normal, Fatigue, Feeding disorder, Feeling cold, Hallucination, Hyperhidrosis, Hypersomnia, Hypoacusis, Lethargy, Magnetic resonance imaging normal, Nightmare, Salt craving, Sleep disorder, Syncope, Taste disorder, Tremor, Ultrasound scan normal, Ultrasound thyroid, Visual acuity reduced, Vomiting, Weight decreased
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ? Amlodipine 10 Mg ? Losartan HCTZ 12.5 Mg ? Cetrizine Hydr. 10 Mg ? Half an asprin ? B complex with folic acid ? Vitamin D ? Occuvite Cialis and Viagra as needed
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood work three times MRI CAT scan EEG Thyroid ultrasound All were normal
CDC Split Type:

Write-up: ? Fatigue, lethargic ? Sleeping twelve hours at night and napping in the afternoon ? Loss of appetite, unable to eat, stomach discomfort ? Weight loss ? Lightheadedness, shortness of breath, fainting spells ? Disorientation ? Sweats accompanied by violent tremors ? Mental confusion ? Vomiting ? Sudden decline in visual and auditory acuity ? Bad taste in mouth ? Bad breath ? Memory loss ? Always cold ? Salt deficient (at least I crave it) ? Hallucinations in peripheral vision ? June 6, overnight to the 7th, my sleep was constantly disturbed by vivid nightmares


VAERS ID: 1761864 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-10-01
Onset:2021-10-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / UNK - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Death, Hyperhidrosis, Pallor, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-10-04
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL, XANAX, AMIODORONE, ELIQUIS, LASIX, HYDROCHLORIQUINE, SYNTHROID, MELATONIN, MIDODRINE, PRILOSEC, PLAQUENAL, PREDNISONE, SENNA PLUS, SPIRONOLACTONE, VIT D, prn: DULCOLAX SUPPOSITORY, MIRALAX, MILK OF MAGNESIA, ZOFRAN, ULTRAM
Current Illness: ADMITTED TO FACILITY 9/29/21 AFTER FALLS AT HOME. RECEIVED J&J VACCINE FROM PHARMACY ON 10/1/21. ON 10/4, STAFF PRESENT IN ROOM, RESIDENT BECAME DIAPHORETIC, PALE, AND UNRESPONSIVE. SHE EXPIRED MOMENTS LATER.
Preexisting Conditions: PMH: LUPUS, HYPOTHYROIDISM, OSTEOPOROSIS, ANXIETY, PAC, HTN, CHF, BRONCHITIS, CKD, PNA, INFLUENZA A, MITRAL VALVE REG. MITRAL STENOSIS, CERVICAL FX 2019
Allergies: AMLODIPINE, CELEBREX
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: ADMITTED TO FACILITY 9/29/21 AFTER FALLS AT HOME. RECEIVED J&J VACCINE FROM PHARMACY ON 10/1/21. ON 10/4, STAFF PRESENT IN ROOM, RESIDENT BECAME DIAPHORETIC, PALE, AND UNRESPONSIVE. 911 CALLED, RESIDENT EXPIRED MOMENTS LATER.


VAERS ID: 1761969 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-31
Onset:2021-04-15
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cytogenetic analysis, Dizziness, Electrocardiogram, Head discomfort, Headache, Magnetic resonance imaging head, Ultrasound Doppler
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprazole
Current Illness: None
Preexisting Conditions: Acid reflux
Allergies: None
Diagnostic Lab Data: MRI of brain, ECG, Trans carotid Doppler. Multiple genetic tests ruling out clotting gene
CDC Split Type:

Write-up: Headaches/Dizziness Pressure in head started around 2 weeks after shot. Still occasionally occur


VAERS ID: 1762106 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-03-25
Onset:2021-05-20
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aortic aneurysm, Back pain, Blood test, Chest X-ray, Dyspnoea, Magnetic resonance imaging thoracic abnormal, Muscle spasms, Myocarditis, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole 40mg twice a day
Current Illness: none
Preexisting Conditions: none
Allergies: bee stings
Diagnostic Lab Data:
CDC Split Type:

Write-up: Started with periodic sharps pain in back under left clavical. Then became constant sharp pain, soreness in left arm, could not sit down- constantly trying to "rub" pain away thing it was a muscle spsam . i was in a remote location fishing with my son. became so painful we went back to cabin and called Advice nurse. they put ER doctor on the phone and he asked lots of questions and suggested i go to emergency room to get checked out for possible heart attack. While driving out of the isolated area, pain became very bad and we call 911. emergency people arranged meeting at location and i was transported to hospital by ambulance. i was now having difficulty breathing, they had me on oxygen and monitoring vitals. at Emergency room- rushed into facility and immediately checked for heart problems. they took multiple blood samples, chest X-rays and two Chest MRI''s.. did not find any issues with my heart and could not explain severe pain. 2nd MRI was to specifically look at Aorta- they found 4cm aneurism in ascending Aorta. They said this was probably not the source of the pain. after 3 hours , with new pain meds and muscle relaxers- they released me to my wife and we drove back. pain really didn''t go away and again became more accute, Called Advice nurse again on May 21, no help. Went back to ER at Hospital on May 24th. same routine as first ER visit, chest Xray and 2 MRI''s - again no specific diagnosis but later in the day spoke to my Primary Physician who suspected Miyrocarditis.


VAERS ID: 1762141 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-07-23
Onset:2021-08-01
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute respiratory distress syndrome, Angiogram pulmonary abnormal, COVID-19, Chest X-ray abnormal, Intensive care, Lung infiltration, Lung opacity, SARS-CoV-2 test positive
SMQs:, Interstitial lung disease (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Illness started day after J&J vaccine.
Preexisting Conditions: High blood pressure. smoker, osteoarthritis of hip
Allergies: Pencillin
Diagnostic Lab Data: COVID 19 PCR 7/29/21 Positive 7/29/21 - CXR with diffuse b/l mixed interstitial alveolar infiltrates 7/29/21 - CTA extensive B/L ground glass opacities
CDC Split Type:

Write-up: Patient developed ARDS with ICU admission (initial presentation at outside hospital and then transferred to another medical facility


VAERS ID: 1762176 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-01
Onset:2021-08-10
   Days after vaccination:131
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Dizziness, SARS-CoV-2 test positive
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin, D3, diclofenac gel, docusate, Nexium, glimepiride, jardiance, levothyroxine, gabapentin, losartan, hctz, metoprolol, oxybutynin, Creon, Crestor, Senna, Januvia, Tamsulosin, venlafaxine metformin
Current Illness: unknown
Preexisting Conditions: arthritis, CKD, DM, thyroid dysfunction, Carpal tunnel, hypercholesterolemia, lower back pain, OSA on CPCP, peripheral nerve disease, cateracts, NSTEMI hx of,
Allergies: NKDA
Diagnostic Lab Data: 8/10/21 - COVID PCR positive
CDC Split Type:

Write-up: Patient brought in by EMS after complaints of dizziness at home. A&O on arrival


VAERS ID: 1762206 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-05
Onset:2021-09-30
   Days after vaccination:178
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Nephrolithiasis, Urine analysis
SMQs:

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

Write-up: I got kidney stones. I went to the ER that morning and they did a CT scan, as well as draw blood and urine test. They gave me pain meds and told me I have to wait until it passes. As I noted on the app, I don''t think it is related to the shot, but it is a major enough event to document in case there is a connection.


VAERS ID: 1762250 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-05
Onset:2021-07-07
   Days after vaccination:93
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Chest X-ray, Computerised tomogram, Dyspnoea, Heart rate increased, Pulmonary embolism, Ultrasound Doppler
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, prescription for Ibuprofen, Prozac and Hydroxyzine
Current Illness:
Preexisting Conditions: Type II diabetes, osteoarthritis, depression and anxiety
Allergies: Metformin
Diagnostic Lab Data: Ct scan of the chest x-ray of the chest ultrasound of the lower extremities
CDC Split Type: vsafe

Write-up: I was having trouble SOB with exertion. I went to urgent care to see what was causing it. I had a pulmonary embolism in both lungs this happened 3-4 months after your vaccine. They did chest x-ray and CT scan, and ultrasound of my legs if they could find any other blood clots. There were not any blood clots in my legs just in my lungs. Because of my heart rate being high and other morbidities, and they recommended . I went to the Hospital, and they did no admit me but gave me two syringes with blood thinner medication to inject twice a day. I went home and I called clinic and was bale to get on Prodaxa medication which I took over the injections. I also took Tylenol for my arthritis now. I was told to be on blood thinners for at least six months.


VAERS ID: 1762317 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-31
Onset:2021-08-23
   Days after vaccination:145
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / N/A LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu, have had a big knot at the injection site several years ago; now I take Benadryl before getting a flu shot. It was a one ti
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Urgent care COVID test, positive result
CDC Split Type: vsafe

Write-up: Immediately after the vaccine, I had a sore arm and I don''t think I had a fever, but felt slight feverish the next day. I took ibuprofen. That was gone by Friday. COVID symptoms later: August 23, 2021 I had positive test for COVID, headache, fever, nauseous and very bad diarrhea. It mostly felt like a sinus infection with diarrhea. I had a cough but it wasn''t a bad cough. Mucinex and vitamins for treatment and Zyrtec and Claritin; low dose aspirin; zinc; Vit C; and I isolated and later I used cough syrup when I went back to work. I probably had those through August 30th. I went back to work on September 1st.


VAERS ID: 1762322 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-14
Onset:2021-03-22
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Blood pressure increased, Chest pain, Cytokine increased, Dyspnoea, Fatigue, Feeling abnormal, Interleukin level increased, Macrophage inflammatory protein-1 alpha increased, Muscular weakness, Neuralgia, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test negative, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Infective pneumonia (broad), Sepsis (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Shingrix
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Blood work confirmed no underling health condition, consistent with medical records prior to injection. There was nothing discovered left undiagnosed to cause symptoms. No history of COVID-19. Negative Nucleocapsid antibody test and positive SARS-CoV-2 spike protein IgG on September 30, 2021. Positive spike protein IgG 21 days after injection as well. Symptoms persisting through September. Cytokine panel resulted on September 8, 2021 identified biomarkers of platelet activation and vascular inflammation, with elevated sCD40L, elevated IL-4, elevated IL-6, elevated VEGF, and elevated CCL4. sCD40L at 61,302 pg/mL with reference <30,000. These elevated markers were identified as also elevated in long haul cases according to peer-reviewed research, and yet negative COVID-19 tests, negative nucleocapsid antibody tests, but still evidence of spike proteins (quantitative measure above 70, ref $g0.8) more than 6 months past injection. Due to severity of cytokine panel results, was advised by three doctors not take a booster. High blood pressure took her into urgent care. On October 14, 2021 she will begin treatment protocol for long haul with the same mechanism of injury seen in post-vaccine patients as well. On September 27, 2021 telemedicine appointment to review Cytokine Panel blood work identified the the level of platelet activation and identifiable vascular inflammation, along with Cytokine elevation still 6 months out was at toxic levels and dangerous. As a note, the doctor wondered if it was a bad lot for the vaccine, as daughter (37) and husband (68) both had injection with the same lot number the same day. Daughter, age 37, has been full disability since injection, over 100 days of physical therapy, speech therapy, vestibular therapy and diagnosed with VOR dysfunction, cognitive decline from baseline and speech impairment - with no underlying health conditions. Husband, age 68, also diagnosed with vascular inflammation, no underlying health conditions. All three had negative nucleocapsid tests, never COVID-19, and antibodies to spike protein still robust past 6 months, and none are recovered. All three ruled out risk factors, including no genetic variants for increased risk in underlying health conditions, and no increased risk for blood clotting. Considering all three, different ages, same injection, same lot number, same day, all with no underlying health conditions confirmed by medical testing - with one commonality of J&J injection.
CDC Split Type:

Write-up: Severe fatigue, brain fog, nerve pain, muscle weakness, chest pain, balance difficulty, shortness of breath, elevated blood pressure.


VAERS ID: 1762327 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-10-05
Onset:2021-10-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Sensation of foreign body, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Patient felt like lump in throat, given benadryl at 15 minutes post administration. Patient continued to have swelling feeling. Brought to procedure room in clinic and given epinephrine 0.3 mg. Vitals monitored and patient sent via ambulance to hospital for further monitoring


VAERS ID: 1762496 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-28
Onset:2021-10-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood glucose, Chest pain, Dyspnoea, Fibrin D dimer, Troponin, Ultrasound scan normal
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Allergic reactions to flu shots (multiple prior occasions)
Other Medications:
Current Illness: None
Preexisting Conditions: IGA Nephritis
Allergies: Penicillin, Sulfa medications
Diagnostic Lab Data: D-Dimer negative, Troponin negative (2X), Ultrasound of heart unremarkable, Other blood tests in range with exception elevated glucose.
CDC Split Type:

Write-up: Shortness of breath (early morning of 10/1), Chest Pain (noon of 10/1), Lower Back Pain ( 10/2-4).


VAERS ID: 1762513 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-04-29
Onset:2021-04-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Contusion, Dyspnoea, Ecchymosis, Erythema, Fatigue, Fibrin D dimer normal, Full blood count abnormal, Hypertension, Lymphocyte count decreased, Metabolic function test normal, Neutrophil count increased, Rash macular, Spider vein
SMQs:, Anaphylactic reaction (narrow), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Hypertension (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: Blood pressure higher than normal: 142/90. Temp 97.5F, Pulse 65, Respiration 16. Sp02: 99%. CBC: All normal except: Neutrophil % 82, Lymphocyte % 10, Lymphocyte# 0.85. Basic Metabolic Panel: all normal except Glucose 104 Quantitative D-Dimer-Normal PT-APTT-Normal
CDC Split Type:

Write-up: Numerous small red bruises or blotches (ecchymoses) on left flank, chest, and back.


VAERS ID: 1762704 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-02
Onset:2021-04-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood sodium decreased, Blood test, Chest pain, Computerised tomogram, Condition aggravated, Crying, Ear pain, Electrocardiogram ambulatory, Eustachian tube dysfunction, Foot fracture, Gait disturbance, Headache, Herpes simplex, Hypertension, Impaired work ability, Incoherent, Inflammation, Injection site pain, Laboratory test, Malaise, Mastoiditis, Musculoskeletal pain, Myringotomy, Oral herpes, Pain in jaw, Sleep study, Suicidal ideation, Tooth abscess, Tooth extraction, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Suicide/self-injury (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hyponatraemia/SIADH (narrow), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Osteonecrosis (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), 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, 132 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 25 mg Metoprolol twice day; 10 mg of Simvastatin; baby aspirin; multi-vitamin; 1000 Units of Vit D
Current Illness: none
Preexisting Conditions: mild hypertension; hyper lipedema prior to vaccination
Allergies: Tendon rupture took this- Ciprophlaxen; As a child: rash on my chest while taking Ampicillin - that can happen if you have a viral infection and given an antibiotic; rash on chest as child - Erythromycin.
Diagnostic Lab Data: Hospital - 7 days Hospital -, ILL - 5 days 2 CT scans; sleep study; halter monitor and countless blood labs and urine tests
CDC Split Type: vsafe

Write-up: The first symptoms, I woke up with Monday the 5th, severe headache - front area temple to temple and over the top of head; my arm hurt at shot site. I got through that. Except for on Monday 12th, I woke up with a full lower lip of cold sores and I do actually. Past history of HSV - on my lower back - I get a typical out break once or twice year. Massive amounts of inflammation of HSV after the vaccination. My primary care doctor, who is now closed after COVID - she had me us topical Abreva. Told me not to take anti-virals. Headache increased in severity - two weeks later the doctor said I could take anti-virals. My entire lower lip was infected = at that time they were healing but still present. 5/5/2021 - Telemed call - I was incoherent - I was suicidal and was hospitalized for a week in a mental illness facility. Lower right molar #30 - abscess appeared. I had amazing hypertension that they were treating with 25 mg of Metoprolol .The did add .2 of Clonidine then and I was on a very strict low sodium for a week. I went to ER on the 4th by ambulance and was seen by Dr. My mothers had died on 20th of March and so had another colleague and I was crying - "Hello, I''m here, the best doctor is here to save lives" --Hospital in city - he told me that I was being a difficult. I was transported two hours away on the 6th - and 8th of May - 10 days dose for my abscess and they were treating with Metoprolol and Amlodipine 10 mg and Clonidine .2 - I didn''t take any mental health meds. I flushed them down the toilet because I was sick and not a mental health patient. Dr at Hospital - on the 13th - a year and a half over due for dental - tooth 30 needed work - because I was in the hospital I missed a filing deadline for work and a dental appt. Hospital van took me to dentist to schedule an appt. I no longer was given Clonidine - on May 13th - 186/104. I called my doctor to pick me up. I couldn''t listen to the voice prompt on the phone and my daughter said she was taking me to my cardiologist - Elite Cardiology - - his boss - sent me to ER . They sent me home and they increased hypertension meds 25 mg Metoprolol of Losartan - I have been to ER - 14 times; another ambulance ride from my home when I tripped and broke my foot. Did damage to violin while having chest pain and pain between shoulder blades. They got my blood pressure down. I went to ER the following day for BP checks. By 19th of May - ER - 50 mg of Metoprolol; twice 100 of Losartan; 5 mg of Amlodipine. 20th of May, back to ER late at night - I was still not able to keep BP down 196/112 - heart rates were in the 80s. 5/21/2021 - 5/23/2021 - Hospitalized - that 100 mg of Losartan didn''t come until discharge on the 23rd of May (so that three recent medication set was on the 23rd when that started). After that discharge - - practice is now closed. Dr. new doctor - will see her 10/13/2021. I was referred to Infectious Disease - my first appt was mid June and I reported my headaches and I reported the pain behind my ear on my right side - ear pain, jaw pain. I have had three tooth extractions - dealing with Mastoiditis with an abscessed tooth. He had first considered blood clots in the brain. I was positive for Moderate to severe opacification of the mastoid process. Referred to ear, nose and throat and working with Dr. and Dr. - both at medical facility - hour and 15 minutes away from me. I have had a Myringotomy - about a month ago. I have had 8 course of amoxicillin; 3 courses of Augmentin and 21 days of Bactrim. Molar 30, 31 and 3 were extracted. I was seen my an Ear, nose throat dr who told me I had Eustachian tube disfunction. I increased since May 23 - my other drugs. While I was on the Bactrim, amoxicillin, an Blood pressures normalized and we had to peel away all these Hypertensive meds to lower dose. There was a 3 week period where my blood pressure were normalizing: 25 mg of Metoprolol twice a day and 25 mg of Losartan. I kept taking Augmentin 21st of August and stopped Bactrim too in August and the blood pressure went back up and the high blood pressure numbers are still there. Both doctors (MD, PHD - have known him for 4 months) are current doctors. Today, I am on 50 mg of Metoprolol twice a day; 100 mg of Losartan; 10 mg of Amlodipine; 50 mg of hydralazine 3 times a day. I can tell you that through this process, I quit smoking 12 weeks ago; I''m on a strict low sodium diet; he could be your first contact - known him for about 10 years - Dr. When - Cardiologist - per his direction, I am drinking one gallon of water daily and one gram of salt every day and quit smoking. He told me just to breathe. In total, I was inpatient hospitalized twice and ER visits and had over 12 cardiology visits and at least 6 infectious disease appts. Ear, nose throat visits - 4; Ciprofloxacin with Dethamethazone for me to do another seven days - she had me continued with Flonase to reduce inflammation and continue with Cetirizine. Today was my one month follow up. Dr. remarked that I looked better today then when he had seen me previously. My daughter is residing - named after her great grandmother, at the home of a family which is the namesake of the grandfather of all violas. And I''m staying with a friend at house.


VAERS ID: 1762875 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-09-23
Onset:2021-09-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Computerised tomogram thorax, Cough, Dizziness, Dyspnoea, Electrocardiogram, Feeling abnormal, Immediate post-injection reaction
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I went to the ER on Sept 30, 2021. I was having chest pain. Tightness. Short of breath and coughing some. I was given an EKG, lung CT and blood drawn. They rules out clotting and heart failure. I was told to follow up with my primary dr. I did on Oct 5, 2021 @3pm. We are making appts with a cardio dr and gastrointestinal dr.
CDC Split Type:

Write-up: Immediately, less in than 30 mins I felt something in. Y chest. A stuck or lump feeling. With this feeling was pain. A sense of pressure. Also lightheaded and out of sorts. The stuck, lump feeling went away and returned on Sunday Sept 30 2021. Today is October 5 and I?m still having this feeling.


VAERS ID: 1762886 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-07-29
Onset:2021-07-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram abnormal, Hypertension, Neurological symptom
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol 50mg daily. Synthroid 75mcg daily. Multivitamin daily
Current Illness:
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: EKG showing changes. Referred to a cardiologist. I also am taking a very strong dose of prednisone because they are concerned that I may have pericarditis.
CDC Split Type:

Write-up: I received the J&J COVID vaccine and started having chest pain about 90 minutes later, which lasted for 2 days. I almost went to the ER because I thought I may be having a heart attack. Since then, I have been to the ER multiple times for chest pain, extremely high blood pressure, and EKG changes. I even had stroke symptoms once. Not I am being referred to a cardiologist and my primary doctor said it may be possible that I had a heart attack. I have never had these issues until I took this vaccine.


VAERS ID: 1763097 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-23
Onset:2021-09-17
   Days after vaccination:178
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Condition aggravated, Cough, Diarrhoea, Dyspnoea, Fatigue, Malaise, Pain, SARS-CoV-2 test positive, Suicidal ideation
SMQs:, Anaphylactic reaction (broad), Suicide/self-injury (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: omeprazole (PRILOSEC) 40 MG delayed release capsule ABILIFY MAINTENA 400 MG SRER acetaminophen (TYLENOL) 500 MG tablet albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler atorvastatin (LIPITOR) 40 MG tablet
Current Illness: 8.18.21 - ED visit - alcohol dependence, hallucinations, bipolar depression 9.10.21 - PCP visit - alcohol dependence, 9.17.21 - ED visit - chest pain, URI, positive COVID-19 9.21.21 - ED visit - SOB, pneumonia 9.23.21 - ED visit - SOB 9.27.21 - ED visit - COVID-19, respiratory failure
Preexisting Conditions: Seizure disorder GERD with stricture Major neurocognitive disorder due to multiple etiologies with behavioral disturbance Alcohol dependence with alcohol-induced psychotic disorder with delusions Urinary incontinence, post-void dribbling Essential hypertension Ventral incisional hernia Severe manic bipolar 1 disorder with psychotic behavior Chronic left-sided low back pain without sciatica Rib pain on left side OSA on CPAP Class 2 severe obesity due to excess calories with serious comorbidity and body mass index (BMI) of 38.0 to 38.9 in adult History of suicidal ideation Primary osteoarthritis of both hands Esophageal dysphagia Type 2 diabetes mellitus with hyperglycemia, without long-term current use of insulin Dyslipidemia associated with type 2 diabetes mellitus Mild episode of recurrent major depressive disorder Frontal lobe and executive function deficit Environmental allergies COPD, mild Dry mouth Incidental lung nodule, $g 3mm and < 8mm Myopia of both eyes COVID-19 COVID-19 virus infection
Allergies: MetforminDiarrhea Environmental Food Mold TomatoRash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized (9.27.21) and ED visits; COVID-19 positive (9.17.21); fully vaccinated Admission Date: 9/27/2021 Discharge Date: 10/2/2021 DISCHARGE DISPOSITION: Discharge to home DISCHARGE CONDITION: Stable HOSPITAL COURSE: a 65 y.o. male admitted to the hospitalist service on 9/27/2021 with COVID-19 infection and related symptoms including progressive SOB, fatigue, diarrhea, body aches. PMhx significant for bipolar disorder, psychotic behaviors, depression, OSA, obesity, DM II, essential HTN, seizure disorder. Pt with suicidal ideation on presentation. He required video monitoring given suicidal ideation during stay, but this was discontinued after formal social work evaluation. Pt was seen by PT/OT during stay and SAR was recommended. He was felt stable for discharge to subacute rehabilitation on 10/02/2021. He has continued cough, but was breathing comfortably on room air. Will continue with antitussive therapy at discharge, including Tessalon Perles and Robitussin DM, as well as 3 more days of oral Decadron. He should follow up with his PCP in 1 week.


VAERS ID: 1763102 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-24
Onset:2021-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Blood test, Dyspnoea, Fatigue, Headache, Myalgia, Skin burning sensation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: To many to list. Contact me for copy of meds.
Current Illness: To many to list
Preexisting Conditions: Heart. Lungs. Kidneys. Sternal oesteomylitis with deep wound infection staph and another infection of mersa. Again to many things to list
Allergies: To many to list.
Diagnostic Lab Data: Many blood tests taken. Many ER visits. Primary visits. Urgent care.
CDC Split Type:

Write-up: Headache. Extreme muscular and joint pain in entire body. The pain was incredible. Burning skin. Chronic tiredness. Difficulty breathing. Abdominal pain. It was very bad. Now 6 weeks post still joint pain and muscle pain. Have new thing that started on 10/02/2021


VAERS ID: 1763680 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-01
Onset:2021-07-14
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Kidney infection, Mastitis
SMQs:, Functional lactation disorders (narrow)

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

Write-up: Within 4 months of receiving the J and J vaccine, I developed a kidney infection. I have never had any sort of infection in my life. I''m a healthy 37 year old. I don''t smoke or do drugs. I drink alcohol very minimally on occasion. I''m reporting this because I know my body. The only change I''ve had recently is the fact that I got the shot. I believe it is something to look into: If these vaccines are linked to kidney or other infections in individuals. I have no proof the vaccination caused my infection but it is highly suspicious. Also, I''m on antibiotics again for an infection in my right breast. So why all of a sudden is my body not fighting infection? Please look into this!


VAERS ID: 1763920 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-27
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Alanine aminotransferase, Alanine aminotransferase increased, Aspartate aminotransferase, Aspartate aminotransferase increased, Blood calcium, Blood calcium decreased, Blood creatine phosphokinase, Blood creatine phosphokinase MB, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood glucose, Blood glucose normal, Brain natriuretic peptide, Brain natriuretic peptide increased, COVID-19, Full blood count, Haematocrit abnormal, Haematocrit decreased, Haemoglobin abnormal, Haemoglobin decreased, Mean cell haemoglobin concentration, Mean cell haemoglobin concentration decreased, Platelet count, Platelet count normal, Protein total, Protein total decreased, Red blood cell count, Red blood cell count decreased, SARS-CoV-2 test positive, Troponin, Troponin normal, Vaccination failure, White blood cell count, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Lack of efficacy/effect (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Pulmonary hypertension (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Protonix; Trulicity Pen; Tylenol with Codeine; Xanax; allopurinol; bisoprolol; gabapentin; GLIPIZIDE; isosorbide mononitrate; Effient; Omega 3; Niacin; Ranolazine; ULTRAM [TRAMADOL HYDROCHLORIDE]; ATORVASTATIN; CYANOCOBALAMIN; PRAMIPEXOLE;
Current Illness: Cancer; Diabetes mellitus; Food allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210427; Test Name: SARS-CoV-2 test positive; Result Unstructured Data: Positive; Test Date: 20210427; Test Name: Troponin; Result Unstructured Data: Negative; Test Date: 20210427; Test Name: Calcium; Result Unstructured Data: 8.5; Test Date: 20210427; Test Name: Aspartate aminotransferase; Result Unstructured Data: 111; Test Date: 20210427; Test Name: Alanine aminotransferase; Result Unstructured Data: 59; Test Date: 20210427; Test Name: Protein; Result Unstructured Data: 6.3; Test Date: 20210427; Test Name: Creatine kinase; Result Unstructured Data: more then 2000; Test Date: 20210427; Test Name: Creatine kinase MB; Result Unstructured Data: 31.53; Test Date: 20210427; Test Name: BNP; Result Unstructured Data: 222; Test Date: 20210427; Test Name: WBC; Result Unstructured Data: 3.9; Test Date: 20210427; Test Name: Red blood cell count; Result Unstructured Data: 3.35; Test Date: 20210427; Test Name: Hemoglobin abnormal; Result Unstructured Data: 10.2; Test Date: 20210427; Test Name: Hematocrit abnormal; Result Unstructured Data: 0.327; Test Date: 20210427; Test Name: MCHC; Result Unstructured Data: 31.2; Test Date: 20210427; Test Name: Platelet count; Result Unstructured Data: 185; Test Date: 20210427; Test Name: Glucose; Result Unstructured Data: 137
CDC Split Type: USJNJFOC20210934879

Write-up: COVID-19; SARS-CoV-2 test positive; CONFIRMED CLINICAL VACCINE FAILURE; Blood creatine phosphokinase MB increased; Blood creatine phosphokinase increased; Brain natriuretic peptide increased; Alanine aminotransferase increased; Aspartate aminotransferase increased; Blood calcium decreased; White blood cell count decreased; Red blood cell count decreased; Haematocrit decreased; Haemoglobin decreased; Mean cell haemoglobin concentration decreased; Protein total decreased; Platelet count normal; Full blood count; Troponin normal; Blood glucose normal; This spontaneous report received from a health care professional via a Regulatory Authority VAERS (Vaccine Adverse Event Reporting System) concerned a 59 year old female of unspecified race and ethnic origin. The patient''s height, and weight were not reported. The patient''s concurrent conditions included diabetes mellitus, history of cancer, and peaches allergy. The patient experienced drug allergy when treated with azithromycin. 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, frequency time 1 total was administered on 10-MAR-2021 for drug use for unknown indication. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. Concomitant medications included allopurinol, alprazolam, atorvastatin, bisoprolol, codeine phosphate/paracetamol, cyanocobalamin, dulaglutide, fish oil, gabapentin, glipizide, isosorbide mononitrate, nicotinic acid, pantoprazole sodium sesquihydrate, pramipexole, prasugrel hydrochloride, ranolazine, tramadol hydrochloride, and zolpidem. On 27-APR-2021, the patient experienced covid-19, sars-cov-2 test positive via Polymerase chain reaction (PCR), blood creatine phosphokinase mb increased, blood creatine phosphokinase increased, brain natriuretic peptide increased, alanine aminotransferase increased, aspartate aminotransferase increased, blood calcium decreased, white blood cell count decreased, red blood cell count decreased, haematocrit decreased, haemoglobin decreased, full blood count, mean cell haemoglobin concentration decreased, troponin normal, platelet count normal, protein total decreased and blood glucose normal. On 27-APR-2021, Laboratory data included: Alanine aminotransferase (NR: not provided) 59, Aspartate aminotransferase (NR: not provided) 111, Brain natriuretic peptide (BNP) (NR: not provided) 222, Calcium (NR: not provided) 8.5, Creatine kinase (NR: not provided) more then 2000, Creatine kinase myocardial band (MB)(NR: not provided) 31.53, Glucose (NR: not provided) 137 (units unspecified), Hematocrit abnormal (NR: not provided) 0.327, Hemoglobin abnormal (NR: not provided) 10.2, mean corpuscular hemoglobin concentration (MCHC) (NR: not provided) 31.2, Platelet count (NR: not provided) 185, Protein (NR: not provided) 6.3, Red blood cell count (NR: not provided) 3.35, SARS-CoV-2 test positive (NR: not provided) Positive, Troponin (NR: not provided) Negative, and white blood cells (WBCs) (NR: not provided) 3.9. The patient was hospitalized (date unspecified) for an unspecified number of days. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from covid-19, sars-cov-2 test positive, blood creatine phosphokinase mb increased, blood creatine phosphokinase increased, brain natriuretic peptide increased, alanine aminotransferase increased, aspartate aminotransferase increased, blood calcium decreased, white blood cell count decreased, red blood cell count decreased, haematocrit decreased, haemoglobin decreased, full blood count, mean cell haemoglobin concentration decreased, troponin normal, platelet count normal, protein total decreased and blood glucose normal and the outcome of confirmed clinical vaccine failure was not reported. This report was serious (Hospitalization Caused / Prolonged). This report was associated with product quality complaint: 90000194342. The suspected product quality complaint has been confirmed to be not voided, the reported allegation could not be confirmed. A manufacturing related root cause could not be identified based on the product quality complaint evaluation and investigation performed. Additional information received from a regulatory authority department on 01-OCT-2021. The following information was updated and incorporated into the case narrative: Product quality complaint investigation result.; Sender''s Comments: V1: Additional information updated includes: Product quality complaint investigation result. This updated information does not alter the causality of previously reported events. 20210934879-COVID-19 VACCINE AD26.COV2.S- Covid-19, Sars-cov-2 test positive, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood calcium decreased, Blood creatine phosphokinase mb increased, Blood creatine phosphokinase increased, Blood glucose normal, Brain natriuretic peptide increased, Full blood count, Haematocrit decreased, Haemoglobin decreased, Mean cell haemoglobin concentration decreased, Platelet count normal, Protein total decreased, Red blood cell count decreased, Troponin normal, White blood cell count decreased. 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). 20210934879-COVID-19 VACCINE AD26.COV2.S- Confirmed clinical vaccination failure,. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1763930 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-09-24
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20211004067

Write-up: PERSISTENT FATIGUE SINCE GETTING THE SHOT; 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 (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 24-SEP-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 24-SEP-2021, the patient experienced persistent fatigue since getting the shot. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from persistent fatigue since getting the shot. This report was non-serious.


VAERS ID: 1763937 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-08-16
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Cough, Epistaxis
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diabetes; Food allergy; Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Blood pressure; Result Unstructured Data: High; Test Date: 20210817; Test Name: Blood pressure; Result Unstructured Data: 198/126 mmHg
CDC Split Type: USJNJFOC20211004085

Write-up: BLOOD PRESSURE HIGH; COUGHED; NOSE BLEED; This spontaneous report received from a patient concerned a 69 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: diabetes, penicillin allergy, and allergy to almonds and himalayan salt. The patient experienced drug allergy when treated with sulfamethoxazole/trimethoprim, and talc. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, expiry: UNKNOWN) dose was not reported, 1 total, administered on 11-MAR-2021 in right arm for prophylactic vaccination. No concomitant medications were reported. On 16-AUG-2021, after five months of vaccination, the patient had blown nose hard and had a smaller nosebleed that stopped on its own. On 17-AUG-2021, the patient coughed hard and had a big nosebleed occurred it was gushing. She took a picture of what came out in the sink she stated that it was a huge blood clot. The patient taken to emergency room via ambulance and patient stated that it was huge blood clot and was holding a shoe box to catch the blood in the ambulance and the patient''s blood pressure (BP) was measured and it was 198/126 mm/Hg and patient stated that she could have had heart attack or stroke. On 17-AUG-2021, the patient admitted to emergency room and patient received anesthetic and catharized it. The patient didn''t remember if any test or blood work done and on same night (AUG-2021), the patient was discharged and nose bleeding didn''t occur again. On an unspecified date in 2021, the patient''s blood pressure measure and it was high but not like previously measured on 17-AUG-2021. The patient stated that, "it was hard to tell with my diabetes cause it was similar symptoms. On 02-OCT-2021, the patient came to get flu shot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from nose bleed, was recovering from blood pressure high, and the outcome of coughed was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20211004085-Covid-19 vaccine ad26.cov2.s- Blood pressure high, Nose bleed. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1763950 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Computerised tomogram, Deep vein thrombosis, Fibrin D dimer, Full blood count, Heparin-induced thrombocytopenia test, Immunology test, Magnetic resonance imaging head, Platelet count, Prothrombin time, Thrombocytopenia, Thrombosis, Ultrasound scan
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, 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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Diagnostic ultrasound; Result Unstructured Data: negative for deep venous thrombosis; Test Name: Fibrin D dimer; Result Unstructured Data: normal; Test Name: Platelet count; Result Unstructured Data: 61 10*9/L; Test Name: Platelet count; Result Unstructured Data: 52 10*9/L; Test Name: Platelet count; Result Unstructured Data: 43 10*9/L; Test Name: Prothrombin time; Result Unstructured Data: 16.3 sec; Test Name: Activated partial thromboplastin time; Result Unstructured Data: 35 sec, Elevated; Test Name: Fibrinogen; Result Unstructured Data: 110 mg/dL, decreased; Test Name: Fibrin D dimer; Result Unstructured Data: elevated; Comments: Elevated, greater than 14,000 ng/mL; Test Name: Diagnostic ultrasound; Result Unstructured Data: Negative; Comments: negative for thrombosis from the proximal femoral vein to the ankle; Test Name: CT scan; Result Unstructured Data: no thrombosis; Test Name: Magnetic resonance imaging brain; Result Unstructured Data: patent sinuses without thrombosis; Test Name: Enzyme-linked immunosorbent assay; Result Unstructured Data: strongly positive; Test Name: Heparin-induced platelet activation test; Result Unstructured Data: positive; Test Name: Diagnostic ultrasound; Result Unstructured Data: reflux throughout the deep veins; Test Name: Enzyme-linked immunosorbent assay; Result Unstructured Data: positive; Test Name: Heparin-induced platelet activation test; Result Unstructured Data: negative; Test Name: APTT; Result Unstructured Data: normal; Test Name: Enzyme-linked immunosorbent assay; Result Unstructured Data: positive (OD 2.32); Test Name: Heparin-induced platelet activation test; Result Unstructured Data: negative; Test Name: Prothrombin time; Result Unstructured Data: normal; Test Name: Fibrinogen; Result Unstructured Data: normal; Test Name: Platelet count; Result Unstructured Data: normal; Test Name: Complete blood count; Result Unstructured Data: thrombocytopenia.
CDC Split Type: USJNJFOC20211004121

Write-up: VACCINE INDUCED IMMUNE THROMBOTIC THROMBOCYTOPENIA; THROMBOCYTOPENIA; NON-OCCLUSIVE THROMBI IN THE LEFT DISTAL POPLITEAL VEIN AND PERONEAL VEIN; This spontaneous report was received from literature: Ad26.COV2.S vaccination presenting without radiographically demonstrable thrombosis. BLOOD ADVANCES. This report concerned a 32 year old male of unspecified race and ethnic origin. The objective of this study was to describe VITT following Ad26.COV2.S vaccination presenting without radiographically demonstrable thrombosis. 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 administration not reported, batch number: unknown) 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. Eight days after receiving the covid-19 vaccine ad26.cov2.s, the patient developed left leg pain, erythema, and gravity-dependent venous distention. Three days later, he was presented to an urgent care center. A lower extremity ultrasound was negative for deep venous thrombosis and a complete blood count (CBC) showed thrombocytopenia with a platelet count of 61 x 10*9 /L. Due to the unexplained thrombocytopenia, he returned the following day. A repeat CBC showed a platelet count of 52 x 10*9 /L that remained unexplained. The next day, he was presented to an emergency department with worsening leg pain. He was otherwise asymptomatic post-vaccination. He reported left leg pain regardless of position, and physical examination revealed left leg venous distention and erythema upon standing. When asked about COVID vaccine status, he reported that he had not previously been asked. Laboratory evaluation demonstrated worsening thrombocytopenia with a platelet count of 43 x 10*9 /L, elevated prothrombin time of 16.3 seconds (INR 1.4), elevated activated partial thromboplastin time of 35 seconds, decreased fibrinogen of 110 mg/dL, and markedly elevated D-dimer of greater than 14,000 ng/mL. A lower extremity ultrasound was again negative for thrombosis from the proximal femoral vein to the ankle. Chest/abdomen/pelvis computed tomography with contrast demonstrated no thrombosis. Brain magnetic resonance imaging revealed patent sinuses without thrombosis. VITT (Vaccine-induced Immune Thrombotic Thrombocytopenia) was suspected given his vaccination history, symptoms, and laboratory findings. He was admitted and started on 1 g/kg of Intravenous immune globulin (IVIG) daily for two days to increase his platelet count and given 1 mg/kg of prednisone. The following day his pain worsened. Despite lack of radiographically-demonstrable thrombosis, anticoagulation with argatroban was started. Later that day, the enzyme-linked immunosorbent assay (ELISA) for anti-PF4 antibodies were drawn the day prior which returned strongly positive at 2.79 optical-density (OD) units (normal, less than or equal to 0.40) in the absence of added heparin; The assay was negative in the presence of high-dose heparin (100 U/mL). The confirmatory washed-platelet heparin-induced platelet activation assay was positive. His platelets rose quickly in response to the IVIG allowing the doctors to start anticoagulation. Within 24 hours of starting argatroban, his pain began to improve. Given persistent venous distention, a repeat lower extremity ultrasound was performed that demonstrated reflux throughout the deep veins and the greater saphenous vein from the saphenofemoral junction to the mid-calf. The exam also identified non-occlusive thrombi in the left distal popliteal vein and peroneal vein, which were not present on admission. Over the next few days the platelets rose steadily, D-dimers fell precipitously, and he was transitioned from argatroban to apixaban. On the 6th hospital day, repeat anti-PF4 ELISA remained positive (OD 2.68) in the absence of added heparin; negative in the presence of high dose heparin (100U/mL). The confirmatory washed-platelet heparin induced platelet activation assay was negative at the time of reporting. On the 7th hospital day, he was discharged home. Seven days after discharge, the anti-PF4 ELISA remained positive (OD 2.32), the washed platelet heparin induced platelet activation assay remained negative, and his INR, Activated partial thromboplastin time, fibrinogen, platelet count and D-dimer had normalized. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the vaccine induced immune thrombotic thrombocytopenia, thrombocytopenia and non-occlusive thrombi in the left distal popliteal vein and peroneal vein was not reported. The author suggested that early VITT recognition and immediate treatment initiation provides a window of opportunity wherein non-heparin-based anticoagulation may prevent serious thrombotic complications. Study also highlighted the critical importance of knowing COVID-19 vaccine history. The author emphasized on timely recognition that would be essential to prevent catastrophic complications and will require knowing the patient''s vaccine history. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender''s Comments: V0: 20211004121-covid-19 vaccine ad26.cov2.s-Vaccine induced immune thrombotic thrombocytopenia, thrombocytopenia and non-occlusive thrombi in the left distal popliteal vein and peroneal vein. This event(s) is labeled per RA and is therefore considered potentially related.


VAERS ID: 1763951 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-08-28
Onset:2021-09-13
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Facial paralysis, Fine motor skill dysfunction, Guillain-Barre syndrome, Lumbar puncture abnormal, Magnetic resonance imaging
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Demyelination (narrow), Hearing impairment (broad), Immune-mediated/autoimmune disorders (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: protonix, vitamin D
Current Illness: none
Preexisting Conditions: none
Allergies: codiene
Diagnostic Lab Data: I had CT scans, MRI''s 9-13 thru 9 -18-2021. Diagnosed with Guillian-Barre after results of lumbar puncture by Dr. on 10/5/2021.
CDC Split Type:

Write-up: I received the vaccine on Aug 28th, 2021. I awoke on the morning on September 13th, 2021 with right side facial paralysis and was immediately taken to ER. I had a stroke work up and was admitted. On September 16th my loss of motor skills had spread to include my right leg.


VAERS ID: 1764171 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Alopecia, Arthralgia, Blood test, Headache, Musculoskeletal chest pain, Nail disorder, Oxygen saturation, Pain assessment, Pain in extremity, SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: IRBESARTAN; VITAMIN D [ERGOCALCIFEROL]
Current Illness: Blood pressure high; Migraine
Preexisting Conditions: Comments: Patient was not pregnant at the time of reporting,
Allergies:
Diagnostic Lab Data: Test Date: 20210420; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210627; Test Name: COVID-19 virus test; Result Unstructured Data: Positive; Test Name: Pain scale; Result Unstructured Data: Left foot pain 4-5/10; Test Name: Pain scale; Result Unstructured Data: 9-10/10 with movement; Test Name: Pain scale; Result Unstructured Data: Left hip pain 5-6/10; Test Name: Pain scale; Result Unstructured Data: Left rib cage pain 5-6/10; Test Name: Pain scale; Result Unstructured Data: headache 8/10; Test Name: Oxygen saturation; Result Unstructured Data: Never dropped below 96%; Test Name: Pain scale; Result Unstructured Data: 3/10 without movement
CDC Split Type: USJNJFOC20211004833

Write-up: NAIL BREAKAGE; HAIR LOSS; SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; LEFT ARM PAIN/LEFT FOOT PAIN; HEADACHE; LEFT RIB CAGE PAIN; LEFT HIP PAIN; This spontaneous report received from a patient concerned a 54 year old female. The patient''s weight was 132 pounds, and height was 64 inches. The patient''s concurrent conditions included: high blood pressure, and migraines, and other pre-existing medical conditions included: Patient was not pregnant at the time of reporting. The patient experienced passed out when treated with sumatriptan. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: UNKNOWN) dose was not reported, 1 total, administered on 01-APR-2021 in left arm for prophylactic vaccination. Concomitant medications included irbesartan for high blood pressure, and ergocalciferol. On unspecified date in APR-2021, patient experienced headache that started 2 weeks after receiving the vaccine. She described it as a constant throbbing headache like it had its own pulse and it was located in the entire head generally and lasted 24/7 all day long. She would wake up and go to sleep with a headache and sometimes could not sleep due to the headache. The headache went away in late on an unspecified date in JUN-2021. It was an 8/10 pain level. She went to emergency room (ER) and had blood work ((unknown panel, including blood test for blood clots) and was normal. She was told that she was probably experiencing a migraine. Patient stated that she had migraines when she was young before having kids/during menstruation, but it has been 20 years since and she never had one lasting more than a day. In the emergency room (ER) she was given a migraine cocktail of 3 medications combined but had no relief. She was in the emergency room (ER) for 6 hours then discharged home. She noted that she lied that the headache was a little better after the medications because she just wanted to be discharged home. She followed up with her primary care provider in MAY-2021. On 01-APR-2021, the patient had left arm pain. She stated that the pain was located at the injection site only and noted that there was no lump or pain with pressing on the injection site. She said the pain was a sharp pain and the pain level was 3/10 without movement and 9-10/10 with movement. She noted that the pain was especially present when she moves her arm backwards like to fasten her bra or wash her back. She noted that she had been checked for frozen shoulder and it was not the case, as her shoulder/ elbow/arm joints were fine. She can move her arm in circles and in front of her and twist her arm but she cannot move it back. She saw her primary care provider (PCP) in MAY-2021 and was advised to do physical therapy and to take Ibuprofen and another medication (name unknown). She stated that she only takes the medication when she cannot stand the pain and sometimes takes Tylenol for the pain as well. She noted that she requires pain medication especially if she reaches her arm back at times when she forgets her limitations. There was no improvement or worsening since onset. She did not do physical therapy. On unspecified date in APR-2021, the patient had left hip pain and left rib cage pain that started 2 weeks after receiving the vaccine. She describes the pain as constant and dull, 5-6/10 pain level. There has been no improvement or worsening since onset. She noted that her rib cage feels like she got hit with something, like she was beat up and it feels very tender. Patient had left foot pain that occurred once in a while and feels like she ran a lot. She denied pain in the right foot. She noted it feels like the pain from the ribs moves all the way down to the foot. She noted that the pain level was 4-5/10 and it went away after a few hours. Patient was an active person who does yoga and exercises. The caller also saw her primary care provider (PCP) in JUN-2021 and was supposed to follow-up in 6 weeks but could not see her doctor in person due to contracting Covid-19. The caller stated that she underwent Covid-19 testing on a weekly basis due to her job. On 20-APR-2021, Laboratory data included: Blood test (NR: not provided) Normal. She tested positive at her worksite on 27-JUN-2021 (suspected covid-19 infection and suspected clinical vaccination failure). She was not sure if the test was a polymerase chain reaction (PCR) test or rapid test. She noted that she waited 1 day for the result. She developed the symptoms like cough, fever, nausea, diarrhea, no sense of smell or taste, body aches, hair loss, nail breakage, a sensation of cob webs in the throat and no phlegm but a lot of thick saliva. She stated that she was sick in bed for 6 weeks and 3 weeks were very bad but her oxygen levels never dropped below 96%. She was managed at home with telephone follow-up with her primary care provider (PCP)and nurse. Laboratory data included: COVID-19 virus test (NR: not provided) Positive. Laboratory data (dates unspecified) included: Oxygen saturation (NR: not provided) Never dropped below 96%. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on JUN-2021, had not recovered from left arm pain/left foot pain, left hip pain, and left rib cage pain, and the outcome of hair loss, nail breakage, suspected covid-19 infection and suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20211004833-COVID-19 VACCINE AD26.COV2.S-suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1764175 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-10-03
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211003; Test Name: COVID-19 rapid POC test; Result Unstructured Data: Positive breakthrough covid infection
CDC Split Type: USJNJFOC20211006768

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 44 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 1805031, expiry: 24-AUG-2021) dose was not reported, 1 total administered on 16-MAR-2021 to left arm around 1300 hours in the afternoon for prophylactic vaccination. No concomitant medications were reported. On 03-OCT-2021, patient had a confirmed positive breakthrough covid infection by rapid test. The test was done at an urgent care at 0900 hours and he received the test results in the morning. They confirmed that he was positive for covid (suspected covid-19 infection) and hence also experienced a suspected clinical vaccination failure. The action taken with covid-19 vaccine was not applicable. The outcome of the suspected covid-19 infection and suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20211006768-Covid-19 vaccine - suspected clinical vaccination failure. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1764176 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-08-07
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anti-thyroid antibody, Differential white blood cell count, Full blood count, Hypoaesthesia, Insomnia, Liver function test, Oropharyngeal pain, Paraesthesia, Platelet count, Red blood cell sedimentation rate, Tryptase, Urticaria chronic
SMQs:, Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions: Comments: The patient had no history of asthma, eczema or food allergies. Patient never had hives or angioedema before receiving vaccine.
Allergies:
Diagnostic Lab Data: Test Date: 20210928; Test Name: Liver function test; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Erythrocyte sedimentation rate; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Thyroglobulin antibody; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Thyroid peroxidase antibody; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Differential WBC count; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Platelet count; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Tryptase; Result Unstructured Data: not reported; Test Date: 20210928; Test Name: Complete blood count; Result Unstructured Data: not reported
CDC Split Type: USJNJFOC20211006873

Write-up: NO SLEEP; TINGLING IN HANDS, FACE AND LEGS; NUMBNESS; CHRONIC URTICARIA ALL OVER BODY; THROAT FELT LIKE COLD COMING SORE-CLOSING UP; This spontaneous report received from a patient concerned a 70 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included: The patient had no history of asthma, eczema or food allergies. Patient never had hives or angioedema before receiving vaccine. The patient experienced palpitation 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, batch number: Unknown) dose was not reported, administered on 05-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-AUG-2021, the patient experienced chronic urticaria all over body. On 07-AUG-2021, the patient experienced throat felt like cold coming sore-closing up. On 07-AUG-2021, the patient experienced tingling in hands, face and legs. On 07-AUG-2021, the patient experienced numbness. On 28-SEP-2021, Laboratory data included: Complete blood count (NR: not provided) not reported, Differential WBC count (NR: not provided) not reported, Erythrocyte sedimentation rate (NR: not provided) not reported, Liver function test (NR: not provided) not reported, Platelet count (NR: not provided) not reported, Thyroglobulin antibody (NR: not provided) not reported, Thyroid peroxidase antibody (NR: not provided) not reported, and Tryptase (NR: not provided) not reported. On an unspecified date, the patient experienced no sleep. Treatment medications (dates unspecified) included: cetirizine hydrochloride, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chronic urticaria all over body, numbness, and tingling in hands, face and legs, and the outcome of throat felt like cold coming sore-closing up and no sleep was not reported. This report was non-serious.


VAERS ID: 1764661 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-09-30
Onset:2021-10-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Joint swelling
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Pt hospitalized with knee swelling and was dx with DVT


VAERS ID: 1764755 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-19
Onset:2021-10-04
   Days after vaccination:199
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chest X-ray, Computerised tomogram head, Dizziness, Electrocardiogram, Full blood count, Metabolic function test, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, pramoxine
Current Illness:
Preexisting Conditions: anxiety. hypertension,
Allergies: NKA
Diagnostic Lab Data: CBC, CMP, CXR, EKG, CT HEAD
CDC Split Type:

Write-up: Dizziness, weakness, nausea


VAERS ID: 1764796 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Deafness, Tinnitus, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Hearing impairment (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Tdap, tetanus
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood work, various dates unknown, elevated white blood cell count
CDC Split Type: vsafe

Write-up: I went to a specialist which documented hearing loss and tinnitus. I did two rounds of steroids. I went to ER a few times. They came me steroids and antibiotics. Then I also had an antiviral, I saw like three different DRs at that point. I still have hearing loss and Tinnitus and am not taking anything for it. It is not resolving though. I have gone to a rheumatologist and a hematologist.


VAERS ID: 1764801 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-02
Onset:2021-06-01
   Days after vaccination:60
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Gait disturbance, Joint injury, Magnetic resonance imaging abnormal, Muscular weakness, Pulmonary congestion, Wheezing, X-ray of pelvis and hip abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: flu shot, every time I take it it makes me really sick so I do not take it anymore.
Other Medications: Advair, Oxybutynin, Vitamin D2, Metformin Olanzapine, Hydrocodone, Albuterol solution, hair and skin vitamin, potassium glutamate
Current Illness: None
Preexisting Conditions: COPD
Allergies: None
Diagnostic Lab Data: x-rays for my hip and MRI. They said with the MRI my cartilage is gone.
CDC Split Type: vsafe

Write-up: I came home after getting the vaccine and I felt a little bit different but after that I was ok. In the beginning of June it just hit me. I could not understand what happened. My hip and leg gave up on me. I could hardly walk. I had a bunch of mucus in my chest. I was taking different antibiotics to get it together. I am almost cleared up but I still have the wheezing every now and then. I had to go to an urgent care clinic for the stuff in my chest. They did x-rays for my hip and MRI. They said with the MRI my cartilage is gone. At the end of July I went to the doctor because the z-pak did not work, and then the amoxicillin did not work either. They gave me Amoxicillin Clavulanate and that has been helping.


VAERS ID: 1764832 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-20
Onset:2021-09-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Adverse reaction, Asthenia, Back pain, Blood test, Burning sensation, Cough, Crying, Decreased appetite, Dehydration, Dizziness, Dyspnoea, Exophthalmos, Eye pain, Fall, Fear, Feeling abnormal, Fluid intake reduced, Gait disturbance, Head discomfort, Headache, Hyperhidrosis, Hypoaesthesia, Immediate post-injection reaction, Insomnia, Loss of personal independence in daily activities, Lymph node pain, Lymphadenopathy, Malaise, Mobility decreased, Muscle spasms, Muscle strain, Musculoskeletal chest pain, Nausea, Pain, Pollakiuria, Productive cough, Pyrexia, SARS-CoV-2 test, Seizure, Ultrasound abdomen, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Hyperthyroidism (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Ocular infections (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (narrow), COVID-19 (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: period started day of vaccination
Preexisting Conditions: suggested possible lupus but no general health care so no formal diagnosis
Allergies: none
Diagnostic Lab Data: PCR hospital wont release CPR 65 other blood , full blood panel ultrasound of stomach abdomen and legs with swoellen lymphnodes.
CDC Split Type:

Write-up: I think I almost died. having gone thru covid in early 2020, I can say that this was worse- I am traumatized. Truly. Immediately after vaccination I fell faint. It passed and I got up to go get groceries and eat. However, after 2 hours I started having symptoms of nausea. By evening, I was nauseated, weak, and a low grade fever had started. By day 1 I had all the symptoms above as well as lack of appetite and I was losing my ability to intake fluid. I had increased urination and pressure in my head began to build. By day 5 and 6 the symptoms were lessening. However, on day 7, by the night time all the symptoms were full force and the cramping in my legs had turned into swollen lymphnodes in my ingenuial area. By day 8 I could not get out of bed from overall weakness. I felt like I needed to vomit, passout, lay down, stand up, pee in place, and everything all at the same time. I could not get my bearings. Now, over 1 week had past and I had no taken in enough fluids. I tried, but I could not. I was unable to get myself to the toilet or shower. I could not walk my dogs. I was traveling, but my health got so bad that I went back home. My breathing was hard because I was weak. I was weak from lack of fluids or nutrition. I went to three hospitals begging them to call somewhere to report the adverse reactions. but nobody would. I was treated like a slaughter animal. I did not have a force to vomit, but I felt very full, at the top of my abdomen, and the idea of food or water made me sick to my stomach, a constant nausea. Even my hair follicles hurt. My fever was something I had NEVER had before. The pressure in my head and the convulsions from when my fever would break caused me to pull muscles all the way down to underneath my shoulder blades. I had a dry cough that eventually became deep and produced thick but clear fluid. Everything was painful. I was going to sleep weeping after forcing myself to get up to get a bottle of water and walk my dogs (3 of them) for just a few minutes each. Lymph nodes were burning and aching. AT one point the lymphnode near the top of my knee cap filled up. When I tried to walk it coupled with the very large (about 25mm) lymph on my right inside of thigh and made my leg freeze. I''d just fall. I was almost completely incapacitated and could not get help. I could not look at a computer or phone screen long enough to make sentences in reading or writing. Everthing made me sick. I could curl up in featle position with my head only raised by my hands and arms and that was how i could sleep without the pain as much. The pressure in my head had built up so bad by day 10 that I could not even begin to bend forward for anything. I could not sit up or stand up or lay down or turn or anything without having to be real careful that the blood or whatever all came with my head. it was a very weird experience. The pressure felt like it would bulge my eyes out. My eyes- the pain started day 1 when iw oke up. it subsided but then returned when the pressure in my head became unberable. Id have to talk myself through getting out of bed . it would take hours . I would take a parol at night, 500mg -1500mg just to ease the pain by it would break the fever. but before breaking the fever my fever would go so high, i would get too weak and have to sleep suddenly. 5-6 hour later i would wake up soaking wet, even with my mattress soaking wet. their covid precautions- theres like none. So i thought i had covid. I didnt have sweats last time- i had phenomenon where i lost my memory instead. in all 37 years of my life i can only vaguely remember sweats like this- when there was chickpox outbreak really bad and i had gotten it really bad. My inituition is never wrong and it was saying no about this vaccine but i needed it to meet a time requirement. iwas trying to escape leaving a relationship where the man became a stalker adn started to shoot at me. so understand me. I would not be faking sick. I have only taken health care when I was in crisis from dehydration or overhydration. I was so scared. and nobody helped. The last hospital tried to blame this on a female "problem" a small small tiny sign of infection taht would be normal for a woman who hasnt had miuch to drink in 10 days. tehy wouldnt even keep me in hospital to rehydrate me. I crawled back next morning telling them to please report the reaction so we can see if theres a way to treat e and the doctor screaamed at me. it was a nightmare. so day 16 now and my upper left rib to the back hurts. maybe my spleen. i could be the one that dies from this vaccine and everyone who could save me wouoldnt have. i feel so scared.


VAERS ID: 1764854 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-31
Onset:2021-07-05
   Days after vaccination:96
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Herpes zoster, Loss of personal independence in daily activities, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: B12 supplement; vit D3
Current Illness: No
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I saw a flare-up of red boils on the right side of my chest, upper side. I thought it as heat bubbles and I waited. It started to look like it had fluid in them. I went to the pharmacy for diagnosis. I met with a Registered Nurse and who looked at it, and she inspected it and was pretty sure it was Shingles. Gave me over the counter medicine for a week and prescribed something for 1-2 weeks. It took it''s time in resolving. I had it for at least 2 weeks and then resolved on its own. I have marks on my chest right now but shingles are completely gone. It affected my ability to be productive, for a couple days or so. If a cloth were even to touch it, it would be insanely painful.


VAERS ID: 1764911 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-10
Onset:2021-07-10
   Days after vaccination:91
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood calcium, Blood creatinine, Blood glucose, Blood magnesium, Blood potassium, Blood thyroid stimulating hormone, Blood urea, Chest X-ray, Deep vein thrombosis, Differential white blood cell count, Discomfort, Electrocardiogram, Fatigue, Full blood count, Haematocrit, Haemoglobin, Headache, International normalised ratio, Laboratory test, Lipids, Metabolic function test, Oedema peripheral, Pain in extremity, Peripheral swelling, Skin discolouration, Troponin, Ultrasound Doppler, Ultrasound scan, Urine analysis, Venogram, Ventilation/perfusion scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (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: Lisinopril, Anti-acid, Monolaurin,
Current Illness: none
Preexisting Conditions: Mild asthma, arthritis
Allergies: Hydrocodone (itching), seasonal allergy (congestion, sneezing)
Diagnostic Lab Data:
CDC Split Type:

Write-up: No immediate reactions. On July 10th started having some edema in left leg. By the morning of July 11th leg swollen all the way down and turning blue with severe discomfort. Went to ER.. Ultrasounds done and extensive deep vein DVT discovered. Several blood test have been performed since. None can explain why clots developed. No prior history of DVT and all test show normal clotting. The hematologist wants test done that study DNA, but my insurance will not approve testing. This testing is needed to determine my future treatment, length, and possibility of developing more in future. It is of grave concern due to not knowing what may have caused this unusual occurence with no prior history. Several surgeries over the years and never a problem. Since this has occurred, I have constant pain in both legs, become very tired, and frequent headaches. Currently on Xeralto daily to thin blood.


VAERS ID: 1764969 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-07
Onset:2021-09-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Feeling abnormal, Hemiplegia, Neurological symptom, Ultrasound Doppler
SMQs:, Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: phenobarbital, naproxen, losartan
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: strange feeling back of left thigh starting on 9/10/21 @ 1015am traveled to calf. called PCP office, they instructed patient to go to ER for US to rule out blood clot. patient arrived with Full Code Stroke symptoms @ 12:45pm with left side paralysis. administered tPA within time window. residual VITT symptons.


VAERS ID: 1765078 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-10-06
Onset:2021-10-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysphagia, Dyspnoea, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: anaphylaxis
Other Medications: Wellbutrin, Claritin, Ibuprofen as needed, possibly Q-Symvia
Current Illness: None
Preexisting Conditions: Anxiety
Allergies: Moderna Vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient planned to wait for 60 minutes post vaccination due to prior allergic reaction to Moderna. At 45 min, she began having throat swelling, difficulty swallowing, and labored breathing. Epi pen given, albuterol started, and 6 L of 02 placed. EMS arrived within 5 min and transported to the ED.


VAERS ID: 1765143 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-05
Onset:2021-04-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Autoimmune hepatitis, Biopsy liver, Blood alkaline phosphatase increased, Blood bilirubin increased, Chills, Computerised tomogram abdomen, Hepatobiliary scan, Magnetic resonance cholangiopancreatography, Magnetic resonance imaging, Presyncope, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Armour Thyroid
Current Illness: None
Preexisting Conditions: Subclinical hypothyroidism; non-Hashimotos
Allergies: IV Contrast Dye
Diagnostic Lab Data: September 8, 2021: Total bilirubin 3.9, ALT 1503, AST 964, Alkaline Phosphatase 274; CT of the abdomen without contrast September 9, 2021: HIDA scan September 10, 2021 : MRI and MRCP were performed to rule out obstruction. September 17, 2021: Liver biopsy
CDC Split Type:

Write-up: Day one, near syncope 10 minutes after injection. Day 3 chills and fever. 1 month later abdominal distention and swelling after eating. Month 3 severe intermittent abdominal pain. Month 4 diagnosed with Autoimmune hepatitis.


VAERS ID: 1765173 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-17
Onset:2021-09-17
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

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

Write-up: COVID POSTIVE


VAERS ID: 1765239 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-14
Onset:2021-09-30
   Days after vaccination:200
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Endotracheal intubation, Hypotension, Leukocytosis, Mental status changes, Pneumonia, Respiratory distress, Respiratory failure, Urine output decreased
SMQs:, Acute renal failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant 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), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: 9/30/21: ED for AMS and hypoxic respiratory failure. Hx limited and mainly obtained from EMR review and ED physician. Pt was emergently intubated on arrival to the ED d/t saturating in the 60s. In the ED pt was found to have leukocytosis w/ PNA and was tx w/ Vanc and Cef. Patient has developed sustained hypotension at the time when she was in respiratory distress and getting intubated. Currently patient is on norepinephrine. Her urine output has been declining. Please note: Patient received J&J vaccine on 3/14/2021 Lot # 1805025


VAERS ID: 1765436 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-08
Onset:2021-09-02
   Days after vaccination:147
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

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

Write-up: COVID POSTIVE


VAERS ID: 1765457 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-01
Onset:2021-09-09
   Days after vaccination:161
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Cerebrovascular accident, Computerised tomogram head, Facial paralysis
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), 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: Atorvastatin ( 1xday 10mg ) Amlodipine ( 5mg 1xday )
Current Illness: NA
Preexisting Conditions: High BP High Cholesterol
Allergies: Lisinopril
Diagnostic Lab Data: CT Scan Bloodwork
CDC Split Type: vsafe

Write-up: I woke up one morning and I couldn''t move the right side of my face I thought I was having a stroke. I went to the ER for treatment where I was diagnosed with Bell''s Palsy. I had a CT Scan of my head and brain and I also had bloodwork done. I experienced paralysis on my face.


VAERS ID: 1765500 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-10-06
Onset:2021-10-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pro Air albuterol inhaler
Current Illness: asthma
Preexisting Conditions: asthma
Allergies: Allergic reaction to allergy shot
Diagnostic Lab Data: none to report
CDC Split Type:

Write-up: Adverse effects to report after 5 minutes of observation, Pt started having shortness of breath/asthma symptoms 5 minutes after vaccine. Nurse checked pt''s O2 at 93%, BP 183/159, Pulse 108. Offered Epi-Pen Pt Declined and said they had their own but only felt asthma symptoms, . Pt used albuterol inhaler. Offered to call EMS Pt declined Wife drove to ER. When we opted to call 911 but Pt declined several times and had partner take them right up the street to ER


VAERS ID: 1765514 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-09-23
Onset:2021-10-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abortion spontaneous, Back pain, Exposure during pregnancy, Haemorrhage, Muscle spasms, Pregnancy test positive, Ultrasound scan abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (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: Prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: Morphine and amoxicillin
Diagnostic Lab Data: I had a positive pregnancy test 09/29. On 10/4 the pregnancy test showed 2 HCG level and also an ultra sound showed no gestational sac. I had the miscarriage over the weekend.
CDC Split Type:

Write-up: I received the vaccine on 09/23/21. I started getting back pain and cramps 09/30-10/1, and started bleeding on 10/2-4. It was confirmed that I had a miscarriage.


VAERS ID: 1765589 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-09-28
Onset:2021-10-06
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Dizziness, Feeling abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Arthritis (broad)

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

Write-up: While working on the ranch, the patient stated he felt dizzy, experienced chest pain and shoulder pain. Stated "I feel like I''m going to die..."


VAERS ID: 1765637 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-08-29
Onset:2021-08-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature increased, Chest pain, Hypoaesthesia, Injection site pain, Pain
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: For years: Birth control, daily probiotic. Starting 2 days before vaccination: turmeric, garlic, ginger, vit c, omega 3, cinnamon, zinc.
Current Illness:
Preexisting Conditions: Unknown neurological problems
Allergies: Codine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left side numbness (whole body) and pain. Initially left side, eventually after a few weeks mostly in left hip, leg and foot. Elevated temperature for a few hours, some chest pain. Soreness at injection site for several days. Symptoms have lessened but are still evident 5 weeks later. Have been to chiropractor several times since the vaccine and have taken ibuprofen.


VAERS ID: 1765679 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-10-06
Onset:2021-10-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Pruritus, Sensation of foreign body, Throat clearing, Throat irritation, Urticaria, Visual impairment
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Moderna 3/4/21 throat irritation
Other Medications: Losarten, Trazadone, Bupropion
Current Illness:
Preexisting Conditions:
Allergies: Amox, banana, sesame, Moderna covid vac
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt said throat felt irritated "like a ball stuck in there." Sx progressed to thrat and inner ears feeling itchy, throat felt tight, seeing "star flies", few hives noted on neck and continuously clearing throat. )2 2 L initiated and Epipen 0.3 mg adiministered and within 1 min pt states she was feel better. Pt transported for observation.


VAERS ID: 1765699 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: California  
Vaccinated:2021-10-06
Onset:2021-10-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 001A21A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Hyperhidrosis, Interchange of vaccine products, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Medication errors (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: Moderna COVID Vax Age 72 on 3/5/2021. "On Friday I had the first with in an hour felt like my throat was closing up and tongue
Other Medications:
Current Illness:
Preexisting Conditions: Extensive medical history. Includes Atrial tachycardia, Atherosclerosis of aorta, IBS, Anxiety,
Allergies: Flagyl, Kenalog, Prednisone, Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received a J&J shot around 11 am. She was in the observation area for a 1 hour observation per patient request due to her reaction to the Moderna vaccine in March (patient reported shortness of breath and throat swelling but did not seek emergency care). After about 40 minutes, she complained of dizziness and appeared pale and diaphoretic. She was lowered to the ground and legs were propped up on a chair. She did not lose consciousness. Patient was then assisted to a wheelchair and then over to the gurney. She complained of chest tightness that began when she was lying on the ground. Patient was advised to go to the ER for a workup due to cardiac history and chest tightness. She wanted to wait a while to see how she felt. She rested for another 20 minutes and said her chest tightness subsided a little but was still present and had moved to the left side of her chest. She agreed to go to the ER and was transported via wheelchair. VS: 142/78 HR 75 99% on RA.


VAERS ID: 1765889 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-08
Onset:2021-09-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angina pectoris, Anxiety, Blood test normal, Chest pain, Computerised tomogram normal, Dyspnoea, Electric shock sensation, Fear, Neuropathy peripheral, Pain, Peripheral swelling, Tachycardia, Ultrasound scan normal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Occasional Motrin, Occasional Loreprazam 0.5 mg for Sleep.
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: September 17, 2021 -- Ultrasound of Left leg and blood work. All normal. September 27, 2021-- More blood work and CT scan with Isotope. Again Normal results. Yet still experiencing daily issues.
CDC Split Type:

Write-up: Day After injection - lots of anxiety and tachycardia. 2 weeks after vaccine - swelling in the back of the left leg. Various heart pain and anxiety when I get the chest pain. 3 weeks after some shortness of breath. Throughout the month neuropathy in the legs. Zapping Random Pains. Having chest pain again tonight. Awful scary stuff happening to me.


VAERS ID: 1766150 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-16
Onset:2021-09-26
   Days after vaccination:194
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood gases abnormal, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Discomfort, Dyspnoea exertional, Hypoxia, Lung infiltration, Lung opacity, Malaise, PO2 decreased, SARS-CoV-2 test positive
SMQs:, Asthma/bronchospasm (broad), Lactic acidosis (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amitriptyline, aspirin, glipizide, levothyroxine, metformin
Current Illness:
Preexisting Conditions: hypothyroidism type 2 diabetes Clotting disorder, Environmental allergies, Hypothyroid, Lupus, Migraine, Proteinuria, Sleep apnea, SOB (shortness of breath) on exertion, and Uterine cancer
Allergies: None
Diagnostic Lab Data: 9/27/21 COVID19: positive 10/3/21 chest xray: Minimal patchy infiltrate right upper lobe. 10/3/21 CTA chest: No evidence of pulmonary emboli. Scattered ground-glass opacities within the lungs right greater than left. Patient is positive for COVID-19.
CDC Split Type:

Write-up: presented to the ER on 10/3/21 with shortness of breath. Patient started feeling COVID like symptoms on Sunday the 26th. Patient when had a COVID swab done on 27th which was positive. She began to feel slightly worse few days ago in regards to her respiratory status. Her dyspnea has been getting progressively worse with activity. When she felt even worse and decided come to the ER to be evaluated. Patient denies any cough fever chills. Her GI symptoms seem to be improving. When she arrived to the ER she was found to be hypoxic an ABG done revealed a PO2 of 55. Patient''s has been placed on 2 L of oxygen via nasal cannula. She will be admitted overnight to see if we can wean her off oxygen. Being treated with Decadron and remdesivir. Respiratory support. Over the course of hospitalization patient stopped requiring oxygen, her breathing discomfort improved and she was ambulating in the room going to washroom without any difficulty and without any oxygen requirement. Patient is medically stable to be discharge Home on 10/5/21


VAERS ID: 1766152 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-19
Onset:2021-08-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray, Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Chest Xray September 10th, 2021
CDC Split Type:

Write-up: RML Pnuemonia


VAERS ID: 1766321 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-07-28
Onset:2021-09-13
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Alcohol use, Aspartate aminotransferase increased, Bacterial test, Basophil percentage, Bilirubin urine present, Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood calcium normal, Blood chloride normal, Blood cholesterol increased, Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium decreased, Blood sodium normal, Blood triglycerides normal, Blood urea decreased, Blood urine present, Carbon dioxide decreased, Chest pain, Chromaturia, Cough, Deep vein thrombosis, Drug abuse, Dyspnoea, Eosinophil percentage, Fibrin D dimer, Flank pain, Glomerular filtration rate normal, Glucose urine absent, Glycosylated haemoglobin normal, Granulocyte percentage, Haematocrit decreased, Haemoglobin, High density lipoprotein decreased, Immature granulocyte count, Investigation abnormal, Lipase increased, Low density lipoprotein increased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume decreased, Mean platelet volume normal, Monocyte percentage, N-terminal prohormone brain natriuretic peptide, Nitrite urine absent, Pain, Platelet count increased, Pleuritic pain, Pregnancy test urine negative, Protein total increased, Protein urine present, Pulmonary embolism, Red blood cell count decreased, Red blood cells urine positive, Red cell distribution width increased, SARS-CoV-2 test negative, Specific gravity urine normal, Troponin I normal, Urinary sediment, Urinary sediment present, Urine abnormality, Urine ketone body present, Urine leukocyte esterase positive, Urobilinogen urine, Very low density lipoprotein normal, White blood cell count normal, White blood cells urine positive, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Dyslipidaemia (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Drug abuse and dependence (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Lipodystrophy (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Hypokalaemia (narrow), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: depression, alcohol abuse, microcytic anemia, obesity
Allergies: chlorhexidine
Diagnostic Lab Data: 9/14/21 TODAY''S LABS: _COVID-19(Abbott ID NOW) (NEGATIVE) HGBA1C (5.8) WBC (5.67) GRAN%, AUTO (77.0) LY%, AUTO (13.8) MO%, AUTO (5.3) EOS%, AUTO (3.0) BASO%, AUTO (0.5) IG% (0.4) RBC (4.19) HEMOGLOBIN (7.8) HEMATOCRIT (28.9) MCV (69.0) MCH (18.6) MCHC (27.0) RDW (20.0) PLATELET COUNT (459) MPV (8.6) GLUCOSE (86) UREA NITROGEN (3) _CREATININE,SER/PLS(CKD-EPI) (0.7) _EST GFR(CKD-EPI) (117.91) SODIUM-BLOOD(SERUM) (140) POTASSIUM (3.4) CHLORIDE (106) CO2 (20.0) CALCIUM (9.0) PROTEIN,TOTAL (8.8) ALBUMIN (4.2) ALTV (63) AST (105) ALKALINE PHOSPHATASE (151) BILIRUBIN, TOTAL (1.2) CHOLESTEROL (227) TRIGLYCERIDE (95.00) HDL (53.00) LDL CHOLESTEROL (143.59) VLDL CHOLESTEROL (19.0) LIPASE (398.0) MAGNESIUM (1.70) cTNI 2 (QUANTITATIVE) (0.012) Di Dimer (0.93) URINE PREGNANCY (ICON) TEST (NEGATIVE) URINE COLOR (YELLOW) URINE CLARITY (CLOUDY) URINE GLUCOSE (100 mg/dL [1/10 g/dL(%)]) URINE BILIRUBIN (SMALL) URINE KETONES (40) SPECIFIC GRAVITY (1.020) URINE PH (7.0) URINE PROTEIN (DIPSTICK) (TRACE) URINE UROBILINOGEN (4.0) URINE NITRITE (NEGATIVE) URINE BLOOD (TRACE) URINE LEUKOCYTE ESTERASE (SMALL) SEDXAM (DONE) URINE WBC (6-10) URINE RBC (1-5) URINE EPITH CELLS (TNTC) URINE BACTERIA (FEW) URINE MUCUS (1+) AMORPHOUS SEDIMENT (OCC) NTBNP (37.0)
CDC Split Type:

Write-up: 9/13/21: 28 yo f pmh cocaine/lower gi bleed with h/o anemia presents with right flank pain and chest pain since this morning. Denies preceding trauma, right flank pain is pleuritic in nature and worsened by rotation. Minimal cough and reports sob. No hempotysis, no leg swelling, no ocps, no h/o dvt/pe, no recent surgery. No nausea/vomiting/dysuria, lmp within the last month. Also bilateral chest pain, dull, non-radiating, unprovoked, no exacerbating/alleviating factors. Reports recent etoh use today, meth use days previous. Denies saddle anesthesia, urinary retention or le numbness/weakness. DX: PE - admitted # PE: Hestia +; PESI low risk. -Given LMWH 1mg /kg @ 130 am. -apap for pain -no right heart strain -at this time think unprovoked dvt (no ocps, no recent surgery, no trauma, no h/o hypercoagulable state)


VAERS ID: 1766450 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-06-26
Onset:2021-09-08
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Cough, Dyspnoea, Hypoxia, Pyrexia
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: DM2 and HLD
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Acute respiratory failure with hypoxia Pneumonia due to COVID-19 COVID 19 virus infection Symptom onset ~ 9/8 (chills, cough, fever, shortness of breath) Detected 9/13 Vaccination status: vaccinated J&J 6/26 CXR Patchy multifocal bilateral pulmonary infiltrates Oxygen requirements on admission: 2L NC Current oxygen requirements: 96% RA Medical therapy: remdesivir and steroids Stable for DC to home with Dexamethasone to complete 10 day course and PRN Albuterol inhaler


VAERS ID: 1766847 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-09-10
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Dizziness, Dyspnoea exertional, Haemoptysis, Headache, Hyperhidrosis, Paraesthesia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had no known allergies.
Allergies:
Diagnostic Lab Data: Test Date: 20210928; Test Name: Chest X-ray; Result Unstructured Data: could not find anything wrong; Test Date: 20210928; Test Name: Blood test; Result Unstructured Data: could not find anything wrong
CDC Split Type: USJNJFOC20211006525

Write-up: TINGLING IN BOTH LEGS FROM THE KNEES DOWN; COUGHED UP BLOOD (TASTED BLOOD AND SPIT UP BLOOD); DIZZINESS; BLURRED VISION; SWEATS; INTERMITTENT CHEST PAIN; SHORTNESS OF BREATH UPON EXERTION; HEADACHE; This spontaneous report received from a patient concerned a 42 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included: Patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-SEP-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-SEP-2021, the patient experienced dizziness. On 10-SEP-2021, the patient experienced blurred vision. On 10-SEP-2021, the patient experienced sweats. On 10-SEP-2021, the patient experienced intermittent chest pain. On 10-SEP-2021, the patient experienced shortness of breath upon exertion. On 10-SEP-2021, the patient experienced headache. On 28-SEP-2021, the patient experienced coughed up blood (tasted blood and spit up blood). Laboratory data included: Blood test (NR: not provided) could not find anything wrong, and Chest X-ray (NR: not provided) could not find anything wrong. On 03-OCT-2021, the patient experienced tingling in both legs from the knees down. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from tingling in both legs from the knees down, and the outcome of headache, dizziness, blurred vision, sweats, coughed up blood (tasted blood and spit up blood), intermittent chest pain and shortness of breath upon exertion was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment is not required as per standard procedure as case is assessed as non-serious.


VAERS ID: 1767276 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Communication disorder, Dyspnoea, Eating disorder, Erythema, Fall, Hyporesponsive to stimuli, Limb injury, Mobility decreased, Pain, Sensory loss, Thrombosis, Ultrasound scan, Weight decreased
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE; SERTRALINE HYDROCHLORIDE
Current Illness: Dementia
Preexisting Conditions: Medical History/Concurrent Conditions: Injury (They took her to the hospital for examination but found no evidence of injury.); Comments: The patient takes Vitamins and Minerals, patient had one blood vessel at the back of the knee instead of two. Patient had issue with a blood clot that causes the foot to be like that.
Allergies:
Diagnostic Lab Data: Test Date: 202108; Test Name: Diagnostic ultrasound; Result Unstructured Data: low pulse in the leg
CDC Split Type: USJNJFOC20211002682

Write-up: SEVERE BLOOD CLOT IN RIGHT FOOT; RED MARK BEHIND THE LEFT CALVE THAT MOVING UP; TERRIBLE PAIN; LOST SO MUCH WEIGHT; LEFT FOOT DOES NOT RESPOND ON TOUCH; PATIENT CANNOT MOVE; CANNOT EAT; NOT RESPONDING; DOES NOT COMMUNICATE; PATIENT SLUMPED, COULD NOT HOLD HEAD, COULD NOT SIT AND LOOKED VERY BAD; FOOT INJURY; WAS NOT BREATHING WELL, BREATHING THROUGH THE MOUTH; This spontaneous report received from a consumer concerned a 91 year old female of unspecified race and ethnicity. The patient''s height, and weight were not reported. The patient''s past medical history included: injury, and concurrent conditions included: dementia, and other pre-existing medical conditions included: the patient took Vitamins and Minerals. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 041A21A, and expiry: 19-SEP-2021) dose was not reported, one total administered on right arm on 05-APR-2021 for prophylactic vaccination. Concomitant medications included amlodipine, and sertraline hydrochloride. On APR-2021, after the vaccine for 3 or 4 days straight the patient was not breathing very well, and was breathing through mouth. On AUG-2021, the patient experienced cold dark right foot and doctor instructed the patient to warm up the leg, the patient experienced low pulse in the right leg, right foot did not look right, it was dark and swollen and the patient had never seen that before, black marks at the bottom of the toes, the patient took for examination at the hospital, and the patient had an injury to the foot (even though found no evidence of an injury). The physician told patient that the patient needed an X-Ray, made an ultrasound exam and found that patient had a low pulse in the leg. On 15-AUG-2021, the patient experienced patient slumped, could not hold head, could not sit and looked very bad. The patient was hospitalized on 08-SEP-2021 and experienced blood clot in foot, had an issue with a blood clot that causes the foot to be like that, tried to put a stent in patient''s leg but it could not be done (patient had one blood vessel at the back of her knee instead of two) so they recommended amputation above the knee, family declined amputation and brought patient home on 13-SEP-2021 home. Monitored the feet, eventually the whole right foot became black. On an unspecified date the patient experienced no feelings in the right feet, left feet does not respond on touch, cannot move, red mark behind the left calve that moving up, cannot eat, does not communicate, terrible pain, lost so much weight because was not eating. The patient was not taking much but for pain management, caregiver dilutes ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from was not breathing well, breathing through the mouth, had not recovered from red mark behind the left calve that moving up, and the outcome of foot injury, patient slumped, could not hold head, could not sit and looked very bad, does not communicate, terrible pain, lost so much weight, left foot does not respond on touch, severe blood clot in right foot, patient cannot move, cannot eat and not responding was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0 20211002682-COVID-19 VACCINE AD26.COV2.S-severe blood clot in right foot. 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: 1768039 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-31
Onset:2021-08-02
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Dyspnoea, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive, X-ray
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Jargience ( For diabetes ) Mulitivitiam
Current Illness: No
Preexisting Conditions: Diabetes
Allergies: No
Diagnostic Lab Data: X-ray COVID test
CDC Split Type: vsafe

Write-up: Participant caught COVID she couldn''t breath (Respiratory issues) fever lost taste /smell


VAERS ID: 1768153 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-10-01
Onset:2021-10-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Chills, Cough, Pain, Paraesthesia, Pyrexia, Respiratory tract congestion, Urinary incontinence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Wife calling for pt who received his Johnson and Johnson COVID19 last Friday, 10/1/21. On Sunday he developed a cough and on Monday chills and a fever. Temp on Tuesday was 102 and Wednesday was 100.4. She states no fever today, 10/7/21, and his cough has lessened. Pt also on call and reports having tingling in his LLE and R foot, generalized body aches, constant abdominal pain in the last 24 hours, feeling slightly congested and some bladder control problems. Pt denies any chest pain, leg swelling, blurry vision or headache. Pt sent to the ED.


VAERS ID: 1768438 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-07-30
Onset:2021-08-19
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide increased, Chest pain, Computerised tomogram abnormal, Differential white blood cell count normal, Dyspnoea, Echocardiogram abnormal, Fibrin D dimer normal, Full blood count abnormal, Gamma-glutamyltransferase normal, Granulocyte count, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Lymphocyte count, Lymphocyte count normal, Mean cell haemoglobin concentration increased, Mean cell haemoglobin concentration normal, Mean cell volume normal, Mean platelet volume increased, Metabolic function test normal, Platelet count normal, Presyncope, Protein total normal, Red blood cell count normal, Red cell distribution width normal, Superficial vein thrombosis, Troponin I increased
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: 8/19/21 - CT Scan of both legs and right arm = Superficial clot in right arm, 6cm in length. 8/22/21 - Basic Metabolic Panel, BMP - ZC = Sodium (Na): 145, Potassium (K): 4.0, Chloride (Cl): 104, CO2: 32, Blood Urea Nitrogen (BUN): 13, Creatinine (Cr): 0.90, Glucose (Glu): 106, Calcium (Ca): 9.6, Anion Gap: 9 -Hepatic Function Panel, LFTs = Total Protein (T Pro): 7.50, Albumin (Alb): 4.7, Total Bilirubin (T bil): 0.4, GGT: 18.00, Alkaline Phosphatase (Alk Phos): 41, AST: 31, ALT: 19.0, -Troponin I = Troponin I: <0.05, -EKG = Near syncope -D-Dimer, Latex = D-Dimer: <100.00 8/23/21 -CBC, inc. differential - ZC = White Blood Count (WBC): 6.2, Red Blood Count (RBC): 4.99, Hemoglobin (Hgb): 15.5, Hematocrit (Hct): 44.2, Mean Corpuscular Volume (MCV): 88.6, Mean Corpuscular Hemoglobin(MCH): 31.1, Mean Corpuscular Hemoglobin Concentration (MCHC): 35.1, Red Cell Distribution Width (RDW): 12.8, Platelet (Plt): 194, Granulocytes % (grans %): 57.5, Mid Cells % (mid %): 8.8, Lymphocytes % (lymphs %): 33.7, Granulocytes (grans): 3.6, Mid Cells (mid): 0.5, Lymphocytes (lymphs): 2.1, Mean Platelet Volume (MPV): 12.0, -Basic Metabolic Panel, BMP - ZC = Sodium (Na): 144, Potassium (K): 3.6, Chloride (Cl): 103, CO2: 29, Blood Urea Nitrogen (BUN): 12, Creatinine (Cr): 1.00, Glucose (Glu): 86, Calcium (Ca): 10.1, Anion Gap: 12, -Troponin I = Troponin I: <0.05 -Hepatic Function Panel, LFTs = Total Protein (T Pro): 7.80, Albumin (Alb): 4.8, Total Bilirubin (T bil): 0.6, GGT: 19.00, Alkaline Phosphatase (Alk Phos): 46, AST: 35, ALT: 20.0,
CDC Split Type:

Write-up: Had what one ay describe as a general reaction to the vaccine for the first two weeks. Seemed to recover but developed a superficial blood clot in my right arm 6cm. in length. No family history of clots, no past history of clots. Currently on Eliquis - 3 month dosage per hematologist recommendation. Outside of the blood clot, consistent chest pain and difficulty breathing without any specific diagnosis. Working with a cardiologist to get to the bottom of issues.


VAERS ID: 1768448 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-08-17
Onset:2021-09-15
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Arthralgia, Cardiac stress test, Chest pain, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer normal, Full blood count normal, Metabolic function test normal, Neck pain, Pain, Pericarditis, Troponin normal
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclen lo
Current Illness: none
Preexisting Conditions: none
Allergies: Amoxicillin
Diagnostic Lab Data: 9/15/21- CBC, CMP, Troponin, EKGx3, CTA, D-dimer- all normal 9/23/21- stress test- abnormal due to peak HR reached at 5 minutes. Echo- normal
CDC Split Type:

Write-up: 9/15/21 began experiencing sharp left side chest pain that would radiate up left shoulder and neck, accompanied with shortness of breath upon mild exertion. Was evaluated at the ER that night for pulmonary embolism and MI. All test at hospital were normal. was referred to cardiologist and diagnosed with pericarditis on 9/29/21. symptoms began to improve on 9/28/21 and have resolved on 10/1/21.


VAERS ID: 1768464 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-10-06
Onset:2021-10-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest pain, Hyperhidrosis, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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: Zyrtec, Fluticasone nasal spray, Ibuprofen
Current Illness: none
Preexisting Conditions: tobacco smoker
Allergies: NKDA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Pt called office this afternoon to alert nurse that he woke up this morning with vomiting and sweats. Denies any fever, states he does feel weak, fatigued and did have chills last night. Also states he started with left sided chest pain last night that has continued to be on and off. Advised pt that because of the chest pain he is having it is advised he go to the ER for further evaluation. Pt in agreement and is self transporting to local ER.


VAERS ID: 1768584 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-03-13
Onset:2021-09-01
   Days after vaccination:172
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test abnormal, Dyspnoea, Intracardiac thrombus, Pulmonary thrombosis, Respiration abnormal, Scan abnormal, Stress, X-ray
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 81 mg ASA
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Multiple blood tests, X-Rays and Scans while in ER on Sept 7, 2021
CDC Split Type:

Write-up: Started having difficulty breathing and severe breathing when stressed early September. Taken to Emergency Room at Hospital, Sept. 7 with O2 sats in the 80''s. Was in ER for multiple tests to determine cause of breathing issue. Scan and blood tests ultimately revealed massive clotting in lungs and heart. Put on IV Heparin and hospitalized for 1 week.


VAERS ID: 1768660 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-09-29
Onset:2021-10-05
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Aphasia, Back pain, Blood test normal, Breast pain, Cardiac flutter, Chest X-ray normal, Chest pain, Costochondritis, Dysarthria, Electrocardiogram normal, Eosinophil count increased, Fibrin D dimer normal, Headache, Human chorionic gonadotropin negative, Hypertension, Lymphocyte count normal, Mean cell haemoglobin concentration normal, Muscle spasms, Nausea, Neck pain, Neutrophil count, Pain, Platelet count normal, Red cell distribution width normal, Troponin increased, White blood cell count normal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tachyarrhythmia terms, nonspecific (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Lipodystrophy (broad), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Not sure if these are adverse but I do not react well to any vaccine. I had a flu shot in 2010 and was sick with vomiting etc fo
Other Medications: Zinc, quercetin, Chagra Mushroom and Elderberry Syrup for immune health.
Current Illness: COVID-19 in August of 2021.
Preexisting Conditions: None.
Allergies: pennicilin and latex
Diagnostic Lab Data: BP 148/74 155/84 was told this was considered high on the hospital paperwork I have. Blood work drawn Cardiac Testing Troponin result 19 ng/L Endrocrinology Beta hcg qi:Negative Diagnostic Radiology XR Chest PA and LAT 2 View: XR chest pa and lat 2 view (just reporing what I see on paperwork I dont see the word negative but she did say it was clear. Blood test cagulation for D-Dimer VTE: 0.32 mcg/ml FEU (was verbally told everything was fine nothing worrisome present) There are also several genreal chemistry tests and results that I see on all of my paperwork. It is a big list. All showing normal for lymp, nuetro absolute, eos , mchc, rdw, platelet, wbc etc..
CDC Split Type:

Write-up: On October 5th I woke up and worked ( I work from home ) and started to experience chest pain. My chest felt achy and sometimes a sharp pain (on sides of each brest) and sometimes the pain would move to top part left breast above it by chest and then it would be all over. I then felt like my heart was "lurching" and center of chest pain. I continued working and tried to just relax at home. On October 6th I woke up and it felt alot worse and was also going up my neck and back. I was just sitting working. That is when I decided to go to the ER as I was afraid I was having a heart attack or a blood clot may have been forming. When I went to the ER I had blood tests done and an EKG. They came back normal. I also had a chest xray which was clear. But, the Doctor acknowledged the chest pain and said it was chest wall inflammation Costochondritis is the term and she said it was very possible it could be from the vaccine. I was sent home after about 7 1/2 hours of being in the ER since all tests were fine but chest still hurt. Today is 10/7 and I am still having the chest pain, it is not as intense but still there it volleys from feeling dull and a bit more increased pain back down to dull again.


VAERS ID: 1768685 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-08
Onset:2021-04-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Ageusia, Anosmia, Anxiety, COVID-19 pneumonia, Chest X-ray, Chills, Cough, Dyspnoea, Fatigue, Fibrin D dimer, Headache, Impaired work ability, Laboratory test, Nasal congestion, Nausea, Pain, Pyrexia, Rash, Restlessness, Ultrasound scan normal, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Tetanus vaccine, hives, my arm swelled up really big, took along time to go down and they gave me something for the hives, sever
Other Medications: None
Current Illness: None
Preexisting Conditions: GERD Reflux; Diagnosed Fibromyalgia
Allergies: Medicational Allergies
Diagnostic Lab Data: lab work D-dimmer x-ray of the chest
CDC Split Type: vsafe

Write-up: I experienced after the vaccine, that night fever, body aches, chills. I also had headaches the next day. I also got a rash after my vaccine. I also got COVID pneumonia, no taste, no smell, still have a cough, nasal congestion, sick to my stomach and threw up and felt tired and very restless, and was very anxious and had SOB. I also got an infusion of the antibodies but it did not help. I got antibodies, steroids twice now and using an inhaler that I am still using. I went to ER for evaluation. My doctor sent for lab work was done and also check for blood clot in my lung, x-ray of the chest, also did a D-dimer. Ultrasound of my leg was done last week and it was negative. My doctor referred to a long hauler clinic and I am trying to get out of COVID symptoms. I also have been out of a month out of work, since 06-06-2021.


VAERS ID: 1768775 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-06-18
Onset:2021-09-23
   Days after vaccination:97
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Metoprolol
Current Illness:
Preexisting Conditions: ITP
Allergies:
Diagnostic Lab Data: Ctscan Mri
CDC Split Type:

Write-up: Stroke


VAERS ID: 1768780 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: New York  
Vaccinated:2021-10-05
Onset:2021-10-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Autoimmune arthritis, Complement factor C3, Complement factor C4, Condition aggravated, Cytokine test, Full blood count, Human chorionic gonadotropin, Metabolic function test, Pain, Pyrexia, SARS-CoV-2 test, Total complement activity test, Tryptase
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: autoimmune arthritis
Allergies: azithromycin, cetirizine, Levaquin
Diagnostic Lab Data: cbc,cmp, bhcg, covid 19 spike domain, tryptase, ch50, c3-c9 complement, cytokine panel results pending
CDC Split Type:

Write-up: the evening of 1st round of vaccination began with joint pain, which has continued. initially had fever that has resolved at time of exam. Pt with hx autoimmune arthritis but has not had any recent flairs, and describes this pain as worse. no rash, swelling of mouth or face, difficulty breathing, or other anaphylactic symptoms.


VAERS ID: 1768828 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-10-07
Onset:2021-10-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1822809 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Flushing, General physical condition abnormal, Heart rate increased, Hyperhidrosis, Loss of consciousness, Pallor, Seizure, Syncope, Yellow skin
SMQs:, Torsade de pointes/QT prolongation (broad), Cholestasis and jaundice of hepatic origin (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), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: N/A
Preexisting Conditions: Patient mentioned having Atrial Fibrillation and High Blood Pressure when paramedics arrived.
Allergies: No known allergies
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: After patient received his Janssen (J&J) vaccine, he was directed to sit for 15 minutes in front of our pharmacy area. Within the first minute of sitting down, another patient of the pharmacy who was standing by saw him and said he "didn''t look good" and grabbed my attention. He fainted while in the chair for a few seconds, then regained consciousness. When I was next to the patient, I asked if he could hear me and feel my touch when I grabbed his hand, and he said yes. He began (and continued) sweating profusely. He said he had chills but was able to breathe normally. He began to turn a pale yellow/white in color. He lost consciousness a second time and began seizing for roughly 10 seconds. After regaining consciousness again, he was very flushed in the face with a faster pulse. He asked if he could lay down. I gave him ice for his neck to cool him down and had him lay down on the floor until paramedics arrived (verified this was okay with operator on the phone). He said that made him feel a lot better. I was informed he was not allowed to eat or drink anything per operator. Paramedics arrived and took him to the nearest hospital. Time course of roughly 30 minutes or less.


VAERS ID: 1768873 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-13
Onset:2021-10-04
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Computerised tomogram, Echocardiogram, Electrocardiogram, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: BIRTH CONTROL, MULTIVITAMIN, MAXALT, SAXENDA
Current Illness: NO
Preexisting Conditions: ARTHITIS
Allergies: CLOMID, PROTONIX
Diagnostic Lab Data: ECHO, EKG, CT
CDC Split Type:

Write-up: CHEST PAIN/ PULMONARY EMBOLISM


VAERS ID: 1768879 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-07
Onset:2021-07-09
   Days after vaccination:93
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A1A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Blood test normal, Dysstasia, Laboratory test, Tinnitus, Vertigo
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: Penicillin
Diagnostic Lab Data: Bloodwork - Urgent Care and ENT doctor both did some bloodwork ER - tested my heart
CDC Split Type: vsafe

Write-up: On the date in July, I woke up with an extreme case of vertigo. My balance was completely off and I had a ringing in my ears. I immediately went to Urgent Care facility. They checked my heartrate and all of that came back fine. Bloodwork - all was fine. They recommended I go to my ENT doctor - and so I made an appt to go that next week. He checked everything and didn''t see any reason why I was having VERTIGO - I couldn''t stand up straight. I had to lean against the wall of the room would spin. He ran bloodwork, too, and everything came back fine. He gave me a medication to help my body balance - it took me almost the whole month of July to get back to semi-normal. And still have a subtle ringing in my ears. I have been to ENT doctor two my times since July and he can''t figure out why I still have occasional bursts of balance not being good but then it will come back; and then the ringing still in my ears. My primary care doctor and my ENT doctor. My plan is to set up an appt with an neurologist. The same day I went to Urgent Care, I went Hospital ER too - for a test on my heart that Urgent Care didn''t have. They wanted to make sure that my heartbeats per minute and the pressure with my blood was correct.


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