|
VAERS ID: |
1070546 (history) |
Form: |
Version 2.0 |
Age: |
26.0 |
Sex: |
Male |
Location: |
Nebraska |
Vaccinated: |
2021-03-03 |
Onset: |
2021-03-03 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-03 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ? Symptoms: Burning sensation, Erythema, Eye pain, Grip strength decreased, Hyperhidrosis, Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Injection site streaking, Loss of consciousness, Muscular weakness, Nausea, Pain in extremity, Paraesthesia, Vision blurred SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (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: Vitamin D3 gummies 200mcg PO QD Current Illness: None Preexisting Conditions: None Allergies: NKDA Diagnostic Lab Data: HOSPITAL DID NONE, all that was given was children?s liquid benedryl in the ambulance CDC Split Type: Write-up: Immediate burning in both arms. Unable to hold a pencil to fill out card after receiving vaccine. Weakness in upper extremities. Tingling, pain and numbness in both arms, red streaks appeared on the left arm going further up on to the shoulder, the were visible and painful for about 90 mins. Sweating. Nausea. Blurred vision. Loss of consciousness. Headache behind the eyes. |
|
VAERS ID: |
1073390 (history) |
Form: |
Version 2.0 |
Age: |
70.0 |
Sex: |
Female |
Location: |
New Mexico |
Vaccinated: |
2021-03-03 |
Onset: |
2021-03-03 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
F1805018 / 1 |
RA / SYR |
Administered by: Private Purchased by: ? Symptoms: Burning sensation, Pruritus, Urticaria SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (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: Atorvastatin Losartin Qvar Current Illness: sinus infection Preexisting Conditions: asthma Allergies: adhesive tape latex some dental s?dations bee wasp stings pollen Diagnostic Lab Data: CDC Split Type: Write-up: couple of hours after receiving the injection, I had a large hive on my mid chest area. Later I had one on my hip. I was not concerned as I have them on occasion. I felt fine. Went to bed that evening and woke up with extreme burning and itching in my index finger and thumb of my right hand. Also a very large hive on the inside of my arm about 2 1/2 inches from my wrist bend. Intense itching. I took a Benadryl tablet and felt better almost immediately. Later in the day about 6 1/2 hours later, I had more itching on my hip where the high was located. I took another Benadryl. I am fine. I also call my doctor and reported it. |
|
VAERS ID: |
1073418 (history) |
Form: |
Version 2.0 |
Age: |
43.0 |
Sex: |
Female |
Location: |
Oklahoma |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1802059 / 1 |
RA / IM |
Administered by: Public Purchased by: ? Symptoms: Immediate post-injection reaction, Pruritus, Rash SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: GIVEN 1ST DOSE PFIZER VACCINE ON 12/16/2020 AND DEVELOPED A RASH. DID NOT GET THE 2ND DOSE Other Medications: BENADRY GIVEN AFTER VACCINATION Current Illness: N/A Preexisting Conditions: LUPUS Allergies: PFIZER, CODEINE, LATEX Diagnostic Lab Data: N/A CDC Split Type: Write-up: GIVEN THE JANSSEN VACCINE. EUA. THE PATIENT STARTED DEVELOPING A RASH IMMEDIATELY AFTER VACCINATION AND SHE STARTED TO FEEL ITCHY. SHE WAS GIVE 25MG OF BENADRYL ORALLY AND WATCHED FOR 30 MINUTES. |
|
VAERS ID: |
1073735 (history) |
Form: |
Version 2.0 |
Age: |
90.0 |
Sex: |
Female |
Location: |
Unknown |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805022 / 1 |
AR / IM |
Administered by: Public Purchased by: ? Symptoms: Dyspnoea, Malaise SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? 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: VS CDC Split Type: Write-up: Patient arrived at observation area after getting vaccine at 5:40 PM. Patient complained of SOB and feeling unwell. V/S taken. Patient feels fine after sitting for 10 minutes. |
|
VAERS ID: |
1074566 (history) |
Form: |
Version 2.0 |
Age: |
29.0 |
Sex: |
Female |
Location: |
Maryland |
Vaccinated: |
2021-03-01 |
Onset: |
2021-03-05 |
Days after vaccination: |
4 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805022 / 1 |
RA / IM |
Administered by: Public Purchased by: ? Symptoms: Pruritus SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Peanuts Diagnostic Lab Data: CDC Split Type: Write-up: Itchiness all over the body |
|
VAERS ID: |
1074701 (history) |
Form: |
Version 2.0 |
Age: |
56.0 |
Sex: |
Female |
Location: |
Louisiana |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805018 / 1 |
LA / SYR |
Administered by: Other Purchased by: ? Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Feeling abnormal, Headache, Heart rate increased, Musculoskeletal stiffness, Nausea, Neck pain, Somnolence, Vertigo SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: tetanus: arm swelled up and was painful. Other Medications: Phem ring testosterone levothyroxine iron supplement similasan Baclofen (haven''t taken in a month and only take it as needed) Clonazepam Current Illness: NO Preexisting Conditions: Chronic Eye Pain Syndrome Chronic Bilateral Planterfacitis PTSD Vit D Deficiency High Cholesterol Tibial Tendonitis in both legs tendinopathy in both shoulders Jackhammer esophagus Chronic pain in my head Chronic Migraines Allergies: Propylene Glycol ALL GLYCOL Alcohol Epinephrine latex sulfa drugs Black Pepper Mite Oats Coconut and anything coconut derived formaldehyde Oak Pollen Ragweed Soy Coffee Walnuts Blueberries propranolol Bactrim Macrobid doxycycline tetracycline sodium extended naproxen spiders fire ants aloe mold any phenols and fragrances metoprolol succinate Montelukast tizanidine nickel dexamethasone pregavilin artificial sweeteners pecans almonds Diagnostic Lab Data: NO CDC Split Type: Write-up: within a minute of receiving the vaccine I started feeling dizzy and woozy and like I was floating. Then my blood pressure went up and my heart started beating faster. I had tightness in my chest and I got a tickle like feeling at the top of my chest. I got nauseous. BP was elevated (140/85) normal 107/65. I stayed for an hour. I was very very sleepy the whole time. 3/5/21 I still have the tickle and tightness and pressure on my chest and I am having vertigo attacks. I got a headache and pain and stiffness in my neck where I have had nerve pain injections and ablations. |
|
VAERS ID: |
1074959 (history) |
Form: |
Version 2.0 |
Age: |
53.0 |
Sex: |
Female |
Location: |
Wisconsin |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / 1 |
LA / SYR |
Administered by: Work Purchased by: ? Symptoms: Anxiety, Arthralgia, Back pain, Blood pressure increased, Diarrhoea, Feeling cold, Formication, Headache, Hyperhidrosis, Mobility decreased, Muscle tightness, Pain of skin, Paraesthesia, Poor quality sleep, Pyrexia, Swelling, Tenderness SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Vitamin C Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: CDC Split Type: Write-up: Janssen COVID-19 Vaccine EUA Injection @ 1130a 1hr after - diarrhea 5hrs after- Rt Arm (opposite arm of shot) tingling sensitive to touch 7hrs after- Skin Crawling painful to touch - low back,thighs, arms, scalp 9hrs after- Freezing and fever sweating 12hrs after- 102 fever, racing BP about 180 high for me, Wrist and Elbows Ached terribly, Lower legs - knee down felt swollen but no sign of swelling. Low back Ached with Pain in Right rear side. Felt like I needed to stretch back and legs tight/anxious. slight Headache 14hrs after- took 2 Tylenol PM & slept restlessly until 8:30 a (12hrs later) 8:30a - Much better with slightly achey back and forearms and occasional headache ting... not constant. Moving slow Had Covid Nov11 2020. Symptoms lasted 6week, each week one symptom would go away and a new would arise- -fever 2days -intensively painful skin crawling 2days -loss of taste and smell -diarrhea (still have loose stools and occasional watery) had diarrhea morning of shot -eyes painfully itchy irritated dry - still occurs most days about 3p -extreme exhaustion in afternoon about 1-3p still |
|
VAERS ID: |
1075246 (history) |
Form: |
Version 2.0 |
Age: |
67.0 |
Sex: |
Male |
Location: |
Maine |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805022 / UNK |
LA / IM |
Administered by: Public Purchased by: ? Symptoms: Chest pain, Electrocardiogram normal, Fall, Flank pain, Head injury, Hypotension, Laboratory test normal, Neck injury, Renal function test normal, Syncope, Troponin I normal SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Tramadol, Diltiazem, Potassium, Magnesium, Protonix, Dorzolamide, Tamsulosin, Atorvastatin, Xarelto, Metoprolol, Oxycontin, Oxycodone, Prazosin Current Illness: Unknown Preexisting Conditions: Hepatits C, Anxiety, A-Fib, A-Flutter, Kidney Disease, Diabetes, GERD, Hypotension, Cardiac Stent Allergies: Januvia, Lyrica Diagnostic Lab Data: 3/4/21, Emergency Department: Vital Signs: Noted to be hypotensive EKG: Paced, Heart Rate 84, confirmed pacer functioning normally Labs: Within Normal Limits, Troponin Negative, Renal Function = baseline Blood pressure improved with IV Fluids CDC Split Type: Write-up: (3) syncopal episodes following vaccination, one of which resulted in a fall with direct injury to the base of neck, head, and right flank. Pt reported chest pain prior to syncope. |
|
VAERS ID: |
1075569 (history) |
Form: |
Version 2.0 |
Age: |
66.0 |
Sex: |
Male |
Location: |
Minnesota |
Vaccinated: |
2021-03-05 |
Onset: |
2021-03-05 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1085018 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Blood pressure increased, Dyspnoea, Hyperhidrosis SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: Patient was being monitored for 30 minutes by EMS due to anaphylaxis to Shrimp. About 15 minutes into monitoring, the patient reported to EMS that he was feeling sweaty and had some shortness of breath. EMS reported BP to be 171/89 and pulse of 88. Patient stated that he does take blood pressure medication and reported that BP was elevated for him. EMS contacted ambulance for transport to Emergency room, patient in agreement to transport. |
|
VAERS ID: |
1075575 (history) |
Form: |
Version 2.0 |
Age: |
50.0 |
Sex: |
Female |
Location: |
Mississippi |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805020 / 1 |
LA / IM |
Administered by: Other Purchased by: ? Symptoms: Blood pressure increased, Palpitations, Swelling face SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (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? Yes Hospitalized? No Previous Vaccinations: Other Medications: Xyzal 5 mg po daily Current Illness: Preexisting Conditions: seasonal allergies, BMI $g/= 30 Allergies: Sulfa (purple rash) Diagnostic Lab Data: N/A CDC Split Type: Write-up: 14:59 - RN responded to waiting lot. Pt c/o sensation of facial swelling and heart racing. Denied other complaints. At 1500 BP 110/80, HR 140, R 12. 1503: Pt helt HR slowing down. No further feeling of swelling in face, throat, or elsewhere. 1505: HR 128. 1510: Pt talking, breathing without difficulty. Advised to seek medical attention if s/sx worsen. 3/5/21 @ 1040: Another RN followed up with ph call. Pt reported that after leaving site, she felt HR beginning to speed up. Went to ED and was monitored x 2 hrs. Systolic pressure there was 161. HR was in 140''s. No interventions. After 2 hrs VS stabilized and pt was discharged home. Is fine today. |
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