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From the 5/7/2021 release of VAERS data:

Found 188,897 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 85 out of 1,889

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VAERS ID: 1240181 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Chills, Dysgeusia, Fatigue, Pain
SMQs:, Taste and smell disorders (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: Fluvoxamine 150mg ER; Nuvaring; Phentermine 37.5MG
Current Illness: n/a
Preexisting Conditions: PCOS; obesity; OCD; anxiety; depression
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Body aches; chills; fatigue; loss of taste; metallic taste. Lasted about 48 hours after onset of symptoms. Symptoms began about 14 hours after vaccination. Treated with OTC medication and rest.


VAERS ID: 1240505 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Underdose
SMQs:, Medication errors (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: USJNJFOC20210420047

Write-up: INSUFFICIENT DOSE GIVEN; This spontaneous report received from a pharmacist concerned a 40-year-old female. The patient''s weight was 145 pounds, and height was 177.8 centimeters. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number:1808982 expiry: 31-JUN-2021) dose was not reported, 1 total administered on 10-APR-2021 on left deltoid for prophylactic vaccination. No concomitant medications were reported. It was reported that on 10-APR-2021, during the process of injecting the vaccine to the patient, reporter noticed that the tip of syringe was leaking that caused to inject an insufficient dose (approximately 0.1 ml had leaked) of JANSSEN COVID-19 vaccine. Repetition of dose will depend on patient''s clinical judgement. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of insufficient dose given was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: 20210420047-covid-19 vaccine ad26.cov2.s-insufficient dose given. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1240523 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Nausea, Oropharyngeal pain, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Mycosis fungoides; Comments: The patient had no known allergies. The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420784

Write-up: SEVERE STOMACH ACHE; BODY ACHE; VOMITING; SORE THROAT; HEADACHE; NAUSEA; FEVER; This spontaneous report received from a patient concerned a 19 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included mycosis fungoides, and concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included the patient had no known allergies. the patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 10-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 10-APR-2021, the subject experienced severe stomach ache. On 10-APR-2021, the subject experienced body ache. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced sore throat. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced nausea. On 10-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe stomach ache, body ache, nausea, vomiting, sore throat, headache, and fever. 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: 1240524 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fall, Loss of consciousness, Musculoskeletal pain, Pyrexia, Vital signs measurement
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Passed out (Patient had passed out when getting blood work done previously.); Comments: The patient had passed out when getting blood work done previously.
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: Vital signs measurement; Result Unstructured Data: Not reported
CDC Split Type: USJNJFOC20210420904

Write-up: FEVER; PASSED OUT/ ''FELT REALLY BAD/TERRIBLE/HORRIBLE, VITALS VERY LOW, FELT WARM, SWEAT, CHILLS, FELT WEAK, FEELING TIRED/EXHAUSTION; CRASHING TO THE FLOOR; LEFT BUTT CHEEK HURTS; This spontaneous report received from a patient concerned a 40 year old female.. The patient''s height, and weight were not reported. The patient''s past medical history included passed out, and other pre-existing medical conditions included the patient had passed out when getting blood work done previously. The patient was previously treated with influenza vaccine for prophylactic vaccination. The patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: UNKNOWN) dose was not reported, 1 total dose administered on 09-APR-2021 13:15 in left deltoid for prophylactic vaccination. No concomitant medications were reported. On APR-2021, Laboratory data included: Vital signs measurement (NR: not provided) Not reported. On 10-APR-2021, the patient experienced passed out/ felt really bad/terrible/horrible, vitals very low, felt warm, sweat, chills, felt weak, feeling tired/exhaustion. On 10-APR-2021, the patient experienced crashing to the floor. On 10-APR-2021, the subject experienced left butt cheek hurts. On 11-APR-2021, the subject experienced fever. the patient woke up in the morning, and while washing her hands in the bathroom, she began to feel really bad and started to lower herself down and she passed out, then she ended up crashing to the floor, she did not hit her head, and her left butt cheek got hurt. Her husband called emergency medical services (EMS) who treated her until she regained consciousness. Patient also stated that she felt terrible and horrible. Emergency medical services recommended that she be taken to the hospital for further evaluation, but she declined. She had a history of passing out after bloodwork, but had never had this delayed of a reaction with bloodwork or any reaction to the flu shot. EMS called and her vitals were all very low. She did not go to the hospital. She felt improved and had been taking it easy at the time of this report. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from crashing to the floor on 10-APR-2021, and was recovering from passed out/ felt really bad/terrible/horrible, vitals very low, felt warm, sweat, chills, felt weak, feeling tired/exhaustion, left butt cheek hurts, and fever. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210420904-covid-19 vaccine ad26.cov2.s-Passed out. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1240542 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL; VITAMIN D3
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424073

Write-up: CALF PAIN; This spontaneous report received from a patient concerned a 65 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: 041A21A, expiry: UNKNOWN) dose was not reported, administered on 03-MAR-2021 for prophylactic vaccination. Concomitant medications included paracetamol for discomfort in left calf, and leg pain, and colecalciferol for drug used for unknown indication. On 10-APR-2021, the subject experienced calf pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from calf pain. This report was non-serious.


VAERS ID: 1240561 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USJNJFOC20210424335

Write-up: RASHES ON LEFT ARM, BELLY, LEFT ARM PIT AND GROIN AREA; This spontaneous report received from a patient concerned a 52 year old of unspecified sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (form of admin and route of admin were not reported, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced rashes on left arm, belly, left arm pit and groin area. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from rashes on left arm, belly, left arm pit and groin area. This report was non-serious.


VAERS ID: 1240572 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Fatigue, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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: Alcoholic (2 glasses of wine per day.); Drug allergy (Reye''s syndrome history); Non-smoker; Reye''s syndrome
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: 101 F
CDC Split Type: USJNJFOC20210424550

Write-up: HIGH FEVER; EXTREME FATIGUE; SORE ARM AT INJECTION SITE; This spontaneous report received from a patient concerned a 56 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included penicillin and aspirin allergy, alcoholic, non smoker, and reye''s syndrome. 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 10-APR-2021 13:00 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021 21:30, the subject experienced high fever. On 10-APR-2021 21:30, the subject experienced extreme fatigue. On 10-APR-2021 21:30, the subject experienced sore arm at injection site. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 101 F. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from high fever, and extreme fatigue on 12-APR-2021, and had not recovered from sore arm at injection site. This report was non-serious.


VAERS ID: 1240586 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Diarrhoea, Dyspnoea, Ear discomfort, Headache, Mastication disorder, Spinal pain, Toothache, Trismus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Dystonia (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: ADHD; Anxiety; Aphasia; Asthma; Central auditory processing disorder; Depression; Drug allergy; Learning disorder; Obsessive-compulsive disorder; Penicillin allergy; Reading disorder; Seafood allergy; Speech disorder
Preexisting Conditions: Medical History/Concurrent Conditions: Anemia; Insomnia
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424689

Write-up: VOMITING; "EXPLOSIVE DIARRHEA"; DIFFICULTY BREATHING; UNABLE TO CHEW; WATER IN EARS FEELING; PAIN IN ELBOWS AND KNEES; HEADACHE; PAIN IN SPINE FROM "NECK TO BONES"; "FELT LIKE SKELETON WAS ON FIRE"; ALL TEETH ACHY; LOCKJAW; 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 past medical history included insomnia, and anemia, and concurrent conditions included penicillin allergy, asthma, adhd, ocd, memory aphasia, auditory processing dyslexia, speech and language difficulties, reading disorder, difficulty learning math, anxiety, depression, aspirin allergy, and allergic to seafood. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced pain in spine from "neck to bones". On 10-APR-2021, the subject experienced "felt like skeleton was on fire". On 10-APR-2021, the subject experienced all teeth achy. On 10-APR-2021, the subject experienced lockjaw. On 10-APR-2021, the subject experienced unable to chew. On 10-APR-2021, the subject experienced water in ears feeling. On 10-APR-2021, the subject experienced pain in elbows and knees. On 10-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced vomiting. On 11-APR-2021, the subject experienced "explosive diarrhea". On 11-APR-2021, the subject experienced difficulty breathing. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting on 11-APR-2021, had not recovered from pain in elbows and knees, pain in spine from "neck to bones", "felt like skeleton was on fire", lockjaw, and water in ears feeling, and the outcome of all teeth achy, "explosive diarrhea", difficulty breathing, headache and unable to chew was not reported. This report was non-serious.


VAERS ID: 1240595 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Chills, Dyspnoea, Fatigue, Lethargy, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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:
CDC Split Type: USJNJFOC20210424892

Write-up: SHORTNESS OF BREATH; SLIGHT CHEST PAIN; LETHARGY; FATIGUE; FEVER; CHILLS; 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 not reported) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced lethargy. On 11-APR-2021, the subject experienced fatigue. On 12-APR-2021, the subject experienced shortness of breath. On 12-APR-2021, the subject experienced slight chest pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills, fatigue, lethargy, shortness of breath and slight chest pain was not reported. This report was non-serious.; Sender''s Comments: V0:Medical assessment comment not required as per standard procedure as case assessed as non serious.


VAERS ID: 1240611 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: USJNJFOC20210425206

Write-up: JAW PAIN WITH LITTLE PUFFINESS; HIVES ON FOREHEAD; This spontaneous report received from a patient concerned a 64 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: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced hives on forehead. On 12-APR-2021, the subject experienced jaw pain with little puffiness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from hives on forehead, and jaw pain with little puffiness. This report was non-serious.


VAERS ID: 1240618 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425276

Write-up: FELT VERY TIRED; This spontaneous report received from a consumer 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) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. No concomitant medications were reported. On 10-APR-2021, the subject experienced felt very tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of felt very tired was not reported. This report was non-serious.


VAERS ID: 1240629 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Food allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210425483

Write-up: CLOSING OF THROAT; HIVES; This spontaneous report received from a patient concerned a 41 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included corn 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 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced closing of throat. On 10-APR-2021, the subject experienced hives. Treatment medications included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from closing of throat, and hives on 10-APR-2021. This report was non-serious.


VAERS ID: 1240632 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Hypersomnia, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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: USJNJFOC20210425537

Write-up: This spontaneous report received from a patient concerned a 54 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: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced weakness. On 10-APR-2021, the subject experienced tiredness. On 10-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced arm soreness. On an unspecified date, the subject experienced excessive sleeping. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, had not recovered from weakness, tiredness, and arm soreness, and the outcome of excessive sleeping was not reported. This report was non-serious.


VAERS ID: 1240643 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Formication, Headache, Limb discomfort, Musculoskeletal chest pain, Pain, Pain in extremity, Pyrexia, Sensory disturbance, Somnolence
SMQs:, Peripheral neuropathy (narrow), 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: Medical History/Concurrent Conditions: COVID-19; Headache (Patient has mild Covid 19 infection with severe headache.)
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 101 F; Comments: After 12 hours of vaccination patient had a fever.
CDC Split Type: USJNJFOC20210426112

Write-up: LEFT RIB PAIN; GROGGY; LEGS FEEL HEAVY; PULSATING MUSCLE LEFT ARM; FEELS LIKE BUG CRAWLING THROUGH SKIN; BODY ACHES; CHATTERING TEETH; SEVER BILATERAL LOWER LEG PAIN; FEVER; HEADACHE; 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 mild infection of covid 19, and headache. 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 10-APR-2021, the subject experienced groggy. On 10-APR-2021, the subject experienced legs feel heavy. On 10-APR-2021, the subject experienced sever bilateral lower leg pain. On 10-APR-2021, the subject experienced pulsating muscle left arm. On 10-APR-2021, the subject experienced feels like bug crawling through skin. On 10-APR-2021, the subject experienced chattering teeth. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 101 F. On 12-APR-2021, the subject experienced left rib pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from left rib pain, fever, body aches, and headache on 12-APR-2021, was recovering from sever bilateral lower leg pain, had not recovered from pulsating muscle left arm, feels like bug crawling through skin, legs feel heavy, and groggy, and the outcome of chattering teeth was not reported. This report was non-serious.


VAERS ID: 1240645 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Swelling face
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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210426497

Write-up: SWELLING OF THE FACE; This spontaneous report received from a consumer concerned a 68 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: Unknown) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced swelling of the face. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swelling of the face. This report was non-serious.


VAERS ID: 1240648 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210426624

Write-up: FAINTING SPELLS/ SYNCOPE; DIZZINESS/ LIGHTHEADEDNESS; NAUSEA; This spontaneous report received from a health care professional concerned multiple patients of unspecified age and sex. The patients'' heights and weights were not reported. The patients had no known drug allergies. The patients received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 201A21A, expiry: Unknown) frequency one total, dose was not reported, administered on 10-APR-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. The reporter stated that, on 10-APR-2021, the patients experienced side effects which included fainting spells/syncope, dizziness/lightheadedness and nausea within 15 minutes or so after vaccination at a mass vaccination clinic. The events were reported as serious by the reporter. The patients visited a healthcare professional office for fainting spells/syncope, dizziness/lightheadedness and nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fainting spells/syncope, dizziness/lightheadedness and nausea were not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: v0 This spontaneous report from a health care professional concerns multiple adult patients of unspecified age and gender from a mass vaccination site who experienced fainting spells/syncope, dizziness/lightheadedness and nausea within 15 minutes or so after the Janssen COVID-19 Vaccine Ad26.COV2 had been administered. Given the close temporal relationship and the nature of the events, the events are considered possibly related to the vaccination.


VAERS ID: 1240671 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Vermont  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Headache, Insomnia, Pain in extremity
SMQs:, 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: LEVOTHYROXINE
Current Illness: Fruit allergy; Shellfish allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427155

Write-up: LOSS OF ENERGY; TIRED; HEADACHE; DIFFICULTY SLEEPING; PAIN IN THE ARM; This spontaneous report received from a patient concerned a 73 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included mango allergy, and shellfish allergy. The patient experienced drug allergy when treated with cefaclor, and erythromycin. 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 10-APR-2021 for prophylactic vaccination. Concomitant medications included levothyroxine. On 10-APR-2021, the subject experienced difficulty sleeping. On 10-APR-2021, the subject experienced pain in the arm. On 10-APR-2021, the subject experienced tired. On 10-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced loss of energy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from difficulty sleeping on 11-APR-2021, and was recovering from pain in the arm, loss of energy, tired, and headache. This report was non-serious.


VAERS ID: 1240673 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Connecticut  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROPRANOLOL
Current Illness: Allergic reaction to antibiotics; Drug allergy; Tachycardia
Preexisting Conditions: Comments: bactrim, flagyl, keflex allergy, when taken hives occurs with one, and c. diff with hospitalization occurs with the other.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427170

Write-up: JOINT PAIN; LOW GRADE FEVER; 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 tachycardia, bactrim allergy, flagyl allergy, and keflex allergy, and other pre-existing medical conditions included bactrim, flagyl, keflex allergy, when taken hives occurs with one, and c. diff with hospitalization occurs with the other. 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: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Concomitant medications included propranolol for tachycardia. On 10-APR-2021, the subject experienced joint pain. On 10-APR-2021, the subject experienced low grade fever. Treatment medications (dates unspecified) included: oxycodone/paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from joint pain, and low grade fever on 11-APR-2021. This report was non-serious.


VAERS ID: 1240684 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Nasal congestion
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: USJNJFOC20210427310

Write-up: CONGESTION; FATIGUE; This spontaneous report received from a patient concerned a 48 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: 201A21A, and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced fatigue. On an unspecified date, the subject experienced congestion. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fatigue and congestion was not reported. This report was non-serious.


VAERS ID: 1240686 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cough, Insomnia, Nausea, Skin warm, Vomiting
SMQs:, Anaphylactic reaction (broad), 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? 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: USJNJFOC20210427314

Write-up: VOMITING; RATTLING COUGH; NOT SLEEPING; TEMPERATURE-FEEL FOREHEAD WARM; NAUSEA; This spontaneous report received from a patient concerned a 64 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: 1808982, and batch number: 1808982 expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced rattling cough. On 10-APR-2021, the subject experienced not sleeping. On 10-APR-2021, the subject experienced temperature-feel forehead warm. On 10-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from vomiting, rattling cough, not sleeping, nausea, and temperature-feel forehead warm. This report was non-serious.


VAERS ID: 1240687 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Nasopharyngitis, 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:
CDC Split Type: USJNJFOC20210427318

Write-up: COLD SYMPTOMS; FEVER; This spontaneous report received from a consumer 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: Unk) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced cold symptoms. On 10-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold symptoms, and fever on 11-APR-2021. This report was non-serious.


VAERS ID: 1240726 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Injection site hypersensitivity, Lethargy, Rash pruritic, Wound haemorrhage
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pollen allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427799

Write-up: UPPER ARMS BLEEDING; RED ITCHY SPOTS; INJECTION SITE SENSITIVE; WEAKNESS; LETHARGIC; This spontaneous report received from a patient concerned a 47 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included pollen allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced lethargic. On 12-APR-2021, the subject experienced upper arms bleeding. On 12-APR-2021, the subject experienced weakness. On 12-APR-2021, the subject experienced red itchy spots. On 12-APR-2021, the subject experienced injection site sensitive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from red itchy spots, lethargic, weakness, upper arms bleeding, and injection site sensitive. This report was non-serious.


VAERS ID: 1240729 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chills, Hyperhidrosis, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210427828

Write-up: PROFUSE SWEATING; CYCLES OF SHAKING; SEVERE HIP AND JOINT PAIN; CYCLES OF CHILLS; This spontaneous report received from a patient via a company representative 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: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and it has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced profuse sweating. On 10-APR-2021, the subject experienced cycles of shaking. On 10-APR-2021, the subject experienced severe hip and joint pain. On 10-APR-2021, the subject experienced cycles of chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from profuse sweating on 12-APR-2021, and cycles of shaking, and cycles of chills on 11-APR-2021, and had not recovered from severe hip and joint pain. This report was non-serious.


VAERS ID: 1240736 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Myalgia, Neck mass, Pain, Pruritus, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (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? 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: USJNJFOC20210427901

Write-up: TWO LUMPS ON LEFT SIDE OF NECK; ITCHINESS; PAIN; FATIGUE; FELT FEVER; CHILLS; MILD MUSCLE ACHES; This spontaneous report received from a patient concerned a 35 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 expiry: 21-JUNE-2021) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced mild muscle aches. On 10-APR-2021, the subject experienced felt fever. Treatment medications included: paracetamol. On 11-APR-2021, the subject experienced fatigue. On 13-APR-2021, the subject experienced two lumps on left side of neck. On 13-APR-2021, the subject experienced itchiness. On 13-APR-2021, the subject experienced pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, mild muscle aches, and felt fever on 11-APR-2021, and fatigue on 13-APR-2021, had not recovered from two lumps on left side of neck, and the outcome of pain and itchiness was not reported. This report was non-serious.


VAERS ID: 1240758 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Injection site pain, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (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: No known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428238

Write-up: DIZZY; LIGHTHEADEDNESS; PAIN UNDER THE LEFT ARM; CHILLS; SORENESS AT INJECTION SITE; FEVER; GENERALIZED ACHING; This spontaneous report received from a patient concerned a 28 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient does not have any allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 01:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced generalized aching. On 10-APR-2021, the subject experienced soreness at injection site. On 10-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced dizzy. On 13-APR-2021, the subject experienced lightheadedness. On 13-APR-2021, the subject experienced pain under the left arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from generalized aching on 12-APR-2021, chills on 11-APR-2021, soreness at injection site on 10-APR-2021, and fever on 13-APR-2021, and was recovering from dizzy, lightheadedness, and pain under the left arm. This report was non-serious.


VAERS ID: 1240872 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       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? 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: USJNJFOC20210424749

Write-up: BRUISING ON THIGHS AND BELOW GROIN AREA; This spontaneous report received from a patient concerned a 56 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, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced bruising on thighs and below groin area. Treatment medications (dates unspecified) included: acetylsalicylic acid. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bruising on thighs and below groin area. 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: 1240885 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Virginia  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Dyspnoea, Headache, Hot flush, Injection site pain, Pain in extremity, Palpitations, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies and did not had history of reactions to vaccine.
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 103.7 F
CDC Split Type: USJNJFOC20210425823

Write-up: SHORTNESS OF BREATH; FEELING LIKE HEART WAS GOING TO BEAT OUT OF CHEST; HOT FLASH ON FACE; HURTING LEG; TEETH SHATTERING CHILLS; STINGING AT INJECTION SITE; FEVER OF 103.7; SEVERE HEADACHE; 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 pre-existing medical conditions included the patient had no known allergies and did not had history of reactions to vaccine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 206A21A, expiry: Unknown) dose was not reported, administered on 10-APR-2021 10:15 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, treatment medications included: ibuprofen. On 10-APR-2021, the subject experienced shortness of breath. On 10-APR-2021, the subject experienced feeling like heart was going to beat out of chest. On 10-APR-2021, the subject experienced hot flash on face. On 10-APR-2021, the subject experienced hurting leg. On 10-APR-2021, the subject experienced teeth shattering chills. On 10-APR-2021, the subject experienced stinging at injection site. On 10-APR-2021, the subject experienced fever of 103.7. On 10-APR-2021, the subject experienced severe headache. Laboratory data included: Body temperature (NR: not provided) 103.7 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from feeling like heart was going to beat out of chest, hot flash on face, hurting leg, teeth shattering chills, and fever of 103.7 on 11-APR-2021, and stinging at injection site on 10-APR-2021, was recovering from shortness of breath, and had not recovered from severe headache. 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: 1240907 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Disorientation, Dizziness, Fatigue, Pyrexia, Tinnitus, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Vestibular 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:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 2021; Test Name: Body temperature; Result Unstructured Data: Over 100 (unit unspecified)
CDC Split Type: USJNJFOC20210427383

Write-up: EARS RINGING; VOMITING; TIREDNESS; FEVER; DIZZINESS; DISORIENTED; This spontaneous report received from a patient concerned a 42 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: 207A21A, and expiry: 23/JUN/2021) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 2021, Laboratory data included: Body temperature (NR: not provided) Over 100 (unit unspecified). On 10-APR-2021, the subject experienced dizziness. On 10-APR-2021, the subject experienced disoriented. On 10-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced tiredness. On 12-APR-2021, the subject experienced vomiting. On 14-APR-2021, the subject experienced ears ringing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting on 13-APR-2021, and had not recovered from dizziness, disoriented, tiredness, ears ringing, and fever. This report was non-serious.


VAERS ID: 1240910 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Abnormal faeces, Breast discomfort, Chest discomfort, Chills, Defaecation urgency, Diarrhoea, Dyspnoea, Erythema, Heart rate increased, Injection site pain, Migraine, Nasal congestion, Pain, Pain in jaw, Palpitations
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Osteonecrosis (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Allergic reaction to antibiotics; Contrast media reaction; Drug allergy; Fibromyalgia; Lymphedema; Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Back surgery; Comments: The patient had allergy to an unspecified pain medication. The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210428050

Write-up: STUFFY NOSE; DIARRHEA; FAECES HAS REALLY BAD ODOUR; MIGRAINE-LIKE HEADACHE; CHILLS; INJECTION SITE PAIN; PRESSURE IN THE CHEST; RIGHT BREAST (FROM CENTER OF CHEST) UNDER THE ARMPIT STILL FEEL DISCOMFORT; HEART BEATING FASTER; FELT LIKE HEART WAS JUMPING OUT OF THE CHEST; STOMACH PAIN/SHARP PAIN; FELT THE URGE TO GO TO THE BATHROOM; REDNESS OF THE FACE; PAIN IN THE JAWS (BOTH SIDE); FELT LIKE HAVING A HEART ATTACK; PAIN SHOT UP TO RIGHT SIDE OF NECK TO SHOULDER AREA, THEN ELEVATED TO THE EARS; HARD TO BREATHE; 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 past medical history included back surgery, and concurrent conditions included x-ray dye allergy, prednisone allergy, amoxicillin allergy, non alcoholic, non smoker, fibromyalgia, and lymphedema in the legs, and other pre-existing medical conditions included the patient had allergy to an unspecified pain medication. the patient had 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: 1808980, and batch number: 1808980 expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 11:15 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced pressure in the chest. On 10-APR-2021, the subject experienced right breast (from center of chest) under the armpit still feel discomfort. On 10-APR-2021, the subject experienced heart beating faster. On 10-APR-2021, the subject experienced felt like heart was jumping out of the chest. On 10-APR-2021, the subject experienced stomach pain/sharp pain. On 10-APR-2021, the subject experienced felt the urge to go to the bathroom. On 10-APR-2021, the subject experienced redness of the face. On 10-APR-2021, the subject experienced pain in the jaws (both side). On 10-APR-2021, the subject experienced felt like having a heart attack. On 10-APR-2021, the subject experienced pain shot up to right side of neck to shoulder area, then elevated to the ears. On 10-APR-2021, the subject experienced hard to breathe. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced injection site pain. On 10-APR-2021 13:00:00, the subject experienced migraine-like headache. On 13-APR-2021, the subject experienced stuffy nose. On 13-APR-2021, the subject experienced diarrhea. On 13-APR-2021, the subject experienced faeces has really bad odour. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from heart beating faster, and chills on APR-2021, redness of the face on 12-APR-2021, and pain in the jaws (both side) on 11-APR-2021, was recovering from migraine-like headache, pressure in the chest, and hard to breathe, had not recovered from stuffy nose, and diarrhea, and the outcome of stomach pain/sharp pain, injection site pain, felt like heart was jumping out of the chest, felt the urge to go to the bathroom, faeces has really bad odour, pain shot up to right side of neck to shoulder area, then elevated to the ears, felt like having a heart attack and right breast (from center of chest) under the armpit still feel discomfort was not reported. This report was non-serious.; Sender''s Comments: V.0 Medical assessment comment not required as per standard procedure as case was assessed as non-serious.


VAERS ID: 1240921 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Dyspnoea, Feeling abnormal, Headache, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Non-smoker
Preexisting Conditions: Medical History/Concurrent Conditions: Alcohol use (He occasionally drinks a alcohol once in month.); Allergic reaction to antibiotics; Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210429083

Write-up: BRAIN FOGGINESS; HEADACHE; SHORTNESS OF BREATH; ABDOMINAL PAIN; LEG PAIN; This spontaneous report received from a patient concerned a 49 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included allergic to sulfa, occasionally drinks, and non-smoker. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 041A21A expiry: unknown) dose was not reported, 1 total dose, administered on 09-APR-2021 14:00 on left arm for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021 (Saturday morning), the patient experienced shortness of breath, headache, abdominal pain and leg pain. Later, the symptoms were significantly decrease, however he was still experiencing shortness of breath and sometimes brain fogginess. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, abdominal pain, and leg pain, and had not recovered from brain fogginess, and shortness of breath. This report was non-serious.; Sender''s Comments: V0:Medical assessment comment not required as per standard operating procedures.


VAERS ID: 1240925 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Computerised tomogram, Dyspnoea, Epistaxis, Fibrin D dimer increased, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Non-smoker; Social alcohol drinker
Preexisting Conditions: Comments: The patient had no known drug allergies and no history of drug abuse or illicit drug use. The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data: Test Date: 20210413; Test Name: CT scan; Result Unstructured Data: Negative; Test Date: 20210413; Test Name: Fibrin D dimer high; Result Unstructured Data: Elevated
CDC Split Type: USJNJFOC20210429189

Write-up: ELEVATED D-DIMER; SHORTNESS OF BREATH; NOSE BLEED; BODY ACHES; CHILLS; FEVER; HEADACHE; This spontaneous report received from a patient concerned a 44 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included social alcohol drinker, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies and no history of drug abuse or illicit drug use. the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced nose bleed. On 12-APR-2021, the subject experienced shortness of breath. On 13-APR-2021, the subject experienced elevated d-dimer. Laboratory data included: CT scan (NR: not provided) Negative, and Fibrin D dimer high (NR: not provided) Elevated. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, nose bleed, chills, and fever on 12-APR-2021, and had not recovered from headache, shortness of breath, and elevated d-dimer. This report was non-serious.


VAERS ID: 1240926 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Hawaii  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201821A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Diarrhoea, Dizziness, Headache, Pyrexia, Rhinalgia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: 20210410; Test Name: Body temperature; Result Unstructured Data: 102 F; Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 103 F
CDC Split Type: USJNJFOC20210429224

Write-up: DIARRHEA; DIZZINESS; LEFT NOSTRIL PAIN; HEADACHE ON LEFT SIDE/ HEADACHE FELT THROUGH EAR; TEMP 102-103; This spontaneous report received from a patient concerned a 33 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, and batch number: 201821A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced diarrhea. On 10-APR-2021, the subject experienced dizziness. On 10-APR-2021, the subject experienced left nostril pain. On 10-APR-2021, the subject experienced headache on left side/ headache felt through ear. On 10-APR-2021, the subject experienced temp 102-103. Laboratory data included: Body temperature (NR: not provided) 102 F. On 11-APR-2021, Laboratory data included: Body temperature (NR: not provided) 103 F. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache on left side/ headache felt through ear, diarrhea, left nostril pain, temp 102-103 and dizziness was not reported. This report was non-serious.


VAERS ID: 1240935 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Georgia  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1A05031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Migraine, Nasopharyngitis
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: USJNJFOC20210429812

Write-up: COLD/MUCUS CONGESTION/COUGHING GREEN MUCUS/FEELING SICK/TIRED/NO ENERGY/SLUGGISH; MIGRAINE/SEVERE POUNDING HEADACHE; This spontaneous report received from a parent concerned a 24 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 and batch number: 1A05031 expiry: UNKNOWN) dose was not reported, administered on 29-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced cold/mucus congestion/coughing green mucus/feeling sick/tired/no energy/sluggish. On 10-APR-2021, the subject experienced migraine/severe pounding headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the cold/mucus congestion/coughing green mucus/feeling sick/tired/no energy/sluggish and migraine/severe pounding headache was not reported. 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: 1240945 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041142114 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Dyspnoea exertional, Electrocardiogram, Erythema, Headache, Pain in extremity, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure high; Borderline diabetes
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation; Comments: Patient had No known allergies
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: EKG; Result Unstructured Data: came out fine
CDC Split Type: USJNJFOC20210430175

Write-up: CHEST PAIN/BURNING; FACE REDDENING; BLURRED VISION; SORE LEGS; HEADACHES; TROUBLE BREATHING AFTER DOING MANUAL LABOR/SHORTNESS OF BREATH; This spontaneous report received from a patient via a company representative concerned a 62 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included atrial fibrillation, and concurrent conditions included high blood pressure, and borderline diabetes, and other pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced trouble breathing after doing manual labor/shortness of breath. On 10-APR-2021, the subject experienced face reddening. On 10-APR-2021, the subject experienced blurred vision. On 10-APR-2021, the subject experienced sore legs. On 10-APR-2021, the subject experienced headaches. On 12-APR-2021, the subject experienced chest pain/burning. Laboratory data included: EKG (NR: not provided) came out fine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chest pain/burning on 13-APR-2021, and face reddening on 12-APR-2021, and was recovering from trouble breathing after doing manual labor/shortness of breath, headaches, sore legs, and blurred vision. This report was non-serious. This case is a duplicate. Additional information was received from patient on 15-APR-2021. It was determined that it was a duplicate of this case. All relevant information regarding this case will be submitted under Manufacturer Case Number. Sender''s Comments: V0:Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1240961 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Headache
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430446

Write-up: ABDOMINAL PAIN; SEVERE HEADACHE; This spontaneous report received from a patient concerned a 51 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: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced abdominal pain. On 10-APR-2021, the subject experienced severe headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from abdominal pain, and the outcome of severe headache was not reported. This report was non-serious.


VAERS ID: 1240964 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenopia, Body temperature increased, Decreased appetite, Fatigue, Headache, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Corneal 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:
Current Illness: Alcohol use (Occasional consumption of alcohol.); Smoker (Occasional smoker.)
Preexisting Conditions: Comments: Patient had no known drug allergies, drug abuse or illicit reported.
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Low grade fever; Result Unstructured Data: 99.3 F
CDC Split Type: USJNJFOC20210430586

Write-up: LACK OF APPETITE; BODY OVERHEATING; SWEATING; HEADACHE; LOW GRADE FEVER; TIREDNESS; EYES FEELING HEAVY; This spontaneous report received from a patient concerned a 28 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included alcohol user, and smoker, and other pre-existing medical conditions included patient had no known drug allergies, drug abuse or illicit reported. 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 10-APR-2021 09:40 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced eyes feeling heavy. On 10-APR-2021, the subject experienced tiredness. On 11-APR-2021, the subject experienced lack of appetite. On 11-APR-2021, the subject experienced body overheating. On 11-APR-2021, the subject experienced sweating. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced low grade fever. Laboratory data included: Low grade fever (NR: not provided) 99.3 F. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body overheating, and sweating on 13-APR-2021, and low grade fever on 12-APR-2021, had not recovered from headache, tiredness, and lack of appetite, and the outcome of eyes feeling heavy was not reported. This report was non-serious.


VAERS ID: 1240976 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Chills, Lethargy
SMQs:, Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430752

Write-up: BACK ACHE; LETHARGY; MINOR CHILLS; This spontaneous report received from a patient via a company representative concerned a 25 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: 205A21A, expiry: 23-JUN-2021) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced back ache. On 10-APR-2021, the subject experienced lethargy. On 10-APR-2021, the subject experienced minor chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from back ache, lethargy, and minor chills. This report was non-serious.


VAERS ID: 1240985 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Fatigue, Headache, Hypertension
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: CT scan; Result Unstructured Data: normal
CDC Split Type: USJNJFOC20210430861

Write-up: ELEVATED BLOOD PRESSURE; SEVERE HEADACHE; FATIGUE; 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 08-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced severe headache. On 10-APR-2021, the subject experienced fatigue. On 12-APR-2021, the subject experienced elevated blood pressure. Laboratory data included: On 12/Apr/2021, computerized tomography scan was done to rule out blood clots. computerized tomography scan (CT scan) (NR: not provided) normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe headache, elevated blood pressure, and fatigue. This report was non-serious.


VAERS ID: 1241004 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Dizziness, Dyspnoea, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (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: COVID-19 (It was a stage 4 COVID-19 infection and had scarring in the lung tissue.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431009

Write-up: DIFFICULTY BREATHING; FAST HEART BEAT; DIZZINESS; WEAKNESS; This spontaneous report received from a patient concerned a 28 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included covid-19 infection. 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 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced difficulty breathing. On 10-APR-2021, the subject experienced fast heart beat. On 10-APR-2021, the subject experienced dizziness. On 10-APR-2021, the subject experienced weakness. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from difficulty breathing, fast heart beat, dizziness, and weakness. This report was non-serious.


VAERS ID: 1241011 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blister, Body temperature, Cough, Diarrhoea, Headache, Pain, Pyrexia, Rash, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics; Penicillin allergy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 100.7 F
CDC Split Type: USJNJFOC20210431083

Write-up: SKIN PEELING; SKIN BLISTER; RASH UNDER BREAST; HEADACHE; STOMACH PAIN; DIARRHEA; COUGH; BODY ACHES; FEVER; This spontaneous report received from a patient concerned a 52 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included sulfa allergy, and penicillin allergy. 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 10-APR-2021 12:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced cough. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced fever. Laboratory data included: Fever (NR: not provided) 100.7 F. Treatment medications included: guaifenesin, and paracetamol. On 11-APR-2021, the subject experienced stomach pain. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced headache. On 14-APR-2021, the subject experienced skin peeling. On 14-APR-2021, the subject experienced skin blister. On 14-APR-2021, the subject experienced rash under breast. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, cough, body aches, headache, stomach pain, and diarrhea, and had not recovered from rash under breast, skin peeling, and skin blister. This report was non-serious.


VAERS ID: 1241020 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Decreased appetite, Fatigue, 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: Patient had no known drug allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431210

Write-up: BODY ACHES; HEADACHE; LOSS OF APPETITE; CHILLS; FEVER; EXTREME FATIGUE; This spontaneous report received from a patient concerned a 60 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included 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: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 15:00 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced extreme fatigue. On 11-APR-2021, the subject experienced loss of appetite. On 11-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced body aches. On 12-APR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, loss of appetite, extreme fatigue, chills, body aches, and headache. This report was non-serious.


VAERS ID: 1241032 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Underdose
SMQs:, Medication errors (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: USJNJFOC20210431378

Write-up: 0.1ML OF JANSSEN COVID 19 VACCINE LEFT IN SYRINGE AFTER ADMINISTRATION; This spontaneous report received from a patient concerned multiple patients. 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: 203A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced 0.1ml of janssen covid 19 vaccine left in syringe after administration. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of 0.1ml of janssen covid 19 vaccine left in syringe after administration was not reported. This report was non-serious. This case, from the same reporter is linked to 20210420581.


VAERS ID: 1241043 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Dizziness, Heart rate, Heart rate increased, Paraesthesia, Paraesthesia oral, Pyrexia, Somnolence, Tinnitus
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular 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:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Heart rate; Result Unstructured Data: heart beating faster than normal; Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 99.8 F
CDC Split Type: USJNJFOC20210431531

Write-up: ARMS FEEL SLEEPY/FACE SENSATION; DIZZY; DROWSINESS; HEARS A BEEP IN BRAIN; HEART BEATING FASTER THAN NORMAL; TONGUE SENSATION; FEVER; This spontaneous report received from a patient concerned a 48 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, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.8 F, and Heart rate (NR: not provided) heart beating faster than normal. On 10-APR-2021 19:00, the subject experienced arms feel sleepy/face sensation. On 10-APR-2021 19:00, the subject experienced dizzy. On 10-APR-2021 19:00, the subject experienced drowsiness. On 10-APR-2021 19:00, the subject experienced hears a beep in brain. On 10-APR-2021 19:00, the subject experienced heart beating faster than normal. On 10-APR-2021 19:00, the subject experienced tongue sensation. On 10-APR-2021 19:00, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from arms feel sleepy/face sensation, dizzy, fever, drowsiness, hears a beep in brain, heart beating faster than normal, and tongue sensation. This report was non-serious.


VAERS ID: 1241080 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dry skin, Pain, Pruritus, Pyrexia, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (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: ADVIL [IBUPROFEN], BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210432092

Write-up: DRY SKIN ON THE FACE, NECK, EAR, AND EYES; ITCHY SKIN ON THE FACE, NECK, EAR, AND EYES; FLAKY SKIN ON THE FACE, NECK, EARS, AND EYES; FEVER; ACHE; This spontaneous report received from a patient concerned a 25 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: 042A21A, and expiry: 21-JUN-2021) dose was not reported, administered on 10-APR-2021 10:30 for prophylactic vaccination. Non-company suspect drugs included: diphenhydramine hydrochloride (tablet, batch number: UNKNOWN, route of admin was not reported) dose, frequency, and therapy dates were not reported for an unspecified indication. Concomitant medications included ibuprofen. On 10-APR-2021 21:00, the subject experienced ache. On 10-APR-2021 21:00, the subject experienced fever. On 11-APR-2021, the subject experienced dry skin on the face, neck, ear, and eyes. On 11-APR-2021, the subject experienced itchy skin on the face, neck, ear, and eyes. On 11-APR-2021, the subject experienced flaky skin on the face, neck, ears, and eyes. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from ache, and fever on 11-APR-2021, and had not recovered from dry skin on the face, neck, ear, and eyes, itchy skin on the face, neck, ear, and eyes, and flaky skin on the face, neck, ears, and eyes. This report was non-serious.


VAERS ID: 1241108 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-07
Onset:2021-04-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

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

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

Write-up: Tinnitus and ringing in ears, comes and goes but more frequent at night, wakes me up out of sleep, has been happening more consistently over last week and a half


VAERS ID: 1241119 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Chest pain
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? No
Office Visit? Yes
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: USJNJFOC20210432576

Write-up: CHEST PRESSURE; CHEST PAIN; This spontaneous report received from a health care professional concerned a 35 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, 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 10-APR-2021, the subject experienced chest pressure. On 10-APR-2021, the subject experienced chest pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chest pressure and chest pain was not reported. This report was non-serious.


VAERS ID: 1241144 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Erythema
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435640

Write-up: SKIN REDNESS ON THE EARS ,LEFT KNEE AND RIGHT HAND; This spontaneous report received from a consumer 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 not reported, batch number: 041A21A, and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced skin redness on the ears, left knee and right hand. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from skin redness on the ears ,left knee and right hand. This report was non-serious.


VAERS ID: 1241145 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Mississippi  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Rash, Rash erythematous, Rash macular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions: Comments: The patient have no known drug allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210435645

Write-up: BLOTCHY RASH ON THE TRUNK (STOMACH TO CHEST); RASH ON UPPER INSIDE THIGHS (BOTH SIDE); RASH FROM ELBOW TO WRIST (BOTH SIDES); SHOULDER PAIN (DULL); This spontaneous report received from a patient concerned a 38 year old male. The patient''s height, and weight were not reported. The patient''s 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: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced shoulder pain (dull). On 18-APR-2021, the subject experienced blotchy rash on the trunk (stomach to chest). On 18-APR-2021, the subject experienced rash on upper inside thighs (both side). On 18-APR-2021, the subject experienced rash from elbow to wrist (both sides). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shoulder pain (dull) on 12-APR-2021, and had not recovered from blotchy rash on the trunk (stomach to chest), rash from elbow to wrist (both sides), and rash on upper inside thighs (both side). This report was non-serious.


VAERS ID: 1241260 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Pain in extremity, Palpitations, Platelet count decreased, Pyrexia, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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 never had a severe allergic reaction.
Allergies:
Diagnostic Lab Data: Test Date: 20210412; Test Name: Low platelets; Result Unstructured Data: 118; Test Name: Body temperature; Result Unstructured Data: 99.8 F
CDC Split Type: USJNJFOC20210436600

Write-up: RACING HEART; HIVES; RASH ON CHEST/ RED DOTS ON BELLY; LOW GRADE FEVER; SORE ARM; This spontaneous report received from a patient concerned a 40 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient never had a severe allergic reaction. The patient was previously treated with influenza vaccine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Non-company suspect drugs included: diphenhydramine hydrochloride ( form of admin, route of admin, and batch number were not reported) dose, frequency, and therapy dates were not reported for an unspecified indication. No concomitant medications were reported. On 10-APR-2021, the subject experienced sore arm. On 11-APR-2021, the subject experienced racing heart. On 11-APR-2021, the subject experienced hives. On 11-APR-2021, the subject experienced rash on chest/ red dots on belly. On 11-APR-2021, the subject experienced low grade fever. On 12-APR-2021, Laboratory data included: Low platelets (NR: not provided) 118. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 99.8 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash on chest/ red dots on belly, and the outcome of low grade fever, hives, racing heart and sore arm was not reported. This report was non-serious.


VAERS ID: 1241262 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Montana  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Testicular pain
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: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: Patient had no known drug allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210436620

Write-up: PAIN IN LEFT TESTICLE; HEADACHE; This spontaneous report received from a patient concerned a 23 year old male. The patient''s weight was 240 pounds, and height was 78 inches. The patient''s concurrent conditions included non-alcoholic, and non-smoker, and other pre-existing medical conditions included patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 203A21A expiry: 23-JUN-2021) .5 ml, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced headache. On 14-APR-2021, the subject experienced pain in left testicle. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on 11-APR-2021, and had not recovered from pain in left testicle. This report was non-serious.


VAERS ID: 1241278 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 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? 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: USJNJFOC20210436769

Write-up: SORE ARM AT INJECTION SITE AND FELT LIKE SOMEONE PUNCHED IN ARM; This spontaneous report received from a patient concerned a 60 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, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced sore arm at injection site and felt like someone punched in arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm at injection site and felt like someone punched in arm on 12-APR-2021. This report was non-serious.


VAERS ID: 1241359 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Fatigue, Muscular weakness, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), 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: Blood pressure high; Diabetes
Preexisting Conditions: Comments: The patient had No known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210438344

Write-up: BODY HURTING; LEGS DID NOT SUPPORT; FEELING TIRED; PAIN IN RIGHT SIDE CHEST; PROBLEM BREATHING; This spontaneous report received from a patient concerned a 64 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, and diabetes, 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: 201A21A, expiry: 23-JUN-2021) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced problem breathing. On 10-APR-2021, the subject experienced pain in right side chest. On 17-APR-2021, the subject experienced body hurting. On 17-APR-2021, the subject experienced legs did not support. On 17-APR-2021, the subject experienced feeling tired. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling tired, body hurting, problem breathing, legs did not support, and pain in right side chest. This report was non-serious.


VAERS ID: 1241821 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Paraesthesia, Platelet count normal, Sensory disturbance, Ultrasound Doppler normal
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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: daily vitamin
Current Illness:
Preexisting Conditions:
Allergies: latex codeine - makes stomach upset
Diagnostic Lab Data: Doppler imaging of right leg to check for blood clots on 4/15/21. Blood test to check platelet counts on 4/15/21. Both were normal.
CDC Split Type:

Write-up: Began with tingling sensation in both calf muscles in legs the day after the shot. Then primarily in the right calf for several days, a tingling, pulsing sensation but not painful. Since the 19th it has been tingling in both lower legs again and on the 20th it also started tingling in the left arm.


VAERS ID: 1241850 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-03
Onset:2021-04-10
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: Altered visual depth perception, Antiacetylcholine receptor antibody, Ataxia, Diplopia, Dysarthria, Lumbar puncture, Magnetic resonance imaging head, Oscillopsia, Scan with contrast, Speech disorder, Venogram, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular motility disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: conjugated estrogens, Pepcid, Zyrtec
Current Illness: GERD, lichen sclerosus
Preexisting Conditions: None
Allergies: No known drug allergies
Diagnostic Lab Data: paraneoplastic, autoimmune panels, thrombotic panels, Brain MRI with and without contrast, MRV, Spinal tap, acetylcholine receptor antibodies.
CDC Split Type:

Write-up: Developed visual loss to 20/800, double vision, oscillopsia, ataxia, dysarthria Symptoms started with difficulty with speech and loss of depth perception on 04/10/2021 (7 days after COVID vaccine shot) Trial treatment with Solu Medrol 1 gm 5 days and Gammaglobulin 0.4 mg /kg for 5 days. No significant improvement except vision went from 20/800 to 20/400


VAERS ID: 1241867 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Resuscitation, Syncope, Thrombosis
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Received the vaccine approximately 12:22 PM on Saturday, April 10, 2021. At approximately 6:55 pm that same day (Saturday, April 10, 2021) my husband collapsed in our living room. I called 911 and the operator talked me through how to do chest compression CPR on my husband until the paramedics arrived. My husband was then taken by ambulance to hospital where doctor performed an emergency procedure wherein he removed the blood clot in one of my husband''s stints (he has three) that he had put in in 2017. Doctor was able to eventually stabilize my husband''s heart. My husband spent 5 days in the hospital as a result of this.


VAERS ID: 1241970 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Hypotension, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient experienced syncope and hypotension post vaccination, recovered and released


VAERS ID: 1242680 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Feeling hot, Headache, Malaise, Pain
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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: none
Current Illness: none. He got some antibiotics for a respiratory infection beginning of February.
Preexisting Conditions: Hypertension
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Today it has been 12 days since the patient got vaccinated. Patient called today to report that ever since he got the vaccine he has been with generalized pain all over his body, sick to his stomach, a real bad headache that does not go away and feeling warm to the touch. Patient reported not having any fever. Patient said he was feeling fine before having the vaccine and not having any health issues on the day he received the vaccine. Patient is going to see his primary doctor tomorrow to discuss the situation.


VAERS ID: 1242942 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Feeling cold, Musculoskeletal stiffness, Neck pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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: None known
Diagnostic Lab Data:
CDC Split Type:

Write-up: about 1 hour after the vaccine he complained about his neck hurting then it turned into a stiff neck. by 7pm on the same day he started having chills and stated he was freezing. then we began to monitor him. around 10 pm he had a fever of 101.7. I gave him an Alker Seltzer and asked him if he wanted to go to the emergency room he said no. around midnight he started complaining his entire body ached and his neck was hurting. This all happened within 24 hours of taking the shot. his temperature when down in the morning but still complaints of body and neck pain for at least 5 more days.


VAERS ID: 1243006 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Chills, Lymphadenopathy, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Low dose high blood pressure medication
Current Illness: none
Preexisting Conditions: no
Allergies: none known
Diagnostic Lab Data: Visited Dr. on 4/13/2021 for the lump under my arm and to confirm what was happening to me and both my son and daughter was indeed ok reactions from the vaccine we had just taken.
CDC Split Type:

Write-up: around 8 pm on the same day of my vaccine I began to feel chills. around 10pm then the body aches started. this continued for about 3 days until I started feeling my usual self again. at midnight my husband took my temperature and told me it was 100.2. the following day I noticed a lump in my armpit. it continued to get bigger so i decided to go to Dr. she advised me to give it a week to see if it will go back down. It did.


VAERS ID: 1243069 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Movement disorder, Muscular weakness, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: none known
Diagnostic Lab Data:
CDC Split Type:

Write-up: She was doing fine till when I called her in the morning on 04/11/2021 to check how she was doing that she stated that her entire body hurts and that she had a fever and felt chills overnight just as myself and my son did. She stays on campus so I was not able to get her temperature. She said she could not get out of bed and that her legs were very week. She complained about body aches for at least 2 days. We all had bad headaches as well.


VAERS ID: 1243081 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-01
Onset:2021-04-10
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

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

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

Write-up: Pt came down with COVID and is now admitted to the hospital with COVID


VAERS ID: 1243110 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Chest pain, Chills, Disturbance in attention, Electrocardiogram, Fatigue, Feeling abnormal, Injection site pain, Menstruation irregular, Pain
SMQs:, Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Fertility disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: heart murmur, overweight
Allergies: chocolate oranges amoxicillin
Diagnostic Lab Data: EKG for chest pains - 04/12/2021
CDC Split Type:

Write-up: fatigue, chills, body aches, brain fog, difficulty concentrating, chest pains, earlier menstruation, pain at injection site into arm, back and chest. Sought treatment due to chest pains.


VAERS ID: 1243244 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Cough, Dehydration, Dry mouth, Fatigue, Head discomfort, Headache, Injection site pain, Tearfulness, Tongue dry
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Dehydration (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: Oral Birth Control - Aurovela 24 Fe
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: N/a
Diagnostic Lab Data: I had an annual physical on 04/15/2021. I informed the Doctor of the headache I experienced after the vaccine.
CDC Split Type:

Write-up: On 04/10/2021 I had a severe pressure headache that lasted the entire day which led me to tears. The headache was so severe I felt if you drilled a hole in the top of my head air would spew out. Additionally, on 04/10/21 I had soreness in the injection site, some pain in the right shoulder blade which felt like an inflamed bursa, some fatigue,+ dehydration (cotton mouth-dry tongue). After 04/10/21-todayI have had mild headaches occasionally during the week. I had started to have a mild cough since 04/22/21.


VAERS ID: 1243855 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Skin abrasion
SMQs:, Accidents and injuries (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: Eliquist, Losartan, Hydrothithatizide , Pravastin, Belsomar, Baclofen, Prolia, vitamin B complex
Current Illness: CKD, Heart pacemaker, Coronary blockage, 14 herniated disc, Horner syndrome, possible myasthenia Gravis.
Preexisting Conditions: Osteopenia, heart, Renal, 14 herniated disc spine.
Allergies: Penicillin, sulfa drugs, mold, dust, G-6PD
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Excoriated face; nose cheeks forehead and chin .. today also neck, chest and right shoulder. 4/22/2021


VAERS ID: 1243910 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abnormal dreams, Chills, Fatigue, Feeling cold, Headache, Nausea, Pain in extremity, Pyrexia, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Tetanus vaccine- had shaking chills/felt cold afterwards (~10 yrs ago)
Other Medications: Pristiq, Zyrtec, vitamin D, Nutrafol hair supplements, vitamin C
Current Illness: None
Preexisting Conditions: Hay fever, depression
Allergies: Cortisporin ear drops Tdap vaccine- got chills
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I got the J&J covid vaccine on 4/10/2021 at 11:40am. Later on that day, my left arm was sore so I took Tylenol. After my shower that night around 10pm, I felt cold/shaky/chills & had really weird dreams. The next morning (4/11/2021), I slept in late & was very tired when I woke up. I also had a headache, fever (100.2F) & nausea. Took 2 Tylenol 500 mg each & these symptoms went away later that night. Two days after the vaccine, on 4/12/2021, I woke up with itchy red rashes all over both of my legs & feet (~30 small-med size). Took 2 doses of Zyrtec & Benadryl 50mg twice that day so it wouldn?t itch so much. Also applied mometasone ointment to rashes. On 4/13/2021, I did a video visit with a doctor. She said my rashes were probably due to an immune response to the J&J covid vaccine (meaning it is working) & it didn?t look serious since it was only on my legs. She said to continue the Zyrtec up to 2x/day, Benadryl every 6 hrs if needed, & apply mometasone steroid ointment for the rashes 1x/day. On 4/14/2021, the rashes have improved and I had less than 10 rashes on my legs. Since I still had some rashes, I continued to take 1 Zyrtec 10mg in the morning & applied mometasone ointment to the rashes. On 4/16/2021, the rashes had resolved.


VAERS ID: 1244530 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Blood test, Chest pain, Hypertension, Pneumonia, SARS-CoV-2 test, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: None.
Preexisting Conditions: None
Allergies: Penncillian
Diagnostic Lab Data: Blood test, covid test, urine test
CDC Split Type:

Write-up: Chest pain, weakness, high blood pressure, lung infection


VAERS ID: 1244714 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Body temperature decreased, Bone pain, Chest X-ray normal, Chest pain, Chills, Electrocardiogram normal, Feeling abnormal, Feeling cold, Headache, Hypertension, Mobility decreased, Pain in extremity, Rectal haemorrhage, Ultrasound Doppler, Ultrasound scan normal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Ischaemic colitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multi vitamin, birth control pill, probiotic
Current Illness: non known
Preexisting Conditions: non known
Allergies: penicillin
Diagnostic Lab Data: EKG - April 16th Chest Xray - April 16th Blood Work - April 16th Vascular Ultrasound - April 19th
CDC Split Type:

Write-up: by 4:45 pm I felt off. By 6:30 pm I felt like I couldn''t move very well. It affected all the bones I have ever broken or sprained before. Had cold chills, my temperature was 95.1. I felt like my blood pressure was high. I had a bad headache and took advil. April 11th I still felt off and had a headache. Around 4:30 pm I had rectal bleeding. Wednesday April 14th I had very bad leg pain in my right leg. Friday April 16th I went to urgent care for Leg pain and slight chest pain. They sent me to the ER. I had a chest Xray and ekg done and both came back normal. I was able to have a vascular ultrasound Monday April 19th in right leg and it showed no blood clots. I still have leg pain April 22nd.


VAERS ID: 1244945 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood glucose, Body temperature, Diarrhoea, Heart rate, Nausea, Pain, Palpitations, Pyrexia, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 101 F; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: 145; Test Date: 20210412; Test Name: Blood glucose; Result Unstructured Data: 120
CDC Split Type: USJNJFOC20210422243

Write-up: SHAKY; HEART RACING; STOMACH PAIN; DIARRHEA; BODY ACHES/BODY PAIN; NAUSEA; FEVER 101F; This spontaneous report received from a parent concerned a 21 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: 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 10-APR-2021, the subject experienced stomach pain. On 10-APR-2021, the subject experienced diarrhea. On 10-APR-2021, the subject experienced body aches/body pain. On 10-APR-2021, the subject experienced nausea. On 10-APR-2021, the subject experienced fever 101f. Laboratory data included: Body temperature (NR: not provided) 101 F. On 12-APR-2021, the subject experienced heart racing. On 12-APR-2021, the subject experienced shaky. Laboratory data included: Blood glucose (NR: not provided) 120, and Heart rate (NR: not provided) 145. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea, stomach pain, diarrhea, body aches/body pain, fever 101f, heart racing and shaky was not reported. 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: 1244948 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Musculoskeletal discomfort, Nausea, Pain, Pyrexia, Retching, Scar pain, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), 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: Medical History/Concurrent Conditions: Surgery (Scar tissue)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422454

Write-up: PAIN; DRY HEAVING CONTINUOUSLY; BACK DISCOMFORT; DISCOMFORT IN SCAR TISSUE FROM HIS PRIOR SURGERIES; CHILLS; FEVER; NAUSEA; VOMITING; This spontaneous report received from a patient concerned a 64 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included surgeries. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced nausea. On an unspecified date, the subject experienced pain, dry heaving continuously, back discomfort, and discomfort in scar tissue from his prior surgeries. Treatment medications (dates unspecified) included: hydrocodone bitartrate/paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, and nausea, had not recovered from dry heaving continuously, and the outcome of chills, fever, pain, back discomfort and discomfort in scar tissue from his prior surgeries was not reported. This report was non-serious.; Sender''s Comments: Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.


VAERS ID: 1244958 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Chills, Dizziness, Pain, Pharyngeal swelling, Pyrexia, Swelling face, Thyroid disorder
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Vestibular disorders (broad), Hypersensitivity (narrow), 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: Allergic skin reaction; Drug allergy; Environmental allergy; Hay fever; Specific allergy (drug)
Preexisting Conditions: Medical History/Concurrent Conditions: Colon cancer; Hashimoto''s disease; Infection; Neck injury; Sinus disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210430235

Write-up: LIGHT HEADEDNESS; SWELLING IN FACE; SWELLING IN THE THROAT AREA; THYROID PROBLEMS; BALANCE PROBLEMS; BODY ACHES; CHILLS; FEVER; This spontaneous report received from a patient concerned a 64 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included colon cancer, sinus problems, neck injury, jaw virus, and hashimoto disease and concurrent conditions included allergy to hay fever, allergy to cleaners, allergy to rubber gloves, steroids allergy, and allergy to some chemotherapy medications, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced fever. On an unspecified date, the subject experienced light headedness, swelling in face, swelling in the throat area, thyroid problems, balance problems, body aches, and chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the thyroid problems, light headedness, swelling in face, fever, chills, balance problems, body aches and swelling in the throat area was not reported. This report was non-serious.


VAERS ID: 1244977 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site bruising, Injection site induration, Injection site pain, Injection site pruritus
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: Trintellix 20mg once daily Occasional CBD usage
Current Illness: N/A
Preexisting Conditions: Asthma, occasional high blood pressure, obesity
Allergies: Minoyclone, tetracycline
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itching at injection site, pain at injection site, hard lump about the size of a quarter at injection almost 2 weeks after injection, slight discoloration like a bruise


VAERS ID: 1245063 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chest discomfort, Decreased appetite, Feeling hot, Heart rate increased, Hypersomnia, Hypoaesthesia, Injection site pain, Joint stiffness, Migraine, Mood swings, Nausea, Neck pain, Pain, Pain in jaw, Periorbital pain, Toothache, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210431586

Write-up: MOODY; SLEEP A LOT; NO APPETITE FOR FOOD; BURNING AND ELECTRICITY-TYPE STABBING PAIN IN BACK; NAUSEATED; BLURRED VISION; HEART BEAT SPED UP; BUZZING-LIKE PAIN IN JAW; BUZZING-LIKE PAIN IN TEETH; PAIN AROUND EYEBALLS; TWO MIGRAINE HEADACHES; FREQUENT AND INTENSIFIED THROBBING; BURNING PAIN IN THE JOINTS OF WRISTS AND FINGERS/ELECTRICITY-TYPE STABBING PAIN IN MY KNEES, ANKLES,HIP AND SHOULDER; STIFFNESS IN THE JOINTS OF WRISTS AND FINGERS; NUMBNESS IN FINGERTIPS; BURNING AND ELECTRICITY-TYPE STABBING PAIN IN NECK; FEEL HEAT IN CHEST; FEEL HEAT IN FACE; PAIN AND MUSCLE SORENESS AT INJECTION SITE; 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 10-APR-2021 10:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced pain and muscle soreness at injection site. On 12-APR-2021, the subject experienced blurred vision. On 12-APR-2021, the subject experienced heart beat sped up. On 12-APR-2021, the subject experienced buzzing-like pain in jaw. On 12-APR-2021, the subject experienced buzzing-like pain in teeth. On 12-APR-2021, the subject experienced pain around eyeballs. On 12-APR-2021, the subject experienced two migraine headaches. On 12-APR-2021, the subject experienced frequent and intensified throbbing. On 12-APR-2021, the subject experienced burning pain in the joints of wrists and fingers/electricity-type stabbing pain in my knees, ankles, hip and shoulder. On 12-APR-2021, the subject experienced stiffness in the joints of wrists and fingers. On 12-APR-2021, the subject experienced numbness in fingertips. On 12-APR-2021, the subject experienced burning and electricity-type stabbing pain in neck. On 12-APR-2021, the subject experienced feel heat in chest. On 12-APR-2021, the subject experienced feel heat in face. On 12-APR-2021, the subject experienced burning and electricity-type stabbing pain in back. On 12-APR-2021, the subject experienced nauseated. On 15-APR-2021, the subject experienced moody. On 15-APR-2021, the subject experienced sleep a lot. On 15-APR-2021, the subject experienced no appetite for food. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain and muscle soreness at injection site, buzzing-like pain in jaw, blurred vision, pain around eyeballs, two migraine headaches, burning pain in the joints of wrists and fingers/electricity-type stabbing pain in my knees, ankles,hip and shoulder, numbness in fingertips, burning and electricity-type stabbing pain in back, nauseated, feel heat in chest, no appetite for food, buzzing-like pain in teeth, stiffness in the joints of wrists and fingers, burning and electricity-type stabbing pain in neck, and feel heat in face, and the outcome of heart beat sped up, frequent and intensified throbbing, moody and sleep a lot 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: 1245082 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chills, Fatigue, 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: Test Date: 20210410; Test Name: Body temperature; Result Unstructured Data: 104 degree
CDC Split Type: USJNJFOC20210432260

Write-up: HORRIBLE BODY ACHES; CHILLS; FEVER; TIRED; WEIRD HEADACHE/PRESSURE ON FRONTAL LOBES; This spontaneous report received from a patient via a company representative 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 not reported, batch number: UNKNWON) dose was not reported, administered on 10-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 10-APR-2021, the subject experienced horrible body aches. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced tired. On 10-APR-2021, the subject experienced weird headache/pressure on frontal lobes. Laboratory data included: Body temperature (NR: not provided) 104 degree. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the horrible body aches, chills, fever, tired and weird headache/pressure on frontal lobes was not reported. This report was non-serious.


VAERS ID: 1245147 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Flushing, Lacrimation increased, Pyrexia, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics; Asthma; Chronic rhinitis; COPD; Drug allergy; Hyperlipidaemia; Thyroiditis
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210438038

Write-up: FLUSHED; WATERING EYES; SUNBURN-LIKE RASH; CHILLS; LOW GRADE FEVER; 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 copd from 911 exposure, asthma, chronic rhinitis, thyroiditis, lipidaemia, codeine allergy, and levaquin allergy. The patient experienced drug allergy when treated with betamethasone, ciprofloxacin, and bupivacaine hydrochloride/epinephrine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 09:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced flushed. On 10-APR-2021, the subject experienced watering eyes. On 10-APR-2021, the subject experienced sunburn-like rash. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced low grade fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flushed, and sunburn-like rash on 11-APR-2021, and watering eyes, chills, and low grade fever on 12-APR-2021. This report was non-serious.


VAERS ID: 1245274 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain, Hypersensitivity
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Claritin, Vitamin C, Vitamin D, Zinc
Current Illness: none
Preexisting Conditions: atopic dermatitis
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have suffered abdominal cramps that began 2 days after injection - this lasted through April 22, 2021. I suffered allergic reaction within an hour of receiving the vaccine and I read that the abdominal cramps are also a sign of an allergic response to the vaccine.


VAERS ID: 1245431 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-13
Onset:2021-04-10
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030A21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram head, Haemorrhagic stroke
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: REQUIP
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No relevant medical history provided)
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: CT; Result Unstructured Data: Brain Bleed
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Bleeding stroke; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGIC STROKE (Bleeding stroke) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017B21A and 030A21A) for COVID-19 vaccination. The patient''s past medical history included No adverse event (No relevant medical history provided). Concomitant products included ROPINIROLE HYDROCHLORIDE (REQUIP) for an unknown indication. On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Apr-2021, the patient experienced HAEMORRHAGIC STROKE (Bleeding stroke) (seriousness criteria hospitalization, disability and medically significant). The patient was hospitalized from 11-Apr-2021 to 14-Apr-2021 due to HAEMORRHAGIC STROKE. At the time of the report, HAEMORRHAGIC STROKE (Bleeding stroke) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Apr-2021, Computerised tomogram head: brain bleed Brain Bleed. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient states an Anti seizure medicine was used for treatment. After discharge from hospital, patient states she now has to take therapy. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. However, Very limited information regarding this event has been provided at this time. Further information has been requested.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. However, Very limited information regarding this event has been provided at this time. Further information has been requested.


VAERS ID: 1245466 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Appetite disorder, Dehydration
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Multiple sclerosis (The patient was hospitalized before due to the Multiple Sclerosis so many time.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Dehydration; Stomach pain; Apatite; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DEHYDRATION (Dehydration) and ABDOMINAL PAIN UPPER (Stomach pain) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Multiple sclerosis (The patient was hospitalized before due to the Multiple Sclerosis so many time.) since March 2021. On 09-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced DEHYDRATION (Dehydration) (seriousness criterion hospitalization), ABDOMINAL PAIN UPPER (Stomach pain) (seriousness criterion hospitalization) and APPETITE DISORDER (Apatite). On 14-Apr-2021, ABDOMINAL PAIN UPPER (Stomach pain) outcome was unknown. At the time of the report, DEHYDRATION (Dehydration) and APPETITE DISORDER (Apatite) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact


VAERS ID: 1246358 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Haemoglobin decreased, Packed red blood cell transfusion, Shock haemorrhagic, Splenectomy, Splenic haemorrhage
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Retroperitoneal fibrosis (broad), Hypovolaemic shock conditions (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Myelodysplastic 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. experienced left sided abdominal pain and was taken to ER. Was hospitalized and underwent splenectomy for hemorrhagic shock due to splenic hemorrhage. Patient received 5 units packed RBC while hospitalized for low hemoglobin.


VAERS ID: 1246455 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Headache, Mobility decreased, Neck pain
SMQs:, Anticholinergic syndrome (broad), Parkinson-like events (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Severe headache, dizziness, neck pain, inability to turn neck


VAERS ID: 1246760 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-05
Onset:2021-04-10
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN DO NOT HAVE THI / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head, Fibrin D dimer normal, 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: phentermine 15mg daily,CBD oil daily pan
Current Illness: Hx spleenectomy spherocytosis, hereditary, spleenectomy done when 4y/o Hx reactive thrombocytosis
Preexisting Conditions: Hx spleenectomy spherocytosis, hereditary, spleenectomy done when 4y/o Hx reactive thrombocytosis
Allergies: Codeine
Diagnostic Lab Data: D dimer negative CT head ordered-pending
CDC Split Type:

Write-up: C/o severe headache within 2 weeks for receiving J&J vaccine.


VAERS ID: 1246877 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-01
Onset:2021-04-10
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / N/A LA / SC

Administered by: Other       Purchased by: ?
Symptoms: Cough, Deep vein thrombosis, Dyspnoea, Swelling, Ultrasound Doppler abnormal
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (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: motrin. norco.
Current Illness:
Preexisting Conditions: pancreatic cancer
Allergies: none.
Diagnostic Lab Data: bilateral lower extremity doppler confirming DVTs.
CDC Split Type:

Write-up: developed bilateral swelling and cough/subjective shortness of breath. Found to have bilateral DVT with likely several PEs (not confirmed). Patient started on SQ Lovenox.


VAERS ID: 1246972 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SC

Administered by: Unknown       Purchased by: ?
Symptoms: Coordination abnormal, Disturbance in attention, Headache, Hypoaesthesia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Not yet
CDC Split Type:

Write-up: Numb left arm, intense headaches, inability to coordinate a fraise, pinches on the brain, blurred vision, problems to be focus. (attention problem)


VAERS ID: 1247148 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Dehydration (broad), Hypokalaemia (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient became hypotensive post vaccination, recovered and released


VAERS ID: 1247189 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, 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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient experienced nausea and light headedness post vaccination, recovered and released


VAERS ID: 1247243 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

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

Write-up: Patient experienced sweating and dizziness post vaccination, recovered and released


VAERS ID: 1247539 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-03-25
Onset:2021-04-10
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram 20 mg. Daily Lovastatin 1 a day
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Have a Appt. at Doctors, I told my primary Dr. have not seen a specialist yet
CDC Split Type:

Write-up: Ringing in ears,. 6 weeks after J& J dose. Still ringing I will be going to a specialist . Course of ring in ears 2 weeks doesn?t go away . Tinnitus . I had Johnson and Johnson didn?t see it above to check manufacturer


VAERS ID: 1247636 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Migraine, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Birth Control Vimovo
Current Illness:
Preexisting Conditions: Migraines
Allergies:
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I had a horrible migraine which started a few hours after I got the shot for four days. I went Ito the Chiropractor and I got some relief after my visit. II still had the migraine for another day after that. It seemed the same as my normal migraines but lasted longer. I was very sleepy for a week after the shot. I have not had any more since the first week after the shot.


VAERS ID: 1247660 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-05
Onset:2021-04-10
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Alanine aminotransferase normal, Antinuclear antibody positive, Arthralgia, Back pain, Blood glucose increased, Blood oestrogen increased, Blood testosterone increased, Chills, Constipation, Diarrhoea, Fatigue, Nausea, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), 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: Lisinopril/HCTZ 20-25MG
Current Illness: Fibromyalgia with Chronic Fatigue, high blood pressure ( maintaining with medicine)
Preexisting Conditions: Chronic fatigue with fibromyalgia, high blood pressure ( maintaining with medication)
Allergies: Xanthan Gum
Diagnostic Lab Data: Labs on 4-13-2021 with Lab. Showed first time positive ANA , with Positive Nuclear, Homogeneous A, ANA Titer 1:40 High. Testosterone levels for first time were High at 58 , Estrogen levels were high at 624.1, ALT High at 30. Glucose High at 113. WBC was high at 12.7
CDC Split Type:

Write-up: Chronic full intense back and knee pain with radiating stomach bloat and pain with intermittent diarrhea and constipation. Nauseous on and off. Extreme fatigue with off and on chills. All Started about 7 days after shot.


VAERS ID: 1247976 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Dizziness, Pain, Pyrexia, Urine analysis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Blood and urine tests were taken on 4-22-21 but results are not in. These tests happen to coincide with bloodwork I had been planning on taking.
CDC Split Type:

Write-up: The first couple of days had a fever, light-headed, pulsating feeling through my body, and feeling faint at times. Symptoms go away after the third day. Then nearly two weeks later the feeling of being light-headed, pulsation sensation throughout my body, and feeling faint at times came back. It''s been a few days of these symptoms returning and it has me concerned.


VAERS ID: 1248241 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Public       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: Patient put date of birth When entering into computer it was noted that date of birth was actually wrong. Family would not return phone calls made to inquire about this.


VAERS ID: 1248353 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-10
Onset:2021-04-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A - / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, C-reactive protein, Chills, Dysphagia, Feeling abnormal, Joint swelling, Muscle swelling, Musculoskeletal stiffness, Myalgia, Oropharyngeal pain, Rash, Rash erythematous, Rash pruritic, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Urticaria, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen, clindamycin gel, dexmethylphenidate, cimetidine, fexofenadine, ibuprofen, lamotrigine, levonorgestrel, levothyroxine, methylprednisolone, montelukast, trazodone
Current Illness: none
Preexisting Conditions: ADHD, asthma, bipolar affective disorder, chronic idiopathic urticaria, migraine headache, hypothyroidism, thrombocytopenia
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient was treated with the Janssen/Johnson & Johnson COVID-19 adenovirus vaccine on Saturday April 10, 2021 and she relates having had symptomatic problems since that time stating prior to administration of the vaccine she was in her normal state of health. She relates that on the evening of April 10 she had chills but otherwise no other major symptoms and the next day felt fine as well as during that week. However she states that starting 1 week later on Saturday, April 17 she began feeling poorly characterized by a recurrence of hives that she has had in the past along with a sore throat. She states this occurred while she was at work and describes the sore throat as unusual from prior sore throat she has had in the past with a description of a globus-like sensation along with some difficulties swallowing for more pressure than overt pain. She attempted salt water gargles without benefit. The rash was the characteristic hives rash that she has had on 2 prior occasions with rapid development of itchy red lesions scattered throughout especially in her proximal extremities and torso region. She relates the hives worsened on Sunday, April 18 essentially from "head to toe" although not actually involving her face. She also related new accompanying symptoms including diffuse arthralgias, stiffness and swollen painful muscles and joints. This was throughout her entire body and somewhat of a migratory nature involving all of her major joints including the hands, wrists, shoulders, feet, ankles, knees and hips. She states that because of the severity of symptoms she had an urgent care appointment on Sunday, April 18 and felt to have a exacerbation of urticaria for which she was prescribed montelukast, loratadine cimetidine and a Solu-Medrol Dosepak. She states she was unable to fill the Solu-Medrol Dosepak initially but took the other medications without relief and then presented to the emergency room here at Hospital on Monday, April 19 where she had an evaluation which was largely unremarkable other than laboratory testing with a nonspecific elevation in inflammatory markers including a CRP of 5.7, ESR 34 and white blood count 15.92. She was notably COVID-19 negative at that time as well as Monospot negative. She was discharged home and ended up filling the Solu-Medrol Dosepak which she took and noted some improvement in her hives but has been continue to experience this ongoing sore throat, arthralgias, myalgias and diffuse swelling which is quite painful. She specifically relates "every time I use a muscle it seems to inflame."


VAERS ID: 1249077 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-07
Onset:2021-04-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough
SMQs:, Anaphylactic reaction (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: Pollen allergy
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: I got the vaccine on 4/7/2021, After 3 days I started coughing a lot until now today is April 23th 2021, I coughed every day especially night time.


VAERS ID: 1249155 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Appendicitis, Blood test, Computerised tomogram
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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: Ct scar, blood work
CDC Split Type:

Write-up: Acute appendicitis


VAERS ID: 1249161 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Illinois  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Injection site pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420563

Write-up: CHILLS; INJECTION SITE SORENESS; VOMITING; FEVER; 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 and batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 10:00 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced fever. On 11-APR-2021 02:15, the subject experienced vomiting. On an unspecified date, the subject experienced chills, and injection site soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, vomiting, chills and injection site soreness was not reported. This report was non-serious.


VAERS ID: 1249174 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Nausea, Product complaint, Sleep disorder
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? 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: USJNJFOC20210422150

Write-up: PRODUCT COMPLAINT; INTERFERED WITH HIS SLEEP; REMAINS TIRED; NAUSEA; This spontaneous report received from a parent 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: 207A21A expiry: unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the patient experienced interfered with his sleep, remains tired and nausea. On an unspecified date, the subject experienced product complaint. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from nausea, had not recovered from remains tired, and the outcome of interfered with his sleep and product complaint was not reported. This report was non-serious. This report was associated with a product quality compliant : 90000176058 This suspected product quality complaint has been confirmed to be void (does not meet criteria) based on PQC evaluation/investigation performed.


VAERS ID: 1249177 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Kansas  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210422232

Write-up: SHAKING/DIZZY/IMBALANCE/DISORIENTED/CONVULSION; CHILLS; 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: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the patient experienced shaking/dizzy/imbalance/disoriented/convulsion and chills. After about 48 hours later the patient reported that the adverse event did not get resolved and in addition the patient felt dizzy, experienced imbalance and disoriented. Through call it was not possible to provide medical advice for which he was upset and he was asked to get in touch with local HCP. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, and shaking/dizzy/imbalance/disoriented/convulsion. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210422232-covid-19 vaccine ad26.cov2.s -CONVULSION. 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: 1249198 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Generalised tonic-clonic seizure, Injection site mass, Injection site warmth, Pain, Tenderness
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Seizure (Patient have not had seizure for 2 years after she started taking her medication)
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210424069

Write-up: 2X GRAND MAL SEIZURE; TENDER; SORE; LUMP AT INJECTION SITE; INJECTION SITE FELT HOT; This spontaneous report received from a patient concerned a white, not hispanic or latino female of unspecified age. The patient''s height, and weight were not reported. The patient''s concurrent conditions included seizure which was under control with medications. 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,1 total administered on 07-APR-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the patient experienced tender, sore, lump at injection site, injection site felt hot to touch. On 11-APR-2021, the patient had two grand mal seizure and and had to visit an emergency room/hospital. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lump at injection site, and injection site felt hot on 11-APR-2021, was recovering from tender, and sore, and the outcome of 2x grand mal seizure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210424069- covid-19 vaccine ad26.cov2.s -2x grand mal seizure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: MEDICAL HISTORY


VAERS ID: 1249203 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Pain in extremity, SARS-CoV-2 test
SMQs:, Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcohol use (One alcoholic drink per day.); Non-smoker
Preexisting Conditions: Comments: No previous medical history and no known allergies. No drug abuse/illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: COVID-19 PCR test; Result Unstructured Data: PCR was positive on 10-APR-2021
CDC Split Type: USJNJFOC20210424273

Write-up: CONFIRMED COVID-19 INFECTION; SLIGHT ARM PAIN; 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 alcohol use, and non smoker, and other pre-existing medical conditions included no previous medical history and no known allergies. no drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 2021, the subject experienced slight arm pain. On 09-APR-2021, Laboratory data included: COVID-19 PCR test (NR: not provided) PCR was positive on 10-APR-2021. On 10-APR-2021, the subject experienced confirmed covid-19 infection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from slight arm pain on 2021, and had not recovered from confirmed covid-19 infection. This report was non-serious. This case is associated with product quality complaint (PQC) number 90000176134.The suspected product quality complaint has been confirmed to be this report indicated a patient who received a positive covid-19 test result after vaccination, with 9 days elapsed between vaccine and test. Sufficient time was not elapsed for the patient to achieve immunity therefore, this report was not considered a lack of effect. case was approved for void, based on the pqc evaluation/investigation performed.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as the case was assessed as non-serious


VAERS ID: 1249214 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Apathy, Asthenia, Aura, Body temperature, Disorientation, Dizziness, Fatigue, Feeling abnormal, Feeling hot, Flushing, Injection site pain, Insomnia, Mass, Migraine, Pain, Photophobia, Pyrexia, Restlessness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Convulsions (broad), Akathisia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Epilepsy
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Body temperature; Result Unstructured Data: 103.1 F
CDC Split Type: USJNJFOC20210425294

Write-up: RESTLESS; LACK OF SLEEP; LACK OF MOTIVATION; FELT ROSY IN THE CHEEKS; FELT HOT; FEVER; BODY ACHES; DIZZINESS; WEAKNESS; INJECTION SITE PAIN; EXTREMELY FATIGUE AND TIRED, FELT REALLY WORN DOWN; FELT OFF; SENSITIVITY TO LIGHT; SENSITIVE TO SYMPTOMS OF A SEIZURE ONSET; CRAMPING STYLE PAIN THAT TRAVELLED UP AND INTO THE SHOULDER AND UP INTO THE NECK MUSCLE INTO THE BASE OF SKULL WRAPPING AROUND HEAD CAUSING A MIGRAINE; HARD AND HOT TO THE TOUCH GOLF BALL SIZES LUMP SLIGHTLY PROTRUDING; DISORIENTED; This spontaneous report received from a patient concerned a 21 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included epileptic. 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 10-APR-2021 15:00 for prophylactic vaccination. The batch number was not reported and has been requested No concomitant medications were reported. On APR-2021, treatment medications included: paracetamol. On 10-APR-2021, the subject experienced sensitive to symptoms of a seizure onset. On 10-APR-2021, the subject experienced cramping style pain that travelled up and into the shoulder and up into the neck muscle into the base of skull wrapping around head causing a migraine. On 10-APR-2021, the subject experienced hard and hot to the touch golf ball sizes lump slightly protruding. On 10-APR-2021, the subject experienced disoriented. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced felt off. On 10-APR-2021, the subject experienced sensitivity to light. On 10-APR-2021, the subject experienced dizziness. On 10-APR-2021, the subject experienced weakness. On 10-APR-2021, the subject experienced injection site pain. On 10-APR-2021, the subject experienced extremely fatigue and tired, felt really worn down. On 11-APR-2021, the subject experienced felt hot. On 11-APR-2021, the subject experienced restless. On 11-APR-2021, the subject experienced lack of sleep. On 11-APR-2021, the subject experienced lack of motivation. On 11-APR-2021, the subject experienced felt rosy in the cheeks. On 11-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 103.1 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from dizziness, weakness, disoriented, fever, felt hot, felt off, sensitivity to light, and felt rosy in the cheeks, and had not recovered from injection site pain, cramping style pain that travelled up and into the shoulder and up into the neck muscle into the base of skull wrapping around head causing a migraine, extremely fatigue and tired, felt really worn down, body aches, restless, lack of sleep, lack of motivation, sensitive to symptoms of a seizure onset, and hard and hot to the touch golf ball sizes lump slightly protruding. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment was not required as per standard procedure as case assessed as non-serious.


VAERS ID: 1249226 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2021-04-10
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Chest pain, Chills, Dizziness, Hyperhidrosis, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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:
Preexisting Conditions: Comments: No known drug allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210426703

Write-up: CHEST PAIN; STOMACH PAIN; VOMITING; DIZZY; SWEATING; CHILLS; FEVER; This spontaneous report received from a parent concerned a 31 year old female. The patient''s height, and weight were 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: 206A21A, and batch number: 206A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced chest pain. On 10-APR-2021, the subject experienced stomach pain. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced dizzy. On 10-APR-2021, the subject experienced sweating. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever on 11-APR-2021, had not recovered from stomach pain, and dizzy, and the outcome of vomiting, chest pain and sweating was not reported. This report was non-serious.; Sender''s Comments: v0-Medical assessment comment not required as case is assessed as per standard operating procedures.


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