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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1423296

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Case Details

VAERS ID: 1423296 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-14
Onset:2021-06-03
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / N/A UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Bladder disorder, Computerised tomogram abdomen, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Constipation, Decreased appetite, Faecaloma, Hypercalcaemia, Nausea, Nephrolithiasis, Osteolysis, Proctitis, Prostatomegaly, Pulmonary mass, Renal cancer metastatic, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ascorbic acid (VITAMIN C) 500 MG Oral tablet lisinopriL 5 MG Oral tablet 30 tablet 0 senna-docusate 8.6-50 mg Oral per tablet 30 tablet tamsulosin 0.4 mg Oral 24 hr capsule
Current Illness: pt was dx with a bladder tumor 3/19, underwent TURP with bladder biopsy and fulguration and cyctoscopy on 5/19/21. Prostate bx reveals benign nodular hyperplasia, bladder bx revealed urothelial dysplasia felt to be pre neoplastic. Urine Cytology from 4/14/21 negative for high grade urothelial cardinoma
Preexisting Conditions: BPH, tobacco use, HTN
Allergies: none
Diagnostic Lab Data: CT abd/pelvis:IMPRESSION: 1. Multiple osteolytic osseous lesions as described above, suspicious for metastatic disease. 2. Isodense renal mass in the left kidney, highly suspicious for renal cell carcinoma which may represent the primary malignancy. There is regional adenopathy. Hepatic assessment is limited due to lack of contrast. 3. Small bilateral nonobstructing renal calculi and/or arterial calcifications. No hydronephrosis. Nonspecific bilateral perinephric stranding is present. 4. Low-density right adrenal mass, most likely adrenal adenoma. 5. Large amount of rectal fecal stool which may represent fecal impaction with mild stercoral proctitis. No evidence of colonic or small bowel obstruction otherwise. 6. Abnormal bladder as described above. 7. Mildly enlarged prostate. 8. Multiple bilateral lung nodules suspicious for pulmonary metastases. ct chest:IMPRESSION: 1. Multiple pulmonary metastases. with probable primary malignancy in the left kidney. 2. Limited mediastinal hilar lymph node assessment due to lack of IV contrast. 3. At least 1 osteolytic/metastatic lesion in the left 6 rib
CDC Split Type:

Write-up: Pt was hospitalized from 6/3-6/7 for severe hypercalcemia and diagnosed with diffuse metastatic renal cell cancer. He received his J and J vaccine on 5/14/21 and reported "everything went to downhill" with development of nausea, constipation, weight loss, weakness, poor appetite resulting in hospitalization with new severe hypercalcemia and acute functional decline and dx with metastatic renal cell cancer. pt was dx with a bladder tumor 3/19, underwent TURP with bladder biopsy and fulguration and cyctoscopy on 5/19/21. Prostate bx reveals benign nodular hyperplasia, bladder bx revealed urothelial dysplasia felt to be pre neoplastic. Urine Cytology from 4/14/21 negative for high grade urothelial cardinoma. with pamidronate treatment, lasix and ivf and calcitonin his hypercalcemia improved and he was discharged to follow up with oncology and urology as out pt. He has since been readmitted on 6/22/21 with recurrent hypercalcemia and progressive decline. biopsy with I.R. of left renal mass confirmed RCC, biopsy of LN was non-diagnostic. per urology: Given the small size of the renal mass, it would be surprising if this was truly metastatic RCC, this could be metastatic urothelial carcinoma given his history of high grade T1 disease, although the primary site and the urinary tract has presumably been eradicated of disease, metastatic disease prior to initial tumor eradication in the bladder remains a possibility.


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