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

Found 111 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Manufacturer is JANSSEN and Symptom is Myocarditis or Pericarditis



Case Details

This is page 8 out of 12

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VAERS ID: 1535231 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-07-24
Onset:2021-07-27
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram, Myocarditis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Chest pain - Myocarditis


VAERS ID: 1536049 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-06
Onset:2021-05-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Dyspnoea exertional, Electrocardiogram T wave abnormal, Pain, Pericarditis, Stress echocardiogram normal, Troponin normal
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma
Allergies: none
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: Johnson/Johnson vaccine 5/6/21 at 2 PM. About 7 hours later, body aches gradually worsening. Around 9 AM 5/7/21, developed substernal CP aching/sharp quality, 6/10, accompanied by SOB. He notes mild increased SOB/CP with exertion. EKG was abnormal with inverted t waves V1-4, III, he was admitted over night and diagnosed with pericarditis. Stress echo showed no abnormality. Negative troponin. On follow ekg changes normalized, he improved with ibuprofen alone


VAERS ID: 1536701 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210809585

Write-up: PERICARDITIS; This spontaneous report was received from literature: Myocarditis and Pericarditis After Vaccination for COVID-19. 2021 Aug 04. This report concerned multiple patients. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown expiry: unknown) dose, start therapy date were not reported, 1 total administered for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patient experienced pericarditis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of pericarditis was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210809585-COVID-19 VACCINE AD26.COV2.S-pericarditis. 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: 1540510 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-04-01
Onset:2021-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Fatigue, Musculoskeletal chest pain, Pericarditis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Fever that lasted three days, tiredness, severe heart pains (felt like a heart attack), diagnosed with pericarditis, place on a anti -inflammatory medication, pain around heart and chest muscles, ribs has popped out, has went to a chiropractor for treatment


VAERS ID: 1541404 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-03
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043AZ1A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Myocarditis
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: clopidogrel sirolimus lamotrigin olanzapine atorvastatin
Current Illness: None
Preexisting Conditions: Transplant recipient
Allergies: None
Diagnostic Lab Data: CAT Scan - July 10, 2021
CDC Split Type:

Write-up: The vaccine was from Johnson and Johnson. It wasn''t listed on your drop-down. He was diagnosed with myocarditis on August 10, 2021.


VAERS ID: 1546334 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-31
Onset:2021-08-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac imaging procedure abnormal, Computerised tomogram normal, Dehydration, Diarrhoea, Fatigue, Hypoaesthesia, Myocardial infarction, Myocardial necrosis marker increased, Myocarditis, Oxygen saturation decreased, Platelet count decreased, Vomiting
SMQs:, Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: no made aware to provider
Current Illness: Healthy and fit individual
Preexisting Conditions: no chornic health condition
Allergies: Polyethyleneglycol
Diagnostic Lab Data: Low platelet Heart inflammation Elevated cardiac enzyme
CDC Split Type:

Write-up: Patient received J and J vaccine July 31st around noon. Pt was waited 15 minutes and was fine when left the pharmacy. Patients symptoms started at night. Pt vomitted, had diarrhea and dehydration and numbness on the legs. Monday, pt was given 2 iv bags. Platelet count was low. Tue: pt was at ER for having dehydration, diarrhea and was given 1 iv bag of fluid. On Wed, was briefly was without symptoms, except being tired. Since then, patient continue to have dehydation, and vomitting up until the following Monday (August 9th, 2021). Pt was admitted to the ER. Oxy level dropped to around 60%. Pt was given oxygen. CT scan did not indicate any blood clot. Cardiac enzym was elevated. Scan also showed cardiac inflammation. Doctor determined patient might have experienced minor heart attack or cardiac inflammation. Pt has been transported to Cardiac clinic for further evaluation.


VAERS ID: 1549143 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-16
Onset:2021-06-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A2A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-07-25
   Days after onset: 39
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PREDNISONE 10MG LOSARTAN 25MG DOXYCYCLINE MONO 100MG ALPRAZOLLAM 0.5MG SYMBICORT 160/4.5MCG HYDROCHLOROTHIAZIDE 25MG LIOTHYRONINE25MCG
Current Illness:
Preexisting Conditions: COPD HYPERTENSION
Allergies: CLARITHROMYCIN LEVOFLOXACIN AUGMENTIN
Diagnostic Lab Data:
CDC Split Type:

Write-up: PASSES AWAY ON 7/25/21 OF UNKNOWN CAUSE BUT HAD PERICARDITIS


VAERS ID: 1591510 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-08-06
Onset:2021-08-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blood creatine phosphokinase, Blood test, C-reactive protein, Chest pain, Computerised tomogram, Electrocardiogram abnormal, Fatigue, Headache, Hypoaesthesia, Magnetic resonance imaging, Muscular weakness, Pain, Pain in extremity, Pericarditis, Pyrexia, Red blood cell sedimentation rate, Scan with contrast
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fiber supplement
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa antibiotics
Diagnostic Lab Data: 8/18 CT Scan with contrast, MRI, EKG, Blood work, and physical examination ruled out stroke. 8/20 Follow-up visit with GP performed C-Reactive Protein, CK Total, and Erythrocyte Sedimentation Rate blood work. Results pending. Additional EKG performed. EKG showed abnormality consistent with Pericarditis. Began treatment as prescribed.
CDC Split Type:

Write-up: Initial pain and fever on 8/7/2021. Pain in left arm turned into numbness. Numbness extended down the arm and severe headaches persisted. Weakness in muscles including legs developed after about 5-6 days. Overall, extreme exhaustion and weakness after the first week. Chest pain developed. On 8/18, numbness on the left side of my face appeared. All other symptoms previously noted were present.


VAERS ID: 1594430 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210836454

Write-up: PERICARDITIS; This spontaneous report received from a consumer via a company representative through (social media) news article spells out which cardiac conditions warrant caution with vax concerned two patients of unknown age, sex. The patients weight, height, and medical history were not reported. The patients received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown, expiry: unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patients experienced pericarditis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of pericarditis was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210836454-covid-19 vaccine ad26.cov2.s -pericarditis. 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: 1617821 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-23
Onset:2021-08-20
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Acute myocardial infarction, Electrocardiogram ST-T change, Myocardial necrosis marker increased, Pericarditis, Troponin
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: HS trop 1 hr 98, 3 hr 73 and delta change 33. Also nonspecific st changes on ekg at admission 8/20/2021
CDC Split Type:

Write-up: poss NSTEMI/pericarditis elevated cardiac enzymes


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