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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 96 out of 1,889

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VAERS ID: 1198668 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Confusional state, Fatigue, Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Protonics
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: MSG
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nausea, fatigue, headache, fever, confusion


VAERS ID: 1198671 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Ear swelling, Erythema, Fatigue, Headache, Pain, Pruritus, Skin warm, Tenderness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: History of Nontraumatic cortical hemorrhage of left cerebral hemisphere, Cerebral Venous Thrombosis and Stroke (January 2018)
Allergies: Vicodin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 4/8/21: I receive the injection at 1:50pm on my left arm. 8pm: I begin experiencing normal side effects: soreness, body aches, and headache. 9pm: In addition to the soreness, body aches, and headache, I start having chills, which last on and off throughout the night. 4/9/21: 7am: I feel fatigued, with headache and body aches throughout the morning and afternoon. 3pm: I begin to have some itchiness on my forehead and both ears. My right knee cap feels hot and bruised, but there is no mark. 5pm: Visible hives appear on my forehead and right knee cap, and my ears are red. All of these spots are very itchy and uncomfortable. 9pm: The hives begin to be much more noticeable and itchier. I take one Benadryl before going to bed which helps the itchiness somewhat. 4/10/21 3:30am: I am woken up by pain in my ears and they have gotten incredible swollen, red, and hot. They are very tender to the touch. I take another tablet of Benadryl. 7am: There are more hives on my forehead and cheeks, as well as my knee and now on two of my fingers. A few spots also appear on my feet and on one toe. My ears are less swollen but still not back to normal, and they are still red, hot and tender. 9am: I have a video call with a Physician?s Assistant who determines it is most likely not an anaphylactic reaction (no swelling in my throat or eyes or any of the other red flag symptoms. I also take my blood pressure with a home monitor and it is normal). He prescribes me a steroid pack. 12pm: The hives begin to be less and less itchy and red. 8pm: The hives are almost completely gone, save for a few spots on my feet. As I am breastfeeding my 14-month-old daughter, I had waited to begin the steroid pack until after our last nursing session of the day (around 7:30pm). As the hives seemed to be going away on their own, I decide to not take the medication. I do take one dose of Zyrtec. 4/11/21: 7am: the hives are completely gone


VAERS ID: 1198719 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Unknown  
Vaccinated:2020-04-09
Onset:2021-04-09
   Days after vaccination:365
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Vaccine given in right deltoid, same day pt reports tingling in left fifth digit.


VAERS ID: 1198725 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dizziness, Headache, Heart rate increased, Lethargy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 1p (Friday)- Received shot and felt normal rest of afternoon 7p - Started feeling lethargic and dizzy 8:30p - Started getting full body chills and shivers, felt freezing, headache and fever started 10:30p- Body shivers stopped. Fever 102 F 11:30p- Fever 104 F 12:00a- Extremely rapid heart beat, couldn?t slow it down with breathing. Fever still 104 F 1:00a - Fever 103F. No sleep 8:00a (Sat)- Temperature came down to 100F. Bad headache and body aches, worst in hips and legs/knees. By Sunday, temperature back to normal and headache subsided. Still aches in right hip/leg.


VAERS ID: 1198733 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Eye swelling, Myalgia, Pyrexia, Swelling face, Throat tightness, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Anti-Histamine; IUD
Current Illness: seasonal allergies; no illness
Preexisting Conditions: none
Allergies: Allergic to cat dander
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, throat closing, red hives all over body, swollen eyes, swollen jaw, swollen cheeks, muscle aches


VAERS ID: 1198755 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Diarrhoea, Gingival pain, Headache, Hyperhidrosis, Nausea, Photophobia, Pyrexia, Toothache
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gingival disorders (narrow), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor.10mg 2x per day Prozac 10mg 1x per day Benazepril/Hctz 10/12.5 1 per day
Current Illness: None
Preexisting Conditions: High Blood pressure, IBS, high cholesterol
Allergies: Tetracycline, penecillan. Rash & Hives Bee stings.Rash & Hives
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Chills, fever of 102.3, sweats, nauseau, diarerah,headache, all teeth and gums ached. Light sensitivity similar to a migraine. Starting at 1;30 am


VAERS ID: 1198767 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Tingling in Pinky on Left Hand


VAERS ID: 1198786 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none indicated
Current Illness: none indicated
Preexisting Conditions: none indicated
Allergies: none
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: Seizures started Friday. Patient sent to hospital. Patient back at rehab


VAERS ID: 1198788 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Fibromyalgia
Allergies: Mild allergy latex and benzoyl peroxide (skin rash/reaction)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Onset 7 hours post-injection; duration approx. 24 hours. fever, body aches, leg pain, chills/shivering, headache, neck soreness; maintained hydration and treated with warm bath, hot herbal tea, and alternating ibuprofen 200mg or Excedrin Migraine every 6-8 hours. 12 hours post-injection: onset of muscle soreness around injection site; duration continues 72-hours post-injection. Treatment with hot-compress, arnica salve, and massage of area.


VAERS ID: 1198793 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Fatigue, Headache, Heart rate increased, Hyperhidrosis, Injection site pain, Nausea, Retching
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), 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: Multi-vitamin and omega supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I had body chills starting within 7 hours of the vaccine. I developed a headache, nausea, slightly dizziness about 14 hours after the vaccine. About 15 hours after the vaccine, I still had the headache, nausea, dizzy, and additional slight diarrhea, dry heaves, rapid heartbeat, and feeling very tired and weak but went from chills to hot and sweating. This lasted for about an hour and then it was back to body chills, headache, nausea, body fatigue for the next 24 hours. My arm and injection site did not hurt, only if I would rub across that area of my arm. I have still experienced the fatigue 60 hours after the vaccine. Nausea has still come on different time during this time too.


VAERS ID: 1198820 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

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

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

Write-up: Patient was asked to sit for 15 minutes after. Patient was sitting for about 2 minutes. rph technician, noticed that the patient appeared red, sweating, and about to fall over. Patient went outside and prevented patient from falling over. pharmacy called 911 about the patient, patient was not vomitting, patient was conscious (unconscious maybe about 20 seconds). 911 operator asked for the patient to wait for paramedics to arrive. patient was asked dob and he responded. paramedics took vitals and patient had normal readings. paramedics left afterwards. Then the patient left without any symptoms.


VAERS ID: 1198851 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Fatigue, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Muscle aches, chills, feeling weak, feeling tired approximately 9 hours after injection. After a night of sleep, the next day I woke still with muscle aches, feeling weak and tired in the morning. I seemed fine the rest of the day and the next. Three days after injection, I felt nauseated, but unsure if this was related to the vaccine.


VAERS ID: 1198880 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Chills, Cold sweat, Headache, Musculoskeletal stiffness, Pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Left nephrectomy, lung lobectomy (middle right)
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: about 8 hours post shot, I had uncontrollable shivering and head to toe aches and muscle stiffness as well as a moderate headache. 24 hours post shot, Shivers were gone body ache and headache persists with cold sweats (sweats lasted for about 3-4 hours) 32 hour post shot to now still pretty achy, mostly left arm (where I got the shot), back (mostly left side) and both hands. The achiness is fading (in line to how I''ve felt after Tetanus shots in the past).


VAERS ID: 1198901 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Contusion, Epistaxis
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: Atorvastatin
Current Illness: None
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 1) Bruise on right shoulder (opposite shoulder from injection) 2) Nosebleed - lasted approximate 5 mins, 2 Kleenexes, only once 3) Bruise on left leg (large ~ 2 inches in diameter, white center)


VAERS ID: 1198979 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Ear congestion, Feeling hot, Headache, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin Spiranolactone Aviane Birth Control
Current Illness:
Preexisting Conditions: Celiac Disease, PCOS, Asthma
Allergies: Penicillin gluten
Diagnostic Lab Data: Going to doctor tomorrow
CDC Split Type:

Write-up: 6 hours after vaccine- chills, massive headache, tired 24 hours after- fever, headache 3 days after (today)- enlarged lymph node on left side neck, hot spells, left ear feels clogged


VAERS ID: 1199028 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202AZIA / 1 LA / IM

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

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

Write-up: Woke up at 3:00 am, 12 hours after receiving immunization with fever of approx 100, chills and body aches. Symptoms persisted for approx. 15 -18 hours. Low grade fever and bad body aches. Took Advil every 5-6 hours for symptoms. Woke up the following day and felt better, back to normal.


VAERS ID: 1199030 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood glucose increased, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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: Venlafaxine (75mg) Junel Fe 1/20
Current Illness: No
Preexisting Conditions: IBS Endometriosis
Allergies: Doxycycline Trimethoprim Erythromycin Zithromax
Diagnostic Lab Data:
CDC Split Type:

Write-up: High blood sugar: 216 Vasovagal syncope: heart rate dropped to 40, bp 70/30


VAERS ID: 1199058 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: Headache, chills, body aches, temperature of 100.9, vomiting


VAERS ID: 1199078 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-05
Onset:2021-04-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lipase increased, Pancreatitis acute
SMQs:, Acute pancreatitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: levoxyl - .112 mcg celebrex - 100 milligrams X2 per day (taken for years) Viberzi - 100 milligrams X1 per day (takent for years)
Current Illness: had an upper endoscopy on 04/09/21, the same day as the acute pancreatitis epicode. My internal medicine doctor realizes that this may have been the triggter but that I should also submit this to the vaccine reaction people for consideration.
Preexisting Conditions: Hypothyroidism osteoarthritis
Allergies: gluten intollerant
Diagnostic Lab Data: Over 30,000 Lipase Count before treatment. 3 days later, 278 Lipase count and discharge from hospital
CDC Split Type:

Write-up: Acute Pancreatitis


VAERS ID: 1199085 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Dizziness, Fatigue, Hyperhidrosis, Pain, Sleep disorder
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Developed fever, nausea, and other symptoms following oral typhoid fever vaccine in March 2017 - 23 yrs old
Other Medications: Oral birth control
Current Illness: Only seasonal allergies
Preexisting Conditions: Seasonal allergies
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Around 4/4:30pm I started to feel dizzy and by 5pm I grew worried I might faint (I?ve never previously fainted). Around approximately 8pm I was feeling very feverish, experiencing body aches, mental fog, intense shaking and chills, and within the next few hours threw up multiple times. I eventually fell asleep and sweated profusely, waking up multiple times (unusual for me). The next day I had low appetite, fatigue, and body aches, but other symptoms were reduced.


VAERS ID: 1199203 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-19
Onset:2021-04-09
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Atelectasis, Computerised tomogram thorax abnormal, Limb mass, Pulmonary arterial hypertension, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Pulmonary hypertension (narrow), Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Clindamycin lotion topical TID
Current Illness:
Preexisting Conditions: Possibly undiagnosed obstructive sleep apnea
Allergies: Benzocaine, Aspirin
Diagnostic Lab Data: CTA Chest, PE Protocol on 04/09/2021 IMPRESSION: Large pulmonary embolism in the right main pulmonary artery, right upper, middle and lower lobe pulmonary artery segmental branches and left lingular subsegmental branches. There is associated pulmonary artery hypertension with pulmonary artery measuring up to 3.6 cm. Low lung volumes. Minimal atelectasis in the left lower lobe. No consolidation.
CDC Split Type:

Write-up: Patient had a large pulmonary embolism 3 weeks after receiving the vaccine. Unclear if vaccination was the cause, but giving the timing we are reporting it. The health care proxy also noted some palpable masses on distal L extremity, unclear if related to vaccine or what these are.


VAERS ID: 1199205 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Neuralgia, Pain, Sensitive skin
SMQs:, Peripheral neuropathy (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: Omeprazole Bupropion hcl Alpha lipoid acid CoQ10 Collagen D3 Bcomplex
Current Illness: None
Preexisting Conditions: Migraines
Allergies: None known
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Very painful shot 8 hours after shot started chills, fatigue, achy, nerve pain, sensitive skin, headache lasting 2 days


VAERS ID: 1199342 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-05
Onset:2021-04-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Conjunctivitis, Eye pruritus, Vision blurred
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Actuall, no KNOWN adverse reactions, because I do NOT get Vaxes since adu;lthood
Other Medications: Dietary supplements: Iron, Vit D3, Vit K2, Magnesium, Zinc, Curcumin, Red Marine Calcium,
Current Illness: NA
Preexisting Conditions: Anemia, HHT
Allergies: Penicillin, Tetracycline, Xarelto
Diagnostic Lab Data: I did NOT mention that I had rcvd the JJ shot 4 days prior, when I went to Urgent Care to get relief. I got the shot on the left side and my left eye was affected. Doc did a visual to rule out any abrasion. He didn''t think it was bacterial, either. I was VERY careful NOT to contaminate other eye/ I DO NOT have seasonal allergies. I am only reporting this, as one friend who did get the Viral Covid had developed pink-eye and blurry vision. So, just in case.......
CDC Split Type:

Write-up: This may NOT even be related to the JJ shot I had, but I got Conjunctivitis (Pink-Eye) 4 days after the shot. Blurred vision and severe itchiness sent me to get relief from Urgent Care


VAERS ID: 1199399 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, 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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills and fever the night of the shot which ended by the next morning. Strong headache the following day.


VAERS ID: 1199430 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Fatigue, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Janssen Covid-19 Vaccine EAU I experienced chills, high fever, nausea, and vomiting Starting about 10 hours after the vaccination and lasting about 4 hours. After vomiting twice around 13 hours post vaccination my symptoms began to significantly improve. I experienced fatigue and minor stomach irritation the following day. My symptoms were completely gone within 48 hours.


VAERS ID: 1199501 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Influenza like illness, Injection site pain, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Various
Current Illness: Asthma, bronchitis, possible flu
Preexisting Conditions: Asthma, chronic bronchitis, high blood pressure
Allergies: None
Diagnostic Lab Data: Treated for three days with Benadryl an NSAID pain relievers
CDC Split Type:

Write-up: Mild flu like symptoms with low-grade fever bodyaches chills and ongoing pain at the injection site persisting to date


VAERS ID: 1199508 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-03-13
Onset:2021-04-09
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (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: Cymbalta, lexapro, wellbutrin
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shingles


VAERS ID: 1199559 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia
SMQs:, Taste and smell disorders (narrow)

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

Write-up: Loss of taste, within 24 hours of vaccine


VAERS ID: 1199574 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Fever, cough, aches loose stool now for four days


VAERS ID: 1199585 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-03-15
Onset:2021-04-09
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002A21A / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Cerebrovascular accident, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNKOWN
Current Illness: UNKNOWN
Preexisting Conditions: Facility manager stated that patient had a history of strokes
Allergies: NKA PER ADMIN FORM
Diagnostic Lab Data:
CDC Split Type:

Write-up: Facility manager reported patient presenting with hypertension per the EMS when they were taking her to the hospital. No reported symptoms prior to Friday. Retirement home was informed that patient had a stroke on Friday.


VAERS ID: 1199649 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Delirium, Disturbance in attention, Dizziness, Fatigue, Hallucination, Headache, Heart rate increased, Hyperaesthesia, Injection site erythema, Injection site pruritus, Muscle spasms, Myalgia, N-terminal prohormone brain natriuretic peptide increased, Neuropathy peripheral, Pain in extremity, Pruritus, Pyrexia, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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: Flu shot, late Oct. 2021; allergic reaction leading to symptoms of shock
Other Medications: Multivitamins
Current Illness: None
Preexisting Conditions: low platelet count (congenital), high bilirubin (congenital)
Allergies: food: allians (raw onions, garlic), pineapple, canteloupe/honeydew environmental: pollen, mold, pet dander chemicals: penicillin, opiods, thimerosol
Diagnostic Lab Data:
CDC Split Type:

Write-up: 04/09, ~11:15 a.m.: Received injection in left arm, released at 11:30 a.m. 04/09, ~1:00 p.m.: Mild headache, dizziness and fatigue, mild pain in left arm 04/09, ~7 p.m.: Moderate headache, dizziness and fatigue, mild nausea, spasms in muscle around injection site/itching/redness 04/09, ~8 p.m.: Went to bed and slept 04/10, ~2 a.m.: Awoke with severe headache, fatigue and dizziness, chills/fever, moderate nausea, sleeplessness, moderate pain in arm, moderate joint and muscle pain all over body 04/10, ~3 a.m.: Symptoms progressed to include delirium and hallucinations, rapid heart rate, itching in extremities, neuropathy and hyperesthesia 04/10, ~8 a.m.: Symptoms began reversing in order of occurrence over next 36 hours, starting with delirium and hallucinations; unable to concentrate or function properly 04/12: Lingering mild dizziness and headache, fatigue


VAERS ID: 1199669 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

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

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

Write-up: I have developed a constant low hum in my left ear, as if some machine is operating in my house, or always on the other side of the wall of whatever room I''m in.


VAERS ID: 1199683 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Chills, Headache, Malaise, Nausea, Pyrexia, Rhinorrhoea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: N/A
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: ROS HEENT: no eye pain, no sore throat, no ear pain CV: no chest pain, no palpitations Pulm: no shortness of breath, no cough Abd: no abdominal pain, no N/V/D MSK: no joint pain, no joint swelling, no back pain PE Gen: A&Ox4, NAD, non-toxic appearing HEENT: no pharyngitis, no AOM/OE, no PTA/RPA/Ludwig''s, no cervical or axillary adenopathy CV: S1/S2 RRR without MRG, cap refill <2 seconds all extr Pulm: CTA all fields, no dyspnea on exam Abd: no focal Abd TTP, no peritoneal signs, no CVA tenderness MSK: moving all extremities without limitation, no gross deformities, no joint swelling or tenderness Neuro: CN 2-12 and cerebellar grossly intact Lab: none indicated Rad: none indicated MDM:
CDC Split Type:

Write-up: c/o subjective fever, chills, H/A, sweating, rhinorrhea, and nausea since receiving COVID vaccine Wednesday evening around 1800. Symptoms have improved, per pt, but have not subsided completely. Has tylenol and ibuprofen at home but has not taken it. HPI: 22yo AD M presents to ED for above symptoms that began shortly after receiving the J&J COVID vaccine 3 days ago. He has no focal neuro symptoms, no LE swelling, no pleurisy or dyspnea. No URI/LRI symptoms. No rash. L deltoid vaccination site. Pt has generalized malaise after vaccine. No red flags for HA, no acute abdominal symptoms/signs, unlikely PE or DVT, unlikely CVA. Unlikely anaphylaxis. F/u and return precautions discussed. Stable for D/C.


VAERS ID: 1199704 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Dizziness, Headache, Impaired driving ability, Injection site reaction, Loss of personal independence in daily activities, Myalgia, Pain, Pyrexia, Urticaria, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta, Bupropion, Junel, Hydroxyzine
Current Illness: N/A
Preexisting Conditions: Chronic Depression and Anxiety disorders, insomnia
Allergies: Tylenol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizziness, Headache, Blurry Vision, Fever, Body/ muscle aches, joint pain, unable to drive/ function , and golf ball sized welt at sight of injection


VAERS ID: 1200230 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Dizziness, Pain
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Nonr
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I just called the local hospital and was instructed to see what happens after two full days if I was not in any immediate danger. I returned to normal by the end of the second day so no tests were done.
CDC Split Type:

Write-up: I was fine after I got the shot. No pain or anything. The next day I was light headed, had a temperature of 102, and felt total body ache. This feeling was persistent and constant for all of the day after the shot and in the morning two days after the shot. The symptoms then subsided and I was fine for the remainder of the day and have been fine since.


VAERS ID: 1200274 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen 400mg
Current Illness: N/A
Preexisting Conditions: No
Allergies: Seasonal
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Elevated resting heart rate of 120 - 135 lasting 24 hours. Patient remained resting during the full period


VAERS ID: 1200327 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

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

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

Write-up: High fever aches chills lasting for about 10 hours


VAERS ID: 1200331 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysuria, Headache, Mobility decreased, Muscle tightness, Pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: After approximately 12 hours of receiving the vaccine shot my entire body ached. Every muscle in my body was tight, making it difficult to move. I also experienced a strong headache behind the eyes, and difficulty urinating.


VAERS ID: 1200343 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-04-05
Onset:2021-04-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Computerised tomogram abnormal
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 3/9 - CT Scan
CDC Split Type:

Write-up: Woke up at 3AM on Friday morning (3/9) with stomach pain. I went to an urgent care facility around 11AM and was sent for a CT scan which diagnosed appendicitis. I had my appendix removed at 11pm on Friday night. I do not know if it was related to the vaccine, but thought I should report it just in case.


VAERS ID: 1200345 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Decreased appetite, Dehydration, Dizziness, Fatigue, Hallucination, Nausea, Pain, Pyrexia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Men?s One-A-Day Vitamins
Current Illness: None
Preexisting Conditions: Seasonal Allergies
Allergies: amoxicillin - diarrhea
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Symptoms began about 12 hours after the shot was administered. They lasted for about 22 hours. I received the shot Friday morning, by Friday evening the symptoms had appeared and worsened throughout the night and day on Saturday. By late evening(6-8) I began feeling much better. The symptoms included body aches, high fever, chills, nausea, hallucinations, dehydration, dizziness, loss of appetite, exhaustion, and a restless night of sleep.


VAERS ID: 1200484 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Pain, Pyrexia, Sleep disorder
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: Rosuvastatin 5MG, Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 8 hours post-vaccine, experienced rather severe chills and fever spiking around 101.5, restless sleep, aches, pains, slight headaches all lasting around 24 hours.


VAERS ID: 1200500 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Headache, Nausea, Neck pain
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

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

Write-up: Upon leaving the store, started to develop headache. Next morning, headache severe, neck pain, nauseated and very tired. Headache lessened by 2nd day, still very tired, neck pain and nauseated. Neck pain persists, very tired and still some nausea. Eating very little due to feeling of getting sick.


VAERS ID: 1200511 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Heart rate irregular, Palpitations, Restlessness, Sleep disorder
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No prescriptions at the time. Dietary supplement called Ashwagandha
Current Illness: None
Preexisting Conditions: Diagnosed with Factory 5 Leyden about 3 years ago, however through subsequent tests, my oncologist determined I no longer have the need to take blood thinners.
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: At 10 pm I had the chills and went to bed earlier than I normally do. Around 2 am, I was experiencing an irregular and racing heartbeat. My resting heartbeat is normally around 68 to 70. When monitoring my heartbeat through my Watch, I experience a heart rate of 100 to 120 beats per minute and I could feel it was irregular too. I had a very restless night, elected not to go to the ER and the symptoms were gone by about noon, although I did have a terrible headache all morning long.


VAERS ID: 1200545 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1816022 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Gaze palsy, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Ocular motility disorders (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lupin triphasic birth control (generic OrthoTricyclen Lo)
Current Illness: NA
Preexisting Conditions: NA
Allergies: Food sensitivity to avocado, banana, zucchini
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Severe chills, severe joint pain, severe muscle aches, fever, mild headache, mild nausea, fatigue. Symptoms started the afternoon after the vaccine and got worse as the night progressed, becoming very severe around 8pm. I took generic NyQuil tablets and was able to sleep for a few hours, and was woken up after that by joint pain. Joint pain persisted Saturday (moderate, treated by ibuprofen) and Sunday (mild, no ibuprofen needed.)


VAERS ID: 1200561 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Headache, nausea, weakness


VAERS ID: 1200595 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Systemic: Fainting / Unresponsive-Medium, Additional Details: Regained consciousness quickly (less than 30 seconds)


VAERS ID: 1200609 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21! / N/A LA / IM

Administered by: School       Purchased by: ?
Symptoms: Blood glucose decreased, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Vital Signs Blood glucose 68
CDC Split Type:

Write-up: Patient passed out while waiting the 15 minutes after the injection


VAERS ID: 1200615 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Computerised tomogram head, Echocardiogram, Ischaemic stroke, Magnetic resonance imaging head abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: influenza (respiratory issues)
Other Medications: Vitamin D, cinnamon, Mucinex-DM, Flonase, folic acid, Metformin, methimazole, Montelukast, omeprazole, miralax, Effexor-XR
Current Illness: None
Preexisting Conditions: DM II, RA, Hyperthyroidism, OSA, depression
Allergies: influenza vaccine (respiratory issues), pencillins
Diagnostic Lab Data: 4/9/21-4/12/21 - hospitalized for acute stroke - MRI brain, s/p TPA, CTA head/neck, CT head, CT perfusion, echocardiogram - then discharged to acute inpatient rehab facility for ongoing cares.
CDC Split Type:

Write-up: Johnson and Johnson Covid-19 vaccine - patient had ischemic stroke approximately 4 hours after vaccination given and was admitted to hospital.


VAERS ID: 1200652 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Epistaxis, Fatigue, Headache, Pain, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 25 mg 1 per day
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood pressure seemed higher than what it had been and called it in to my doctor.
CDC Split Type:

Write-up: Janssen COVID-19 Vaccine EUA Approx 20 hours later the headache and some body aches and feeling tired Approximately 26 - 30 hours later noticed my hands really swollen and took rings off * Approximately 48 - 52 hours later very heavy dark slightly clotty nosebleed while eating dinner (no previous issues in years of having a nosebleed)


VAERS ID: 1200660 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Flushing, Headache, Hyperhidrosis, Lethargy
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Estrogen, Progesterone, Claritin, Valtrex, Biotin, Symbicort, Xhance (fluticasone)
Current Illness: none
Preexisting Conditions: asthma, hypothyroid
Allergies: aspirin, tylenol, ibuprofen (NSAIDS), oats
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Friday: Received vaccine at 9am. Began feeling like cheeks were warm/flushed by early afternoon. By 5-6pm was lethargic and had chills, but no fever. Chills continued through the night and were better but not gone by morning. Saturday: Awakened with headache. Headache and fatigue improved throughout the day. Sunday: headache was mostly gone, but still feeling low-energy and light headed after a period of activity. Monday: Felt much better in the morning, but tried standing at my desk after lunch and felt moments of light-headedness, and felt low-energy. Tried to weight train at 6pm and broke out in sweat with minimal exertion. Tuesday - I still don''t feel quite right - energy level is still less than normal, with occasional moments of light headedness.


VAERS ID: 1200669 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Eye pain, Headache, Hyperhidrosis, Injection site pain, Lymph node pain, Lymphadenopathy, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none: was on my period so i wasnt currently taking OCP
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 103.5F fever, severe chills/sweats, joint pain, myalgia, eye pain, neck pain, headache, injection site pain, weakness, light headedness, axillary lymph node swelling and pain. still experiencing eye pain and lymph node pain


VAERS ID: 1200703 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Chills, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive, Sinusitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received 1st dose of Pfizer COVID vaccine on 4/1/21. The next day, she developed fever, was told that she had a sinus infection, and was treated with amoxicillin. Patient tested positive for COVID on 4/7/21 at her primary care doctor''s office. On 4/8/21, patient presented to the ER with cough, shortness of breath, fever, chills, and weakness, but was sent home. Patient returned to the ER on 4/9/21 with worsening symptoms and was admitted to the hospital for COVID treatment.


VAERS ID: 1200713 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Musculoskeletal stiffness, Neck pain, Pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)

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

Write-up: Full body chills and aches approximately 12 hours after injection following into most of the next day. Sore/stiff neck began approximately 36 hours after injection and persisting for 2.5 days and ongoing


VAERS ID: 1200733 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Chills, Headache, Mobility decreased, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Severe multi-day headache, severe hip joint pain and mobility, fever, chills


VAERS ID: 1200789 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Postural Orthostatic Tachycardia Syndrome, Bicuspid Aortic Valve.
Allergies: Dairy, Milk
Diagnostic Lab Data:
CDC Split Type:

Write-up: Muscles in thighs are consistently sore


VAERS ID: 1200800 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Headache, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control
Current Illness: No
Preexisting Conditions: Brain AVM
Allergies: fentanyl
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shot was at 1:50. At 8:00PM I started getting chills and body continues to shiver. Was able to fall asleep and got up to use the restroom around 2:00AM and had dizziness, headache, Nausea and felt faint. Same occurrence happened around 4:00AM as I got up to use the restroom again. By 8:00AM I could slowly get up and move around with out feeling faint or nauseous. Left with fatigue


VAERS ID: 1200814 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Accutane, Adderall
Current Illness: None
Preexisting Conditions: None
Allergies: PPD (from hair dyes)
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Started breaking out in red rash/ chicken pox- like break out on day 10 after vaccine on the arms. On day 11, it spread to all over body - legs, arms, stomach, back, and also started on the face by day 13. The red spots were very itchy. VIsited my primary doctor who said that it could be the vaccine. Gave me steroids and benadryl that relieved the itchiness, But when the effect of the meds faded, the itchiness was back. All red spots were yery itchy all over my body. They were not contagious as my children and wife did not get it. My wife got the same vaccine on the same day as me, but did not have a reaction as mine. . The red spots started growing in size and combining with other nearby spots on the legs. over day 12, and became brighter. They are fading now, but I still have the red spots all over my body.


VAERS ID: 1200817 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-05
Onset:2021-04-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Bilirubin urine, Candida test negative, Chromaturia, Culture cervix negative, Glucose urine absent, Nitrite urine absent, Protein urine absent, Specific gravity urine normal, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine increased, Vaginal haemorrhage, Vaginitis gardnerella, Vulvovaginitis trichomonal, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (broad), Haemorrhage terms (excl laboratory terms) (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol 1mg, Advair 250/50mcg, Combivent Respimat AER BOE, Albuterol 0.83% 3 ML NEB
Current Illness: None
Preexisting Conditions: COPD/Overlapping Asthma
Allergies: Keflex, Penicillin, Latex. Annatto food allergy.
Diagnostic Lab Data: April 09,2021 Color,Urine, POCT Yellow Clarity,Urine,POCT Clear Glucose,Urine,POCT Negative Negative Bilirubin,Urine,POCT Negative Negative Ketones,Urine,POCT Negative $g=80, Negative Spec Gravity, Urine,POCT 1.010 1.010 - 1.022 Blood,Urine,POCT Negative Negative PH,Urine,POCT 6.5 4.5 - 6.5 Protein,Urine,POCT Negative 300 mg/dl, $g=2000 mg/dl, $g=300 mg /dl, Negative Urobilinogen,Urine,POCT 0.2 MG/DL 0 - 1 MG/DL Nitrite, Urine,POCT Negative Negative Leukocyte Esterase,Urine,POCT Negative Negative April 09,2021 Your vaginal culture was actually negative. No evidence of yeast infection or bacterial vaginosis. I would recommend reevaluation if your symptoms do not improve over the next few days. Component Results Component Your Value Standard Range Flag Candida Species by DNA Probe Negative Negative Gardnerella Vaginalis by DNA Probe Negative Negative Trichomonas Vaginalis by DNA Probe Negative Negative
CDC Split Type:

Write-up: I received the Jannsen Covid Vaccine on April 05, 2021 at 08:50 am. On April 09,2021 at around 04:30 am I woke up with vaginal spotting. I had a full hysterectomy in 1999, 21 years ago. Alarmed. I took myself to urgent care. I was tested for a Urinary Tract Infection and a Yeast Infection by pelvic examination. Both tests were NEGATIVE. I was prescribed Diflucan 2 doses 150mg each to take 3 days apart. I discontinued the Diflucan upon learning of the negative result for yeast. April 10, 2021 I was still experiencing Vaginal bleeding upon waking up. April 11, 2021 the spotting had ceased.


VAERS ID: 1200822 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Diarrhoea, Ear congestion, Headache, Hyperhidrosis, Muscular weakness, Neuralgia, Pain in extremity, Urinary incontinence
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nutrafol Vit d Vit c
Current Illness: Hashimoto Granuloma annulare
Preexisting Conditions: Hashimoto
Allergies: Known : Shrimp Bleach
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Constant pinching headache, ears clogged, chills and sweats for two days. From waist down: leg weakness, nerve pain (like sciatica pain), diarrhea and couldn?t control pee twice on the night of the shot. Took Tylenol pm to be able to deal with pain and sleep a bit Feeling better today but leg pain is still strong


VAERS ID: 1200840 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-01
Onset:2021-04-09
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

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

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

Write-up: About nine hours after my vaccination, and, immediately following very mild outdoor exercise, I began to experience muscle aches which then quickly progressed to chills and a fever of about 99.8 F. The fever and chills lasted about 24 hours. The muscle aches lasted longer. Symptoms resolved almost completely within 48 hours. I treated the symptoms with Tylenol.


VAERS ID: 1200869 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Hypoaesthesia, Monoplegia
SMQs:, Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

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

Write-up: I paralysis in arm and fingers Nerve in arm and finger


VAERS ID: 1200881 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / N/A LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Eye movement disorder, Hyperhidrosis, Loss of consciousness, Pallor, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unknown, but with all blood draws per patient and some injections
Other Medications: unknown
Current Illness: No complaint of previous illness
Preexisting Conditions: none known
Allergies: allergic to alcohol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports history of passing out with lab draws and one other time with injection. Within 30 seconds of vaccine, patient reported dizziness, narrrowed vision, and diaphoresis; he also appeared very pale. As we attempted to assist him to the floor, his eyes rolled back and he lost consciousness. Patient became alert within 10 seconds of losing consciousness. When safe, he was assisted to WC and taken to clinic where he was observed for a few hours. Patient discharged home with his mother when he was feeling better.


VAERS ID: 1200882 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Incorrect product formulation administered, No adverse event
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: pt was given 1st dose j and j vaccine instead of moderna vaccine, pt was aware and fine


VAERS ID: 1200902 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-19
Onset:2021-04-09
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received both doses of Pfizer COVID vaccine (1st dose on 2/24/21 (lot #EN6203) and 2nd dose on 3/19/21 (lot #ER2613). She developed difficulty breathing and tested positive for COVID on 4/8/21. She was brought the ED on 4/9/21 and was admitted to the hospital. Infectious Diseases was consulted and has been following patient during her hospitalization. COVID treatment may be started if patient''s family decides that they want aggressive treatment versus pursuing comfort care due to patient''s multiple medical issues.


VAERS ID: 1200904 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cognitive disorder, Feeling cold, Headache
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)

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

Write-up: I woke up and I was freezing to death. My mind couldn''t see pictures it was totally black. And I had a heck of a headache for 3 days now


VAERS ID: 1200929 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043AJ1A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Computerised tomogram, Dizziness, Dyspepsia, Ear discomfort, Electrocardiogram, Head discomfort, Myocardial necrosis marker, Nausea, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid
Current Illness: None
Preexisting Conditions: Thyroid nodules Jaccoud''s Arthritis
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain/heartburn, pressure in left ear with blood rushing to head, dizziness, nausea. Went to ER on 4/10. Released after EKG and cardiac enzymes ruled out MI, CT scan no PE. Told to follow up with primary care doctor. Still experiencing chest tightness, blood rushing to left side head/tingling and now tingling left leg. Seeing doctor this afternoon.


VAERS ID: 1200942 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Presyncope
SMQs:, Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (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: None reported
Current Illness: Denies
Preexisting Conditions: Denies
Allergies: Acetaminophen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had a mild vagal reaction immediately following the injection of the vaccine and was observed for 15 minutes following and eventually cleared to leave the vaccination site


VAERS ID: 1200952 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood pressure increased, Hypoaesthesia oral, Palpitations, Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: effexor 75 mg Nexium Allegra
Current Illness: none
Preexisting Conditions: Vestibular migraine Acid reflux Barrett''s esophagus
Allergies: none
Diagnostic Lab Data: pending evaluation by provider
CDC Split Type:

Write-up: within 15 mins of vaccine administration pt reported she had numbness and tingling in her lips. waited for 45 mins at vaccination site and then left. around 9 pm on 4/9/21 stated she was lying in bed and heart started pounding so she called 911. stated EMS took her BP and it was 165/? (cannot remember diastolic number) which is much higher than her "normal" BP which is "low to normal" numbers, usually running 111/80 or less. Pt stated she did not allow EMS to take her to the hospital, then later decided she would drive herself to the ER. Went to Hospital ER and waited a "long time" before deciding to leave without being seen. Pt stated she then went to Urgent Care on Saturday to have her BP checked and after an hour of waiting decided to leave. Pt reported she is going to be evaluated today.


VAERS ID: 1200976 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-04-02
Onset:2021-04-09
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Erythema, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKA
Diagnostic Lab Data: unknown results but patient reported they told her "no clotting issues" and "everything looked normal"
CDC Split Type:

Write-up: Bilateral redness, swelling, and pain in ankles started a week after getting the vaccine. By 8pm, patient could barely walk so went to the ER. In the ER, they did blood tests and told patient there was no clotting issues. ER prescribed the patient antibiotics and NSAIDS for inflammation. As of 04/13/21, patient still experiencing symptoms. Called PCP and ER back and they recommended an ultrasound. She is headed their now


VAERS ID: 1200997 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Maine  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Coronary arterial stent insertion, Coronary artery stenosis, Electrocardiogram abnormal, Thrombectomy
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VIt D3, Mega Krill fish Oil
Current Illness: N/A
Preexisting Conditions: Mild persistnet asthma
Allergies: Ilotycin
Diagnostic Lab Data: ER visit... Cardiac tests, EKG, Cardiac Cath 4/9/21
CDC Split Type:

Write-up: Appx 3 hours post-injection, developed Acute STEMI, Proximal LAD lesion, and had aspiration thrombectomy and drug eluding stent placement.


VAERS ID: 1201011 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Chills, Headache
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Mild headache, chills and temperature of 100.3F. Resolved with tylenol 500mg PO one dose.


VAERS ID: 1201013 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Feeling cold, Headache, Immediate post-injection reaction, Impaired work ability, Motion sickness, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Bupropion
Diagnostic Lab Data: None - don''t have a doctor
CDC Split Type:

Write-up: Immediate and lasting arm pain through day 4 Extreme Fatigue resulting in inability to do job for 3 days after Cold flashes for about 2 hours the day after Headache still lasting Motion sickness/Dizziness/Lightheadedness - comes and goes, still exists


VAERS ID: 1201017 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: She stated she has reactions to the flu shot
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient ran low grade fever the night she received the vaccine.The next day she woke up in hives all over her body. Her whole body itched. She stated she took Benadryl every 6 hours and applied benadryl cream. The rash disappeared around 4/12/21 but her whole body still itches. She did not receive medical attention.


VAERS ID: 1201024 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chills, Dizziness, Fatigue, Headache, Pain, Pyrexia
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, T3 slow release (compound thyroid medication), topiramate, buproprion, fluoxetine, allergy meds.
Current Illness: none
Preexisting Conditions: Hypothyroid
Allergies: ceclor, sulfa eyedrops, penicillin injection
Diagnostic Lab Data: Blood tests were taken at ER, but they didn''t provide any results so I assume everything was okay. Dr. on site said he felt my issues were related to the Covid vaccine.
CDC Split Type:

Write-up: Horrible headache (lasted 3 days); fever; chills; extreme body aches; nausea; dizziness; fatigue


VAERS ID: 1201071 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Fertility 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:
Other Medications: Ritual brand multi vitamin, align brand probiotic
Current Illness: None
Preexisting Conditions: Celiac disease
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 105.5 fever for a few hours then down to 103 up until 48 hours later. Had been taking Tylenol max dosage. 72 hours later onset of menstural period. Heavy, painful. Not expected.


VAERS ID: 1201084 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure normal, Dizziness, Feeling abnormal, Neck pain, Pain, Presyncope, Pyrexia, SARS-CoV-2 test negative, Vaccination site pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin A, B complex, D 3, E, Niacin, Zinc .25 Trazadone at night to sleep
Current Illness:
Preexisting Conditions: Fibromyalgia, shoulder neck back bone issues
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 4-9-21 The morning of I tested negative for COVID, took vaccine that afternoon. Following morning, 4-9-21 woke up with 101 fever. Took Tylenol at 4 am. Did not take anything else since. Fever subsided in low 99''s throughout that day. No other symptoms. 4-10-21 Woke up fine, no fever. Went to work at 7 am. Toward end of work day, vaccination site became sore and I felt out of sorts. 4-11-21 Woke up fine, no fever. Went to work at 7 am. By noon, feeling foggy. Very sore throughout my body, especially upper body and vaccination site. 4-12-21 Woke up ok, no fever but not quite myself. Went to work 7 am. At about 8 am began to feel a bit foggy , dizzy and almost past out. Blood pressure taken by medics was normal but high for me, after resting for 15 minutes it had gone done to my normal. Went back to work station sitting down but the foggy & dizziness continued off and on. Went back to my hotel to rest at 1 pm. While resting felt better but when moving out of bed sensations would come back. Some pain in left side vaccination and shoulder/neck pain but that may be related to chronic issues. 4-13-21 Stayed home to rest, fogginess continues, pain in vaccination site down arm.


VAERS ID: 1201110 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: FEVER, PAIN, SORE ARM, UNABLE TO MOVE.


VAERS ID: 1201204 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-03
Onset:2021-04-09
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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

Write-up: Runny nose, sore throat, headache, tiredness starting April 9th around 7pm. Symptoms are still occurring today (April 13th), but are getting better.


VAERS ID: 1201207 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Feeling abnormal, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Zyrtec, iron supplement
Current Illness: None
Preexisting Conditions: sinus and ear congestion
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: slight fever, loss of appetite, very tired, lethargic, spacy for 4 days currently


VAERS ID: 1201211 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angioedema, Endotracheal intubation, Intensive care, Swelling, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Aspirin 81mg daily, atorvastatin 20mg daily, hydrochlorothiazide 25mg daily, lisinopril 20mg daily, loratadine 10mg daily, omeprazole 20mg daily, senna 8.6mg daily.
Current Illness: none known
Preexisting Conditions: chronic alcohol abuse with concern for pancreatitis, CKD stage 3, essential hypertension (controlled), cerebrovascular disease (chronic lacunar infarct)
Allergies: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received Janssen COVID vaccine 4/9/21 around 9 am. Patient reported to emergency department around 10 pm that day (4/9)- says tongue began swelling since 7pm, he took a benadryl at 8pm with no improvement. Per ED physician, patient had "tremendous amount of tongue swelling, I am not even able to visualize the palate he has fullness to his left neck as well". Patient intubated in emergency room to protect airway. Patient admitted to ICU where he is still today (4/13). Per chart, the edema subsided on 4/12 and patient was extubated today (4/13). Patient received IV steroids from 4/9- 4/13 (discontinued this morning). Of note: patient does take lisinopril 20mg daily (start date July 2020). There is concern the angioedema was caused by this medication. Patient received tranexamic acid and Berinert in the emergency department to assist in treating this potential etiology.


VAERS ID: 1201242 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, 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: Micradis HCT80 mg/25 mg 1 day Metformin HCL 500 mg 2 Day Simvastatin 20 mg 1Day Loperamide 2 mg 2 day Ergocalciferol 50,000 U 1 Per Week Low Dose Aspirin 81 mg 1 day
Current Illness: Carcinoma Cancer; Basel Cell Skin Cancer; Sleep Apnea; Hypertension
Preexisting Conditions: Carcinoma Cancer; Basel Cell Skin Cancer; Sleep Apnea; Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left side of face was swollen and red


VAERS ID: 1201276 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-20
Onset:2021-04-09
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: Difficulty Breathing: on and off since injection


VAERS ID: 1201289 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JSN 042A21A / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: folic aid, gabapentin, lasix, aldactone, sildenefil, ascorbic acid, etodolac, allopurinol
Current Illness: chronic stable
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data: unknown ER records available through Hospital
CDC Split Type:

Write-up: About 2 hours after administration of the vaccine, veteran reported feeling throat tightness and chest tightness with difficulty breathing. He called 911 and taken to Hospital for acute treatment. He was kept in ED for several hours and discharged with epi pen and script for pepcid


VAERS ID: 1201299 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Hyperhidrosis, Mental impairment
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none as my condition got better the day after.
CDC Split Type:

Write-up: I had difficulty to think all friday afternoon(2 days after injection). After going to bed around 9:30 PM and therefore lying down I suddenly started to cough. It last for about 10 minutes, I could not stop. I also started to sweat. At this time I believed I got COVID-19 at the vaccination site and moved to another room to avoid to expose furthermore my wife. I did not cough anymore since then. Today after reading the news and symptoms of blood clot in the lung, I prefer to report this incident.


VAERS ID: 1201333 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Coagulopathy, Computerised tomogram normal, Computerised tomogram thorax, Condition aggravated, Deafness bilateral, Decreased appetite, Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Fibrin D dimer increased, Headache, Incoherent, Migraine, Nausea, Pallor, Speech disorder, Tinnitus, Vision blurred, Visual impairment
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: Ajovy injection (3/11/21), Botox injection (3/17/21), gabapentin (2xs daily @300mg/ea), d3 (5000iu daily), flint stones multivitamin w/ iron (1 tablet daily), biotin (5000mcg daily), calcium citrate (1 tablet daily), aller-tec (1 tab daily)
Current Illness: None
Preexisting Conditions: Chronic migraines & sports induced asthma
Allergies: None
Diagnostic Lab Data: Chest ct scan (4/10/21), was at ER for test and evaluation for 5 hours (4/10/21)
CDC Split Type:

Write-up: Headache (turned into a migraine), extremely drained of energy, lack of appetite, and felt off all day (4/9/21). The next morning (4/10/21) felt the same as the day before, however, had several episodes where I would get really light headed, dizzy, and nauseous. Went to Home Depot at 2:15pm (4/10) and while there my vision blurred and started to fade, I had ringing in my ears and couldn?t hear out of the right and barely was able to hear out of the left. I got very nauseous and I couldn?t breath. I managed to sit on something and put my head between my legs that helped. Fortunately my step- dad was with me and helped me outside while I could barely see and hear and he stated I was very pale. I was having a hard time talking or being conherent. Once outside the symptoms slowly cleared over about the next 6-7 hours. At 4:45pm my mom decided to take me to the doctor but the walk in had just closed and I went to the ER. They stated I had elevated d-dime and did a chest CT scan to check for blood clots around 7:30pm (I believe not sure exact time) doctor stated they came back clear but when asked if he suspected that the episode and symptoms were due to a dissipated blood clot he would not directly answer it. I overheard him dictating his notes and he started he beloved as such. I have never experienced anything like this before. I still felt drained, headache (migraine), occasionally dizzy, and lack of appetite (4/11/21, 4/12/21) and still currently feel the same drained, migraine, lack of appetite, and occasionally dizzy.


VAERS ID: 1201340 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Injection site pain, Injection site pruritus, Injection site swelling, Limb discomfort, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I''m still experiencing heaviness on my left arm, almost like a "bump" on the injection site, pain on injection site and some itchiness. On the day following the injection I experienced high fevers, chills, body aches and nausea.


VAERS ID: 1201351 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Hypoaesthesia, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 20 mins after injection felt dizzy and face numbness. 12 hours after injection felt nausea, chills, fever, fatigue. Fatigue persisted for 36 hours. 48 hours after injection, face numbness returned and persisted for about 3 hours. Localization around the eyes and nose.


VAERS ID: 1201358 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Injection site vesicles
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins C,B12,E,D3,iron
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: There was blistering around the injection site that continued down my arm for days Still present as I report this


VAERS ID: 1201426 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Azathioprine, Pantoprazole, Ondansetron, Vitamin D3, Iron, Zink, Bayer low dose aspirin, Senna Tablets, RM10 supplement, Melatonin
Current Illness: inflammation of intestines from Crohns
Preexisting Conditions: Crohns and high blood pressure
Allergies: Remecade
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approx 31 hours after the vaccine, I ran a 99.9 temp. Ran than for about 30 hrs. I also got diareah within 30 hours after shot. That lasted about 24 hrs. I had a slight headache for about 24 hrs


VAERS ID: 1201520 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Nausea, Vomiting
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu vaccine
Other Medications: Metoprolol Tartrate, fish oil, Vitamin D, synthroid, simvastatin, nexium
Current Illness:
Preexisting Conditions:
Allergies: Flagyl, Clindamyacin, Tetracycline, Erythromycin, severe bee allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe headache, nausea, vomiting, dizziness?woozy, extremely tired


VAERS ID: 1201570 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electric shock sensation, Limb discomfort
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Leg on shot side feels like electricity is running through it.


VAERS ID: 1201625 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN NA / N/A LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Injection site pain, Pain
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), 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: metformin loratadine losartan lovastatin glimiperide insulin(Lantus) omeprazol aspirin multivitamin vitamin d
Current Illness:
Preexisting Conditions: diabetes type 2
Allergies: shell fish, iodine, Augmentine
Diagnostic Lab Data:
CDC Split Type:

Write-up: severe body aches, muscle pain(injection site) very tired. dizzy spells,


VAERS ID: 1201628 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose, Blood pressure decreased, Blood pressure measurement, Cold sweat, Dizziness, Electrocardiogram, Feeling abnormal, Head titubation, Pallor, Slow response to stimuli, Syncope, Vital signs measurement, Yawning
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Patient arrived to clinic to receive Janssen COVID-19 vaccine. Patient was accompanied by father. After consenting to receive vaccine, vaccine was given to left deltoid muscle. After about eight minutes, patient started to express feeling strange, reporting that she felt like she was going to pass out. Patient became clammy and pale. Clinic MD was called for assistance. After a few minutes, patient started yawn, with head nodding back. Patient was slow to respond for approximately 30 seconds during syncope. There was no loss of pulse or no s/s of trouble breathing. In clinic emergency response called, along with 911. Paramedics arrived to clinic, received report from MD and nurse about situation. Patient was assessed by paramedics, EKG done and was NSR, blood glucose done, and VS several times throughout incident. Patient was initially hypotensive with BP 80s/60s, with BP returning to 116/62 within a few minutes. Patient was taken home by parents following incident, electing not to go to hospital with paramedics. Patient was in good condition when leaving clinic with directions from clinic staff and paramedics to seek emergent care if needed.


VAERS ID: 1201646 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-06
Onset:2021-04-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Dizziness, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Had bloodwork done in the ER 4/10 that came back normal, per patient
CDC Split Type:

Write-up: Felt dizzy/lightheaded for the first few days after vaccine. 4/9 he noticed the development of petechiae. 4/10 he went to the ER about it and his labs came back normal. He said it continued to spread after his ER visit. I reviewed with him there isn''t a treatment option and it should clear on its own, but if it still continues to spread or spots get bigger, if he develops a fever, increased heart rate, or pulse changes to contact his doctor or go back to the ER and followup with us as well.


VAERS ID: 1201657 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

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

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

Write-up: Headache, low grade fever, muscle aches, nausea


VAERS ID: 1201685 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: developed at 103 degree fever, chills and fatigue. took until early Sunday 4/11/21 to break fever. used Tylenol and ibuprofen and cool ice packs. also just rested r/t to fatigue.


VAERS ID: 1201705 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hyrdrochlorothiazide; Zegerid; AZO Bladder Control
Current Illness:
Preexisting Conditions: High blood pressure; acid reflux/GERD
Allergies: Bactrim; Lactose Intolerant
Diagnostic Lab Data:
CDC Split Type:

Write-up: Previously reported feeling sick with headache, muscle aches, etc. Forgot to include feeling light-headed and sometimes a little dizzy. Still feeling a little light-headed and sometimes a dizzy feeling 4 days after vaccine. Previous temporary VAERS E-Report No: 427063


VAERS ID: 1201713 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: On-going non-stop spitting headache since vaccine, body/muscle aches since vaccine, off and on fever for 3 days so far


VAERS ID: 1201727 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: North Dakota  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: loratab, soma,tramadol, nuerotin, duoxipine, buprion, levothroxin.
Current Illness: n/a
Preexisting Conditions: chronic covid symptoms. chronic neck degeneration, major depression disorder.
Allergies: jalopeno''s, ropinerole
Diagnostic Lab Data:
CDC Split Type:

Write-up: hard red swollen at injection site the size of a half dollar


VAERS ID: 1201737 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ritual prenatal supplement, Legendary Milk Liquid Gold lactation supplement
Current Illness: None.
Preexisting Conditions: None.
Allergies: Seafood, Trimeresol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives on neck, chest, back, arms, abdomen with onset about 40 mins after receiving vaccine. Hives would subside after several hours and then continued to reappear until 4/13/2021. Rash on both arms also noticed near inner elbow, worse on left arm (injection arm). Hives and rashes continue to appear, but are getting less and less.


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