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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 98 out of 1,889

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VAERS ID: 1204730 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Neck pain, Pain in extremity
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Patient stated she felt the vaccine go into her arm and she continues to have pain in her neck and arm 4 days later. She also mentioned pain in her feet after having them elevated for a period of time. She has also complained of having diarrhea since getting her shot. I told her to take Tylenol for the pain and use the form to report concerns along with talking to her doctor.


VAERS ID: 1204744 (history)  
Form: Version 2.0  
Age: 42.0  
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 1808980 / 1 LA / IM
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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: Valerian, Cinnamon, Turmeric, Nattokinase-Serrapeptase
Current Illness: Endometriosis, Graves'' Disease: causes RA, Allergies, Crohns,
Preexisting Conditions: Fibromyalgia, Chronic Fatigue, Intractable Migraine, Arrhythmia, Cystic Acne, Vascular Congestion, Stenosis, etc.
Allergies: Opiates, Corn, Olive, PVC, Phthalate, Benzene, FDC Colors, etc
Diagnostic Lab Data: No insurance and I don''t enter buildings other than my home since start of pandemic. Past hx of milder clotting problems handled via allergen-free organic diet well.
CDC Split Type:

Write-up: Woke with: Blood Clots in my left arm at injection pt and lower arm, wrist, hand. Blood Clots in my left leg, mainly calf, lower leg, ankle, some in thigh. Larger, more numerically present than in past from antihistamines. None present before Vax, allergen-free diet prevents usually.


VAERS ID: 1204860 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Georgia  
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 / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Balance disorder, Dizziness, Fatigue
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin
Current Illness:
Preexisting Conditions: Diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme weakness and tiredness along with dizzy and off balance.


VAERS ID: 1204883 (history)  
Form: Version 2.0  
Age: 31.0  
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 205A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), 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: TBD
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Systolic Blood Pressure: 90 Diastolic Blood Pressure: 80 Pulse: 74
CDC Split Type:

Write-up: Patient appeared to be fainted for 1-2 seconds. After having water and snack, he became ok. Patient was asked to wait for 45 minutes. Family members said that he did not have breakfast and he is scared of seeing needles or blood.


VAERS ID: 1204892 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
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 - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 3 sets of hives over 36 hours - would swell down with Pepcid & Benadryl, also took Zyrtec. Had to go to Urgent Care.


VAERS ID: 1204911 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Arizona  
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 (UNKNOWN)) / UNKNOWN MANUFACTURER JJ041A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Blindness, Blood test, Cardiac flutter, Chest discomfort, Computerised tomogram head abnormal, Dizziness, Echocardiogram, Electrocardiogram, Feeling abnormal, Hypoaesthesia, Transient ischaemic attack
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amiodarine 200mg 2xd Asprin 81mg Atorvastasin 80mg Warfrin 15mg Entresto 24/26mg 2xd Fenofibrate 80mg Furosemide 40mg Levothyroxin 150MCG Mexiletine 150mg 3xd Spironolacton 25mg Tamsulosin 0.4mg Nitrostat 0.4mg - as needed
Current Illness: none
Preexisting Conditions: Heart disease
Allergies: none
Diagnostic Lab Data: 4/9 - EKG, St Jude defibulator interrogation, blood work 4/10 - Echocariogram / CT of head, blood work 4/11 - CT
CDC Split Type:

Write-up: Didn''t feel well when I got up the morning or 4/9, had chest discomfort, fluttering in the heart, numbness in the arms. 5pm same day got to feeling much worse. Felt faint, lose of eye site. called 911 and was transported by ambulance to hospital were I remained for 48 hours diagnosed with a mini stroke. Released from hospital 4/11 @ 3pm. Eyesite has recovered and feeling somewhat normal.


VAERS ID: 1204933 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: California  
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 201A21A / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose decreased, Headache
SMQs:, Hypoglycaemia (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: irbesartan 300mg aspirin 81 mature mulity vitamins B superB complex co Q10 D
Current Illness: hig blood presuure
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: Friday Forehead / front of the headHeadache Friday remady :ibuprofen Blood sugar dropped eat chees and honey and food Forehead / front of the head Headache :Forehead / front of the head Saturday 3 pm Activity : tennis 2 hours 11 pm Headache :Forehead / front of the head Sunday 6 Am Activity :work out 2 hours 11 AM Sunday Headache :Forehead / front of the head 6 Am 3 pm 11:45 pm Monday 6 Am 11 AM Sunday Activity :work out 2 hours 6 Am 3 pm 11:45 pm Tuesday Headache :Forehead / front of the head 6 Am 1 pM remady :ibuprofen then its gone


VAERS ID: 1204961 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Tennessee  
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 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Fatigue, Feeling cold, Malaise, Pain, Sleep disorder, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aripiprizole (10mg) Trazadone (25mg)
Current Illness: 0
Preexisting Conditions: Asthma
Allergies: Erythemycryn Seasonal allergies Imitation crab Mold Poison ivy
Diagnostic Lab Data: N/A. I did not receive medical care for this. I took Tylenol to help with fever.
CDC Split Type:

Write-up: I received the vaccine at 12:30 PM on 4/9/21 and began feeling ill around 8:00 PM that same day. It started with my body freezing and then I started shaking because I felt so cold and I covered up in blankets and a heating pad and still felt extremely cold. Then, the body aches began, and my whole body was very tired. After an hour of sleep, I took my temperature and it was 100.8. That is the highest that it rose to. My normal body temperature is 97.4. This lasted all through the night up until Saturday afternoon around 3:30 PM on 4/10/21.


VAERS ID: 1204986 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Tennessee  
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 1805020 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood test abnormal, Computerised tomogram normal, Headache, Hypersensitivity, Movement disorder, Pain, Pyrexia, Tachycardia
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Obesity, anemia
Allergies: Morphine
Diagnostic Lab Data: Bloodwork, CT (no blood clot)
CDC Split Type:

Write-up: Allergic reaction, fever (104.6), tachycardic (+150 bpm), elevated blood pressure, difficulty moving extremities, severe pain, headache


VAERS ID: 1204999 (history)  
Form: Version 2.0  
Age: 30.0  
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 / 1 LA / IM

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

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

Write-up: Dizzy/sweaty. Has not eaten today. Glucose tab administered with water. SXS improved. No further intervention needed. Declines any allergy.


VAERS ID: 1205001 (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 1802068 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Asthenia, Chills, Headache, Hyperhidrosis, Injection site erythema, Injection site swelling, Injection site warmth, Nausea, Pain, Pyrexia, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), 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: Macrobiotic, Singulair, and gummy multivitamin
Current Illness: Possible uti, ears had problems with fluid in them.
Preexisting Conditions: Seasonal allergies and possible asthma
Allergies: None that I know of
Diagnostic Lab Data:
CDC Split Type:

Write-up: That evening I had a headache and I was achy. After going to bed I developed chills where I couldn''t get warm and I was shaking, and then it turned to sweating. The next day I was weak, achy, nauseous. That night I developed a fever too. My injection site it still warm to the touch and a little red and swollen, but is looking better. I also had stomach pains in the evening Friday and Saturday night that happened when I was nauseous too.


VAERS ID: 1205053 (history)  
Form: Version 2.0  
Age: 30.0  
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 - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Oropharyngeal pain, Pain, Throat irritation
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: Junel oral contraception
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Symptoms were bad the first day, but all normal. Fatigue has persisted, back aches a lot of Sunday and Monday, but today I have a sore throat that seems to be increasingly irritated.


VAERS ID: 1205057 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Oklahoma  
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 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Headache, Pain in extremity, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin gummy , hair skin nails gummy
Current Illness:
Preexisting Conditions: Asthma
Allergies: Ibuprofen, NSAIDs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Friday 4/9 Shortness of breath Hard to breathe Sore arm Saturday 4/10 Bad headache Sound wheezy MONDAY 4/12 Shortness of breath Left shoulder/chest pain


VAERS ID: 1205066 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
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 - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Eye irritation, Fatigue, Headache, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Corneal 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: No medications
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data:
CDC Split Type:

Write-up: on 4/9/2021 I felt very fatigue and had a headache all day long my eyes where burning of my headache. When I cough it hurts all the way down my right arm.


VAERS ID: 1205088 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 37B21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mobility decreased, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Amiodarone
Diagnostic Lab Data:
CDC Split Type:

Write-up: Daughter said patient was hospitalized after both shots of Moderna vaccines. According to her he wasn''t able to move his body and had fever.


VAERS ID: 1205099 (history)  
Form: Version 2.0  
Age: 24.0  
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 206A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dizziness, Electrocardiogram, Full blood count, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral Contraceptive Pill
Current Illness:
Preexisting Conditions: Iron deficiency
Allergies:
Diagnostic Lab Data: EKG, normal CBC and bloodwork labs which has not returned
CDC Split Type:

Write-up: Pt has experienced dizziness and intermittent increased heart rate since the day after her vaccine.


VAERS ID: 1205281 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Tennessee  
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: Public       Purchased by: ?
Symptoms: Anxiety, Chest pain, Chills, Discomfort, Dyspnoea, Heart rate increased, Musculoskeletal chest pain, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Buspirone, Amoxicillin
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 3 hours after getting the vaccine I started to feel short of breath. About 5 hours after that I got chills that made me shake all over because I got a fever of 103. Then 2 hours later my heart started to beat very rapidly and got up to 126 beats per minute, my heart was also not only beating vast but very very hard. Then throughout the night and all of the next day, I had pain in my chest on the left side and also pain in my rib area on the left side. The pain lasted for over 24 hours and because of that I went to the emergency room. It turned out they didn''t find anything life threatening at the emergency room but all the pain I had was very scary and very uncomfortable. It was a terrible experience and because of it, I am telling people not to get the Johnson and Johnson vaccine.


VAERS ID: 1205288 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: D.C.  
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 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamin, calcium +d supplement, probiotic, mirena
Current Illness:
Preexisting Conditions:
Allergies: Peptobismol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, chills, body aches,


VAERS ID: 1205311 (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: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dizziness, Fatigue, Fibrin D dimer increased, Headache, Tremor
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: FLU SHOT 2020 - FATIGUE FOR 2.5 WKS STRAIGHT
Other Medications: LEVOTHYROXINE CELEXA CALCIUM VIT B6, D3
Current Illness:
Preexisting Conditions: HYPERTHYROID
Allergies: AMOXICILLIN, DIPHENHYDRAMINE,METHIMAZOLE, TICONZAOLE, PHENERGEN, PROZAC, TORADOL, SERTRALINE, ZOFRAN
Diagnostic Lab Data: D DIMER - HIGH
CDC Split Type:

Write-up: 15 MINS AFTER SHOT I STARTED FEELING DIZZY, REALLY BAD HEADACHE, FATIGUE, AND ON AND OFF CHEST PAINS. HAD TO LAY DOWN. STARTED GETTING TREMORS, DIDN''T FEEL ANY BETTER AFTER ANOTHER 20 MINS AND THEN THE DOC CALLED THE AMBULANCE TO TAKE ME TO ER.


VAERS ID: 1205326 (history)  
Form: Version 2.0  
Age: 54.0  
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 - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Full blood count, Metabolic function test, Pain in extremity, Red blood cell sedimentation rate
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol Extra Strength 500 MG Tablet 2 tablet Orally Once a day as needed. Vitamin C 500 MG Capsule 1 tablet Orally Once a day. Vitamin B12 5000MCG Tablet 2 tablets Orally once a week. Amlodipine Besylate 2.5 MG Tablet 1 tablet Orally On
Current Illness: NO ACUTE ILLNESSES
Preexisting Conditions: Hypothyroidism, Dyslipidemia, HTN, Elevated alkaline phosphatase (in 2014), GERD, Overweight, Right leg swellling on and off, Carpal tunnel syndrome, b/l, Paresthesia of skin, Polyarthritis, osteopenia, Rheumatoid arthritis
Allergies: N.K.D.A.
Diagnostic Lab Data: ORDERED CBC, CMP, SED RATE
CDC Split Type:

Write-up: ACUTE ONSET SEVERE B/L LEG AND LOWER LEG PAIN STARTED 2 DAYS AFTER VACCINE ADMINISTRATION


VAERS ID: 1205349 (history)  
Form: Version 2.0  
Age: 19.0  
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 / N/A RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Back pain, Fatigue, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Extreme back aches, extreme nausea, slight headaches, and fatigue. Took Advil which helped side effects but was still in pain for three days after vaccine.


VAERS ID: 1205360 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
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 206A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dehydration, Dizziness, Feeling cold, Heart rate increased, Hyperhidrosis, Malaise, Nausea, Posture abnormal
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (narrow)

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

Write-up: after administering Janssen COVID Vaccine, patient felt light headed, rapid heart beat, sweating all over the body, cold, slouched over in chair, nausea, did not throw up, weak (could not make a strong fist), felt dehhydrated, general unwell, took about 10 to 15 minutes to get back to baseline for patient. I sat with patient in IMZ room until felt better...I asked if wanted EMS but shook head no...later in evening I saw patient in store pulling freight....gave water at their request


VAERS ID: 1205383 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A2A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Diarrhoea, Disturbance in attention, Dizziness, Fatigue, Headache, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Vestibular 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall, niacin, vitamins C, B and B12, Zinc and magnesium
Current Illness: None
Preexisting Conditions: None
Allergies: Bananas
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Within two and a half hours had diarrhea and vomiting. Body aches started right away me were severe by the night. Fever started the first night and continued through 4 days. Severe fatigue ongoing 5 days out. Trouble concentrating. No focus. Dizziness. Headache. Vomiting returned day 4.


VAERS ID: 1205445 (history)  
Form: Version 2.0  
Age: 33.0  
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 / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood test abnormal, Chills, Computerised tomogram normal, Computerised tomogram thorax, Electrocardiogram normal, Fatigue, Fibrin D dimer, Headache, Heart rate increased, Pain, Pain in extremity, Palpitations, Pyrexia, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dexilant 60 mg (morning); Levocetirizine 5 mg (evening before)
Current Illness: None
Preexisting Conditions: Asthma Fibromyalgia GERD IBS Polycystic ovary syndrome Migraine
Allergies: Cefprozil; Reglan; Mold; Metals; Lactose (mild); Cosmetics
Diagnostic Lab Data: EKG Complete Blood Draw (checking D-Dimer 931 standard range <=500 ng/mL) CT Scan (Chest Scan)
CDC Split Type:

Write-up: Tachycardia. I had the expected side effects of headache, chills, body aches, fatigue and fever (102.6 F) but began to experience symptoms of pounding/racing heart that worsened through the evening. By 10:00 pm my heart rate was bouncing around between 130 bpm and 155 bpm, and I was beginning to have pain in my lower legs/ankles. Was told by a on call nurse for my clinic to go to the ER. I was in the ER for about 5 hours, roomed the whole time as they worked to get my heart rate down and checked to make sure I didn''t have a blood clot. They performed an EKG and CT Scan of my chest, both were fine. I was eventually allowed to leave after 4 am on 4/10/21 after my heart rate got into the high 90''s with only small spikes into the 110''s with slight movement and once my fever had broken.


VAERS ID: 1205497 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Maryland  
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: Other       Purchased by: ?
Symptoms: Pain
SMQs:

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

Write-up: Severe body aches 5-6 hours after vaccination


VAERS ID: 1205565 (history)  
Form: Version 2.0  
Age: 19.0  
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 41A21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, 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: multi vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: peanut allergy, pennicillan
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever 102 Fatigue Terrible Muscle aches Nausous headache


VAERS ID: 1205569 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Alaska  
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 1805031 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Mobility decreased, Pain, Pyrexia, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: I had a seizure from one as a child but I''m unsure which one.
Other Medications: Nuva ring.
Current Illness: No.
Preexisting Conditions: No.
Allergies: Shellfish, bees.
Diagnostic Lab Data: They never took any.
CDC Split Type:

Write-up: The night of the shot I was unable to sleep while in excruciating pain all over by body. I had a fever for 6 hours. I was to week to move for hours and when I finaly could get up and move around I was unable to even open my contact case to take them out because I was to week. The pain continued until noon when it lessened some with tons of advil I was able to move around slowly but pain persisted throughout the day and into the next 2 days. I finaly woke up pain free 4 days after getting the vaccine.


VAERS ID: 1205584 (history)  
Form: Version 2.0  
Age: 55.0  
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 - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache, Influenza like illness
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)

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

Write-up: Flu like symptoms; aching joints, chills, tiredness, weakness, bad headache lasted 24 hours and was gone


VAERS ID: 1205678 (history)  
Form: Version 2.0  
Age: 39.0  
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 041A21A / 1 LA / IM

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

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

Write-up: Headache for 5 days straight. Advil and Tylenol do not help. Exhaustion. Lightheaded and nauseous at times today.


VAERS ID: 1205683 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-03-15
Onset:2021-04-09
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Muscle spasms, Pain
SMQs:, Acute pancreatitis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: I had an unbearable headache, along with stomach cramps. Leg cramps and body aches started a couple days into the five day reaction. I did not go to my primary doctor.


VAERS ID: 1205690 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-03
Onset:2021-04-09
   Days after vaccination:37
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Urosepsis
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

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

Write-up: Patient hospitalized for urosepsis, unlikely related to prior vavvine.


VAERS ID: 1205745 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Kansas  
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 - / N/A LA / IM

Administered by: School       Purchased by: ?
Symptoms: Chills, Delusion, Hallucination, Head discomfort, Pain, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: 7 hours after the vaccine at 8pm, I had extreme chills, a fever started at 99 degrees, and my body started to hurt. At 11pm, my chills were so bad I was wearing a coat and stocking cap in my house under blankets, I was physically shaking, and my teeth were chattering. My fever was 100 degrees and my body aches were bad. From midnight until around 6 am, I was not able to sleep at all because I was so uncomfortable. My body went from having the chills to being extremely hot and couldn''t cool down, my fever fluctuated between 101-102 degrees, and the muscle aches and headaches were the worst. My lower back and hip specifically hurt extremely bad to the point where I had to get up and try to walk around in hopes of making it feel better. My headache was horrible and it felt like my brain was filled with fluid and pressure. I cried on and off all night. At 2 am and again at 4 am my brain started to hallucinate and I was seeing things and having delusional thoughts. If I could have driven myself, I would have taken myself to the ER at this point but I knew in my condition I could not drive. At 6 am, my symptoms started getting a little bit better. I was not completely back to normal until about 36 hours after receiving the vaccine, but the first 12 hours were the worst.


VAERS ID: 1205796 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Oregon  
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: Unknown       Purchased by: ?
Symptoms: Fibrin D dimer normal, Full blood count, Metabolic function test, Myalgia, Rash, Swelling face
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CBC, BMP, D-dimer normal.
CDC Split Type:

Write-up: Facial swelling, rash, myalgias for 5 days


VAERS ID: 1205812 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Indiana  
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 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Developed COVID arm. Injection site became swollen, red, hot to touch, hard in middle, and now a slight bruise. Also developed a skin rash on legs, arms, back, and mid-section on April 12, 2021. Rash lasted overnight.


VAERS ID: 1205844 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
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 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Appendicectomy, Appendicitis, Computerised tomogram abdomen, Computerised tomogram abnormal, Full blood count normal, Haemoglobin urine present, Laboratory test normal, Laparoscopic surgery, Liver function test normal, Pancreatic cyst, Pancreatic mass, Pulmonary mass, Red blood cells urine positive
SMQs:, Haemolytic disorders (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Chronic kidney disease (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mirena IUD
Current Illness: None
Preexisting Conditions: Uterine fibroids, Nevi, lactose intolerance, BPPV (benign paroxysmal positional vertigo)
Allergies: NKDA
Diagnostic Lab Data: CT abdomen pelvis on 4/9 showed findings above. Underwent lab work with CBC, chem 7, and LFTs normal. UA with small hemoglobin, but only 2 RBCs.
CDC Split Type:

Write-up: Developed abdominal pain 4/7. Diagnosed with acute appendicitis 4/9 and underwent laparoscopic appendectomy 4/9. Also incidentally noted to have complex cystic pancreatic tail mass up to 8.3 cm with 7mm and 4mm RLL subsolid lung nodules. Patient has been discharged after appendectomy, and further workup of the pancreatic mass is planned. The appendicitis AE is resolved, but the pancreatic mass and lung nodules (likely not related to vaccine) are ongoing at this time.


VAERS ID: 1205891 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Texas  
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 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cough, Headache, Pain in extremity, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Headache, coughing, sneezing, leg pain


VAERS ID: 1205902 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: South 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 203A21A / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fibrin D dimer, Full blood count, Metabolic function test, Palpitations, Troponin
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: glutens, nuts, latex
Diagnostic Lab Data: CBC, CMP, Troponin, D-Dimer, CXR, EKG
CDC Split Type:

Write-up: N/V/D Shortness of breath Palpitations


VAERS ID: 1205954 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Illinois  
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 - / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Headache, Impaired work ability
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: felt fine before the vaccine, Within a day he noted a mild headache that increased each day until three days later he was unable to work and was told to call his PCP for consultation.
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: evaluated by PCP
CDC Split Type:

Write-up: Mild headache after 24 hours with worsening over the next three days.


VAERS ID: 1205964 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Georgia  
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 / SYR

Administered by: Private       Purchased by: ?
Symptoms: Adverse event, Asthenia, Blood test, C-reactive protein, Differential white blood cell count, Dizziness, Dyspnoea, Fatigue, Full blood count, Loss of consciousness, Metabolic function test, Muscle spasms, Pain in extremity, Pallor, Platelet count, Red blood cell sedimentation rate
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), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Sulfa drugs
Diagnostic Lab Data: Bloodwork - CBC with differential/platelet, metabolic panel, c-reactive, and sedimentation labs (all labs drawn on 4/9)
CDC Split Type:

Write-up: Received vaccine at 3pm on 4/8 and adverse event happened the morning of 4/9. Leg cramps/pains, dizziness, shortness of breath, weakness, and fatigue. I passed out in the morning at a doctors appointment and took a couple minutes to get back consciousness. All color was drained from my face for hours and had to receive 2 bags of fluid. Still getting dizzy/light headed 5 days out from the vaccine.


VAERS ID: 1205993 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Washington  
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 - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Feeling abnormal, Pain, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Ambien
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fever and chills for 24 hours, hives for about 12 hours, body aches for 8 hours until Tylenol was taken. Fatigue and mental fogginess for 36 hours.


VAERS ID: 1205996 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Nevada  
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 041A21A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Injection site swelling, Injection site warmth, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), 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: Blood Pressure Mediciation
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Hay Fever
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nearly a week after injection, injection site is still visibly swollen, slightly warm to touch. Blood clot passed vaginally (outside of normal menstruation schedule).


VAERS ID: 1206018 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-11
Onset:2021-04-09
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: PNC
Diagnostic Lab Data: Contact Hospital
CDC Split Type:

Write-up: I had a blood clot in my left lung. went to ER , spent three days in the hospital was given medications (Xarelto ) required to taking medication now for a least a year.


VAERS ID: 1206041 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Maryland  
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 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Head injury, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Accidents and injuries (narrow), 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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was in attendance at the JANSSEN vaccination clinic on 4/9/21. After vaccination while he was in the observation area, PT experienced a syncopal episode and hit his head on the window sill next to where he was sitting. Staff responded and assessed PT and decided to initiate a MET call. There was concern that the patient may have experienced a seizure. Patient was taken to the Emergency Department. Patient was ultimately admitted on 4/9/21 with new onset of a. fib. He was discharged on 4/11/21. While hospitalized, the patient received IV cardizem


VAERS ID: 1206075 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Maryland  
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: Burning sensation, Hypoaesthesia, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), 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: 10mg Atorvastatin
Current Illness: none
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Swelling and numbness in legs (Burning sensation on top of


VAERS ID: 1206117 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
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 201A21A / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Feeling abnormal, Headache, Neck pain, Pain
SMQs:, Retroperitoneal fibrosis (broad), Dementia (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norco, Celexa, Allegra
Current Illness: None
Preexisting Conditions: Rheumatoid Arthritis Sjogrens Syndrome Asthma
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Weird, bad feeling at first followed by bad aching , joint pain, headache, shoulder pain, neck pain , back pain.


VAERS ID: 1206197 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
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 - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Feeling hot, Headache, Nausea, Pyrexia, Sensitive skin, Sleep disorder
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I started to feel chilled around 7pm friday evening. I laid down and began to feel nauseous and hot; my skin was sensitive. I soon had a 103.7 fever with chills and a terrible splitting headache. My symptoms lasted through the night. I took one 200mg Ibuprofen at 03:30 saturday morning/it didn''t seem to help much. Most of the day saturday I had a headache that was manageable and 100.2 degree fever. Saturday evening I was fever free and had a dull headache. Sunday, I was exhausted.


VAERS ID: 1206232 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
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 - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain in extremity, Ultrasound scan normal
SMQs:, Tendinopathies and ligament disorders (broad)

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

Write-up: Leg pain in left calf for a number of days starting almost a week after getting vaccinated. I thought it might be a blood clot (this was e any news of blood clots was known). I had an ultrasound and it showed nothing. But I thought I?d report it anyway.


VAERS ID: 1206236 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Washington  
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: Private       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram, White blood cell count increased
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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: -
Current Illness: -
Preexisting Conditions: -
Allergies: -
Diagnostic Lab Data: high white blood cell count, CT scan (both on 4/9)
CDC Split Type:

Write-up: uncomplicated appendicitis, removed via surgery


VAERS ID: 1206267 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lyrica, Montelukast, Amphetamine XR 20 mg, Loratadine, Duloxetine
Current Illness: None
Preexisting Conditions: Fibromyalgia, Raynaud?s Phenomenon, ADD, Allergies(Indoor/Outdoor/Food), Depression, Generalized Anxiety Disorder
Allergies: Indoor/Outdoor allergens, bananas, watermelon, kiwi, peanuts, cashews, almonds.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Beginning at approximately 9:30 pm ET Friday, April 9, 2021, I began to experience extreme fatigue, fever, chills, extreme muscle/body aches and headache. I experienced soreness in my left arm. The symptoms lasted until the morning of Sunday, April 11, 2021.


VAERS ID: 1206381 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 15 / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Crying, Disorientation, Dyspnoea, Hallucination, Inappropriate affect, Laboratory test, Muscle contractions involuntary, Musculoskeletal chest pain, Nausea, Pain, Pain in extremity, Pyrexia, Sensitive skin
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: On April 10th my vitals were taken at the hospital. Laboratory testing was done to check if I had consumed or was under any type of drug.
CDC Split Type:

Write-up: I received the Johnson and Johson Vaccine on April 9th between 10:00 a.m.-10:20 a.m., at 10:30 p.m. that same day my legs and feet started to ache (pain level 3), by 11:00 p.m. my feet and leg (pain level rose to a 6), I drank two 500 ml pain-relieving pills. By 11:30 p.m. (pain level rose to a 9), at that time my pain traveled up to my rib cage, I felt nauseous, felt chills, felt contractions on my stomach and lower back, I felt pain and sensitivity on my skin and caught a fever. Between 12:00 a.m.-2:00 a.m. my (pain level rose to 12), I had a high fever, felt weak, disoriented, lost track of time, started to hallucinate, could not breathe normally, and experienced involuntary and uncontrollable laughter and crying. 911 was called.


VAERS ID: 1206580 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210417610

Write-up: HEADACHE; PAIN IN ARM; This spontaneous report received from a parent concerned an 18 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch no was not reported ,The company is unable to performed follow up to request batch /Lot numbers No concomitant medications were reported. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced pain in arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, and pain in arm. This report was non-serious.


VAERS ID: 1206635 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site pain, Pain assessment, Skin warm
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Alcoholic (Once every weekend.); Arthritis viral; Non-smoker
Preexisting Conditions: Comments: Patient had no known allergies, no drug abuse/illicit drug use.
Allergies:
Diagnostic Lab Data: Test Date: 20210409; Test Name: Pain scale; Result Unstructured Data: 4/10
CDC Split Type: USJNJFOC20210419863

Write-up: WARM TO TOUCH; SORENESS ON THE LEFT ARM (INJECTION SITE)/SORE; This spontaneous report received from a patient concerned a 22 year old male. The patient''s weight was 125 kilograms, and height was 170 centimeters. The patient''s concurrent conditions included alcoholic, non-smoker, and herpes, and other pre-existing medical conditions included patient had no known allergies, no drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced warm to touch. On 09-APR-2021, the subject experienced soreness on the left arm (injection site). Laboratory data included: Pain scale (NR: not provided) 4/10 (units unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from soreness on the left arm (injection site), and the outcome of warm to touch was not reported. This report was non-serious.


VAERS ID: 1206849 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Product administration error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210419942

Write-up: ALREADY VACCINATED TWO TIMES AND RECEIVED JANSSEN COVID19 VACCINE ACCIDENTALLY; This spontaneous report received from a pharmacist concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, expiry: not reported) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced already vaccinated two times and received Janssen covid19 vaccine accidentally. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of already vaccinated two times and received Janssen covid19 vaccine accidentally was not reported. This report was non-serious.


VAERS ID: 1206870 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Hangover
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420107

Write-up: CHILLS; HANGOVER; This spontaneous report received from a consumer concerned a 23 year old female. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced hangover. On 09-APR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills and hangover was not reported. This report was non-serious.


VAERS ID: 1206871 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420108

Write-up: CHILLS; FEVER; This spontaneous report received from a patient via a company representative concerned a 39 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and chills. This report was non-serious.


VAERS ID: 1206873 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808982 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Headache, Pain in extremity, Polymerase chain reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient has not had any vaccines in a very long time.
Allergies:
Diagnostic Lab Data: Test Date: 20200830; Test Name: PCR; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210420136

Write-up: FEELING DIZZY AND WOOZY BY THE DAY; CHILLS; SORE ARM; BODILY WEAKNESS; BAD HEADACHE ON SOME PARTS OF HEAD; FEVER; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included patient has not had any vaccines in a very long time. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 10:00 for prophylactic vaccination. No concomitant medications were reported. On 30-AUG-2020, Laboratory data included: PCR (NR: not provided) Negative. On 09-APR-2021, the subject experienced feeling dizzy and woozy by the day. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced sore arm. On 09-APR-2021, the subject experienced bodily weakness. On 09-APR-2021, the subject experienced bad headache on some parts of head. On 09-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, chills, bad headache on some parts of head, bodily weakness, sore arm, and feeling dizzy and woozy by the day. This report was non-serious.


VAERS ID: 1206876 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-04-09
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Back pain
SMQs:, Retroperitoneal fibrosis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sciatica (had sciatica 5-10 years before.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210420254

Write-up: SEVERE BACK PAIN ON LOWER LEFT SIDE AND WAS UNABLE TO MOVE OR SIT WITHOUT EXPERIENCING IT; This spontaneous report received from a patient concerned a 72 year old male. The patient''s height, and weight were not reported. The patient''s past medical history included sciatica. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced severe back pain on lower left side and was unable to move or sit without experiencing it. Treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe back pain on lower left side and was unable to move or sit without experiencing it. This report was non-serious.


VAERS ID: 1206938 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Pyrexia, Rash, Rash macular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), 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:
Other Medications: Nuvaring
Current Illness: None
Preexisting Conditions: None
Allergies: Macrodanton, Pristiq
Diagnostic Lab Data:
CDC Split Type:

Write-up: I developed a moderate headache 3-4 hours after receiving the vaccine that became more painful over time. At 8 PM, I developed a rash on the left side of my face, neck and chest that lasted through the night and into the morning (about 12 hours). The rash did not look like hives, but it was itchy and blotchy red patches. I also spiked a 101 degree fever that lasted until the morning (about 12 hours).


VAERS ID: 1206955 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Fatigue, Head injury, Nausea, Pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Janssen COVID-19 Vaccine EUA The morning after getting the vaccine I woke up feeling very tired and sore/achey all over. I got to work (I lifeguard at the pool on campus) at around 6:15am and helped get the pool set up. When I sat down to try to do homework I started feeling very dizzy and nauseous. The pool deck is very hot, so I decided to try to go into the pool office where it would be cooler. I remember walking through the door and into the office, and then laying down next to the trash can because I thought I might be sick. One of my coworkers brought me some water and Goldfish, and I layed on the office floor for the rest of my 45 minute shift. Afterwards, when I was looking for my laptop, my other coworker said that when I had tried to go through the door into the pool office I had run into the door (I later got a small lump on my head from this) and that I had dropped my latptop. I do not remember either of these happening, so I believe that I blacked out for a moment, and it was likely hitting my head on the door that woke me up. A small scratch and some mild pain in my foot leads me to believe I dropped the laptop partially, but not completely, on my foot. I felt very tired for the rest of the day, and a little dizzy up until about mid-afternoon. I spent most of the day in bed sleeping. Waking up the next morning I felt completely fine, and was able to go about all of my normal activities with no side effects at all.


VAERS ID: 1207035 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

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

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

Write-up: Janssen COVID-19 Vaccine EUA chill, fever, headache, nausea over 24 hour period followed by exhaustion for the next 24 hours


VAERS ID: 1207073 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Pain, Palpitations, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Body aches, fever, chills, headache, and heart palpitations that started approximately 12 hours administration of vaccine. Fever, chills and body aches subsided within 36 hours. Heart palpitations reduced but continue to occur periodically


VAERS ID: 1207092 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-03-01
Onset:2021-04-09
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Headache, Migraine, Photophobia
SMQs:, Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad)

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

Write-up: Onset of dull headache which worsened. Continued worsening into a massive migraine(cluster, light sensitive). After several hours I took a migraine relief OTC medication. The headache subsided with minor headache into the following day.


VAERS ID: 1207129 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-20
Onset:2021-04-09
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 18050258 / 1 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Magnetic resonance imaging, Urine analysis
SMQs:, Hearing impairment (broad)

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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: CAT SCAN, MRI, BLOOD WORK, URINE SAMPLE, PHYSICAL ASSESSMENT ALL CONDUCTED ON 4/10/2021 AND 4/11/2021.
CDC Split Type:

Write-up: DEVELOPED BELLS PALSY AND WAS IN ER AND ADMITTED TO HOSPITAL ON 4/10/2021. DIAGNOSIS WAS BELLS PALSY BY A NEUROLOGIST ON STAFF


VAERS ID: 1207200 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test, Chest pain, Diarrhoea, Echocardiogram, Electrocardiogram, Heart rate increased, Hypertension, Injection site pain, Injection site pruritus, Palpitations, X-ray
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol Clonazepam Escitalopram Bupropion Famotidine Pantoprazole Cetirizine Pyridostigmine Pramipexole Clonidine
Current Illness: Ehlers-Danlos Syndrome, Postural orthostatic tachycardia syndrome, Mast cell activation syndrome
Preexisting Conditions: Ehlers-Danlos Syndrome, Postural orthostatic tachycardia syndrome, Mast cell activation syndrome, Asthma
Allergies: N/A
Diagnostic Lab Data: Labs of blood, ECHO, X-ray, EKG, Checked for PE.
CDC Split Type:

Write-up: High heart rate (140-150) while sitting. High Blood Pressure (150/90) while sitting. Left side chest pain. Heart palpitations. Welt at injection site, was painful and itchy. Stomach cramping and loose stool.


VAERS ID: 1207212 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Computerised tomogram abdomen, Laboratory test
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propafenone, Lisinopril, Chlorthalidone, Liptor, Nexium, Vit D, Vit B12, CoQ10, Fiber, Zytec
Current Illness: none
Preexisting Conditions: Blood Pressure, Cholesterol, SVT''s
Allergies: none
Diagnostic Lab Data: blood work, cat scan on stomach, scan gall bladder on 4-11-2021
CDC Split Type:

Write-up: Sever Stomach pain, went to ER, they gave pain meds, check gall bladder, Cat scan on stomach, blood work


VAERS ID: 1207240 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Fascial rupture, Headache, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexplanon Birth Control, Naproxen (taken 1 hour before the vaccination)
Current Illness: Torn fascia in right foot
Preexisting Conditions: N/A
Allergies: clindamycin, dilaudid, latex
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: The morning after the injection I woke up with a slight fever (99.0 degrees), body aches, and a headache. The fever lasted for about 4-6 hours and the body aches and headache lasted until mid-day the following day.


VAERS ID: 1207250 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Dehydration, Dyspnoea, Fatigue, Neck pain, Night sweats, Pain, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament 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? 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: Penicillin
Diagnostic Lab Data: None. I called my doctors office and they didn?t seem to care Told me to call FEMA where I got the vaccine but there is no number for that so I did this form
CDC Split Type:

Write-up: shortness of breath No energy Fever 103 for two days, Tylenol didn?t work to break it Full body sweats. I had to change my bed sheets 3 times in four days Body aches Sore in legs, neck and inside of my arms Dehydration The inside of my left arm still hurts and throbs (not where I got the shot)


VAERS ID: 1207261 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Cold sweat, Confusional state
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Vitamin D3 5000IU, Vitamin B12 1,000mcg, Vitaman C 1000mg, Vitamin Zinc 50mg
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Didn''t seek medical attention.
CDC Split Type:

Write-up: Friday, approximately 5:00 pm, my wife and I were leaving home to drive to grandson''s baseball game. Out of the house and on the driveway I became confused, couldn''t speak, felt "clammy" and began to perspire, and couldn''t drive. My wife was asking me questions and I couldn''t answer wedding date, her DOB, etc. The symptoms disappeared after 10-15 minutes but I felt almost the same as the minimal symptoms I had with my Covid positive, January 14. (My Covid experience resembled having a Cold).


VAERS ID: 1207284 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray abnormal, Chest discomfort, Fibrin D dimer increased, Nausea, Pleural effusion, Vomiting, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: NONE
Preexisting Conditions: ASTHMA
Allergies: SULFA, CEPHALOSPORIN, KEFLEX, LATEX, NSAIDS, TOPAMAX
Diagnostic Lab Data: 4/13/21: D-DIMER 1760. WBC 13.8 CHEST X-RAY: SMALL RIGHT PLEURAL EFFUSION
CDC Split Type:

Write-up: PT VOICED SHE TOOK PFIZER VACCINE THIS PAST FRIDAY (4/9/21). LATER THAT EVENING SHE BEGAN HAVING COVID-LIKE SYMPTOMS AND RIGHT SIDE CHEST PRESSURE (ON/OFF). ON 4/12/21 SHE BEGAN HAVING NAUSEA AND VOMITING AND COULDN''T KEEP ANYTHING DOWN SO SHE DECIDED TO CALL HER PCP. SHE WAS ADMITTED TO THE HOSPTIAL ON 4/13/21. PT VOICED SHE DIDN''T HAVE ANY PROBLEMS OR SYMPTOMS BEFORE SHE RECEIVED THE VACCINE.


VAERS ID: 1207341 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / SC

Administered by: School       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Montelukast or Singular for pollen allergies
Current Illness: None
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data: No tests taken to date, wanted to see if the effects wore off after giving it some time in my system. I have called my doctors office and left a message to advise me how to proceed, if anything is even necessary.
CDC Split Type:

Write-up: Felt dizzy up to 10 minutes after the shot; then was okay drove home. Later that day got headache which is unusual, as I never get headaches and feeling tired to the present time. Wed 4/114/2021.


VAERS ID: 1207364 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Communication disorder, Confusional state, Delirium, Feeling abnormal, Feeling cold, Feeling hot, Incoherent, Nightmare, Pain of skin, Piloerection, Pyrexia, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Long term spinal issues likely due to weakness, spasms, and inflammation in back; asthma; "obesity" by the definition given for 1-C vaccination phase, though I would argue the validity of this particular measure.
Allergies: Allergic to shellfish, crab, shrimp, chocolate, and others.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Around 5:00 PM after having gotten my shot, I arrived home from a drive down to meet my sister. Precautions were taken, masks were worn, safe social distance was maintained and I have no reason to believe any of the symptoms I experienced upon returning home were related to anything other than the vaccine, particularly since first that is how vaccines work and second one of my friends who was vaccinated at the same time as me at the clinic was going through similar pains. It started as a discomfort in my intestines or possibly just below my stomach in general. I thought my pants were too tight but just in case I let my mom take over driving the rest of the way home. When I got to the house, I had about an hour of usable time left before I went into a complete state of delirium. We''re not sure how high my fever actually got before my mom woke up and checked in on me at 9:00 PM, but after having pulled the covers away I registered at 102.5 F. I was screaming in a half-awake and half-asleep nightmare, trying to get someone to come help me and unable to get anyone''s attention. I would, as a result, like to insist that it be added to recommendations to not be alone after getting the vaccine! For the whole first night! I believe that I genuinely could have died. My brain was melting for lack of more proper medical terminology, and I stopped being able to understand and speak my own first language in an incredibly confused state. This was entirely a result of two simultaneous factors: Fever and Chills. First, the fever made my skin ache. Wearing any clothing hurt. But once I took off my pants in exchange for some breezy shorts, I was covered in goosebumps and feeling frozen even though it was solidly in the 70s. I claimed under blankets and still couldn''t get warm enough. The backs of my thighs were insanely hot in comparison to the fronts of them, so I just warmed my body under 3 layers of blankets trying to get the chills to go away. I did that for about four hours during which time I was basically constantly screaming incoherently.


VAERS ID: 1207367 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-17
Onset:2021-04-09
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain lower
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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

Write-up: Not quite severe but painful lower left abdominal pain. For 24 hours.


VAERS ID: 1207393 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-03-31
Onset:2021-04-09
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Eye pain, Headache, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (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: synthroid.25
Current Illness: Hypothyroidism
Preexisting Conditions: diagnosis of epilepsy but without episodes since 2008
Allergies: None
Diagnostic Lab Data: I already notified the staff of my doctor''s office, they agreed to call me back to let me know what I should do about it. They will be consulting the matter with the doctor.
CDC Split Type:

Write-up: On April 9 in the afternoon, a severe headache began, which I had never experienced. This led me to vomit and even then the pain was unbearable. The pain persisted despite taking an analgesic and the next day still felt throbbing that was reflected in the head in general and in the eye area.


VAERS ID: 1207430 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-03-12
Onset:2021-04-09
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Disturbance in attention, Feeling jittery, Heart rate increased, Hormone level abnormal, Panic attack
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (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:
CDC Split Type:

Write-up: I am not really sure if its related, and do not want to give false information. I have never experienced a hormonal change the way I did when my period began. This would have been the first cycle after receiving the vaccine. The first day it started, (4/9/21), I felt like I was having a panic attack, anxiety attack or something similar. Now, I do not actually know what these attacks feel like, I am just stating that I assume this is what it feels like. I was not able to focus, felt like I was freaking out, almost as if I had taken some sort of pill that sped up my heart and made me jittery. I just wanted to report, incase others were experiencing the same issue. It lasted only the one day.


VAERS ID: 1207465 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-03
Onset:2021-04-09
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Muscle spasms
SMQs:, Dystonia (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: multivitamin
Current Illness:
Preexisting Conditions:
Allergies: shellfish, penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: cramp in both legs for about 20 minutes from thigh down


VAERS ID: 1207570 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Erythema, Fatigue, Headache, Myalgia, Pain, Pyrexia, Rash pruritic
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? 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: Janssen COVID-19 Vaccine EUA Chills and muscle aches began 5.5 hours after vaccine and last for about 3 hours. Extreme chills and aches for 1.5 of those 3 hours. Fever rose to 100 degrees and fell within those 3 hours. Next day experienced minor heachache, body aches, fatigue for entire day. 56 hours after vaccine experienced red itchy bumps across stomach and inside elbows.


VAERS ID: 1207587 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A218 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Flushing, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None known
Current Illness: None Known
Preexisting Conditions: None Known
Allergies: None Known
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe nausea, syncope, flushing of face and upper body


VAERS ID: 1207635 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Chest discomfort, Dyspnoea, Full blood count, Gait disturbance, Headache, International normalised ratio, Mobility decreased, Pain in extremity, Prothrombin time, Red blood cell sedimentation rate
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: Started with B leg achiness and pain the day after vaccination. She was having difficulty walking. the second day began having arm pain L$gR to the point she could not lift her left arm. Also has severe headache unable to be treated by otc medicine, chest tightness and some difficulty breathing.


VAERS ID: 1207681 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-22
Onset:2021-04-09
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood creatine, Blood electrolytes, Blood urea, Chills, Differential white blood cell count, Full blood count, Headache, Peripheral swelling, Prothrombin time, Ultrasound abdomen
SMQs:, Cardiac failure (broad), Angioedema (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oxybutynin, Welbutrin, Requip, Levothyroxine, Trazadone
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: Augmentin
Diagnostic Lab Data: Ultrasound on left leg, Labs: BUN, CBC, Creatinine, Prothrombin Time, Electrolytes, White blood cell differential.
CDC Split Type:

Write-up: 3/22/21- Raging headache, extreme chills. 4/9/21- Left foot swelled up like a grapefruit, was worried about blood clot when I saw them on 4/10/21.


VAERS ID: 1207778 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Dyspnoea, Influenza like illness, Pain in extremity, Syncope, Ultrasound scan normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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

Write-up: PATIENT RECEIVED JANSSEN VACCINE ON 4/9/21. 10 HOURS POST-DOSE PATIENT REPORTS FLU LIKE SYMPTOMS AND 4 EPISODES OF SYNCOPE. SHE THEN REPORTS PAIN IN LEGS AND ABDOMEN. ULTRASOUND OF LEGS WERE NEGATIVE FOR BLOOD CLOTS. TODAY 4/14/21 SHORTNESS OF BREATH HAS NOT IMPROVED AND PAIN IN LEGS IN ABDOMEN HAS NOT IMPROVED. PATIENT IS GOING TO ER FOR EVALUATION.


VAERS ID: 1207805 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045A21A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Electrocardiogram, Fatigue, Malaise, Postural orthostatic tachycardia syndrome, Sinus tachycardia, Ultrasound scan, Urine analysis, Ventricular tachycardia
SMQs:, Torsade de pointes/QT prolongation (narrow), Supraventricular tachyarrhythmias (narrow), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hair supplements
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: EKG, urine tests, ultrasound and others
CDC Split Type:

Write-up: Pt. was very sick the day after the shot, then Friday morning his heart was going into atrial fibrillation and jumping between 110 heart rate and 160+. He was out golfing when he noticed this. He rested later that day but was extremely tired and felt sick. Saturday morning (2.5 days after vaccine) he needed to go to the emergency room because his heart rate was back over 160. The EKG showed sinus tachycardia and gave him a message for it but it made it worse and the rate was over 200. They had to stop and start his heart then put on beta blocker which brought it to 180, then another beta blocker brought to 150. Following EKGs showed atrial fibrillation, postural orthostatic tachycardia syndrome, and super ventricular tachycardia. Pt. had this about a year ago but was fine after a few days. This was the first time he was hospitalized for it and is now on daily medications. He fears the Moderna vaccine triggered it and is very worried about the second dose.


VAERS ID: 1207807 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, COVID-19, Chills, Fatigue, Headache, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlefaxine, Lovastatin, Elmirin, Benazephril, Amlodyphine, hydrochlorothiazide, Metformin, levethyroxine, Fish oil, Multi- Vitamin, Vit B 12, Cslcium
Current Illness:
Preexisting Conditions:
Allergies: Composine
Diagnostic Lab Data:
CDC Split Type: 205A21A

Write-up: I had Covid Dec. 24, 2020. Tge very next day it felt like I had Covid all over again. Chills, tired. 100.8 temperature, headache, body and arms ache and backache. This was the very next day. I felt sick all day and went to bed. Not fun.


VAERS ID: 1207818 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-06
Onset:2021-04-09
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Chest pain, Dyspnoea, Fibrin D dimer normal, Flank pain, Nausea, Pulmonary embolism, Pyrexia, Ultrasound Doppler normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide, Valsartan, Atorvastatin, and Aspirin
Current Illness: None
Preexisting Conditions: Hypertension, Hyperlipidemia, and CVA
Allergies: Pencillins
Diagnostic Lab Data: 4/9/21 Chest CTA- positive for bilateral PE 4/9/21 Venous doppler study- neg for DVT 4/9/21 D-dimer 35.2
CDC Split Type:

Write-up: Flank chest pain (pain under right rib cage) and Dyspnea on exertion; woke pt up at 0300 on 4/9/21 Chest pain with deep breathing., fever, and nausea upon presentation to ED Pt denied recent travel or prolonged immobilization Patient diagnosed with bilateral pulmonary embolism per CTA


VAERS ID: 1207819 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Appendicectomy, Appendicitis perforated, Blood culture, Blood test, Chills, Computerised tomogram, Headache, Nausea, Pyrexia, Surgery
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine fenofibrate montelukast diclofenac fish oil
Current Illness: None
Preexisting Conditions: high blood pressure
Allergies: None
Diagnostic Lab Data: Blood work 4/13/21 Blood work 4/14/21 CT Scan 4/14/21 Blood culture 4/14/21
CDC Split Type:

Write-up: Symptoms of abdominal pain, nausea, fever, headache, chills began evening of vaccine and proceeded to worsen over the next five days. On April 13 I saw my doctor who ordered blood work. The pain continued to worsen and on April 14 I was admitted to the hospital with a ruptured appendix and had surgery to remove it


VAERS ID: 1207839 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Autoimmune dermatitis, Dehydration, Rash pruritic, Suppressed lactation
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Functional lactation disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins, Vitamin D
Current Illness: No illnesses, but gave birth on 3/17/2021
Preexisting Conditions: Asthma, Vitiligo autoimmune skin disease
Allergies: Pitted fruits
Diagnostic Lab Data: Talked to PCP on the phone and did not seek any further medical intervention.
CDC Split Type:

Write-up: Full body rash began to appear approximately 1 hour after vaccination. Started on chest and spread over entire body. Was very itchy. Came and went and finally disappeared completely after 72 hours. Also experienced dehydration and temporary decline in breastmilk production 24-48 hours after vaccinated.


VAERS ID: 1207905 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-06
Onset:2021-04-09
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram cerebral normal, Angiogram pulmonary abnormal, Arteriogram carotid abnormal, Cardiac failure acute, Cardiac failure congestive, Computerised tomogram head abnormal, Condition aggravated, Disorientation, Dysarthria, Dyspnoea, Electroencephalogram normal, Hypotension, Left ventricular dysfunction, Oedema peripheral, Platelet count normal, Polyuria, Pulmonary embolism, Right ventricular dysfunction, Seizure, Subdural haematoma
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Generalised convulsive seizures following immunisation (narrow), Tubulointerstitial diseases (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient admitted on 4/9/21 (unsure where they received J&J COVID vaccine on 3/6/21) Per clinical pharmacist internal event report: Pt received Johnson and Johnson Covid vaccine on 3/6/21. Has chronic sub dural hematomas FYI (seen on scans in Feb). Patient is a 80 y.o. female patient who presented with complaints of dyspnea and BLE edema and was admitted with a principal diagnosis of Acute on chronic congestive heart failure with left ventricular diastolic dysfunction (HCC). Cardiology consulted. Initially diuresed however became hypotensive. Patient had episode of slurred speech and disorientation on 4/11. Code stroke called. CTH with stable SDH. CTA of head had no acute cerebral occlusion. Incidentally was found to have bilateral PEs on CTA h/n. Full CTA chest ordered for further evaluation, noted extensive bilateral pulmonary emboli, associated with Rt heart strain. She was started on heparin drip, Dr. cleared with neurosurgery prior to starting on 4/11 given subacute SDH which has been stable on imaging. Heparin transitioned to eliquis. Additional chart information: ht: 5''4" weight: 108.3 kg CrCl: 50.3 mL/min platelets since admission: 160 - 173 Admission Diagnosis: Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] Expected discharge: 4/14/21 Active Problems: Hypertension associated with diabetes (HCC) Gastroesophageal reflux disease without esophagitis Non-insulin dependent type 2 diabetes mellitus (HCC) Seizure disorder (HCC) Dyslipidemia associated with type 2 diabetes mellitus (HCC) OSA on CPAP Pulmonary hypertension due to left ventricular diastolic dysfunction (HCC) Subdural hematoma (HCC) Class 2 obesity due to excess calories in adult Dizziness Acute on chronic diastolic CHF (congestive heart failure) (HCC) Hospital course: Patient is a 80 y.o. female patient who presented with complaints of dyspnea and BLE edema and was admitted with a principal diagnosis of Acute on chronic congestive heart failure with left ventricular diastolic dysfunction (HCC). Cardiology consulted. Initially diuresed however became hypotensive. Patient had episode of slurred speech and disorientation on 4/11. Code stroke called. CTH with stable SDH. CTA no acute occlusion. Suspecting breakthrough seizure. Neuro consulting, EEG normal. Titrating up zonegran - patient will discharge on 100mg in AM and 200mg in PM. Incidentally was found to have bilateral PEs on CTA h/n. Full CTA chest ordered for further evaluation, noted extensive bilateral pulmonary emboli, associated with Rt heart strain. She was started on heparin drip, Dr. cleared with neurosurgery prior to starting on 4/11 given subacute SDH which has been stable on imaging. Heparin transitioned to eliquis. Will need to follow up with PCP. Valsartan was held on admission for hypotension. Blood pressure has remained well controlled off of all antihypertensives. She will need to follow up with PCP for further management of BP, may need valsartan resumed in near future. Patient is medically stable for discharge to home.


VAERS ID: 1207919 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Migraine with aura, 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: Lo Loestrin FE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up middle of night with mild fever and headache. Continuous headache through to 04/10. On 04/11 - Had a migraine with visual aura. On 04/13 - Had a 2nd migraine with visual aura.


VAERS ID: 1207935 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-17
Onset:2021-04-09
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: HTN
Allergies: Doxycycline, Sulfa drugs
Diagnostic Lab Data: SARS-COV-2
CDC Split Type:

Write-up: Dignosed with COVID on 4/9/2021


VAERS ID: 1207952 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

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

Write-up: **Jansen COVID-19 Vaccine


VAERS ID: 1208001 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

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

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

Write-up: Sore arm for 2 days and 100.5 degree fever for 6 hours


VAERS ID: 1208078 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-04-07
Onset:2021-04-09
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, tylenol, aleve, zyrtec, flonase
Current Illness: receiving knee gel injections
Preexisting Conditions: pre-diabetic, arthritis
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: within 24 hours injection site began swelling, became ''hard'' and ''warm'' to the touch, continue to enlarge over the next few days. 4/13/21 saw primary care doctor who said i have an infection. prescribed antibiotic (cephalexin 500 mg) (3 times daily for 7 days) AND mupirocin ointment USP 2% (3 times daily for 7 days). no known allergies.


VAERS ID: 1208094 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Influenza, Nausea, Pain, Pain in extremity, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amitriptylin Atorvastatin Lorazepam Omeprazole Vitamin D Multivitamin Levothyroxin
Current Illness:
Preexisting Conditions: Cholesterol Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 94/09/2021 at 10:30pm I started running a fever of 99.4. Took extra strength Tylenol. I had chills, some nausea. At 12:15am fever was 101.5. By 9:00am on 04/10/2021 fever had broke but I still felt the after effects of having the flu, aches and pains. On 04/14/2021 I broke out in a red rash on my neck.


VAERS ID: 1208105 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Headache, Myalgia, Nausea, Peripheral swelling, Skin warm, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram; Levothyroxine; Seasonique; Vitamin D; Biotin
Current Illness:
Preexisting Conditions: Endometriosis, Depression, Anxiety, ADHD
Allergies: Nicotine, Ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vertigo, Headache, Nausea, Extreme Muscle Pain. Right arm was swollen, red, and hot for 5 days after.


VAERS ID: 1208110 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / N/A - / IM

Administered by: School       Purchased by: ?
Symptoms: Headache, Hyperhidrosis, Myalgia, 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), 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: sertraline 100 mg, bupropion 300, biotin
Current Illness: none
Preexisting Conditions: depression, anxiety
Allergies: peanut, tree nuts
Diagnostic Lab Data: none
CDC Split Type:

Write-up: severe muscle pain, headache, fever, sweats x 2 days


VAERS ID: 1208147 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion, Haematoma
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? 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: unexplained bruising with hematoma RUE


VAERS ID: 1208179 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 1) ACCU-CHEK GUIDE (GLUCOSE) TEST STRIP USE 1 TEST STRIP ACTIVE FOR TESTING THREE TIMES A DAY (BLOOD SUGAR TESTING) 2) ASPIRIN 81MG CHEW TAB CHEW ONE TABLET BY MOUTH EVERY ACTIVE DAY FOR HEART 3) ATORVASTATI
Current Illness: NA
Preexisting Conditions: 1) ACCU-CHEK GUIDE (GLUCOSE) TEST STRIP USE 1 TEST STRIP ACTIVE FOR TESTING THREE TIMES A DAY (BLOOD SUGAR TESTING) 2) ASPIRIN 81MG CHEW TAB CHEW ONE TABLET BY MOUTH EVERY ACTIVE DAY FOR HEART 3) ATORVASTATIN CALCIUM 10MG TAB TAKE ONE TABLET BY ACTIVE MOUTH AT BEDTIME FOR CHOLESTEROL REPLACES CRESTOR 4) CLONIDINE HCL 0.1MG TAB TAKE ONE-HALF TABLET BY MOUTH ACTIVE EVERY TWELVE HOURS FOR HEART (***CAUTION-TABLET MUST BE SPLIT***) 5) CYANOCOBALAMIN 1000MCG TAB TAKE ONE TABLET BY MOUTH ACTIVE EVERY DAY (VITAMIN B12 SUPPLEMENT) 6) DICYCLOMINE HCL 10MG CAP TAKE ONE CAPSULE BY MOUTH ACTIVE TWICE A DAY AS NEEDED FOR ABDOMINAL PAIN 7) DULAGLUTIDE 1.5MG/0.5ML INJ PEN INJECT 1.5MG (0.5ML) ACTIVE SUBCUTANEOUSLY ONCE A WEEK (DIABETES) 8) DULOXETINE HCL 60MG EC CAP TAKE ONE CAPSULE BY MOUTH ACTIVE EVERY DAY FOR NEUROPATHIC PAIN 9) ERGOCALCIF 1,250MCG (D2-50,000UNIT) CAP TAKE ONE ACTIVE CAPSULE BY MOUTH ON WEDNESDAY (VITAMIN D SUPPLEMENT) 10) FERROUS GLUCONATE 324-325MG TAB UD TAKE ONE TABLET BY ACTIVE MOUTH TWICE A DAY (IRON SUPPLEMENT) 11) FLUTICASONE PROP 50MCG 120D NASAL INHL INSTILL 2 ACTIVE SPRAYS (100MCG) IN EACH NOSTRIL EVERY DAY (RHINITIS) 12) FUROSEMIDE 40MG TAB TAKE ONE TABLET BY MOUTH ONCE A ACTIVE DAY IF NEEDED (WATER PILL) EDEMA 13) HYDROCODONE 5MG/ACETAMINOPHEN 325MG TAB TAKE 1 TABLET ACTIVE BY MOUTH THREE TIMES A DAY IF NEEDED FOR PAIN 14) INSULIN,ASPART 100U/ML NOVO FLEXPEN 3ML INJECT 22 ACTIVE UNITS SUBCUTANEOUSLY BEFORE BREAKFAST AND INJECT 24 UNITS BEFORE LUNCH AND INJECT 18 UNITS BEFORE SUPPER FOR DIABETES 15) INSULIN,DEGLUDEC 200UNIT/ML FLEXTOUCH3ML INJECT 60 ACTIVE UNITS SUBCUTANEOUSLY EVERY DAY (DIABETES) 16) LACTOBACILLUS ACIDOPHILUS TAB TAKE 2 TABLETS BY MOUTH ACTIVE EVERY DAY (MAINTAIN GI FLORA) 17) LISINOPRIL 10MG TAB TAKE ONE TABLET BY MOUTH EVERY ACTIVE DAY FOR BLOOD PRESSURE 18) MAGNESIUM OXIDE 400MG TAB TAKE ONE TABLET BY MOUTH ACTIVE EVERY DAY (SUPPLEMENT) 19) METFORMIN HCL 500MG 24HR SA TAB TAKE ONE TABLET BY ACTIVE MOUTH 1/2 HOUR BEFORE BREAKFAST AND SUPPER FOR DIABETES 20) METOPROLOL TARTRATE 25MG TAB TAKE ONE-HALF TABLET BY ACTIVE MOUTH TWICE A DAY (***CAUTION-TABLET MUST BE SPLIT***) FOR BLOOD PRESSURE 21) OMEPRAZOLE 20MG EC CAP TAKE TWO CAPSULES BY MOUTH ACTIVE TWICE A DAY TO REDUCE STOMACH ACID 22) POLYETHYLENE GLYCOL 3350 ORAL PWDR TAKE 1 CAPFUL ACTIVE (17GM) ACCORDING TO PACKAGE DIRECTIONS ONCE A DAY IF NEEDED (LAXATIVE) FOR CONSTIPATION 23) PREGABALIN 150MG ORAL CAP TAKE ONE CAPSULE BY MOUTH ACTIVE TWICE A DAY FOR NEUROPATHY AND CHRONIC PAIN 24) VARENICLINE 1MG TAB TAKE ONE TABLET BY MOUTH TWICE A ACTIVE DAY (SMOKING CESSATION)
Allergies: PENICILLIN, SULFA DRUGS, VIBRAMYCIN, TETRACYCLINE, DOXEPIN HYDROCHLORIDE AMITRIPTYLINE, NORTRIPTYLINE, CODEINE, FISH OIL, METFORMIN, FENOFIBRATE SHELLFISH, CIPROFLOXACIN, IODINATED CONTRAST MEDIA, FLEXERIL
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Hives


VAERS ID: 1208184 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Fatigue, Headache, Hyperhidrosis, Influenza like illness, Nausea, Pain, Taste disorder, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received the J&J Shot the morning on 4/9. By dinner time, I was feeling nauseous and my body ached. That night was flu like symptoms (chills, sweating, body aches, food tastes funny, etc.). On 4/12 I got a terrible headache, blurry vision, and stomach pains. On 4/13, started to feel better, but stomach still had pains and food tastes funny. Today is 4/14 and I''m am still more tired than usual and still have some stomach pains.


VAERS ID: 1208190 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Pain, Peripheral swelling, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: fatigue, body aches, swelling on left side from her neck down to her feet. She reported with these symptoms on Monday 4/12/21, we gave her benedryl to take and some extra to have and recommended she follow up with her primary care phycisian. Symptoms are still ongoing as of 4/14/21.


VAERS ID: 1208255 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-04-08
Onset:2021-04-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xanax, cymbalta, norlyda
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 4/11/21doctors appointment and 4/14/21 doctors appointment
CDC Split Type:

Write-up: Itchy red rash started on legs and spread to entire body day after shot was given. Went to Dr?s was given steroids and rash Intensified each night.


VAERS ID: 1208273 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cosentyx 150mg SQ every 28 days, methotrexate 10mg orally every week
Current Illness:
Preexisting Conditions: Juvenile Idiopathic Arthritis/Ankylosing Spondolytis
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient did not meet minimum age requirement of 18 years


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