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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 79 out of 1,535

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VAERS ID: 1230213 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 - / IM

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

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

Write-up: At 9:30 am per vaccinator , patient lost consciousness for less than 2 seconds with no injury. Patient was assessed and was coherent. VS obtained. BP 90/60. Pulse 63. Respirations 14. O2 sat 99%. Denied shortness of breath, throat swelling, nausea or headache. Was able to change position from lying to sitting. Patient was transferred to second floor clinic via wheelchair for further evaluation. 10:40am Care handed over to nurse.


VAERS ID: 1230385 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Shingrix, date unknown
Other Medications: Aimovig, Botox, Magnesium, Celexa, Robaxin, Imitrex
Current Illness: Ringing in ears
Preexisting Conditions: Migraines
Allergies: Zinc, Sulfa, Contrast Media
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 days after vaccine patient was complaining of extreme fatigue for 9 days still unresolved.


VAERS ID: 1230425 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nodule, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Duloxetine Levothyroxine hydroclorothiazide
Current Illness: No
Preexisting Conditions: Osteoarthritis of both hands and feet Bilateral carpal tunnel release Chronic midline low back pain without sciatica Neuropathy, hypertension, hypothyroidism Osteopenia in the lumber spine
Allergies: Cane sugar Grapeseed Extract Penicillins Prednisone Strawberry Extract Tramadol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Outbreak on my chest looks like hives And have a knot on my right leg


VAERS ID: 1230442 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Diarrhoea, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Pain, Palpitations
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 50mcg, Lipitor 20 mg, Aspirin 80mg, Asteline Nasal Spray Singular 10 mg Somatodine Protonix 40mg Fluticasone proprionate spray Cetirizine 10mg Gabapentin 4 mg Amlodipine Zquil Probiotics Melatonin 5mg Fish oil Echinaceae
Current Illness: None
Preexisting Conditions: Heart disease (Stent) and GERD
Allergies: Effexor and Hydrocodone
Diagnostic Lab Data: No tests done, so far
CDC Split Type:

Write-up: 1 bout of Violent diarrhea that occurred on 4/9/21 or 4/10/21- passed out on the bed after the episode, exhausted. Nausea followed the diarrhea. Comes and goes. Still happening. Experienced heart palpitations at night on 4/12/2021, never experienced before. Got EKG the next day- normal. Back ache began on 4/15/21 to 4/16/21. Not experienced this before. The ache comes and goes. Fatigue and weakness in the whole body. Comes and goes. Better after food.


VAERS ID: 1230446 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Oral herpes
SMQs:, Oropharyngeal infections (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sildenafil 20 Mg Tab Naltrexone 50 Mg Tab
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Took Acyclovir 400 Mg Tablets for 5 days
CDC Split Type:

Write-up: The outbreak of Herpes labialis on the lower lip. I did not have any outbreaks of Herpes labialis for more than 2 years before that.


VAERS ID: 1230535 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Hallucination, Myalgia, Nausea, Pain of skin, Trismus
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (narrow), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Stabbing pain in muscles and skin, severe aches in joints, especially knee pain, jaw locked in open position, hallucinations, nausea, weakness. All lasted for entire night until around 4am. Joint pain, aches, weakness continued for another day. Knee pain continues now.


VAERS ID: 1230693 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: South Dakota  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Body temperature, Chills, Full blood count, Headache, Injection site erythema, Injection site mass, Injection site pain, Musculoskeletal stiffness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Food intolerance; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Hashimoto''s disease; Polycystic ovarian syndrome; Stomach ulcer
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: BELOW 99 F; Test Name: Blood test; Result Unstructured Data: Unknown; Test Name: CBC; Result Unstructured Data: unknown
CDC Split Type: USJNJFOC20210419770

Write-up: NECK STIFFNESS; HEADACHE; INJECTION SITE TENDERNESS; INJECTION SITE REDNESS; CHILLS; FEVER; LUMP BY THE COLLARBONE ON THE LEFT SIDE (LEFT SIDE WAS INJECTION SIDE); This spontaneous report received from a patient concerned a 50 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included PCOS, stomach ulcer, and hashimoto, and concurrent conditions included sensitive to food numerous, non alcohol, and non smoker. The patient was previously treated with ethinylestradiol/norethindrone for birth control, sucralfate for stomach ulcer, and levothyroxine for hashimoto. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: 21-JUN-2021) dose was not reported, administered on 08-APR-2021 to Left Deltoid for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced lump by the collarbone on the left side (left side was injection side). On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) BELOW 99 F. On 09-APR-2021 10:00, the subject experienced injection site tenderness. On 09-APR-2021 10:00, the subject experienced injection site redness. On an unspecified date, the subject experienced neck stiffness, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever, had not recovered from lump by the collarbone on the left side (left side was injection side), and the outcome of neck stiffness, headache, injection site tenderness and injection site redness was not reported. This report was non-serious.


VAERS ID: 1230694 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Extra dose administered, Feeling hot, Medication error, Off label use
SMQs:, Medication errors (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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210419937

Write-up: MULTIPLE DOSE/RECEIVED INJECTION BOTH IN LEFT AND RIGHT ARM; LITTLE HOT; OFF-LABEL USE; MEDICATION ERROR; This spontaneous report received from a health care professional concerned a 53 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: 205A21A, and expiry: UNKNOWN) 0.5 ml, administered on 09-APR-2021 10:00, and 0.5 ml, administered on 09-APR-2021 10:15 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced multiple dose/received injection both in left and right arm. On 09-APR-2021, the subject experienced little hot. On 09-APR-2021, the subject experienced off-label use. On 09-APR-2021, the subject experienced medication error. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from little hot, and the outcome of multiple dose/received injection both in left and right arm, off-label use and medication error was not reported. This report was non-serious.


VAERS ID: 1230695 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dyspnoea, Fatigue, Myalgia, Tinnitus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hearing impairment (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: Medical History/Concurrent Conditions: Intra-cerebral aneurysm operation (5 Years ago)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420052

Write-up: SHORTNESS OF BREATH; TINNITUS; CHILLS; FATIGUE; MUSCLE ACHE; This spontaneous report received from a patient concerned a 30 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included brain aneurysm. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular and batch number: 203A21A 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 shortness of breath. On 09-APR-2021, the subject experienced tinnitus. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced fatigue. On 09-APR-2021, the subject experienced muscle ache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tinnitus on 09-APR-2021, and chills, and had not recovered from shortness of breath, fatigue, and muscle ache. This report was non-serious.


VAERS ID: 1230696 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
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 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: INSULIN
Current Illness: Allergy to antibiotic (Allergy to antibiotics(sulfa drugs).); Type 1 diabetes mellitus
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420082

Write-up: CHILLS/SHIVERING; PAIN IN THE NECK MUSCLES; This spontaneous report received from a patient concerned a 66 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included allergy to antibiotics, and type 1 diabetes mellitus. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and batch number: 202A21A expiry: 23-JUN-2021) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. Concomitant medications included insulin for type 1 diabetes mellitus. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced pain in the neck muscles. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, and pain in the neck muscles. This report was non-serious.


VAERS ID: 1230712 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
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 UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache
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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Alcohol use (Drank a bottle of wine 6 hours ago.); Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422825

Write-up: TERRIBLE HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 09-APR-2021, the subject experienced terrible headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of terrible headache was not reported. This report was non-serious.


VAERS ID: 1230728 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Headache, Nausea, Pain, Pain in extremity, Pyrexia, Rhinorrhoea, Sneezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (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: USJNJFOC20210423300

Write-up: BODY PAINS; SNEEZING; RUNNY NOSE; FEELING OUT; SORE ARM; EXTREME TIREDNESS; MILD NAUSEA; MILD FEVER; HEADACHE; This spontaneous report received from a patient concerned a 38 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, batch number: 042A21A, and batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, treatment medications included: diphenhydramine hydrochloride, and pseudoephedrine hydrochloride. On 09-APR-2021, the subject experienced body pains. On 09-APR-2021, the subject experienced sneezing. On 09-APR-2021, the subject experienced runny nose. On 09-APR-2021, the subject experienced feeling out. On 09-APR-2021, the subject experienced sore arm. On 09-APR-2021, the subject experienced extreme tiredness. On 09-APR-2021, the subject experienced mild nausea. On 09-APR-2021, the subject experienced mild fever. On 09-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from extreme tiredness, and feeling out, and had not recovered from headache, body pains, mild fever, mild nausea, sneezing, runny nose, and sore arm. This report was non-serious.


VAERS ID: 1230729 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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:
Current Illness:
Preexisting Conditions: Comments: Patient''s medical history was unknown and had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423301

Write-up: VOMITING; CHILLS; NAUSEA; FEVER; This spontaneous report received from a patient via a company representative concerned a 28 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient''s medical history was unknown and had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021 03:00, the subject experienced vomiting. On 09-APR-2021 03:00, the subject experienced chills. On 09-APR-2021 03:00, the subject experienced nausea. On 09-APR-2021 03:00, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, chills, nausea, and fever on 10-APR-2021. This report was non-serious.


VAERS ID: 1230732 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JJ206A21A / UNK - / -

Administered by: Other       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: Comments: Patient had no known other medical condition and not on any medications.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210423906

Write-up: DIZZINESS; HEADACHE; NAUSEA; This spontaneous report received from a patient concerned a 66 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient had no known other medical condition and not on any medications.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: jj206a21a, and batch number: JJ206A21A 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 dizziness. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on APR-2021, and had not recovered from dizziness, and nausea. This report was non-serious.


VAERS ID: 1230744 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Body temperature, Chills, Dizziness, Hyperhidrosis, Migraine, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies. No drug abuse or illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 100.8 F
CDC Split Type: USJNJFOC20210424256

Write-up: SWEATING; VOMITING; TREMBLING; SEVERE MIGRANE; LIGHT HEADEDNESS; WEAKNESS; CHILLS; FEVER; This spontaneous report received from a parent concerned a 25 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non alcoholic, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies. no drug abuse or illicit drug use.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and batch number: 203A21A 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 light headedness. On 09-APR-2021, the subject experienced weakness. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100.8 F. On 10-APR-2021, the subject experienced sweating. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced trembling. On 10-APR-2021, the subject experienced severe migrane. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sweating, vomiting, trembling, severe migrane, light headedness, weakness, chills, and fever on 10-APR-2021. This report was non-serious.


VAERS ID: 1230748 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: USJNJFOC20210424370

Write-up: INJECTION SITE ARM SORENESS; This spontaneous report received from a patient concerned a 28 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: Unk) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced injection site arm soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from injection site arm soreness. This report was non-serious. This case, from the same reporter is linked to 20210424282.


VAERS ID: 1230755 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 100.9; Test Date: 20210412; Test Name: Body temperature; Result Unstructured Data: 100.9
CDC Split Type: USJNJFOC20210424710

Write-up: This spontaneous report received from a patient concerned a 39 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: 043A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced thrown up. On 09-APR-2021, the subject experienced nausea. On 11-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100.9 F. On 12-APR-2021, Laboratory data included: Body temperature (NR: not provided) 100.9 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea, thrown up and fever was not reported. This report was non-serious.


VAERS ID: 1230816 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Indiana  
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 / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Fatigue, Feeling cold, Headache, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Pertussis vaccine when I was a baby. Excessive crying.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tired, muscle aches (especially back pain), fever (101.5), chills, nausea, headache, started at around 8pm, fever broke just after midnight, felt normal by morning. Took ibuprofen at around 11pm.


VAERS ID: 1230873 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Maine  
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 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Mobility decreased, Muscle spasms
SMQs:, Dystonia (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac, Abilify, Valium, magnesium, calcium, zinc, Vit''s B, C, and D.
Current Illness: Secondary Progressive Multiple Sclerosis.
Preexisting Conditions: Secondary Progressive Multiple Sclerosis.
Allergies: penicillin.
Diagnostic Lab Data:
CDC Split Type:

Write-up: I had an unique reaction to the Johnson&Johnson vaccine. 7 hours after getting the shot, my whole body went into painful spasms. My arms, legs, and torso were all twisting out of control. I was afraid I was going to fall out of my power chair, so I tilted it to prevent that from happening. Transfers were extremely difficult. My husband had to help me on and off of the toilet. This went on for about 3-4 hours. After 2 hours, I took some Tylenol to take the edge off of the spasms.


VAERS ID: 1230968 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-11
Onset:2021-04-09
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Delirium, Disturbance in attention, Dizziness, Headache, Miosis, Pain, Pyrexia, Skin burning sensation, Tinnitus, Vaccination site rash
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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: delerious; Fever; Rash; horrible body aches; Skin on fire; severe headache; pounding a rod into brain; dizzy; lack of concentration; eyes not dilating; ringing in ears; This spontaneous case was reported by a consumer and describes the occurrence of DELIRIUM (delerious) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037A21B and 001B21A) 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 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 09-Apr-2021, the patient experienced DELIRIUM (delerious) (seriousness criterion medically significant), PYREXIA (Fever), VACCINATION SITE RASH (Rash), PAIN (horrible body aches), SKIN BURNING SENSATION (Skin on fire), HEADACHE (severe headache), HEADACHE (pounding a rod into brain), DIZZINESS (dizzy), DISTURBANCE IN ATTENTION (lack of concentration), MIOSIS (eyes not dilating) and TINNITUS (ringing in ears). At the time of the report, DELIRIUM (delerious), PYREXIA (Fever), VACCINATION SITE RASH (Rash), PAIN (horrible body aches), SKIN BURNING SENSATION (Skin on fire), HEADACHE (severe headache), HEADACHE (pounding a rod into brain), DIZZINESS (dizzy), DISTURBANCE IN ATTENTION (lack of concentration) and MIOSIS (eyes not dilating) outcome was unknown and TINNITUS (ringing in ears) had not resolved. This case concerns a 62-year-old female with a serious unexpected event of delirium, and nonserious unexpected dizziness, pain, skin burning sensation, disturbance in attention, miosis, tinnitus, and expected fever, headache, vaccination site rash. Event onset 2 days after second dose mRNA-1273. Event outcomes ongoing or unknown. Based on 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: This case concerns a 62-year-old female with a serious unexpected event of delirium, and nonserious unexpected dizziness, pain, skin burning sensation, disturbance in attention, miosis, tinnitus, and expected fever, headache, vaccination site rash. Event onset 2 days after second dose mRNA-1273. Event outcomes ongoing or unknown. Based on 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: 1230995 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Unknown  
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 207A21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, 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? 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, chills, muscle aches, fatigue starting about 10 hours after vaccine was administered and lasting about 24 hours. After that, chills went away and headache improved. Muscle aches/fatigue continued for another 3-4 days.


VAERS ID: 1231091 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
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 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Headache, Pain
SMQs:, Neuroleptic malignant 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: 102 fever, aches pains headache for 36 hrs


VAERS ID: 1231153 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: South 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 045AZ1A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Persistent extreme headache and nausea 11 days (and counting) after vaccine.


VAERS ID: 1231180 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Iowa  
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 - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Nausea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: short of breath, nausea, leg pain. ED evaluation normal.


VAERS ID: 1231306 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Michigan  
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 1808982 / 1 LA / SYR

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

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

Write-up: 20 minutes after shot while passenger in vehicle I passed out and went into convulsions for 2 minutes The next day after shot at 7am I passed out again and went into convulsions while blacked out The next few days I did not feel right


VAERS ID: 1231368 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Feeling hot, Pruritus, Rash papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: ?Covid arm? that felt like a hive. Raise and red bump that itched and felt hot to the touch. The size of two quarters.


VAERS ID: 1231374 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-29
Onset:2021-04-09
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

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

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

Write-up: Right sided Bell''s Palsy


VAERS ID: 1231425 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN D43A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Feeding disorder, Heavy menstrual bleeding, Nausea, Pain, Pyrexia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Got Vaccine Friday at noon. Nauseous around 6pm, couldn''t eat dinner, nauseous all night long, morning time chills, fever, achy, extremely weak. Symptoms lasted badly until Monday morning and still felt weak on Tuesday. Had period at time of vaccine. Unusually heavy for first two days then lingered for 10 days, usually over at day 6.


VAERS ID: 1231445 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029A21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Immediate post-injection reaction, Pain in extremity, Peripheral swelling, Sinus pain, Sleep disorder
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Humira - received first dose two days before 1st vaccine shot. Waited a week after 2nd dose to take 2nd injection since I only take it once a month.
Current Illness: Gout
Preexisting Conditions: Ankylosing Spondylitis
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Arm swollen for 7 days with decreasing pain as it got smaller. This happened right away, and within a few hours increased in size and then remained very swollen for several days. Pain was tolerable. Sinuses are aggravated which is a usual immune response for my body. By 2nd day, experience sleep disruption in morning (jerking awake every hour) and then slept most of the afternoon. I also started getting a pain under my armpit, like a swollen lymph node that hurt., I put up with it for two days and then took an NSAID and the pain was faint by the next day until it faded out two days later. No other side effects were experienced.


VAERS ID: 1231592 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Kansas  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Erection increased
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420298

Write-up: PARTIAL ERECTION LASTING MORE THAN 4 HOURS; This spontaneous report received from a patient concerned a 20 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, batch number: 041A21A and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced partial erection lasting more than 4 hours. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from partial erection lasting more than 4 hours. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1231597 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 103.4 to 103.1 F, High
CDC Split Type: USJNJFOC20210420544

Write-up: HIGH TEMPERATURE; This spontaneous report received from a patient concerned a 63 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included sulfa allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced high temperature. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 103.4 to 103.1 F. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from high temperature. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1231606 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Nausea, Pain, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 202102; Test Name: COVID-19 virus test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20210420794

Write-up: SHORTNESS OF BREATH; HEADACHE; NAUSEA; BODY ACHES; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included anxiety, and covid-19, and concurrent conditions included penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On FEB-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Positive. On 09-APR-2021, the subject experienced body aches. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced nausea. On 10-APR-2021, the subject experienced shortness of breath. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, body aches, nausea, and shortness of breath. This report was non-serious.


VAERS ID: 1231610 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Body temperature, Body temperature decreased, Chills, Nausea, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Panic attacks
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature decreased; Result Unstructured Data: 102.8 F; Comments: around 9:30pm the fever dropped to 102.8F; Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 109 F; Comments: around 8pm fever of 109F
CDC Split Type: USJNJFOC20210420829

Write-up: LOWER BACK/KIDNEY PAIN; CHILLS (SEVERE, UNCONTROLLABLE SHAKING, COLD HANDS AND FEET); SORE ARM; NAUSEA; FEVER; This spontaneous report received from a consumer concerned a 52 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included panic attacks. The patient was previously treated with alprazolam for panic attacks. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 09-APR-2021 10:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced lower back/kidney pain. On 09-APR-2021, the subject experienced chills (severe, uncontrollable shaking, cold hands and feet). On 09-APR-2021, the subject experienced sore arm. On 09-APR-2021, the subject experienced nausea. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 109 F, and Body temperature decreased (NR: not provided) 102.8 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills (severe, uncontrollable shaking, cold hands and feet), nausea, lower back/kidney pain, sore arm, and fever. This report was non-serious.


VAERS ID: 1231614 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 102 F
CDC Split Type: USJNJFOC20210421115

Write-up: 102 FEVER; This spontaneous report received from a patient concerned a female of unspecified age. 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: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 09-APR-2021, the subject experienced 102 fever. Laboratory data included: Body temperature (NR: not provided) 102 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from 102 fever on 10-APR-2021. This report was non-serious.


VAERS ID: 1231619 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hallucination
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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: USJNJFOC20210421275

Write-up: HALLUCINATIONS; This spontaneous report received from a patient concerned female of unspecified age. 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: 1805020, and expiry: UNKNOWN) dose was not reported, administered in right arm on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. The patient reported that she was concerned because she was seeing things she knew wasn''t there (out of the peripheral of her eye). It was reported that she was hallucinating from afternoon of 09-Apr-2021. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from hallucinations. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210421275-JANSSEN COVID-19 VACCINE Ad26.COV2.S- Hallucination. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1231620 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Heart rate increased, Panic attack
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROZAC; WELLBUTRIN; ADDERALL; XANAX
Current Illness: Allergic reaction to antibiotics (causes rash); Cigarette smoker (4 cigarettes per day)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421293

Write-up: FAST HEART RATE/ FAST PULSE RATE; LIGHTHEADEDNESS; PANIC ATTACK; This spontaneous report received from a patient concerned a 43 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included sulfa allergy, and cigarette smoker. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included alprazolam, amfetamine aspartate/amfetamine sulfate/dexamfetamine saccharate/dexamfetamine sulfate, bupropion hydrochloride, and fluoxetine hydrochloride. On 09-APR-2021, the subject experienced fast heart rate/ fast pulse rate. On 09-APR-2021, the subject experienced lightheadedness. On 09-APR-2021, the subject experienced panic attack. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fast heart rate/ fast pulse rate, lightheadedness, and panic attack on 09-APR-2021. This report was non-serious.


VAERS ID: 1231627 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Pain in extremity, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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: NIFEDIPINE; NEXIUM
Current Illness: Alcohol use (Rarely drinking, social drinking, like red wine); Esophageal disorder; Lactose intolerance; Raynaud''s disease; Scleroderma; Swallowing difficult
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421482

Write-up: ARM WAS VERY SORE; NO APPETITE; COULD FEEL MEDICINE GO IN; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included scleroderma, esophageal disorder, problems swallowing, raynaud in hands, allergy of dairy products, and alcohol consumer. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982 and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. Concomitant medications included esomeprazole magnesium for esophageal disorder, and nifedipine for raynaud in hands. On 09-APR-2021, the subject experienced no appetite. On 09-APR-2021, the subject experienced could feel medicine go in. On 10-APR-2021, the subject experienced arm was very sore. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from could feel medicine go in, had not recovered from arm was very sore, and the outcome of no appetite was not reported. This report was non-serious. This case, from the same reporter is linked to 20210420295.


VAERS ID: 1231628 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Eye irritation, Fatigue, Injection site pain, Migraine, Nasopharyngitis, Nightmare, Oropharyngeal pain, Pain, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Corneal disorders (broad), Vestibular 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Smoker (E-Cigs)
Preexisting Conditions: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421486

Write-up: SORE THROAT; BURNING EYES; BODY ACHES OR BODY WAS PAINFUL TO THE TOUCH; MIGRAINE; NIGHTMARES THROUGHOUT THE NIGHT; DIZZY; FEELING COLD; SHAKING; CHILLS; INJECTION SITE PAIN; FEVER OR BODY WAS BURNING UP LIKE A FURNACE; FELT FATIGUED; This spontaneous report received from a patient concerned a 22 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included smoker, and other pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 15:50 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced body aches or body was painful to the touch. On 09-APR-2021, the subject experienced migraine. On 09-APR-2021, the subject experienced nightmares throughout the night. On 09-APR-2021, the subject experienced dizzy. On 09-APR-2021, the subject experienced feeling cold. On 09-APR-2021, the subject experienced shaking. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced injection site pain. On 09-APR-2021, the subject experienced fever or body was burning up like a furnace. On 09-APR-2021, the subject experienced felt fatigued. On 09-APR-2021 19:00, the subject experienced burning eyes. On 10-APR-2021, the subject experienced sore throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from burning eyes, nightmares throughout the night, dizzy, chills, fever or body was burning up like a furnace, and felt fatigued on 10-APR-2021, was recovering from injection site pain, body aches or body was painful to the touch, migraine, and sore throat, and the outcome of feeling cold and shaking was not reported. This report was non-serious.


VAERS ID: 1231632 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Body temperature, Pain in extremity, Pyrexia, Sensitive skin, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 97 F; Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 99.1 F; Comments: 99.1 F
CDC Split Type: USJNJFOC20210421759

Write-up: SOMNOLENCE; SENSITIVE SKIN; SORE LEFT ARM; LOSS OF ENERGY; FEVER 97 - 99.1 F; This spontaneous report received from a patient concerned a patient of unspecified age and sex. 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, and batch number were not reported) dose was not reported, administered on 08-APR-2021 13:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced somnolence. On 09-APR-2021, the subject experienced sensitive skin. On 09-APR-2021, the subject experienced sore left arm. On 09-APR-2021, the subject experienced loss of energy. On 09-APR-2021, the subject experienced fever 97 - 99.1 F. Laboratory data included: Body temperature (NR: not provided) 99.1 F, 97 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sensitive skin, and loss of energy on 10-APR-2021, had not recovered from sore left arm, and the outcome of somnolence and fever 97 - 99.1 F was not reported. This report was non-serious.


VAERS ID: 1231645 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Rash, Rubber sensitivity
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcoholic (Rarely, once every couple of months); Allergic reaction to antibiotics; Hives; Latex allergy; Nonsmoker; Penicillin allergy; Welts
Preexisting Conditions: Medical History/Concurrent Conditions: Drug abuse
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425160

Write-up: LATEX ALLERGY; RASH; TIRED; This spontaneous report received from a patient concerned a 33 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included drug abuse, and concurrent conditions included penicillin allergy, hives, sulfa allergy, welts, latex allergy, alcoholic, and nonsmoker. The patient was previously treated with metamfetamine for drug abuse. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced latex allergy. On 09-APR-2021, the subject experienced rash. On 09-APR-2021, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from rash, and tired, and the outcome of latex allergy was not reported. This report was non-serious. This case, from the same reporter is linked to 20210425218.


VAERS ID: 1231649 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OMEPRAZOLE
Current Illness: Alcohol use; Gastrooesophageal reflux disease; Non-smoker
Preexisting Conditions: Comments: The patient had no known drug allergies and no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425203

Write-up: LEFT HAND NUMBNESS; TINGLING OF THE TIPS OF THE LEFT HAND FINGERS; SORE RIGHT ARM; This spontaneous report received from a patient concerned a 50 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included acid reflux for more than 10 years, alcohol user 4 times a week, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies and no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A expiry: 21/JUN/2021) dose was not reported, administered on 09-APR-2021 16:15 for prophylactic vaccination. Concomitant medications included omeprazole for acid reflux. On 09-APR-2021, the subject experienced sore right arm. On 13-APR-2021, the subject experienced left hand numbness. On 13-APR-2021, the subject experienced tingling of the tips of the left hand fingers. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from left hand numbness on 13-APR-2021, was recovering from sore right arm, and had not recovered from tingling of the tips of the left hand fingers. This report was non-serious.


VAERS ID: 1231658 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Body temperature, Chills, Decreased appetite, Headache, Pyrexia, Renal pain
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), 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? 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: over 100 degrees
CDC Split Type: USJNJFOC20210425437

Write-up: NO APPETITE; NO TASTE; PAIN IN KIDNEY REGION; CHILLS; SEVERE HEADACHE; FEVER; This spontaneous report received from a patient concerned a 52 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: 207A21A 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 no appetite. On 09-APR-2021, the subject experienced no taste. On 09-APR-2021, the subject experienced pain in kidney region. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced severe headache. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) over 100 degrees. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe headache, fever, chills, no appetite, no taste, and pain in kidney region. This report was non-serious.


VAERS ID: 1231666 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Nebraska  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Current Illness:
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425563

Write-up: HEADACHE; FELT NAUSEOUS; This spontaneous report received from a patient concerned a 57 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced felt nauseous. On 10-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache, and felt nauseous on 11-APR-2021. This report was non-serious.


VAERS ID: 1231677 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 (MAYBE / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Dizziness, Pyrexia, Tinnitus, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: 150/75
CDC Split Type: USJNJFOC20210426744

Write-up: FEVER; VOMITING; DIZZY; RINGING IN EARS; BLOOD PRESSURE HIGH; This spontaneous report received from a patient concerned a 74 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, batch number: 1808982 and batch number: 1808982 expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced vomiting. On 09-APR-2021, the subject experienced dizzy. On 09-APR-2021, the subject experienced ringing in ears. On 09-APR-2021, the subject experienced blood pressure high. On 10-APR-2021, the subject experienced fever. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) 150/75 (units unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, blood pressure high, and fever, and had not recovered from dizzy, and ringing in ears. This report was non-serious.


VAERS ID: 1231682 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Migraine, 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:
Current Illness: Allergy; Asthma; Migraine
Preexisting Conditions: Medical History/Concurrent Conditions: Brain tumor
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 102 F
CDC Split Type: USJNJFOC20210427017

Write-up: ACHY; MIGRAINE; FEVER; This spontaneous report received from a parent concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included brain tumor, and concurrent conditions included asthma, migraine, and allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested No concomitant medications were reported. On 09-APR-2021, the subject experienced achy. On 09-APR-2021, the subject experienced migraine. On 09-APR-2021, the subject experienced fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102 F. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from achy, migraine, and fever. This report was non-serious.


VAERS ID: 1231727 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Injection site nodule, Injection site pain, Injection site swelling, Pruritus, Skin induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Clot blood
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427221

Write-up: BIG KNOT LIKE BUG BITE OR A BEE STING ON ARM AROUND THE INJECTION SITE; HOT SKIN AROUND THE INJECTION SITE; SLIGHTLY ITCHY AROUND THE INJECTION SITE; HARD SKIN ON ARM/TOUGH SKIN ON ARM; SORE ARM AROUND THE INJECTION SITE; SWELLING AROUND THE INJECTION SITE; This spontaneous report received from a patient concerned a 58 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included blood clots. The patient was previously treated with warfarin for blood clots. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, 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 big knot like bug bite or a bee sting on arm around the injection site. On 09-APR-2021, the subject experienced hot skin around the injection site. On 09-APR-2021, the subject experienced slightly itchy around the injection site. On 09-APR-2021, the subject experienced hard skin on arm/tough skin on arm. On 09-APR-2021, the subject experienced sore arm around the injection site. On 09-APR-2021, the subject experienced swelling around the injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm around the injection site on APR-2021, was recovering from big knot like bug bite or a bee sting on arm around the injection site, swelling around the injection site, hot skin around the injection site, and slightly itchy around the injection site, and the outcome of hard skin on arm/tough skin on arm was not reported. This report was non-serious.


VAERS ID: 1231731 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Headache, Peripheral swelling, Pruritus, Rash, Throat irritation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Non-smoker
Preexisting Conditions: Comments: The patient had no known medications.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427289

Write-up: ITCHING/ FEET ITCHING; BURNING OF THROAT; RIGHT ARM SWELLING/ FEET SWELLING; FEET BURNING; RASH; LOW GRADE HEADACHE; This spontaneous report received from a health care professional concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non-smoker, and other pre-existing medical conditions included the patient had no known medications. The patient experienced drug allergy when treated with nitrofurantoin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, 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 itching/ feet itching. On 09-APR-2021, the subject experienced burning of throat. On 09-APR-2021, the subject experienced right arm swelling/ feet swelling. On 09-APR-2021, the subject experienced feet burning. On 09-APR-2021, the subject experienced rash. On 09-APR-2021, the subject experienced low grade headache. Treatment medications (dates unspecified) included: paracetamol, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash, itching/ feet itching, burning of throat, right arm swelling/ feet swelling, low grade headache, and feet burning. This report was non-serious.


VAERS ID: 1231753 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201AZIA / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Neck pain, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428032

Write-up: BODY PAIN FROM HER NECK TO ALL THE WAY TO THE BACK OF HER SHOULDER ON THE LEFT SIDE OF HER BODY/SHOULDER; BODY PAIN FROM HER NECK TO ALL THE WAY TO THE BACK OF HER SHOULDER ON THE LEFT SIDE OF HER BODY/SHOULDER; BODY PAIN FROM HER NECK TO ALL THE WAY TO THE BACK OF HER SHOULDER ON THE LEFT SIDE OF HER BODY/SHOULDER; This spontaneous report received from a patient concerned a female of unspecified age. 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: 201AZIA expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced body pain from her neck to all the way to the back of her shoulder on the left side of her body/shoulder. On 09-APR-2021, the subject experienced body pain from her neck to all the way to the back of her shoulder on the left side of her body/shoulder. On 09-APR-2021, the subject experienced body pain from her neck to all the way to the back of her shoulder on the left side of her body/shoulder. Treatment medications (dates unspecified) included: menthol, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from body pain from her neck to all the way to the back of her shoulder on the left side of her body/shoulder, body pain from her neck to all the way to the back of her shoulder on the left side of her body/shoulder, and body pain from her neck to all the way to the back of her shoulder on the left side of her body/shoulder. This report was non-serious.


VAERS ID: 1231771 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cough, Headache, Oropharyngeal pain, Pain, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Comments: Patient has no known allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428374

Write-up: THROAT PAIN; PAIN; RUNNY NOSE; COUGH; HEADACHE; This spontaneous report received from a patient concerned a 31 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient has no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced throat pain. On 09-APR-2021, the subject experienced pain. On 09-APR-2021, the subject experienced runny nose. On 09-APR-2021, the subject experienced cough. On 09-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from cough, and had not recovered from headache, runny nose, pain, and throat pain. This report was non-serious.


VAERS ID: 1231790 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? 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:
CDC Split Type: USJNJFOC20210429275

Write-up: BODY ACHES; LEG PAIN; FEVER; This spontaneous report received from a parent concerned a female of unspecified age. 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: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced body aches. On 09-APR-2021, the subject experienced leg pain. On 09-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, leg pain, and fever on 13-APR-2021. This report was non-serious.


VAERS ID: 1232003 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram pelvis, Computerised tomogram thorax, Diarrhoea, Dyspnoea, Headache, Labile blood pressure, Laboratory test, Nausea, Urine analysis, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (broad), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin, Cymbalta, IntunivER, hydroxyzine, Lithium, metformin, Micron or OCP
Current Illness: UTI 10 days prior treated withantibiotic
Preexisting Conditions: Bipolar disorder, DM/metabolic syndrome, PCOS, HLD
Allergies: Albuterol, Macrobid, Ibuprofen, hornet venom, shellfish
Diagnostic Lab Data: multiple blood tests, urine testing, CT head, CT chest, CT abdomen/pelvis 4/11/2021, 4/13/2021
CDC Split Type:

Write-up: nausea, vomiting, diarrhea, headache, labile uncontrolled hypertension, shortness of breath


VAERS ID: 1232056 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Alaska  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020B21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (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: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Allergies: UNKNOWN
Diagnostic Lab Data:
CDC Split Type:

Write-up: MODERN 0.5 ML FOR IM LOT 020B21A EPX:09/23/2021 No known adverse events.


VAERS ID: 1232210 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Apathy, Chills, Dry mouth, Dysgeusia, Fatigue, Feeling drunk, Headache, Indifference, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3, Zinc
Current Illness: None
Preexisting Conditions: None
Allergies: Artificial sweeteners, monosodium glutamate
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe chill followed by low grade fever(98.2 F; normally I am about 97.5), mild headache that lasted about 12 hours, very dry mouth, and metallic taste in mouth. Accompanied by a feeling of mild intoxication / indifference / being unmotivated which lasted most of the next day. The lack of motivation with a slight tiredness seems to still be slightly present 11 days later.


VAERS ID: 1232281 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Electrocardiogram, Heart rate increased, Scan
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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: beta blocker
Current Illness: none
Preexisting Conditions: POTS
Allergies: allergic to most of big 8 foods and too many more to list
Diagnostic Lab Data: EKG and C-Scan for blood clots. C-scan was negative.
CDC Split Type:

Write-up: Approximately 6 hours after being vaccinated, the patient''s heart rate skyrocketed to 178 bpm, as measured by an Apple watch. In the next few minutes it settle to about 120 bpm. On the way to the ER it skyrocketed again to 150 bpm, then settled to about 115 bpm. Over the next 6 hours it slowly decreased to about 100 bpm and did not return to normal until 24 hours after the initial vaccination shot.


VAERS ID: 1232482 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Crying, Dyspnoea, Fatigue, Heart rate increased, Injection site pain, Injection site swelling, Mobility decreased, Myalgia, Nausea, Pain, Pruritus, Rash, Skin exfoliation, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: just allergies from question #10
Allergies: Kephlax; Bactrim; celery; carrots and coconut oil
Diagnostic Lab Data: on the middle of my chest too right in the middle of the other rash on my chest. That is improving with the medications I''m taking.
CDC Split Type: vsafe

Write-up: Within minutes of shot, on the shot going in - it stung so bad I cried and I have a high pain tolerance $g extreme nausea right after the shot was in; I felt short of breath - Heartrate - While standing in line, my heartrate was 75 or 76 and it went up to 130 beats per minute after the vaccine (I have a watch that tells me); my heart was racing. I was putting cold water bottles on my neck to feel better. Heartrate went from 130 to 100 at 45 minutes out. It stayed in the hundreds for a couple of hours. About three hours after shot - I developed itching and hives all over - chest, arms, and tops of thighs. I took Benadryl. The injection site on arm stayed incredibly painful - I couldn''t even move my arm. 4/12/2021 - I got in contact with someone from Clinic. They felt like there had been a reaction to vaccine - advised to continue Benadryl. A localized reaction to injection site. First 48 hours bone, muscle, joint pain was extreme - it hurt to be alive. It took a week for that to fade so I could function again. Got in contact with Dr. again 19th. Swollen oval under my skin about 2 -3 inches long at injection site; fatigue and nausea is still there. Ran some bloodwork. Advised to take Benadryl when itching came back. This morning, I called the doctor today 20th - an allergist was pulled in for this conversation as well - I was prescribed to take Zyrtec; Claritin and a prednisone (to prevent reaction from continuing) and also Zofran for the long term reaction to the vaccine. Watch the injection site for any redness and heat (there''s none right now). Three days after vaccine, I did get a blistery rash across my neck at my collarbone area, down my chest and under my breast and across my rib cage on front and a little on my back on the back of my shoulders and down along the spine. Additionally there was a flat orangish rash that developed - on my face and nose. And then my skin started peeling off there and it (that flat orangish rash) showed up also on the middle of my chest too right in the middle of the other rash on my chest. That is improving with the medications I''m taking.


VAERS ID: 1232580 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Influenza like illness, Tendon pain
SMQs:, Tendinopathies and ligament 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: avoided my normal allergy drugs; within 24 hours I didn''t take any (I''m normally on some allergy meds) - the night before: 40 mg Pravastatin ; 5 mg - Xyval
Current Illness: no
Preexisting Conditions: hay fever (get allergy shots for); allergy induced asthma
Allergies: no
Diagnostic Lab Data: no
CDC Split Type: vsafe

Write-up: I had fatigue that evening; the start of flu like symptoms that evening of the vaccine and through the night. The following day, (10th) flu-like symptoms. Those resolved the day after that (11th) - I was still tired but didn''t have the aches and pains of the flu. Then on starting on the day after all of that (12), I had mild and intermittent pain in my right hamstring. That persisted for a couple of days - it would come and go throughout the day and even throughout the night. It resolved after about 2 1/2 days . The pain made it uncomfortable to sit. (I had scheduled a dr appt at noon on the 14th, but I felt fine by then - in the morning of that day when I woke up it had gone away - I''d fallen asleep on the 13th.) I cancelled my doctor appt since it had resolved.


VAERS ID: 1232783 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Aphasia, Dizziness, Headache, Palpitations, Skin sensitisation, Throat irritation
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Suboxone 1.5 films daily 8mg films, Bupropion 1 300 mg morning, night time Gabapentin 1 100 mg,
Current Illness: No
Preexisting Conditions: No anxiety
Allergies: No
Diagnostic Lab Data: Observation through question and answers.
CDC Split Type: vsafe

Write-up: Later that night with headache non stop, heart was beating hard, calm with Excedrin . When eating felt like stomach and esophagus felt like acid, food and drink and water felt heavy and skin had hurt for clothing to touch. 4-5 days later called the doctor when the thought and stomach condition fail to subside. Question and answer was gastrointestinal she wanted you take Prilosec for couple of days. Work with the burning. Lasted about a week to a week in a half 9-10 days. Felt dizzy and forgetful of basic words for 7 days.


VAERS ID: 1232838 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BELSOMRA, EFFEXOR XR, IRON, GABAPENTIN, IBUPROFEN, MELATONIN
Current Illness:
Preexisting Conditions: ANXIETY, INSOMNIA, SPINAL STENOSIS, ANEMIA, RESTLESS LEG
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Spoke to Pt who states increased headaches since getting J&J vaccine on 4/9. Pt states h/o headaches but HA normally respond to Motrin. Pt reports taking Motrin 2-4 times since being vaccinated. Pt c/o severe fatigue and nausea. Pt denies SOB, severe leg pain, nor chest pain. Strict ER precautions discussed. Pt scheduled for phone visit.


VAERS ID: 1232950 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: School       Purchased by: ?
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Culture negative, Fibrin D dimer, Full blood count normal, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: citalopram, buspirone, cetrizine, Nikki 28
Current Illness: Reports allergy type s/s onset 4/5/21. Reports worsening of s/s 4/9/21 to include chest soreness and chest tightness after COVID19 vaccine.
Preexisting Conditions: Allergic rhinitis, Anxiety
Allergies: NKDA
Diagnostic Lab Data: CBC WNL. Rapid strep negative. Throat culture negative. Mono spot negative. D-dimer negative. Chest xray no acute findings per Radiology.
CDC Split Type:

Write-up: Onset allergy type symptoms 4/5/21 worsening of symptoms chest soreness and tightness in chest after COVID19 J and J Vaccine on 04/09/21. Patient presented in our office with concerns.


VAERS ID: 1232976 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Dizziness, Erythema, Fatigue, Glossitis, Headache, Mouth ulceration, Myalgia, Tongue ulceration
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertaline (Zoloft)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Urgent care gave me magic mouthwash.
CDC Split Type:

Write-up: Day 1: Extreme fatigue / muscle ache / headache / dizzy. Day 4: Lost sense of taste Day 6: Took covid test, negative Day 8 + : Painful mouth ulcers forming all over tongue and roof of mouth. Currently on day 14 and the mouth ulcers are getting worse, not better. Tongue is extremely inflamed and red spots all over the roof of my mouth.


VAERS ID: 1233041 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Chest pain, Computerised tomogram normal, Diarrhoea, Dyspnoea, Electrocardiogram normal, Fatigue, Fibrin D dimer increased, Pain, SARS-CoV-2 test negative, X-ray
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control, Multivitamin, Biotin
Current Illness: no
Preexisting Conditions: no
Allergies: Neosporin
Diagnostic Lab Data: D-Dimer-elevated/normal EKG-normal X-Ray-normal CT-Scan-normal COVID-19-normal
CDC Split Type:

Write-up: The next morning I went to urgent care because I was experiencing really bad chest pains and body aches where an EKG and chest X-Ray were perform and I was released and advised if the symtoms got any worse to come back or got to the ER. For the next week the chest pain persist and got worse. I experienced severe chest pains, struggled with breathing at night, was extremely tired and felt worn out. I had sharp pains throughtout my body so I went to the ER where a EKG and D-Dimer test was perfomed and was advised it was elevated and I left. I went to the ER later that day who checked the D-Dimer who advised it was normal and was I was released from there as well after monitoring. The next day I began having sharp pains in my stomach and diarreah which prompted me to now go to hospital where a CT scan, X-Ray and EKG was perfomed there also which all results came back normal and advised I reach out to a Cardiovascular Specialist for the Chest pains and I have an appointment scheduled for 4/21/21 for further followup on that


VAERS ID: 1233046 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram head normal, Computerised tomogram spine, Full blood count normal, Intervertebral disc protrusion, Metabolic function test normal, Nausea, Paraesthesia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Vicodin
Diagnostic Lab Data: CBC - normal (PLT 217), Metlyte 8 normal. CTA head normal. CT Lumbar spine shows mild disc bulding at L4-5.
CDC Split Type:

Write-up: Initial onset of bilateral lower extremity paresthesias and nausea/vomiting on 4/9/21, lasting 2 days and 1 day respectively. Improvement then noted with return of right lateral leg paresthesia on 4/18/21. No treatment attempts made by patient. Mild right lower leg symptoms persist. No headache, vision changes, abdominal pain, petechiae or bleeding reported.


VAERS ID: 1233228 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cellulitis, Ecchymosis, Erythema, Induration, Inflammation, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Left arm localized swelling, erythema, ecchymosis with warmth. Area is 11x9 cm with central area of induration without fluctuance. Started 1 day after vaccine and has persisted for 10 days. Appears more inflammatory but will treat as cellulitis as patient reports it is worsening.


VAERS ID: 1233240 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: 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: Nikki birth control
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Horrific headache the night she received the shot. Headache continue to next day then eased. Slight fever 101. Mild body aches


VAERS ID: 1233258 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       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: IUD (Mirena), Modafinil, Vitamin D supplement
Current Illness:
Preexisting Conditions: fibromyalgia, narcolepsy, Major depressive disorder, anxiety disorder, PTSD, hypoglycemia, chronic hypotension
Allergies: Lamotrigine causes a fill body rash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe headache for several hours after vaccination


VAERS ID: 1233309 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Asthenia, Blood calcium increased, Chest discomfort, Chest pain, Computerised tomogram normal, Dyspnoea, Fatigue, Gait inability, Headache, Heart rate increased, Hypertension, Hyperventilation, Hypoaesthesia, Laboratory test abnormal, Malaise, Musculoskeletal stiffness, Nausea, Paraesthesia, Peripheral coldness, Pyrexia, Screaming, Throat tightness, Wheelchair user
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: Multiple, as above.
CDC Split Type:

Write-up: Mother gave me lot # which is Moderna lot#201A21A, but the vaccination card says Janssen which does not match up with this lot#. Mother reports that she had the vaccine, had no symptoms, and then started with a fever that evening of 103. She was having cold extremities, numbness, tingling of the arms, face, legs. The fever dropped and went away and was having fatigue and getting winded doing regular activities. By Monday she continued with the shortness of breath and go increasingly worse as the days went on and also the. By Wednesday she was having chest pain, numbness and tingling of her extremities and shortness of breath. She went to the hospital, gave her IVs, says her BP was elevated and sent her home. Mother told her to sleep and see how she felt. By Thursday night 4/15/21 she screamed out because she was having chest pains and having chest and pains and not able to straighten out her hand and could not catch her breath. She was then taken back to the hospital and said that she her BP was high and said that she had the Janssen vaccine, and said that she was hyperventilation due to anxiety. Once they got her stable and released her again. Mother asked the doctor if he felt that this was normal, and could see her throat contracting and that she was stable and to go home, and he said yes and that it was anxiety and that sometimes we get ourselves worked up about things and that was causing it. The daughter has no history of anxiety, no breathing issues. They did labs and everything was okay, her counts were somewhat off but nothing felt to be abnormal. She then went to another Hospital as she was still not feeling well, and checked the other reports from the other hospital and they conferred with that information, gave her Valium and sent her home. As the evening progressed on Friday 4/16/21 she started having chest pains and her girlfriends mother is a nurse and came and saw her and called the mother and told her that she did not like how she was looking, and that her SOB and weakness in her extremities and the tightness in her chest was not right and that she felt that she had a PE. They took her to another location, she had extremely high calcium levels, and high blood pressure and her heart rate was high and she was admitted. She has been on flushes to reduce calcium, and her blood levels are improving. She is on Warfarin to prevent clotting. She has had a CAT scan and other studies and all were negative. She felt better yesterday, but she states today that she is not feeling as well, she is nauseous and gave her Zofran, has a headache, and they gave her something a little stronger than Tylenol. She is extremely fatigued and weak. Mother said that she saw her on Sunday 4/18/21 and that she was not able to walk, they had to put her in a wheelchair, and her grandfather walks faster than she can. They are presently getting her up to get her to walk and see how her strength is, 4/20/21. They are now waiting to get her levels under control and to see if she is strong enough to go home. Neurology released her from their standpoint as they did not see anything, but she is to FU with them afterwards and want to do EMG''s as an out patient.


VAERS ID: 1233451 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Dizziness, Dyspnoea, Dysstasia, Fibrin D dimer, Full blood count, Gait disturbance, Hypersomnia, Immediate post-injection reaction, Impaired work ability, Inflammation, Lip swelling, Magnetic resonance imaging, Metabolic function test, Mobility decreased, Muscle spasms, Musculoskeletal stiffness, Nausea, Pain in extremity, Paraesthesia oral, Platelet count
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3, B12, Spironolactone, Triamcinolone acetonide topical cream, Hydroxyzine HCl, Clindamycin-Benzoyl peroxide topical gel, Tretinoin topical gel, Flonase Allergy Relief.
Current Illness: Seasonal allergic rhinitis
Preexisting Conditions: Cystic acne, Diarrhea, Headache, Osteoarthritis, Vitamin D deficiency.
Allergies: Acetaminophen, Percocet, Shellfish, Tegaderm transparent dressing, Tetracycline, Vicoprofen.
Diagnostic Lab Data: CBC W/AUTO DIFF WITH PLATELETS D-DIMER BASIC METABOLIC PROFILE SACRUM AND/OR COCCYX, 3 VIEWS MRI pelvis without contrast - sacroiliac joints
CDC Split Type:

Write-up: Patient reports: "I received my covid 19 vaccine on Friday April 9th (J&J) and need to report my reactions afterward. Had the usual immediate arm pain after injection along with nausea. Took a Benadryl and napped when got home and woke up 6 hours after injection with a tingling and swollen lower lip and constricted breathing. Took 3 Benadryl in fear of going to hospital and waited it out. Once lip went back to normal as well as breathing went to bed since it was late and slept all day Saturday. Woke up Sunday in agony from lower back pain and tailbone. Now, thurs 4/15 still in extreme pain in my tailbone. Went twice to chiropractor to help and nothing is alleviating the pain and have been practically bed ridden since Sunday. Can?t work, can?t sit, can?t walk can?t stand can?t anything without extreme pain. Been taking ibuprofen everyday and not helping." She had a visit with us on 4/15/2021: "Patient here for extreme pain on her tailbone. She had the Johnson and Johnson vaccine about 6 days ago and about 6 hours later she woke up with a tingling and swollen lip, constricted breathing, and dizziness. She wanted to avoid the hospital, so she took benadryl 75 mg and it slowly resolved her symptoms. These symptoms have not returned since. She was finally able to fall asleep that night and then slept all day the next day. The following day she woke up and experienced extreme pain in her lower back and tailbone. She saw her chiropractor twice this past week, which helped to resolve her low back pain. Per patient her chiropractor noted that her back seemed very inflamed. However, she is still having extreme pain with her tailbone and is unable to sit, stand, bend or work for more than 20 minutes without extreme pain. The only thing that seems to improve her pain is laying on her back with several pillows tucked behind and all around her. However, she is only able to stay in this position for a period of time before her body becomes stiff from immobility. She has been taking ibuprofen 600 mg TID, flexeril PRN, icing and applying moist heat to her back, but none of these measures seem to improve her pain. Lastly she has noticed that when she sits/stands for too long, her buttocks start to spasm. Denies fever, chills, n/v, numbness, tingling, incontinence or loss of bowel/bladder function."


VAERS ID: 1233453 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-03-25
Onset:2021-04-09
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

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

Write-up: New or easy bruising


VAERS ID: 1233512 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Janssen vaccine given to patient under age 18


VAERS ID: 1233518 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Diarrhoea, Headache, Pain in extremity
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies: Adhesive, Aspirin, Azithromycin, Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient complained of headache, diarrhea, and left arm pain that is ongoing since 4/6/2021. She contacted the clinic on 4/19/2021 with her symptoms. The patient was advised to go the the ER.


VAERS ID: 1233583 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Headache, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular 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: meclizine 25 mg tablet Take 1 tablet 3 times a day by oral route as needed. NP Thyroid 15 mg tablet TAKE ONE TABLET BY MOUTH EVERY MORNING ProAir HFA 90 mcg/actuation aerosol inhaler Inhale 2 puff(s) every 4 hours by inhalation route as
Current Illness: none
Preexisting Conditions: hypothyroidism
Allergies: Biaxin Effexor Imitrex levothyroxine Sulfa (Sulfonamide Antibiotics) Zoloft
Diagnostic Lab Data: office visit with PCP
CDC Split Type:

Write-up: Patient reports received J&J vaccine on 4/9. Later that day developed a minor headache and dizziness. Woke up on 4/10 still feeling dizzy, and this has been persistent since. Patient states it comes in waves, and at times feels her vision is a little blurry. Denies vomiting, diarrhea, headaches today. Patient states also feels chest may be a little heavier today- "sensation of wearing a shirt that is too tight" but denies difficulty breathing or SOB. Pt denies any leg pain/redness/swelling/warmth.


VAERS ID: 1233678 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Pruritus, Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (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: 1) ASPIRIN 81MG EC TAB Qty: 90 for 90 days ACTIVE Issu:12-16-20 Sig: TAKE ONE (1) TABLET BY MOUTH Refills: 2 Last:03-12-21 EVERY DAY TO THIN BLOOD Expr:12-17-21 2) GLUCOSE SENSO
Current Illness: None
Preexisting Conditions: 1)Hypothyroidism - 2)Essential hypertension - 3)Myasthenia gravis - 4)Type 2 diabetes mellitus - 5)Diabetes mellitus type 2 without retinopathy -
Allergies: Hydrocodone, Sulfa drugs
Diagnostic Lab Data:
CDC Split Type:

Write-up: 04/19/21 TELEPHONE CALL: I was asked to call this patient who has been experiencing a rash and swelling since 4/9. She received the J&J vaccine 4/8. Rash described as very itchy, starting on extremities, especially wrists, hands, arms, legs, back. Not anterior trunk, not head or neck but head was itchy. She had swelling where the rash was/is, no asymmetric swelling. Much of it has resolved - she states it is "much better" now. Now the rash is mostly just on her hands and wrists, with a little swelling. Her joints do not bother her. No headache, fever, pain other than usual achiness from her medical conditions that include myasthenia gravis and DM. No flare or change in symptoms or state of her chronic illnesses. She has been taking benadryl at night, 12.5 - 25 mg, since 4/11, and using hydrocortisone cream on the rash. She has had a new puppy since 4/13. She gardens and works in her yard. She is active in walking, gardening, weeding, and her activity has not decreased since this began. Although she could have been exposed to weeds or plants in her yard that she might react to, she is covered when she goes out, long pants, shirt, boots etc. She has not used any new soaps, detergents, etc; cannot think of any new exposures. I offered medical evaluation here, but she is comfortable monitoring it at home since it is getting better. I advised her to come in for evaluation if rash or swelling became worse, asymmetric, or if new symptoms begin.


VAERS ID: 1233707 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / SYR

Administered by: Work       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site pruritus, Injection site urticaria, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 7.5 mg Meloxicam 10mg Hydrochloride 2 tablets of 650mg of Tylenol Arthritis Tetanus shot March 29th
Current Illness: nothing
Preexisting Conditions: no
Allergies: soy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills the night of injection. Very tired the next day.Hives in both arms. Still getting them after over a week of injection. Itching like crazy. Keeping me awake. Benadryl and hydrocortisone. Still not helping. Now taking 25mg Hydroxyzine.


VAERS ID: 1234001 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Arthralgia, Dyspepsia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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: He got the vaccine, he''s been having fever but did not take it and feels he is still running fever. He is having pain in his left shoulder on the backside and has heartburn. He did take some Ibuprofen yesterday, but nothing else, not even for the fever. No problems with the area around the injection site.


VAERS ID: 1234244 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Dysstasia, Fatigue, Headache
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Headache extreme fatigue, could not stand,


VAERS ID: 1234834 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Contusion, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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: no
Current Illness: no
Preexisting Conditions: chronic cough (unknown)
Allergies: penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: red dots on arms, bruises


VAERS ID: 1235101 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-03-11
Onset:2021-04-09
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Menstruation delayed
SMQs:, Fertility 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: Metformin, thyroid hormone, vitamins (prenatal, d, b12, fish oil)
Current Illness: None
Preexisting Conditions: PCOS, Hashimoto?s thyroiditis
Allergies: Gluten sensitivity
Diagnostic Lab Data:
CDC Split Type:

Write-up: Delayed menstruation (by 5 days)


VAERS ID: 1235134 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea, Full blood count, Metabolic function test
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: lansoprazole,loratidine, vivelle
Current Illness:
Preexisting Conditions: lichen planus, ibs, gerd, eczema
Allergies: amoxicillin, Macrobid, Sudafed, metrogel, prilosec
Diagnostic Lab Data: cbc, crp, cmp on 4/20/21
CDC Split Type:

Write-up: diarrhea 4/9/21 to current, still occurring


VAERS ID: 1235377 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Body temperature, Chest pain, Chills, Diarrhoea, Feeling abnormal, Influenza like illness, Injection site mass, Nasopharyngitis, Pain, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Dementia (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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:
Current Illness: Supraventricular tachycardia
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 80 F
CDC Split Type: USJNJFOC20210430098

Write-up: INJECTION SITE LUMP/KNOT; VOMITING; DIARRHEA; CHEST PAIN/SORENESS; FELT BAD; COLD; PAIN IN ARM; FLU-LIKE SYMPTOMS; BODYACHE; CHILLS; This spontaneous report received from a consumer concerned a 30 year old female. The patient''s weight was 125 pounds, and height was not reported. The patient''s concurrent conditions included supraventricular tachycardia. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced flu-like symptoms. On 10-APR-2021, the subject experienced bodyache. On 10-APR-2021, the subject experienced felt bad. On 10-APR-2021, the subject experienced cold. On 10-APR-2021, the subject experienced pain in arm. On 11-APR-2021, the subject experienced vomiting. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced chest pain/soreness. Laboratory data included: Body temperature (NR: not provided) 80 F. On an unspecified date, the subject experienced injection site lump/knot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, and diarrhea, had not recovered from injection site lump/knot, and the outcome of chills, flu-like symptoms, bodyache, pain in arm, chest pain/soreness, cold and felt bad was not reported. This report was non-serious.


VAERS ID: 1235404 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Headache, Injection site pain, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)

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

Write-up: Throat tightened (4 hrs) then splitting headache (1 day) and major injection site soreness. Site is still sore and I?m continuing to suffer from fatigue since it started last week.


VAERS ID: 1235417 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Axillary pain, Cough, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain in extremity, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have been having pain in my legs above and below my knees. I have pulsating pains under my left armpit and arm. Have been having headaches everyday that are worse first thing after waking up. Feels like I have a head cold (runny/stuffy nose, cough, sore throat) for the past 4 days that seems to be getting worse.


VAERS ID: 1235583 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Discomfort, Maternal exposure during breast feeding, Menstruation irregular, Pelvic discomfort, Sensory disturbance, Vaginal haemorrhage
SMQs:, Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Neonatal exposures via breast milk (narrow), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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: I am 3 months post partum. The day after I received my shot, my pelvic area had a odd feeling. Almost like my uterus felt a dull very very mild pressure. Day 2 after receiving my shot, I started to bleed. I am exclusively breastfeeding and I have never had a period start this early with all of my other children. Normal is 7 plus months for me. This period was also not a normal period. I had zero cramps. I felt nothing. I never have had a period with zero cramps. Lasted for 7 days.


VAERS ID: 1235595 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:2021-03-13
Onset:2021-04-09
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoxia, Illness, Life support, Loss of consciousness, Mydriasis, Oxygen saturation
SMQs:, Torsade de pointes/QT prolongation (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No medical history)
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Oxygen very low; Result Unstructured Data: low
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Was not responding/wouldn''t open her eyes; Very sick; Her pupils were dilated; Hypoxia; Life support; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Was not responding/wouldn''t open her eyes), ILLNESS (Very sick), MYDRIASIS (Her pupils were dilated), HYPOXIA (Hypoxia) and LIFE SUPPORT (Life support) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. The patient''s past medical history included No adverse event (No medical history). On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Was not responding/wouldn''t open her eyes) (seriousness criteria hospitalization and medically significant), ILLNESS (Very sick) (seriousness criterion hospitalization), MYDRIASIS (Her pupils were dilated) (seriousness criterion hospitalization), HYPOXIA (Hypoxia) (seriousness criterion hospitalization) and LIFE SUPPORT (Life support) (seriousness criterion hospitalization prolonged). The patient was hospitalized from 09-Apr-2021 to 11-Apr-2021 due to LIFE SUPPORT, then on 09-Apr-2021 due to HYPOXIA, ILLNESS, LOSS OF CONSCIOUSNESS and MYDRIASIS. On 11-Apr-2021, LOSS OF CONSCIOUSNESS (Was not responding/wouldn''t open her eyes), ILLNESS (Very sick), MYDRIASIS (Her pupils were dilated), HYPOXIA (Hypoxia) and LIFE SUPPORT (Life support) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Apr-2021, Oxygen saturation: low (Low) low. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient was on life support. Very little regarding these events has been provided at this time. Further information has been requested. Based on the current available information and the temporal association between product use and the start date of the events a causal relationship cannot be exclude.; Sender''s Comments: Very little regarding these events has been provided at this time. Further information has been requested. Based on the current available information and the temporal association between product use and the start date of the events a causal relationship cannot be exclude.


VAERS ID: 1235961 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oregon  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420040

Write-up: BREATHING DIFFICULTY; CHEST TIGHTNESS; SHAKY; This spontaneous report received from a patient concerned a female of unspecified age. 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: Unknown, Expiry: Unknown) dose was not reported,1 total administered on 09-APR-2021 11:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, initially the patient felt fine. However, later she felt shaky and experience difficulty breathing and chest tightness. At the time of this report, due to possible side effects she experienced, she was advised to seek medical attention. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from shaky, breathing difficulty, and chest tightness. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210420040-Covid-19 vaccine ad26.cov2.s- breathing difficulty. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


VAERS ID: 1235965 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Fatigue, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: No known drug allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 100.9 F
CDC Split Type: USJNJFOC20210420192

Write-up: SHAKES; CHILLS; FEVER; HEADACHE; FATIGUE; This spontaneous report received from a patient concerned a 54 year old male. The patient''s weight was 227 pounds, and height was not reported. The patient''s pre-existing medical conditions included no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, 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 shakes. On 09-APR-2021, the subject experienced fever. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced fatigue. On 09-APR-2021, the subject experienced chills. Laboratory data included: Body temperature (NR: not provided) 100.9 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shakes, and chills on 10-APR-2021, and had not recovered from fever, headache, and fatigue. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1235978 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug allergy (aspirin caused ulcers)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 101.6 F
CDC Split Type: USJNJFOC20210420642

Write-up: FEVER; This spontaneous report received from a patient concerned a 63 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included aspirin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 18:00 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021 21:00, the subject experienced fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 101.6 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever. This report was non-serious.


VAERS ID: 1235982 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Kentucky  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A1A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills
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: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: No known allergies No drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420674

Write-up: CHILLS; This spontaneous report received from a patient concerned a 36 year old male. The patient''s weight was 190 pounds, and height was 74 inches. The patient''s concurrent conditions included no alcohol, and non smoker, and other pre-existing medical conditions included no known allergies no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042a1a, and batch number: 042A1A expiry: 21-JUN-2021) dose was not reported, administered on 09-APR-2021 to Left Deltoid for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021 21:00, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 10-APR-2021 03:00. This report was non-serious.


VAERS ID: 1235990 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Disorientation, Dyspnoea, Headache, Initial insomnia, Pain in extremity, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hormone replacement therapy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420827

Write-up: UPSET STOMACH; SOME LOOSE STOOLS; ARM ACHED; CHILLS; HEADACHE BECAME AGONIZING AND POUNDING; TROUBLE BREATHING; TROUBLE FALLING ASLEEP; FACE FELT SWOLLEN; FELT DISORIENTED; This spontaneous report received from a patient concerned a 20 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hormone replacement therapy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced trouble breathing. On 09-APR-2021, the subject experienced trouble falling asleep. On 09-APR-2021, the subject experienced face felt swollen. On 09-APR-2021, the subject experienced felt disoriented. On 09-APR-2021, the subject experienced arm ached. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced headache became agonizing and pounding. On 10-APR-2021, the subject experienced upset stomach. On 10-APR-2021, the subject experienced some loose stools. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from arm ached, and headache became agonizing and pounding, and the outcome of chills, trouble falling asleep, face felt swollen, trouble breathing, upset stomach, some loose stools and felt disoriented was not reported. This report was non-serious.; Sender''s Comments: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.


VAERS ID: 1236000 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Fatigue
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420963

Write-up: LEFT CHEST PAIN; FELT VERY TIRED; This spontaneous report received from a patient concerned a 62 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included asthma. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced felt very tired. On 09-APR-2021 02:00, the subject experienced left chest pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from left chest pain, and felt very tired. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.


VAERS ID: 1236008 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Nail discolouration
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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421009

Write-up: NAILS TURNED ORANGE; This spontaneous report received from a pharmacist concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, 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 nails turned orange. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nails turned orange. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.


VAERS ID: 1236017 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Body temperature, Chills, Headache, Heart rate, Heart rate increased, Oxygen saturation, Oxygen saturation decreased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Hypertension (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Seasonal allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 103.8 (unit not provided); Test Date: 20210409; Test Name: Heart rate; Result Unstructured Data: 111-121 (unit not provided); Test Date: 20210409; Test Name: Blood pressure; Result Unstructured Data: 129/78 (unit not provided); Test Date: 20210409; Test Name: O2 saturation; Result Unstructured Data: 99 %; Test Date: 20210409; Test Name: Body temperature; Result Unstructured Data: 101.8 to 102.8 (unit not provided); Test Date: 20210409; Test Name: Blood pressure; Result Unstructured Data: 155/81 (unit not provided)
CDC Split Type: USJNJFOC20210421254

Write-up: HEART RATE OF 111-121; BLOOD PRESSURE OF 155/81; O2 SATURATION OF 99 %; CHILLS; HEADACHE; FEVER SPIKED 103.8; This spontaneous report received from a consumer concerned a 29 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included seasonal allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, 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 heart rate of 111-121. On 09-APR-2021, the subject experienced blood pressure of 155/81. On 09-APR-2021, the subject experienced o2 saturation of 99 %. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced fever spiked 103.8. Laboratory data included: Blood pressure (NR: not provided) 155/81 (unit not provided), 129/78 (unit not provided), Body temperature (NR: not provided) 101.8 to 102.8 (unit not provided), 103.8 (unit not provided), Heart rate (NR: not provided) 111-121 (unit not provided), and O2 saturation (NR: not provided) 99 %. On 09-APR-2021 21:00, treatment medications included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever spiked 103.8, and the outcome of chills, headache, heart rate of 111-121, blood pressure of 155/81 and o2 saturation of 99 % was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1236018 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421295

Write-up: RASH ON BOTH LEGS; ITCHINESS AT RASH SITE; BURNING SENSATION AT RASH SITE; This spontaneous report received from a patient concerned a 49 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: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 16:31:00 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced rash on both legs. On 09-APR-2021, the subject experienced itchiness at rash site. On 09-APR-2021, the subject experienced burning sensation at rash site. Treatment medications included: prednisone. Additional treatment medications (dates unspecified) included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash on both legs, itchiness at rash site, and burning sensation at rash site. This report was non-serious.


VAERS ID: 1236026 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: North Dakota  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A1A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Illness, SARS-CoV-2 test, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Negative; Comments: COVID test done six months ago via nasal swab test
CDC Split Type: USJNJFOC20210421343

Write-up: SICK; WANT TO SLEEP ALL DAY; FATIGUE; TIREDNESS; This spontaneous report received from a patient concerned a 49 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, batch number: 043a1a, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced want to sleep all day. On 09-APR-2021, the subject experienced fatigue. On 09-APR-2021, the subject experienced tiredness. On an unspecified date, the subject experienced sick. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fatigue, and tiredness, and the outcome of want to sleep all day and sick was not reported. This report was non-serious.


VAERS ID: 1236029 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy; Gout; Grass allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421381

Write-up: DIZZINESS; This spontaneous report received from a patient concerned a 46 year old male. The patient''s weight was 180 pounds, and height was 64 inches. The patient''s past medical history included gout, and concurrent conditions included allergy to grass, and allergy to hay. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, 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 dizziness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness on 09-APR-2021. This report was non-serious.


VAERS ID: 1236030 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Iowa  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Dizziness, Fatigue, Injection site pain
SMQs:, Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (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: Abstains from alcohol; Diabetic; Fruit allergy; Iodine allergy; Smoker (Pack per day)
Preexisting Conditions: Comments: No drug abuse or illicit drug usage
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421396

Write-up: FATIGUE; DIARRHEA; INJECTION SITE PAIN; LIGHT HEADEDNESS; This spontaneous report received from a patient concerned a 59 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included diabetic, iodine allergy, kiwi fruit skin allergy, non alcohol user, and smoker, and other pre-existing medical conditions included no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, 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 light headedness. On 09-APR-2021, the subject experienced injection site pain. On 10-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from light headedness on 09-APR-2021, and diarrhea on 11-APR-2021, was recovering from fatigue, and had not recovered from injection site pain. This report was non-serious.


VAERS ID: 1236031 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Alabama  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Hypertension, Influenza like illness
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL
Current Illness: Abstains from alcohol; Anxiety; Depression; Hypertension; Hypokalemia; Non-smoker; Penicillin allergy
Preexisting Conditions: Comments: The patient was not pregnant at the time of reporting. The patient had no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: 140s (unit not specified); Test Date: 20210409; Test Name: Blood pressure; Result Unstructured Data: 156/78 mmHg; Test Name: Blood pressure; Result Unstructured Data: 120s (unit not specified)
CDC Split Type: USJNJFOC20210421408

Write-up: BLOOD PRESSURE KEEPS GOING UP; FLU LIKE SYMPTOMS/CHILLS/HEADACHE; This spontaneous report received from a patient concerned a 68 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included hypertension, hypokalemia, anxiety, depression, penicillin allergy, non alcoholic, and non-smoker, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. the patient had no history of drug abuse or illicit drug usage. The patient experienced drug allergy when treated with lisinopril, and ibuprofen for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. Concomitant medications included paracetamol for prevention. On APR-2021, Laboratory data included: Blood pressure (NR: not provided) 140s (unit not specified). On 09-APR-2021, the subject experienced blood pressure keeps going up. On 09-APR-2021, the subject experienced flu like symptoms/chills/headache. Laboratory data included: Blood pressure (NR: not provided) 156/78 mmHg. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) 120s (unit not specified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from flu like symptoms/chills/headache, and had not recovered from blood pressure keeps going up. This report was non-serious.; Sender''s Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1236035 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Dyspnoea, Headache, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421470

Write-up: NAUSEA; HEADACHE; SHORTNESS OF BREATH; NOT HUNGRY; This spontaneous report received from a consumer concerned a male of unspecified age. The patient''s weight, height, and medical history were not . The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced not hungry. On 10-APR-2021, the subject experienced shortness of breath. On an unspecified date, the subject experienced nausea, and headache. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea, shortness of breath, not hungry and headache was not reported. This report was non-serious.; Sender''s Comments: V0 Medical assessment comment not required as per standard procedure as the case was assessed as non-serious..


VAERS ID: 1236041 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN ''046AZIA'' / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Headache
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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421529

Write-up: FEELS WARM; HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. 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: 046AZIA, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced feels warm. On 09-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, and feels warm. This report was non-serious.


VAERS ID: 1236042 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Utah  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood urine present
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210421546

Write-up: PEEING BLOOD; This spontaneous report received from a consumer concerned a 56 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: Unk) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested No concomitant medications were reported. On 09-APR-2021, the subject experienced peeing blood. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from peeing blood. This report was non-serious.; Sender''s Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious.


VAERS ID: 1236044 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, 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? 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: USJNJFOC20210421590

Write-up: BODY ACHES; BURNING UP; FEVER; HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. 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: 043A21A, 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 body aches. On 09-APR-2021, the subject experienced burning up. On 09-APR-2021, the subject experienced fever. On 09-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, headache, body aches, and burning up. This report was non-serious.


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