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From the 4/30/2021 release of VAERS data:

Found 153,440 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 78 out of 1,535

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VAERS ID: 1218026 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425194

Write-up: MUSCLE TIGHTNESS ON LEFT SIDE; SORENESS IN THE OPPOSITE ARM; HEADACHE; This spontaneous report received from a patient concerned a 51 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included codeine allergy. The patient was previously treated with codeine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced soreness in the opposite arm. On 12-APR-2021, the subject experienced muscle tightness on left side. Treatment medications (dates unspecified) included: acetylsalicylic acid, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, and muscle tightness on left side, and had not recovered from soreness in the opposite arm. This report was non-serious.


VAERS ID: 1218048 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 002A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Headache, Pain in extremity
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Persistent headache and leg pain the day after recieving the shot that has continued through a week at least until reported date of 4/16/21. Patient does not report any swelling associated with leg pain and has admitted to not drinking as much water as she should because of issues with her stomach. Encouraged her to stay well hydrated as that is most common cause of her symptoms. She also did not report any issues in the past with her platelets.


VAERS ID: 1218061 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test, Blood thyroid stimulating hormone, Chills, Fatigue, Groin pain, Headache, Myalgia, Pain in extremity, Sleep disorder, Tenderness, Thyroxine free
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adarol XR, Low Estrogen, Zyrtec
Current Illness: no
Preexisting Conditions: no
Allergies: Tetracycline, bananas, pineapples, melon, cantelope
Diagnostic Lab Data: D-Dimer-within standard range TSH/T4- within standard range
CDC Split Type: vsafe

Write-up: Later that day I started getting pain in the hip/groin area of my left leg preventing me from putting pressure on it or walking. The acute pain diminshed after about 3 hr and I could walk again but the hip flexor area remained tender and felt like a sore muscle had been pulled for about 3 days. About 5pm I developed really bad chills which lasted about 24 hrs and was really intense about the first 6hr. About 11pm I developed a severe headache preventing me from sleeping which lasted about 9hrs. 4/10 I had occassional chills, the headache had subsided a little but had a nagging tension feeling and I was really fatigued and really wiped out the remainder of that day. My Gynecologist advised I stopped taking my Birth Control for the next month to lower my risk of blood clots.


VAERS ID: 1218097 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A-21A / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Injection site bruising, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: digoxin 125mcg, baby aspirin 81mg, biotin 2000mg, vitamin D 1000mg
Current Illness: No
Preexisting Conditions: AFIB but haven''t been in it in over 4 years
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site where given was swollen for 3 days and I still have a large black and blue mark since April 9th.


VAERS ID: 1218398 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-31
Onset:2021-04-09
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Apparent life threatening event, Cardiac arrest, Cardiac failure, Echocardiogram, Endotracheal intubation, Intensive care, International normalised ratio increased, Ischaemic hepatitis, Neck pain, Pain in extremity, Thrombophlebitis superficial, Troponin increased, Ultrasound Doppler abnormal
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Hepatitis, non-infectious (narrow), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Neonatal disorders (broad), Arthritis (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: Fluvirin
Other Medications: Buproprion, cholecalciferol, famotidine, folic acid, Novolog, Lantus, MVI, oxycodone IR, sevelamer, Bactrim, tacrolimus, trazodone, voriconazole, warfarin
Current Illness: Respiratory failure from rhinovirus and histoplasma pneumonia, hemodialysis
Preexisting Conditions: Kidney transplant, CAD, HTN, CHF, OSA, PVD, DM2, neuropathy, anemia, CABGx3, subclavian stenosis/stenting
Allergies: contrast media, fluvirin, midazolam
Diagnostic Lab Data: INR: 4/7/21-2.5,4/8/21-3.7,4/9/21-10,4/10/21-1.9,4/11/21-1.9 Ultrasound left upper extremity venous duplex - 4/7/21
CDC Split Type:

Write-up: 4/7/21 patient presents to ED with severe left arm pain and neck pain, dopplar shows occlusive thrombus in left cephalic vein 4/9/21 patient goes in to cardiac arrest; found to have an INR$g10 and concern for life-threatening bleed that required treatment with KCentra; intubated and sedated; liver shock, heart failure with reduced ejections fraction; troponin elevation 4/13/21: patient extubated; patient''s wife informs Dr. that patient was vaccinated on 3/31 with Jansen product after seeing news reports regarding adverse events 4/16/21 patient expected to be moved out of CCU to medical floor


VAERS ID: 1218527 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Headache, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 100.5 F
CDC Split Type: USJNJFOC20210425643

Write-up: SEVERE UNCONTROLLABLE SHAKING; SEVERE UNCONTROLLABLE CHILLS; A LITTLE FEVER; BAD HEADACHE; This spontaneous report received from a patient concerned a 52 year old male. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced severe uncontrollable chills. On 09-APR-2021, the subject experienced a little fever. On 09-APR-2021, the subject experienced bad headache. On 09-APR-2021, the subject experienced severe uncontrollable shaking. Laboratory data included: Body temperature (NR: not provided) 100.5 F. Treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from severe uncontrollable chills, a little fever, bad headache, and severe uncontrollable shaking on 11-APR-2021. This report was non-serious.


VAERS ID: 1218547 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Hypoaesthesia, Pain in extremity, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427148

Write-up: LEG NUMBNESS; LEG THROBBING / SORE ARM; CHILLS; TIREDNESS; HEADACHE; FEVER; This spontaneous report received from a patient concerned a 19 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced leg numbness. On 09-APR-2021, the subject experienced leg throbbing / sore arm. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced tiredness. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the leg numbness, tiredness, headache, chills, fever and leg throbbing / sore arm was not reported. This report was non-serious..


VAERS ID: 1218637 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: North Dakota  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Injection site bruising, Injection site erythema, Urticaria, Vertigo
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Large, red welt at site of injection that showed up 24-48 hours after injection. Lasted for about one week and then turned into a bruise. Dizziness and vertigo that started about 5 days after injection. Lasted for at least 2-3 days so far.


VAERS ID: 1218655 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Head discomfort, Headache, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol prolia
Current Illness: n/a
Preexisting Conditions: osteoporosis high blood pressure
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: fever for 3 days, chills nauseau off and on for 6 days severe pressure headache 8 days injection site pain 7 days (still can''t sleep on my arm) very tired, sleeping 12 hours a night with a nap during the day 8 days


VAERS ID: 1218810 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Headache, Injection site pain, Myalgia, Nausea, Pyrexia, Swelling, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu vaccines - 1980''s
Other Medications: Ibuprofen, Acetaminophen, Clariton D
Current Illness: None
Preexisting Conditions: None
Allergies: None aware of
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pain on site (lasting 6+hours), nausea! (2 days), headache! (3 days), lightheaded, dizzy, shaky hands, tiredness (2 days), chills, fever (low grade of 99.1* for 1 day), minimal swelling, no significant bruising, muscle pain and soreness (7 days)


VAERS ID: 1218821 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Influenza like illness, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine 50 mcg Oral Tablet Sig: Take 1 Tab by mouth before breakfast daily
Current Illness: none
Preexisting Conditions: hypothyroid
Allergies: Beclomethasone Dipropionate Beclomethasone DipropionateSwellingHigh 10/16/2007Past laryngioedema
Diagnostic Lab Data:
CDC Split Type:

Write-up: flu like sx with fever and chest tightness x 3 days


VAERS ID: 1218932 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Dysstasia, Pain in extremity
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: The night after the shot, I started feeling some pain in my right leg from about the hip down the thigh. It got progressively worse and I was actually having difficulty standing. It peaked around Monday, but as of today (Friday 4/16/2021) it is definitely still there. However, it is diminishing in pain. I think it will go away with time so I haven''t seen a doctor yet. I don''t experience leg pain so this was a surprise. I thought maybe I perhaps slept in a wrong position but I would assume it would go away. I don''t see any discoloration in the area.


VAERS ID: 1218998 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-03
Onset:2021-04-09
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: My right leg started to feel painful 6 days after I recieved the Johnson and Johnson vaccine. As of now, the pain doesn''t seem to be getting better. I haven''t had an treatment since I don''t have health insurance.


VAERS ID: 1219001 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase decreased, Blood creatinine decreased, Blood potassium normal, Blood pressure increased, Blood sodium increased, Computerised tomogram head normal, Dizziness, Haemoglobin normal, Headache, International normalised ratio normal, Magnetic resonance imaging head normal, Platelet count normal, White blood cell count normal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: No known drug allergies reported
Diagnostic Lab Data: All info are from 4/14/21 ED visit Temp (WNL): 98.4F Blood Pressure: 136/92 Physical exam: all WNL MRV Cerebral w/o contrast: normal noncontrast MRV of the brain CT head: no acute intracranial abnormality Urinalysis: WNL WBC 5.1 Hgb 14.1 PLT 252K Na: 139, K 4.2, SrCr 0.38, AST/ALT 22/23; INR 0.96
CDC Split Type:

Write-up: Per NP note, "This is a 31 y.o. female presenting to the emergency department with a chief complaint of intermittent headaches onset five days ago s/p Johnson and Johnson vaccination. The patient''s headaches are localized to the right front side of her head and are described as severe and "throbbing". She notes that these headaches are nothing like she has experienced before. Associated symptoms include dizziness. The patient was instructed to come here by her nursing school, who is concerned she may be at risk of CVA due to the recent vaccination. The patient got a notification from CVS warning about risks of the vaccine which prompted her concern as well. The patient denies any facial changes, fever, sore throat, cough, nausea, vomiting, diarrhea, urinary complaints, abdominal pain, shortness of breath, or chest pain. The patient has no other symptom complaints at this time."


VAERS ID: 1219017 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Laboratory test
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Multiple Sclerosis
Allergies: Ultraset
Diagnostic Lab Data: D-DIMER QUANTITATIVE Collecteted on 04/16/2021 (Blood) Results: D-dimer, Quant mg/L FEU 0.61
CDC Split Type:

Write-up: Headache lasting 7 days


VAERS ID: 1219185 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Headache
SMQs:, 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: Fenofibrate
Current Illness:
Preexisting Conditions: prediabetes, headache disorder, hypertriglyceridemia, hyperlipidemia, fatigue
Allergies: Metformin
Diagnostic Lab Data: None. Sent to ED for evaluation
CDC Split Type:

Write-up: Patient calling and stated she has had a severe headache and now all over body weakness since receiving the J&J vaccine starting 8 hours after getting the vaccine. No other side effects reported .


VAERS ID: 1219413 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-19
Onset:2021-04-09
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site swelling, Peripheral swelling, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Humalog insulin
Current Illness: none
Preexisting Conditions: Type 1 Diabetic - onset 2018
Allergies: shell fish
Diagnostic Lab Data: None. I have a upcoming Dr. appointment on 4/19/2021 for further assessment.
CDC Split Type:

Write-up: 3/20/2021 - the next day after vaccination, the side effects were fatigued, c light hills and injection site was swollen. The fatigue and chills side effects resolved the next day. The swollen arm resolved in 2 weeks However, on 4/9/2021 I developed a rash as of today(4/16/2021) it still has not resolved.


VAERS ID: 1219442 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Pain
SMQs:

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

Write-up: Headache, body aches for the first 24 hours. Took an ibuprofen the next day and feels okay.


VAERS ID: 1219568 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Cough, Dizziness, Dyspnoea, Gait disturbance, Nasal congestion
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no over the counter -- phenytoin and carbamazepine
Current Illness: no illnesses
Preexisting Conditions: epilepsy
Allergies: NKA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient came in to store 4/16 -- he mentioned the day of vaccine that we was uneasy on his feet that evening. ( did not mentione until 4/16.) HE said around 4/11- 4/12 he has cold sweats, dizziness and some coughing started. He said he started to feel better but noticed 4/16 that he was having a little shortness of breath/congestion -- he is taking mucinex to relieve congestion


VAERS ID: 1219576 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-03-26
Onset:2021-04-09
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Neck pain
SMQs:, Arthritis (broad)

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

Write-up: Patient called vaccine "ask a nurse" line and described having severe posterior neck pain and a severe headache 3 weeks after receiving the J&J vaccine. She was advised to go the nearest ED for further evaluation and said that her husband would drive her.


VAERS ID: 1219719 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Dizziness, Mouth swelling, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Hives and swelling around mouth, dizziness and weakness aprox 1 hour after vaccine and still occurring 1 week later.


VAERS ID: 1219745 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Paraesthesia oral, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Tongue swelling and tingling around her mouth.


VAERS ID: 1219860 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Idaho  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Dysstasia, Dysuria, Muscle spasms, Pain in extremity, Tinnitus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Client left message on immunization nurses line 04/13/2021 stating he received J&J vaccine on Friday, and is having a severe reaction, can''t eat, drink, breathing problems, hasn''t been able to pee for 4-5 days, throwing up and severe diarrhea, and he can''t stand. I returned his call and he verbalized all issues above and also said his legs, arms and hands were cramping up and having ringing in the ears. I recommended him to go to the ER now, he said he had called his PCP and was told the same thing. He stated he is single and lives alone and does not drive. I told him to call 911 and he verbalized he is too embarrassed to do that and states he will wait for his daughter to call him. I offered to call his daughter for him and he declined. Addendum: Created by RN. 04/16/2021 02:01 PM 04/16/2021 Client called reporting the same symptoms as in 4/13 message -- I told him to go to the ER immediately. He stated he could not drive due to muscle spasms and feet and leg pain. Asked if he would please call 911 and stated that was not necessary. He verbalized he understood my directions and stated he would go to urgent Care. Called Sheriff office to make a well person check.


VAERS ID: 1219961 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Blood pressure increased, Hypoaesthesia, Malaise, Pyrexia
SMQs:, 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), Hypertension (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Vaccine administered on right arm on 4/8/2021. Approximately, 12 hours later she began experiencing severe abdominal stomach pain, fever and general malaise (fever and malaise have generally resolved), numbness in her left arm, and elevated blood pressure. She continues to have abdominal pain 7 days after immunization. Advised to go to emergency room out of an abundance of precaution.


VAERS ID: 1220022 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Allodynia, Anal incontinence, Enuresis, Fibromyalgia, Full blood count, Magnetic resonance imaging spinal, Metabolic function test
SMQs:, 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: MedName Sig acyclovir 200 mg oral capsule 1 po q day Adderall XR 30 mg oral capsule, extended release 2 pills daily Allegra 24 Hour Allergy oral tablet 1 q day Celebrate Multivitamin oral capsule 1 q day ibuprofen 800 mg oral tablet 1 po ti
Current Illness: history of COVID with long haul symptoms, Fibromyalgia, Sacroiliitis, DJD spine, depression, asthma
Preexisting Conditions: as above
Allergies: Tramadol, Naproxen, relafen
Diagnostic Lab Data: She had CBC, BMP MRI lumbar spine at ER on 4/7/2021 for loss of urine/bowel movement right after immunization. the allodynia did not start for 2 days she was seen in office on 4/16/2021 and we started her on nortriptyline and lidocaine ointment ? if flare of her fibromyalgia. Since it happened so close to immunization, felt it important to report.
CDC Split Type:

Write-up: Two days after the immunization she started with significant allodyina on the middle of her spine from her neck to her sacrum.


VAERS ID: 1220117 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Body temperature increased, Headache, Malaise, Muscle spasms, Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad), Dystonia (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: citalopram 20 mg
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Phone call with Nurse Practitioner describing symptoms Monday (4/12). Was directed to go to ER immediately. Physical exam by physician Monday night 4/12.
CDC Split Type:

Write-up: Serious headache starting Friday (4/9) evening and lasting through Sunday (4/11) morning. Woke up Saturday am (4/10) with temperature of 101.6 - fever was gone by 8 am. Overall did not fee well Friday (4/9) through Sunday (4/11). Slept on and off. Charley horse in right leg Sunday afternoon, which is rare for me. Woke up Sunday (4/11) with pain in left arm.


VAERS ID: 1220224 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Laboratory test, Pain, Paraesthesia, Pyrexia, Skin burning sensation
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Sudafed, prenatal, biotin, probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Went to my primary care doctor yesterday who checked me out. Sent away for blood work no results yet.
CDC Split Type:

Write-up: Tingling and burning in arms, neck, chest, and legs. Fever developed that night and body aches. Fatigue the next day along with headache and body aches. Tingling has continued on and off for the past week.


VAERS ID: 1220303 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Chills, Fatigue, Headache, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: birth control (desogestrel/ethinyl estradiol)
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKDA
Diagnostic Lab Data: Chest X-ray 4/14 or 4/15
CDC Split Type:

Write-up: Symptoms began evening after receiving vaccine. Patient reports headache which progressed into the next day to fever, fatigue, intense chills, chest pain. Patient had these symptoms over 2-3 days and had began to experience arm tingling in arm where vaccine was administered, which then spread to both arms. Patient reports arm tingling will come and go. Patient reports taking OTC medication (ibuprofen). Patient called a nursing line and was told to go to the ER. Patient went to ER on 4/14 and was admitted for observation. Chest X-ray was done with no remarkable findings. According to patient, additional testing was done. Patient was discharged on 4/15 and was told to return if arm tingling returns and does not go away.


VAERS ID: 1220538 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chills, Differential white blood cell count normal, Fatigue, Fibrin D dimer normal, Full blood count, Headache, Hyperhidrosis, Injection site pain, International normalised ratio normal, Lethargy, Nausea, Night sweats, Pain, Pain in extremity, Platelet count normal, Prothrombin time normal, Pyrexia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: allergy meds: singular - 10 mg at night; 20 mg twice a day - Famotidine; Zyrtec - twice a day; Hydroxyzine - 25 mg at night; birth control pills - mono-limyah - daily (I take it so I only have four periods a year).
Current Illness: no
Preexisting Conditions: chronic Urticaria - which is chronic hives; endometriosis (surgically diagnosed); Vitiligo
Allergies: Medication: Toradol; Ibuprofen. Shellfish, dust mites; cockroaches; anise; fennel; one of the trees: cottonwood maybe.
Diagnostic Lab Data: At a Medical Office- Bloodwork - on the 13th - INR/PROTIME - normal; D Diemer - normal; Hemogram/PLTS/DIFF- broad blood test that measures a lot - nothing was abnormal in that that I know of.
CDC Split Type: vsafe

Write-up: Around 6 pm on the ninth, I started to feel lethargic; really lethargic. 8:30 pm - 100.5 fever. 09:00 pm I had chills that shook my body. Very intense. Extreme body aches and especially legs which prompted me to use a weighted blanket. That was all overnight and excessive sweating overnight. That may have been from the fever. I had nausea that started around midnight. That was mild. I did notice a little bit of a headache at that time as well which was mild. Saturday, fever all day, fatigue. Overnight that night - a little achy; but the chills had gone away. Tuesday night the body aches had gone away - they had diminished Saturday- Monday. I had body aches until about 6 or 7 pm on Monday. The fatigue -all this week I''ve still been dragging - I''m still tired. The fever would go up and down with Tylenol but I needed it until Sunday night. Headache - the first one was gone Saturday morning. I had a headache Sunday evening and Monday morning. It was gone about lunch time. The injection site was tender with the delivery of the shot until Sunday when I went to bed. It was not pain but just tender to the touch. Usually that happens with any shot for me but usually it doesn''t stay tender for that long. April 13th - Televisit with a Physician''s Asst in my doctor''s office.


VAERS ID: 1220560 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Pain
SMQs:

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

Write-up: PT HAS BEEN COMPLAING OF CHILS AND BOYACHES AND CONTINUOUS FATIGUE WHICH HAS LASTED UNTIL TODAY


VAERS ID: 1220584 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dizziness, Erythema, Fatigue, Hypoaesthesia, Injection site pain, Injection site pruritus, Pain, Paraesthesia, Pyrexia, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sprintec, Bupropion SR 150mg every 12 hours, Topimax 250mg every 12 hours, meloxicam 7.5mg as needed
Current Illness:
Preexisting Conditions: Chronic migraines, anxiety
Allergies: MRI dye, sulfa drugs, codine/codone medicine
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: Burning and itching at injection site; tingling and numbness of entire arms; dizziness; redness and slight swelling around eyes. All symptoms resided within an hour or two then I became very tired for the rest of the day and normal vaccine reactions occurred(low grade fever, chills, body ache, etc).


VAERS ID: 1220623 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Concussion, Craniocerebral injury, Dizziness, Headache, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: Patient claims she felt dizzy after vaccination and lost consciousness near checkout lane approximately 10 minutes after vaccination. She was assisted by asset protection staff and pharmacy staff. She left the store under her own power. She reported that she has had headaches and dizziness after the vaccination and was seen at an urgent care that did not provider her with a diagnosis, but felt her symptoms may have been caused by a concussion. She was advised by clinical team to contact her primary care doctor to follow-up, especially with recent reports of thrombosis linked with the J&J vaccine.


VAERS ID: 1220641 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Epistaxis, Flank pain, Headache, Hypoaesthesia, Pain, Thrombosis, Vision blurred
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: postoperative hypothyroidism, essential hypertension, mild intermittent asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Per pt report: Pt started having body aches within a couple hours of vaccine, developed severe 9/10 pain over the next several days. L shoulder pain radiating to ribs and neck w/ muscle spasms, causing HA, R hip and sacral pain, flank pain radiating down R leg. Pt reports that vision in L eye is blurry, R eye vision intact, numbness to L arm and hand, able to move. Pt reports 1in x 0.5 in blood clot when blowing nose Thursday morning, small clot subsequently about 1/2 the size, smaller clots later.


VAERS ID: 1220696 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-03-07
Onset:2021-04-09
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: tylenol, flonase, trintellix, atorvastatin, estradiol, progesterone, tramadol
Current Illness: none
Preexisting Conditions: major depressive disorder, hyperlipidemia, post-menopause, arthralgia
Allergies: penicillin, septra
Diagnostic Lab Data: ultrasound in ER 4/9/21 to dx dvt
CDC Split Type:

Write-up: vaccine 3/7/21. 4/9/21 presented in ER with leg pain. dx with dvt. has no prior hx or fam hx of clots. is not a smoker. is on hrt. treating dvt with eliquis.


VAERS ID: 1220709 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ear swelling, Headache, Lymphadenopathy, Musculoskeletal stiffness, Pain, Rheumatoid arthritis, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxycloriquine for RA Zyrtec Antihistamine
Current Illness:
Preexisting Conditions: Rheumatoid arthritis
Allergies: Ibuprofen, aspirin and amoxicillin
Diagnostic Lab Data: Examined by family doctor.
CDC Split Type:

Write-up: Swelling of left ear for first 6 days, then swelling worked way down into neck, causing swollen lymph nodes and body aches and headaches. Also suffer from RA and it seemed to have caused a painful flare up or swollen and stiffness in shoulders.


VAERS ID: 1220967 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Heart rate decreased, Lung disorder, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Smoker
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: COVID-19 test; Test Result: Negative ; Result Unstructured Data: negative
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Lungs are not processing oxygen; Shortness of breath; Pulse dropping; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of LUNG DISORDER (Lungs are not processing oxygen), DYSPNOEA (Shortness of breath) and HEART RATE DECREASED (Pulse dropping) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for an unknown indication. Concurrent medical conditions included Smoker. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Apr-2021, the patient experienced LUNG DISORDER (Lungs are not processing oxygen) (seriousness criterion hospitalization), DYSPNOEA (Shortness of breath) (seriousness criterion hospitalization) and HEART RATE DECREASED (Pulse dropping) (seriousness criterion hospitalization). At the time of the report, LUNG DISORDER (Lungs are not processing oxygen), DYSPNOEA (Shortness of breath) and HEART RATE DECREASED (Pulse dropping) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, SARS-CoV-2 test: negative (Negative) negative. No concomitant medications were reported. Treatment of these events included hospitalization with helium therapy, oxygen therapy and steroid therapy. Action taken with mRNA-1273 was not applicable. Very limited information regarding the events has been provided at this time. Further information has been requested.; Sender''s Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.


VAERS ID: 1220985 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 - / OT

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ACETAMINOPHEN; STRATTERA; CLONIDINE; VALIUM; PROZAC; KEPPRA; ZOFRAN [ONDANSETRON]; OXYCODONE; PROTONIX [OMEPRAZOLE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Seizures
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: 4 seizures; anaphylaxis; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of SEIZURE (4 seizures) and ANAPHYLACTIC REACTION (anaphylaxis) in a 19-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037B21A) for COVID-19 vaccination. The patient''s past medical history included Seizures. Concomitant products included ACETAMINOPHEN, ATOMOXETINE HYDROCHLORIDE (STRATTERA), CLONIDINE, DIAZEPAM (VALIUM), FLUOXETINE HYDROCHLORIDE (PROZAC), LEVETIRACETAM (KEPPRA), ONDANSETRON (ZOFRAN [ONDANSETRON]), OXYCODONE and OMEPRAZOLE (PROTONIX [OMEPRAZOLE]) for an unknown indication. On 09-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Apr-2021, the patient experienced SEIZURE (4 seizures) (seriousness criteria hospitalization and life threatening) and ANAPHYLACTIC REACTION (anaphylaxis) (seriousness criteria hospitalization and life threatening). On 09-Apr-2021, SEIZURE (4 seizures) had resolved and ANAPHYLACTIC REACTION (anaphylaxis) was resolving. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered SEIZURE (4 seizures) and ANAPHYLACTIC REACTION (anaphylaxis) to be related. Hospitalization unknown meds. This is a 19 -year-old, male patient who received Moderna COVID-19 Vaccine) (batch no. 037B21A) and experienced seizures and anaphylactic reaction one day after receiving second dose of vaccine. Medical hx includes seizures Some relevant conmeds atomoxetine, clonidine, diazepam, fluoxetine, levetiracetam, and oxycodone were provided. Very limited information has been reported at this time. No further information is expected Reporter did not allow further contact; Sender''s Comments: This is a 19 -year-old, male patient who received Moderna COVID-19 Vaccine) (batch no. 037B21A) and experienced seizures and anaphylactic reaction one day after receiving second dose of vaccine. Medical hx includes seizures Some relevant conmeds atomoxetine, clonidine, diazepam, fluoxetine, levetiracetam, and oxycodone were provided. Very limited information has been reported at this time. No further information is expected


VAERS ID: 1220992 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-03-09
Onset:2021-04-09
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Adverse reaction, Eye pruritus, Eye swelling, Nasal congestion, Nasal oedema, Oropharyngeal pain, Periorbital swelling, Pruritus, Pyrexia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (Medical history not provided.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: puffy bags under my eyes; itching on my cheeks; throat sore because I''m breathing through my mouth; face was totally swollen/face swollen up like a balloon; started with my right eye itching/both eyes started itching; right eye was shut/both my eyes were completely shut/eyes are shut down for two and half days now; nose is all swollen; nose is so swollen that I can''t breath with that; had a slight temperature; started with adverse reaction; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (face was totally swollen/face swollen up like a balloon), EYE SWELLING (right eye was shut/both my eyes were completely shut/eyes are shut down for two and half days now), PERIORBITAL SWELLING (puffy bags under my eyes) and PRURITUS (itching on my cheeks) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (Medical history not provided.). On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Apr-2021, the patient experienced ADVERSE REACTION (started with adverse reaction). On 10-Apr-2021, the patient experienced SWELLING FACE (face was totally swollen/face swollen up like a balloon) (seriousness criterion medically significant), EYE PRURITUS (started with my right eye itching/both eyes started itching), EYE SWELLING (right eye was shut/both my eyes were completely shut/eyes are shut down for two and half days now) (seriousness criterion intervention required), PRURITUS (itching on my cheeks) (seriousness criterion intervention required), OROPHARYNGEAL PAIN (throat sore because I''m breathing through my mouth), NASAL OEDEMA (nose is all swollen), NASAL CONGESTION (nose is so swollen that I can''t breath with that) and PYREXIA (had a slight temperature). On 11-Apr-2021, the patient experienced PERIORBITAL SWELLING (puffy bags under my eyes) (seriousness criterion intervention required). At the time of the report, SWELLING FACE (face was totally swollen/face swollen up like a balloon), EYE PRURITUS (started with my right eye itching/both eyes started itching), EYE SWELLING (right eye was shut/both my eyes were completely shut/eyes are shut down for two and half days now), PERIORBITAL SWELLING (puffy bags under my eyes), PRURITUS (itching on my cheeks), OROPHARYNGEAL PAIN (throat sore because I''m breathing through my mouth), ADVERSE REACTION (started with adverse reaction), NASAL OEDEMA (nose is all swollen), NASAL CONGESTION (nose is so swollen that I can''t breath with that) and PYREXIA (had a slight temperature) outcome was unknown. Not Provided Patient reports taking diphenhydramine with no improvement and prednisone with slight improvment. PCP (primary care physician) advised the patient to go to the ER (emergency room); however, no information was provided suggesting the patient adhered to the HCP''s recommendation.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.


VAERS ID: 1221036 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Injection site cellulitis, Injection site induration, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 1200mg calcium supplements Depo shot birth control
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Went to walk in clinic on 4/11/21
CDC Split Type:

Write-up: I got diagnosed with Cellulitis at the injection site on my left arm. Arm was swollen, inflamed, tender/sore, extremely hot to touch, and itchiness. Prescribed Sulfameth/Trimethoprim 800/160MG TB. The one pill twice a day for 7 days. Most of symptoms have gone away except for a tender/hard lump and itchiness.


VAERS ID: 1221079 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-03-12
Onset:2021-04-09
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Chills, Diarrhoea, Fatigue, Headache, Hypotension, Insomnia, Loss of consciousness, Myalgia, Nausea, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: diarrhea; abdominal pain; Passed out; headache; chills; low grade fever; body aches; Exhaustion; blood pressure was really low; could not sleep that night/it was like if somebody gave me speed; nauseous; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. -26B21A and 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No medical history was reported.). On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 2 dosage form. On 09-Apr-2021, the patient experienced INSOMNIA (could not sleep that night/it was like if somebody gave me speed) and NAUSEA (nauseous). On 10-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), HYPOTENSION (blood pressure was really low), HEADACHE (headache), CHILLS (chills), PYREXIA (low grade fever), MYALGIA (body aches) and FATIGUE (Exhaustion). On 12-Apr-2021, the patient experienced ABDOMINAL PAIN (abdominal pain). On 13-Apr-2021, the patient experienced DIARRHOEA (diarrhea). On 10-Apr-2021, LOSS OF CONSCIOUSNESS (Passed out) had resolved. On 11-Apr-2021, HYPOTENSION (blood pressure was really low), CHILLS (chills), PYREXIA (low grade fever), MYALGIA (body aches) and FATIGUE (Exhaustion) had resolved. At the time of the report, INSOMNIA (could not sleep that night/it was like if somebody gave me speed) and DIARRHOEA (diarrhea) outcome was unknown and ABDOMINAL PAIN (abdominal pain), NAUSEA (nauseous) and HEADACHE (headache) had not resolved. Not Provided Concomitant medications were not reported. Treatment medication included acetaminophen. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1221165 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Eye haemorrhage, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retinal disorders (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: bleeding in left eye; had little pain in arm; had some chills; This spontaneous case was reported by a consumer and describes the occurrence of EYE HAEMORRHAGE (bleeding in left eye) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included No adverse event (No reported medical history.). On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Apr-2021, the patient experienced PAIN IN EXTREMITY (had little pain in arm) and CHILLS (had some chills). On 12-Apr-2021, the patient experienced EYE HAEMORRHAGE (bleeding in left eye) (seriousness criterion medically significant). At the time of the report, EYE HAEMORRHAGE (bleeding in left eye), PAIN IN EXTREMITY (had little pain in arm) and CHILLS (had some chills) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided. Treatment information was not provided. Reportedly, the patient does not know if the event of bleeding in left eye was from vaccine or not. Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.


VAERS ID: 1221542 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Influenza like illness, Oropharyngeal pain, Pain in extremity, Pyrexia, Skin burning sensation
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, lamotrigine, paroxetine, clonezepam, caffeine, stevia
Current Illness: N/a
Preexisting Conditions: Asthma, bipolar, migraines
Allergies: , garlic , Erythromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Time of shot/noon until 7:30 pm or so, mostly fine, just tired (napped), arm pain, headache. But around 8 maybe? sudden chills-freezing, shivering, teeth-chattering lasting maybe 30 to 45 min? then chills stopped, sudden switch to fever that kept going up despite tylenol last temp taken was 102.8 (my normal temp is about 97 and I never get fevers). Skin felt like it was burning on legs and arms, felt like rug burn. Sore throat, terrible headache...the worst of this tapered off within two hours or I would have gone to Emergency Room. Was sick for another 48+ hours but by then more mild flu symptoms not crazy horrible sickness that first night.


VAERS ID: 1221632 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Fatigue, Headache, Heavy menstrual bleeding, Pain in extremity, Thrombosis
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Unusual Heavy menstrual bleeding with clots starting hours after receiving shot. Headache and fatigue day after shot. Menstrual heavy bleeding continued for 6 days outside of normal cycle. Day 7 having moderate leg pains and stomach pains and occasional headaches.


VAERS ID: 1222151 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Rosuvastatin, Fenofibrate, Bayer One a day vitamin, krill oil, Vitamin D3
Current Illness: NA
Preexisting Conditions: Hypertension
Allergies: Penicillin Allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Nausea, Dizziness, Aches


VAERS ID: 1222362 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Influenza like illness, Rash, Rash erythematous, Rash papular, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 6 hours after J&J shot, began shivering uncontrollably and immediately went to bed. Was in bed with flu-like symptoms for 24 hours. Took Advil Day 2 and 3 after shot, had a mild headache. Took ibuprofen Day 4 to present, noticed a red, raised, somewhat itchy ?bubble? patch of skin on the side of my nose, which my mom said looks like Hives. I also have red patches of slightly itchy skin under my eyes. Took Benadryl but doesn?t seem to be helping


VAERS ID: 1222435 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-02
Onset:2021-04-09
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / UN

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

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

Write-up: Left leg peroneal DVT


VAERS ID: 1222530 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache
SMQs:

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

Write-up: Headache


VAERS ID: 1222650 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Genital ulceration, Headache, Hot flush, Hyperhidrosis, Nausea, Pain, Vulvovaginal swelling
SMQs:, Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Developed vaginal ulcers when on Zithromax at 12 years of age. Diagnosed as Lipschutz Ulcers
Diagnostic Lab Data: None They did a swab came back noninflected
CDC Split Type:

Write-up: Night of shot Friday 4/9I got chills for 2+ hours, then was over heating body aches nausea. Saturday 4/10 body aches continued headache, exhaustion and the chills hot flashes continue but not as intense as the day before. Sunday 4/12 I was exhausted but I also noticed a lump in my vagina. I called my Mom who is a nurse who told me to go see a doctor. On Monday 4/13 it was worse I went the the doctor they thought it was a barcilan abcess. It was sore all week I was soaking it. On Friday I went back to the doctor and they diagnosed it as Lipshultz Ulcer, like I had when I was 12 from Zithromax


VAERS ID: 1222678 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ear pain, Headache, Malaise, Vertigo
SMQs:, Vestibular disorders (narrow)

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

Write-up: starting 4/8/21 headage, feeling slighly ill starting 4/9/21 pain in right ear tragus during whole day on 4/10/21 in the afternoon: strong vertigo lasting about one minute, no longer pain in ear that day


VAERS ID: 1222718 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra, 180 mg (1 tab / 24 hours)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever which steadily rose to 100.3 degrees F as night progressed, joined by severe shivers at 2:00AM (but no coldness) Fever lessened but remained for all of the following day, shivering ceased Fever was addressed on first night with wet paper towels on head and extremities, and a refrigerated water bottle Max recommended daily adult dosage of Tylenol taken by time fever dissipated


VAERS ID: 1222770 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 2054214 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Dizzyness, light headed , nausea , headache.


VAERS ID: 1222797 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Heart rate, Hypopnoea, Myalgia, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Janssen COVID-19 Vacccine EUA - fever which reached almost 102 approximately 12-14 hours after vaccination; also within the same time frame accelerated heart rate (99 after laying in bed for an hour), shallow frequent breaths, severe headache, nausea and vomiting, aches, chills, sore muscles, fatigue. Headache dissipated after approximately 12 hours after onset. Nausea/vomiting occurred approximately 12 - 20 hours after vaccination. Fever completely gone 26 hours after vaccine. 48 hours later back to normal. If the booster is reported to have similar side effects I will skip it.


VAERS ID: 1223054 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-02
Onset:2021-04-09
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test abnormal, Computerised tomogram abnormal, Dyspnoea, Pain, Splenic infarction, Thrombosis
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Interstitial Cystitis
Preexisting Conditions: Autoimmune disorder
Allergies: None
Diagnostic Lab Data: CT Scan (showed clotting at spleen), blood work (showed clotting)
CDC Split Type:

Write-up: It started with pain on the left side and shortness of breath. She was taken to Medical Center and there diagnosed with splenic infarction due to blood clotting. Was prescribed pain medication and blood thinners (Lovenox) to be injected daily for three months.


VAERS ID: 1223232 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-02
Onset:2021-04-09
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 24928-16128 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Oral herpes, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take a daily multi vitamin, liquid collagen, and once a day Xyrtec to control my urticaria
Current Illness: I suffer from dermatological urticaria
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Exactly A week later i developed fever, chills, fever blisters and my urticaria kicked in where i needed to spray myself on a regular basis to cool down my body


VAERS ID: 1223331 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Livedo reticularis, Rash papular, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Supraventricular tachyarrhythmias (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HYDROCHLOROTHIAZIDE 25MG, ATORVASTATIN 40MG,PANTOPRAZOLE 40MG,BETAMETHASONE DIPROPIONATE 0.05% CREAM,FUROSEMIDE 20MG, POTASSIUM CHLORIDE 10MEQ ER CAPSULE,OLMESARTAN 40MG, METOPROLOL ER 100MG,
Current Illness:
Preexisting Conditions:
Allergies: PENICILLIN, CODEINE, THIMEROSAL, MERCURY, PPH
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT REPORTED SWOLLEN FACE (JAWS) STARTING ON 04/09/2021. TREATED WITH BENADRYL AND SWELLING WAS GONE AFTER A 2 OR 3 DAYS. PATIENT REPORTED AFIB LASTING A 2 OR 3 DAYS STARTING ON 04/09/2021. PATIENT REPORTED ROUND RAISED RED CIRCLE ON SKIN OF RIGHT LEG WITH WHITE CRUST IN MIDDLE. START DATE NOT GIVEN. STILL PRESENT AS OF 04/17/2021.


VAERS ID: 1223338 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Back pain, Burning sensation, Chest pain, Computerised tomogram head, Dizziness, Dysarthria, Dyspnoea, Full blood count, Head discomfort, Headache, Hypoaesthesia, Influenza like illness, Nausea, Pain, Paraesthesia, Photosensitivity reaction, Pyrexia, Rectal haemorrhage, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin 20mg 1 tab PO daily Duexis PO PRN pain with food Losartan 25mg 1 tab PO daily Meclizine 12.5mg 1 tab PO every 8hr PRN dizziness Metformin 500mg 1 tab PO daily
Current Illness: Fatty liver, difficulty sleeping, hypertension, class 3 obesity, type 2 diabetes mellitus, hyperlipidemia, hypertriglyceridemia,
Preexisting Conditions: Fatty liver, difficulty sleeping, hypertension, class 3 obesity, type 2 diabetes mellitus, hyperlipidemia, hypertriglyceridemia,
Allergies: NKDA
Diagnostic Lab Data: CBC with diff showed platelet count 302 (normal). CT brain w/o contrast ordered - pending results
CDC Split Type:

Write-up: 47-year old male c/o frontal headache since Friday, 4/9/2021. Received his Johnson & Johnson vaccine on Thursday, 4/8/2021. Still having his headache now. 9/10 pressure-like on the frontal head - constant States, "I never had this kind of headache before". 6/10 burning epigastric pain. Also has bodyaches. Has mild dizziness. Denies any photosensitivity, fever, flu-like sx, nausea/vomiting, chest pain, dyspnea, numbness, tingly sensation, slurred speech, back pain, rectal bleeding.


VAERS ID: 1223348 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042AZ1A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Chills, Dyspnoea, Fatigue, Headache, Hyperhidrosis, Influenza like illness, Pain, Throat irritation, Tremor, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu vaccine in the 1990s & pneumonia vaccine in summer 2020
Other Medications: Pravulent 150 mg, Advair, multi-vitamin, vitamin D3, COQ10, fish oil, Tylenol, Allegra (Per my allergist, two 24-hour tablets a day for three days before and after vaccine. She had me take four a day to calm down my reaction on 4/9/21.)
Current Illness: n/a
Preexisting Conditions: asthma, hereditary high cholesterol
Allergies: I reacted in a similar manner to the flu vaccine when I was in my early 20''s, and that''s the first time I ever reacted to a vaccine. I had the pneumonia vaccine in the summer of 2020, and also reacted to it the same way as the Covid vaccine. Skin allergy testing showed that I was not allergic to the flu vaccine and (maybe) mildly allergic to the pneumonia one. Otherwise, I have seasonal and pet allergies. They were a lot worse as a child and required an EPI pen at the hospital several times as a child. This has not happened to me as an adult.
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: I woke-up on 4/7 with an itchy throat and hives were starting to form on my stomach. As the day went on, the hives were all over my torso and went up to my neck as well. When I have hives on my neck, they usually start to bother my asthma/breathing, and this happened on 4/7 as well. My allergist said to up the dosage of Allegra 24 hours from 2 tablets a day to 4. I also took my Albuterol inhaler to control the wheezing. My doctor also gave me a prescription for Prednisone in case I needed it over the weekend, and recommended I go to the ER if my symptoms got worse. Luckily, the extra Allegra and asthma inhaler calmed by symptoms down. Things calmed down over the weekend and by 4/14, the hives were completely gone and I was not longer experiencing any side effects. I did not need to do any in-person doctor''s visits; I just talked to my doctor on the phone. Please note that I also had the ''flu-like'' symptoms after the shot as well. I felt great after the shot and even exercised on my elliptical around 7:45 that night. At around 9:00, I had extreme chills, where my body was shaking, as well as sweating. I also had extreme fatigue, a headache, and some body aches as well. I slept for 16 hours that night and felt somewhat better when I got up. By that late that night, all the flu-like symptoms were gone. I took some Tylenol for the headache.


VAERS ID: 1223566 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Herpes zoster, Immediate post-injection reaction, Injection site pain, Laboratory test, Mobility decreased, Muscle tightness, Pain, Rash, Skin irritation, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Women''s Multi Vitamin, Vitamin D3
Current Illness: No
Preexisting Conditions: PTSD, back issues from time to time.
Allergies: None known
Diagnostic Lab Data: See above or contact medical providers for more information.
CDC Split Type:

Write-up: Immediate muscle tension in left arm following vaccine shot in left arm. The soreness persisted for several days. Painful to lift left arm higher than my shoulder. The morning of day 3, I woke up to feel a pronounced skin irritation under my left armpit. Later that day, I noticed a small welt on my left arm and the irritation had grown to include my upper left arm front and back. Over the next few days, the number of welts increased and the pain was increasing from the skin irritation. The tension in my shoulder started to give way to feeling tightness in my left chest. I reported the symptoms. I tried to report to the Health Department, but they wouldn''t take a report stating that the symptoms I was reporting did not match "known symptoms". On 4/13/21, I went to the Urgent Care to have the rash examined. The doctor tentatively diagnosed as Shingles. However, because of the chest pain, he referred to the Emergency Room for blood tests to rule out a possible Pulmonary Embolism. The blood tests came back normal. I was prescribed 12 Hydrocodone-Acetaminophen for the pain and discharged. On 4/15/21 I returned to Urgent Care because the welts were continuing to spread and the pain was increasing. Including sharp pains associated with the shingles. At this visit I was prescribed 21 tablets of Hydrocodone-Acetaminophen and 21 tablets of ValACYclovir.


VAERS ID: 1223700 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Blood pressure increased, Dizziness, Fatigue, Headache, Muscle spasms, Myalgia, Nausea, Pain in extremity, Palpitations, Torticollis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Ocular motility disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine 50 mcg daily
Current Illness: unknown
Preexisting Conditions: thyroid condition
Allergies: amantadine (hives)
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Patient reported having the following symptoms: fatique, muscle ache, palpitation, increase blood pressure, fever, headache, neck and muscle spasm, dizziness, nausea, stomach cramp, leg pain, and shoulder pain. The symptoms are getting better 8 days after the vaccination. As of today, patient still has palpitation, shoulder and neck spasm/cramp, and knee pain. Patient is directed to contact her doctor as soon as she can.


VAERS ID: 1223728 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever at first. Then occasional shortness of breath. These have gone away but now have sudden and brief headaches. No treatment.


VAERS ID: 1223756 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Dysphagia, Fatigue, Hypoaesthesia oral, Lip swelling, Paraesthesia oral, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None prior to the vaccine.
Current Illness: None.
Preexisting Conditions: None.
Allergies: Shellfish, seasonal allergies.
Diagnostic Lab Data: Not applicable.
CDC Split Type:

Write-up: As I was driving home my tongue started to feel tingling, my upper lip area felt like it was swelling but I was going numb, the roof of my mouth starting numbing as well, and when I tried to swallow my saliva there was a bit of difficulty. The reaction did not worsen. From a 1 to 10, ten being bad, the reaction was a 3. I had no difficulties breathing. The numbness went away after about 30 minutes. The following day: chills, light fever 100.2F, stomach pain, loose stool, and fatigue.


VAERS ID: 1223788 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Diarrhoea, Fatigue, Pain, Pulmonary pain
SMQs:, Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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

Write-up: Chills, diarrhea, lung pain, stabbing pain, headache, weakness and very tired for several days.


VAERS ID: 1223795 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 OT / IM

Administered by: Other       Purchased by: ?
Symptoms: Body temperature abnormal, Chills, Decreased appetite, Diarrhoea, Dizziness, Fatigue, Impaired work ability, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ClonazePAM, vitamins
Current Illness:
Preexisting Conditions:
Allergies: Pseudefed, sulfa, cipro,advil,alive, Darvocet
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizziness, nausea, leg pain(left), migraines, diarrhea (ongoing),chills, unable to regulate body temperature(ongoing), severe fatigue (also ongoing), difficulty working, inappetince... Spoke with doctor. No help. No treatments.


VAERS ID: 1223873 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

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

Write-up: Fatigue, general body aches, vomiting within 24-36 hours. Ongoing body aches and pain in joints, especially left elbow joint, for 10 days after injection


VAERS ID: 1224229 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Muscle spasms, Neck pain, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), 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:
Other Medications: Nothing
Current Illness: Nothing
Preexisting Conditions: Brain cyst benign
Allergies: Nothing
Diagnostic Lab Data: Adverse reaction to vaccine
CDC Split Type: Unknown

Write-up: Headache since second day after injection, along with muscle spasms, body soreness, dizziness, fatigue, stomach ache, and neck pain.


VAERS ID: 1225291 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Headache, Immediate post-injection reaction, Pain in extremity, Pruritus, Pyrexia, Rash, Rash morbilliform, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 50mcg, Atorvastatin, Probiotic, Vitamin D
Current Illness: hashimotos, thyroid disease
Preexisting Conditions: Hashimotos/thyroid disease
Allergies: levaquin, kiwi
Diagnostic Lab Data: Went to dermatologist who prescribed triamcinolone 0.1% cream which is have a mild impact. Also taking allergy pills (Claritin and Levocetirizine).
CDC Split Type:

Write-up: Immediate onset of headache. By the next day, experienced fever, arm ache and itching mostly on arms. Headache and fever were gone about 24 hours post shot. Rash has continued and is measle-like. Intense itching and welts/hives (mostly on arms, chest, LEFT side of face, and back).


VAERS ID: 1225335 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Fatigue, Gaze palsy, Injection site induration, Injection site swelling, Lymphadenopathy, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, low dose aspirin, Plavix, metoprolol, lisinopril. levoxyl
Current Illness: none
Preexisting Conditions: High blood pressure, hypothyroidism, 2 coronary stents, sleep apnea.
Allergies: ceftin, ceflex, penicillin, erythromycin, bactrim
Diagnostic Lab Data: none
CDC Split Type:

Write-up: headache, light headedness, nausea, muscle aches, joint aches, lymph node swelling, fatigue, swelling at the injection site. All symptoms lasted about 48hrs. The swelling and bump at the injection sited lasted 1 week.


VAERS ID: 1225538 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dizziness, Hypoaesthesia, Loss of consciousness, Paraesthesia, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (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), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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

Write-up: Felt dizziness within approximately 1-minute of injection. Lost consciousness/ seizure. Regained consciousness within 1-minute. Tingling/ numbness in back/ spine lasting up to 3-hours afterward. Weakness in left hand currently (day 4).


VAERS ID: 1225686 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Asthenia, Back pain, Chills, Decreased appetite, Dizziness, Fatigue, Headache, Myalgia, Nausea, Pyrexia, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Janssen COVID-19 Vaccine EUA 10Pm Night of Vaccine: Extreme chills - shivering and teeth chattering , fever of 101.7 degrees, weakness, lower back and body muscle aches, headache, dizziness and spinning sensation Morning After Vaccine: Fatigue, nausea, loss of appetite, headache, fever of 100.3 degrees


VAERS ID: 1225777 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Chills, Migraine, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline 50 mg
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 103 temp, chills, migraine headache, body aches, nausea, Beginning 8:30pm on 4/9/21 thru 4/11/21. Extreme symptoms and pain. Took 1000 mg every 4 hours to no avail


VAERS ID: 1225951 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Acute myocardial infarction, Blood test, COVID-19, Catheterisation cardiac, Chest discomfort, Echocardiogram, Electrocardiogram, Influenza A virus test, Influenza B virus test, International normalised ratio, Nausea, Stent placement, Troponin
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquis, Toprol-XL, quinapril
Current Illness:
Preexisting Conditions: atrial fibrillation, hypertension
Allergies: none
Diagnostic Lab Data: April 9, 2021: Covid-19, Influenza A, B (not detected); ECG 12-Lead; Troponin; Protime-INR; APTT; POC ACT-RALS; plus additional blood tests April 10, 2021: Echocardiogram
CDC Split Type:

Write-up: I received the Johnson and Johnson/Janssen Covid-19 vaccine at the vaccination pod on Thursday, April 8th, 2021 (04-08-2021) at around 12:45 pm. The next morning, Friday, April 9th, 2021 (04-09-2021), I woke up around 9:30 am and felt fine at first. But after taking a drink of water, I felt nauseous. I also had a pressure sensation in the center of my chest below my collarbone. After contacting my doctor''s office, my family called 911 at around 11:40 am to have the emergency squad take me to the hospital to be evaluated for a heart attack. At the hospital, I was diagnosed with an acute ST elevation myocardial infarction. I was taken to the catheterization lab for a heart catheterization and a stent was placed in my left anterior descending artery (LAD). I was admitted to the hospital on Friday, April 9th, 2021 (04-09-2021) and discharged from the hospital on Saturday, April 10th, 2021 (04-10-2021).


VAERS ID: 1226256 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

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

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

Write-up: Fever, Aches/Chills, Headache set in about 12 hours after vaccine. Lasted about 24 hours


VAERS ID: 1226338 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Dizziness, Ear congestion, Fatigue, Loss of personal independence in daily activities, Middle ear effusion, Nausea, Psychomotor hyperactivity, Sleep disorder, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 137 mcg Cetirizine 10 mg
Current Illness: NONE
Preexisting Conditions: Hypothyroid Sinus issues Eustachian Tube dysfunction
Allergies: NONE
Diagnostic Lab Data: On Day 13 (April 14th) visited Urgent Care, diagnosed with fluid behind the ears, vertigo, and sent home with Meclizine, Flonase, and Zofran. Vertigo, dizziness, nausea, aural fullness continue to persist. I have extreme fatigue and it is difficult to manage ADLs.
CDC Split Type:

Write-up: On day 1 I experienced joint pain and hyperactivity for 24 hours, difficulty sleeping, very hyper alert. Day 9, woke up with severe vertigo with dizziness, nausea, and ear fullness.


VAERS ID: 1226492 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Asthenia, Blood bilirubin increased, Chest discomfort, Chills, Cold sweat, Dehydration, Diarrhoea, Discomfort, Dizziness, Dyspnoea, Headache, Heart rate increased, Influenza like illness, Insomnia, Lip dry, Myalgia, Nausea, Ocular hyperaemia, Pain, Pain in extremity, Pyrexia, Rash, Rash macular, Respiratory tract congestion, Rhinorrhoea, Skin exfoliation, Skin warm, Sneezing, Tremor, Urticaria, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (narrow), Angioedema (narrow), Haematopoietic leukopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocortizone, Aczone, and keatozone shampoo.
Current Illness:
Preexisting Conditions:
Allergies: Cefazolin, Cephalexin, and Clindamycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Got J&J vaccine on Friday at 3pm (April 9) and felt Body aches, Muscles hurt, Stomach hurt, Dizzy, Nauseous , Heart rate fast, Clammy Chills, Didnt sleep, Chest tightness, Upset stomach, Fever, Head hurt, Arm hurts and chest tightness feels in-line with where I got the shot, by Sunday (April 11) Flu like symptoms went away, but still have chest tightness uncomfortable and Feels like i have to cough When I take a deep breathe it it feels tight. Have diarrhea everyday since vaccine Still feel weak and dizzy Most of the flu like symptoms have gone away but chest tightness still concerning When I bend over or lay on my right side feels constricted and tight and uncomfortable. Bilirueben associated with liver is elevated and white blood cell count is low. On Wednesday, April 14th I started to get super congestion, runny nose and sneezing and Eyes a little red. Rashes and Hives that were red, blotchy and bumpy started Wednesday April 14 at 6pm and worse at 9pm. Continues to get worse and hurt throughout Wednesday and Thursday night. Developed all over body, legs felt hot. The hives and blotches would disappear and would then reappear at different areas of my body. Called Nurse Triage line and suggested I treat at home with Benadryl since hospitals had 6 hour wait and were full of COVID positive patients. Unable to sleep Wednesday and Thursday due to hives, very comfortable feeling. Diarrhea on Thursday morning , cough and felt shakey. Noticed on Thursday April 15th, some skin on right foot looked like it was pealing. Thursday night noticed some blotching and hives but not as bad as they were the night before. Friday April 16, No redness on legs at 1130am, but Lips feel dried out and Feel a little dehydrated . Bilirueben associated with liver is elevated still and will need to follow up with Doctore in two weeks. However, when laying on right side or bending down feels like something is stuck un chest and need to cough still, with chest tightness. Still had diarrhea until Saturday, April 17th. Chest is still tight and feels like something is stuck. Sunday, April 18th, went for short walk and felt uncomfortable breathing and not normal. This has not resolved still and does not feel breathing is normal.


VAERS ID: 1226722 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram head abnormal, Diarrhoea, Intensive care, Magnetic resonance imaging head abnormal, Thrombosis, Vomiting
SMQs:, Acute pancreatitis (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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

Write-up: Vomiting and Diarrhea day after vaccine. 6 days after shot blood clot and stroke, currently in ICU.


VAERS ID: 1226980 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chills, Decreased appetite, Fatigue, Headache, Muscle spasms, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (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: Shingles vaccine on feb 24th, 2021. Similar reaction but not as severe and no emergency room visit.
Other Medications: Prozac 40mg once a day, Vitamin D 500units once a day, multivitamin once a day
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: 4/9/21 taken to emergency room and placed on heart monitor, IV placed and IVF''s infused along with a IV dose of magnesium. IV toradol given, IV zofran given and IV Ativan given.
CDC Split Type:

Write-up: At 10:30 PM on the day of the vaccine I became achy throughout my body, chills, headache and severe nausea. By midnight my body was going in to full body cramping and nausea was unbearable along with the headache. Taken to emergency room at midnight. all symptoms persisted through Sunday April 11th along with a fever up to 101.2 on the 10th. By the 12th of April I was able to get up and move around and start to eat. Today is the 18th and I continue to have bouts of nausea, poor appetite, intermittent body aches and tiredness.


VAERS ID: 1227140 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Myelitis, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Myelitis (admitted in the hospital with Gillian barre or myelitis)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Guillain Barre; Myelitis; could not walk without assistance; had severe leg pain; lower back pain; numbness in his lower extremities; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of BACK PAIN (lower back pain), GAIT DISTURBANCE (could not walk without assistance), HYPOAESTHESIA (numbness in his lower extremities), PAIN IN EXTREMITY (had severe leg pain), GUILLAIN-BARRE SYNDROME (Guillain Barre) and MYELITIS (Myelitis) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Myelitis (admitted in the hospital with Gillian barre or myelitis) since 10-Apr-2021. On 08-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Apr-2021, the patient experienced BACK PAIN (lower back pain) (seriousness criterion hospitalization) and HYPOAESTHESIA (numbness in his lower extremities) (seriousness criterion hospitalization). On 10-Apr-2021, the patient experienced GAIT DISTURBANCE (could not walk without assistance) (seriousness criterion hospitalization) and PAIN IN EXTREMITY (had severe leg pain) (seriousness criterion hospitalization). On an unknown date, the patient experienced GUILLAIN-BARRE SYNDROME (Guillain Barre) (seriousness criteria hospitalization and medically significant) and MYELITIS (Myelitis) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 10-Apr-2021 due to BACK PAIN, GUILLAIN-BARRE SYNDROME and MYELITIS. At the time of the report, BACK PAIN (lower back pain), GAIT DISTURBANCE (could not walk without assistance), HYPOAESTHESIA (numbness in his lower extremities), PAIN IN EXTREMITY (had severe leg pain), GUILLAIN-BARRE SYNDROME (Guillain Barre) and MYELITIS (Myelitis) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. On 10apr2021, he could not walk without assistance and had severe leg pain then went to the emergency department. Treatment: IV steroids, and IV immunoglobulin. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.


VAERS ID: 1227275 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Fatigue, Pain in jaw
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Osteonecrosis (broad)

Life Threatening? Yes
Birth Defect? Yes
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021395456

Write-up: dizziness; Fatigue; Jaw pain; This is a spontaneous report from a contactable consumer (patient). A 33-year-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in left arm on 08Apr2021 12:15 (Batch/Lot number was not reported) as single dose (at the age of 33-year-old) for COVID-19 immunsation, at workplace clinic. The patient medical history was not reported. No known allergies. The patient had not experienced Covid-19 prior vaccination. No known allergies. There were no concomitant medications in two weeks. The patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in left arm on 18Mar2021 09:30 AM (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. The patient experienced dizziness, fatigue and jaw pain on 09Apr2021 12:00. Events resulted in: hospitalization, hospitalization prolongation, life threatening illness (immediate risk of death from the event), disability or permanent damage, congenital anomaly or birth defect (as reported). The patient received treatment for the events: Tylenol. COVID was not tested post vaccination. The with outcome of events was recovering. Information on the lot/batch number has been requested.


VAERS ID: 1228200 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Guam  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Blood test normal, Dizziness, Full blood count normal, Headache, Metabolic function test, Nausea, Urine analysis normal
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: none reported
Allergies: NKDA
Diagnostic Lab Data: Normal blood work (CBC, BMP, UA).
CDC Split Type:

Write-up: This patient presented with my ER on 16APR21 with headache, lightheadedness, nausea, every day since vaccination which was on the 9th of April. This may be a duplicate, but I was advised to place the report regardless as the symptoms are persisting. The patients symptoms nearly resolved after Tylenol and IV fluids.


VAERS ID: 1228499 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / SC

Administered by: Public       Purchased by: ?
Symptoms: Dermatitis contact, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: No tests were completed but the nurse practitioner at the urgent care I visited viewed it and gave diagnosis. Visited urgent care on 4/11/2021
CDC Split Type:

Write-up: I have developed a rash and have itched severely. Visited an urgent care and was told it was poison ivy or something similar. Was given a steroid shot, oral steroid, and a steroid cream but the rash and itching remain.


VAERS ID: 1228615 (history)  
Form: Version 2.0  
Age: 96.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: only on right side of face- numbness and swelling in the lower part. this happened on 3 separate occasion. 1 day after/ 1 week after/ then maybe 10 or 11 days post vaccine. she feels like it is getting ready to start again today


VAERS ID: 1228638 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Arthralgia, Capillary fragility, Dizziness, Fatigue, Headache, Impaired work ability
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin d 1 a day multivitamin lipitor 20mg daily but i skipped 2 days the 8th and 9th
Current Illness: none
Preexisting Conditions: back pain
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: severe joint pain and tiredness starting 12 hours post vac. lasted 12 hours. extreme headache 14 hours post vac, lasting 10 hours. i noticed during my lunch bathroom break that i had ruptured blood vessles on my eye lids and skin surrounding the eyes. all symptoms cleared after 14 hours duration. no additional ruptured vessles. occasional dizzyness, i maintained full function during the day, i forced myself to work because i had a critical heath and safety audit vital to our manufacturing site that could not be changed and i had no backup. it was a miserable struggle, i think the average person would have slept all day. i took ibuprofen 600mg in the afternoon and asprin 325mg around 10am. drank fluids


VAERS ID: 1228677 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Approximately 1 day after receiving the vaccine my arm was sore and red at the injection site. My arm continued to have red discoloration and soreness for about a week after injection. One the redness went down the injection site was hard and continues to feel as though there is a marble under my skin. It''s about the size of a Nickle and now bruised. This might be normal but wanted to report it in the event that it''s not.


VAERS ID: 1228777 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Headache, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

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

Write-up: she hurts in her body, nausea, headache. No cough, no SOB, c/o chest pain on inspiration intermittently, more a sharp pain near the center just above the breastbone, not a squeezing or a pressure substernal Took some APAP and took alleve 20 min ago I adv that the body aches, N, HA all may be consistent with ADR to the vaccine and generally should be limited to a few days, ok to take OTC pain relievers but not in excess to bottle recommendations. Keep hydrated. Consider a hot pack. Watch the chest pain if this persists or worsens, consider HCF evaluation, though given the body pain throughout and location of the pain may be muscular.


VAERS ID: 1228807 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever of 103, headache, fatigue, and diarrhea


VAERS ID: 1228830 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever of 103, headache, fatigue, and diarrhea


VAERS ID: 1228881 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 1 UN / IM

Administered by: Public       Purchased by: ?
Symptoms: Interchange of vaccine products, No adverse event
SMQs:, Medication errors (broad)

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

Write-up: Pt received Moderna vaccine from Clinic on 3/22/21. Pt then arrived at one of our off site clinics ad received Janssen on 4/9/21. Pt was asked and denied having received any other COVID-19 vaccine prior to administration. Pt did not have any s/s of adverse reaction from this administration.


VAERS ID: 1229025 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Dyspnoea, Full blood count normal, Headache, Hyperaesthesia, Muscle spasms, Myalgia, Neutrophil count decreased, Pain in extremity, Platelet count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: CBC: Platelet count 434 (140-400 normal), absolute neutrophils 0 (normal 15-500) otherwise normal
CDC Split Type:

Write-up: Posterior headache, shooting leg pain, short of air, myalgias, muscle spasms, sensativity to touch, decreased energy


VAERS ID: 1229062 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Headache, Hypoaesthesia, Illness, Joint swelling, Malaise, Peripheral swelling, Pyrexia, Skin warm, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Illness duration post injection: 30 hrs., High fever of 101.9 began 6.5 hrs post injection, sustained high fever for 24 hrs, treated with Tylenol PO during this time, fever then after 24 hrs converted to a low grade fever for an additional 6 more hours. During this whole time, had a persistent headache, general malaise., 5 hrs after the start of the fever, developed NUMBNESS IN FEET, ANKLES, CALVES, which then, 1.5 hrs later evolved into HOT & SWOLLEN & REDDENED FEET, ANKLES, CALVES, KNEES, HANDS, & FACE, this was treated with 50 mg PO of Benadryl, which did provide relief and was followed up with 10 mg of Zyrtec 20 hrs after the Benadryl was initially given, as a precautionary measure.


VAERS ID: 1229130 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-17
Onset:2021-04-09
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Facial pain, Pain in jaw, Rash
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown to center
Preexisting Conditions: unknow to center
Allergies: none
Diagnostic Lab Data: none - specialty referrals ordered but patient hasnt gone
CDC Split Type:

Write-up: Pt here for in office visit converted from virtual. He developed painful rash on Friday late morning 4/9. Bumps on his right side of forehead and pain traveling down front of his right ear and into lower part of his jaw. No tinnitus, hearing issues, pain inside ear. No eye issues such as eye pain, vision issues or blurriness, tingling. He had an eye exam 2 weeks ago. No facial paralysis, tingling or numbness. He has been taking tylenol. No hx of shingles. No hx of vaccine for shingles. Chicken pox as a child. He sees GI for UC. On medication last few years. He last saw his GI last year and is overdue to see him this year. He did get his janssen vaccine 2 weeks ago 3/17.


VAERS ID: 1229154 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Capillary nail refill test, Swelling face, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diltiazem, Losartan, Metformin, Actonel, Calcium, Vitamin D3, multivitamins, baby aspirin 81 MG.
Current Illness: N/A
Preexisting Conditions: Cardiovascular Disease
Allergies: Polyethylene Glycol, Polysorbate
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swelling of eyes and face with significant capillary leakage.


VAERS ID: 1229181 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Capillary leak syndrome, Eye swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diltiazem, Losartan, Metformin, Actonel, Calcium, Vitamin D3, Multivitamins, Baby Aspirin 81 mg
Current Illness: N/A
Preexisting Conditions: Cardiovascular Disease
Allergies: Polyethylene Glycol, Polysorbate
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swelling of eyes and face with significant capillary leakage.


VAERS ID: 1229229 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-03-15
Onset:2021-04-09
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JAN1805029 / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Electrocardiogram, Magnetic resonance imaging head abnormal, Scan with contrast abnormal, Visual field defect, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Noninfectious encephalitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquis, Sotalol, Vit B 12, Catalyst 7, Microactive Coq10, Xen
Current Illness: None
Preexisting Conditions: Hypertension, Afib
Allergies: Morphine, Poison Ivy
Diagnostic Lab Data: CT with and without contrast; MRI with and without contrast; EKG. Dates of tests 04/09/21-04/11/21.
CDC Split Type:

Write-up: Patient awoke 04/09/2021 with visual disturbance and limited field of vision. Went to eye center and was evaluated. MD at eye center sent him to ER and told patient that it appeared he was having a stroke. Admitted to medical center 04/09/2021. Patient reports he was diagnosed with a stroke affecting the occipital region that affects his vision. Patient was discharged from the hospital 04/11/2021.


VAERS ID: 1229379 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Nasacort
Diagnostic Lab Data:
CDC Split Type: 43985530

Write-up: Patient experienced extreme fatigue and severe muscle aches, starting the second day after receiving vaccine and it lasted up to this date.


VAERS ID: 1229444 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Burning sensation, Fatigue, Nausea, Neck pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain and soreness in left arm, upper back, and neck as well as nausea day of administration (12:30am). Ongoing on and off nausea since administration. Deep burning sensation on side left side between neck and shoulder. Mild joint pain. Ongoing fatigue (11 days).


VAERS ID: 1229988 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: tinnitus


VAERS ID: 1230007 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cerumen removal, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Euthyrox 112 mcg
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 4/16/2021 - HAD WAX REMOVED, NO INNER EAR INFECTION. REFERRED ME TO A SPECIALIST.
CDC Split Type:

Write-up: CONSTANT BUZZ SOUND IN BOTH EARS


VAERS ID: 1230034 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propranolol, but not on it at time of immunization. Dietary Fiber
Current Illness: none. other than headaches sometimes.
Preexisting Conditions: Migraines
Allergies: nka
Diagnostic Lab Data: none
CDC Split Type:

Write-up: body aches, headache, chills, slight fever (100.5), nausea, vomiting. No treatment. Rested and stayed hydrated. Nausea lasted 24 hours. Rest of the symptoms lasted approximately 36 hours. Tiredness, short of breath - lasted for about 60 hours after injection.


VAERS ID: 1230161 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Myalgia, Pain, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Night of vaccination approx. 10pm, very painful body aches with fever and chills; especially in lower legs, felt like a deep muscular ache that could not be stretched out; I would relate this feeling to "growing pains" experienced as an adolescent. Fatigue lasted for 3 days after this event


VAERS ID: 1230187 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Myalgia, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE KNOWN
Current Illness: AUTOIMMUNE DISORDER NOT MENTIONED TO PHARMACIST AT TIME OF IMMUNIZATION
Preexisting Conditions: AUTOIMMUNE DISORDER OF UNKOWN ORIGIN OR TYPE
Allergies: NONE KNOWN
Diagnostic Lab Data: UNKNOWN
CDC Split Type:

Write-up: PATIENT COMPLAINING OF GENERALIZED JOINT/MUSCLE PAIN, NAUSEA BEGINNING ON 4/9/2021, PATIENT FAINTED ON 4/12/2021 AND HAS COMPLAINED OF LACK OF ENERGY AND INABILITY TO EVEN HAVE STRENGTH TO HOLD HER HEAD UP AS OF CURRENT DATE FROM DAY AFTER VACCINE ADMINISTERED


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