|
VAERS ID: |
1091185 (history) |
Form: |
Version 2.0 |
Age: |
58.0 |
Sex: |
Female |
Location: |
Connecticut |
Vaccinated: |
2021-03-06 |
Onset: |
2021-03-08 |
Days after vaccination: |
2 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-11 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / UNK |
- / SYR |
Administered by: Pharmacy Purchased by: ? Symptoms: Condition aggravated, Full blood count, Immune thrombocytopenia, Platelet count, Platelet count decreased SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Estrogel, Allegra, Flonase Current Illness: no Preexisting Conditions: ITP Allergies: Latex Diagnostic Lab Data: CBC and platelet count 3/8/9/10 and 11 CDC Split Type: Write-up: ITP flare - Platelets declined, prednisone for 2 days, came back up |
|
VAERS ID: |
1091789 (history) |
Form: |
Version 2.0 |
Age: |
74.0 |
Sex: |
Female |
Location: |
Ohio |
Vaccinated: |
2021-03-08 |
Onset: |
2021-03-10 |
Days after vaccination: |
2 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-11 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805022 / 1 |
LA / SYR |
Administered by: Pharmacy Purchased by: ? Symptoms: Chest pain, Myocardial infarction SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: patient had chest pain, went to ER, and was found to have heart attack |
|
VAERS ID: |
1097987 (history) |
Form: |
Version 2.0 |
Age: |
56.0 |
Sex: |
Female |
Location: |
Indiana |
Vaccinated: |
2021-03-13 |
Onset: |
2021-03-13 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-14 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1802068 / 1 |
RA / SYR |
Administered by: Private Purchased by: ? Symptoms: Full blood count, Petechiae SMQs:, Haemorrhage terms (excl laboratory terms) (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Wellbutrin Synthyroid Calcium Multivitamin Aspirin Buspar/xanax Current Illness: Preexisting Conditions: Hypothyroid Depression/anxiety Allergies: Diagnostic Lab Data: Cbc CDC Split Type: Write-up: Petechiae/ |
|
VAERS ID: |
1100607 (history) |
Form: |
Version 2.0 |
Age: |
55.0 |
Sex: |
Male |
Location: |
Nevada |
Vaccinated: |
2021-03-12 |
Onset: |
2021-03-13 |
Days after vaccination: |
1 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-14 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805018 / UNK |
RA / IM |
Administered by: Pharmacy Purchased by: ? Symptoms: Computerised tomogram head normal, Electroencephalogram normal, SARS-CoV-2 test negative, Seizure, Thrombocytopenia SMQs:, Torsade de pointes/QT prolongation (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (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, 2 days Extended hospital stay? No Previous Vaccinations: Other Medications: NIL Current Illness: NIL Preexisting Conditions: NIL Allergies: NIL Diagnostic Lab Data: Head CT wo - normal EEG - normal Covid-19 NP swab PCR neg Mild thrombocytopenia CDC Split Type: Write-up: Seizure |
|
VAERS ID: |
1100735 (history) |
Form: |
Version 2.0 |
Age: |
63.0 |
Sex: |
Female |
Location: |
New York |
Vaccinated: |
2021-03-05 |
Onset: |
2021-03-08 |
Days after vaccination: |
3 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805022 / 1 |
LA / IM |
Administered by: Other Purchased by: ? Symptoms: Rash, Rash pruritic, Vasculitis SMQs:, Anaphylactic reaction (broad), Vasculitis (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Yes Current Illness: No Preexisting Conditions: Chronic nerve pelvic pain and bowel dysfunction following hysterectomy, esophageal fungus causing heartburn due to inability to produce saliva following implantation of intrathecal morphine pump in 2009, Allergies: Allergic rash to one or two of my pain meds. Take monthly Xolaire shot and antihistamines Diagnostic Lab Data: Went to my allergist. He was going to send me for tests. However, after the visit, my antihistamines wore off and the rash became itchy. My dr told me to double up on my antihistamines and hold off going for the tests. I had to use an Epi pen that evening or the next day. Hi he rash has subsided and faded. Is barely visible. CDC Split Type: Write-up: I developed a vasculitis rash mostly on my lower right leg. I had a tiny rash of he evening before the shot. That was a Thursday. The shot was Friday night. Monday evening I had a huge rash on my lower right leg and a very tiny rash on my lower left leg. |
|
VAERS ID: |
1102080 (history) |
Form: |
Version 2.0 |
Age: |
36.0 |
Sex: |
Female |
Location: |
Ohio |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-10 |
Days after vaccination: |
6 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1802068 / 1 |
RA / IM |
Administered by: Public Purchased by: ? Symptoms: Arthralgia, Rash, Skin discolouration, Vasculitis SMQs:, Anaphylactic reaction (broad), Vasculitis (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? Yes, 1 days Extended hospital stay? No Previous Vaccinations: REACTION TO MMR VACCINE Other Medications: Current Illness: Preexisting Conditions: Allergies: SULFA, PCN, ''SEASONAL'' Diagnostic Lab Data: CDC Split Type: Write-up: 3-11-21 C/O RASH TO BOTH LEGS & ABD SINCE 9:30AM. NO SOB OR DYSPNEA. 1:42PM BENADRYL 50MG GIVEN PO. STATES SHE WILL SPEND THE REST OF THE WORK DAY SITTING DOWN AND HUSBAND WILL DRIVE HER HOME. 3-15-21 10:46AM: STATES SHE DID GO TO ER X2, FACILITY ADMITTED HER FOR VASCULITIS X1DAY. ''THOUGHT IT MAY BE A DELAYED VACCINE REACTION.'' RASH ON LEGS, ABD & NOW FOREARMS IS NOW ''PURPLE''. HAD LOTS OF JOINT PAIN ALSO. SHE WAS GIVEN SOLUMEDRAL AND PREDNISONE AND IS FEELING BETTER NOW, WILL RETURN TO WORK TOMORROW. |
|
VAERS ID: |
1104103 (history) |
Form: |
Version 2.0 |
Age: |
36.0 |
Sex: |
Female |
Location: |
Virginia |
Vaccinated: |
2021-03-06 |
Onset: |
2021-03-07 |
Days after vaccination: |
1 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / 1 |
LA / SYR |
Administered by: Unknown Purchased by: ? Symptoms: Coagulopathy, Laboratory test, Vaginal haemorrhage SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (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: Advair and Albuterol for asthma; Balziva birth control Current Illness: None Preexisting Conditions: Living organ donor - donated left kidney in 2006. Allergies: IV Contrast Diagnostic Lab Data: Lab work done on 3/15. Results not in yet. CDC Split Type: Write-up: The morning after the shot, I noticed vaginal bleeding/light spotting. I thought maybe it was just a slight reaction. By the evening, it had become heavier. By the following day, it was heavy and clotting was starting to develop. The Tuesday and Wednesday following the vaccine I had extremely heavy vaginal bleeding and clotting - going through a super plus tampon every hour and a half to two hours. By Thursday it had subsided a bit. By Friday it had lightened tremendously and by the following Saturday it was gone. But then Saturday evening the spotting picked up again. Sunday (3/14) the flow picked up again and by Monday (3/15) it was heavier with small clotting. Today (3/16) it is heavier with clotting again. My gynecologist did an exam and advised that I double my birth control for a few days to see if that will control it. She also took blood work (results not in yet). |
|
VAERS ID: |
1104152 (history) |
Form: |
Version 2.0 |
Age: |
61.0 |
Sex: |
Male |
Location: |
Kansas |
Vaccinated: |
2021-03-10 |
Onset: |
2021-03-13 |
Days after vaccination: |
3 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805018 / UNK |
- / IM |
Administered by: Public Purchased by: ? Symptoms: Deep vein thrombosis, Erythema, Pain, Swelling, Ultrasound Doppler SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Doppler performed CDC Split Type: Write-up: Developed 3 small blood clots in his left lower leg on Saturday, 3/10/2021 - swelling and slight redness along with pain |
|
VAERS ID: |
1104764 (history) |
Form: |
Version 2.0 |
Age: |
54.0 |
Sex: |
Female |
Location: |
Maryland |
Vaccinated: |
2021-03-10 |
Onset: |
2021-03-12 |
Days after vaccination: |
2 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / 1 |
- / IM |
Administered by: Other Purchased by: ? Symptoms: Condition aggravated, Immune thrombocytopenia, Immunoglobulin therapy, Petechiae, Platelet count decreased, Rash SMQs:, Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? Yes, 2 days Extended hospital stay? No Previous Vaccinations: Other Medications: Vit D Calcium MVI Escitalopram Levothyroxine Current Illness: UTI Preexisting Conditions: ITP Allergies: None Diagnostic Lab Data: See above. CDC Split Type: Write-up: Patient with known history of ITP status post splenectomy in 2018, with stable platelet counts off treatment, developed petecchial rash in lower extremities 2 days after receiving COVID vaccine during a mass vaccination campaign. Platelet counts check 2 days after the vaccination was 1,000. Patient was admitted to the hospital for ITP, received 2 doses of IVIG and was initiated on prednisone with improvement in platelet count to 72,000 by 03/14/2021. Give |
|
VAERS ID: |
1105748 (history) |
Form: |
Version 2.0 |
Age: |
73.0 |
Sex: |
Male |
Location: |
Maryland |
Vaccinated: |
2021-03-16 |
Onset: |
2021-03-16 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / 1 |
LA / SYR |
Administered by: Other Purchased by: ? Symptoms: Balance disorder, Blood test abnormal, Computerised tomogram abnormal, Dysarthria, Heart rate irregular, Ischaemic stroke, Magnetic resonance imaging abnormal, Vision blurred SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Cardiac arrhythmia terms, nonspecific (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypoglycaemia (broad) Life Threatening? Yes Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? Yes, 3 days Extended hospital stay? No Previous Vaccinations: Other Medications: amlodipine (NORVASC) asprin (ECOTRIN) metoprolol (LOPRESSOR) Current Illness: none Preexisting Conditions: hypertension Allergies: shellfish, iodine Diagnostic Lab Data: CT Scan - March 11 MRI - March 11 Blood Tests - March 11-13 CDC Split Type: Write-up: Thursday, March 11, 2021 (approximately 8:30 am) Patient experienced blurred vision, unbalance, and slurred speech and had an irregular heartbeat. March 11, 2021 (approximately 11:30 am) Patient was admitted to Hospital administered CT scan, MRI and multiple blood tests. Diagnosis - Ischemic Stroke |
|