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COVID Vaccine Hesitancy: Help for Panic Attacks, Anxiety & Fear - Psycom panic attacks after vaccine. I would encourage you to give us a call on the Beyond Blue Support Service; we're available 24/7 by phone on 1300 22 4636. 2022;269(1):558. Overall, 64 anxiety-related events, including 17 reports of syncope (fainting), an anxiety-related event, among 8,624 Janssen COVID-19 vaccine recipients, were reported from these sites for vaccines administered during April 79. Konstantinidis I, Tsakiropoulou E, Hhner A, de With K, Poulas K, Hummel T. Olfactory dysfunction after coronavirus disease 2019 (COVID-19) vaccination. Unique imaging findings of neurologic phantosmia following Pfizer-BioNtech COVID-19 vaccination: a case report. Comparing the COVID-19 Vaccines: How Are They Different? This One Side Effect Signals a "Very Robust" Vaccine Response - Yahoo! 03 Mar 2023 20:45:59 Coronavirus Patients and Survivors Suffer From Panic Attacks, Anxiety Pfizer's new RSV vaccine may trigger Guillain-Barre syndrome Vaccine reactivity has been linked to a temporary increase in inflammatory cytokines that act on blood vessels, muscles, and other tissues. We take your privacy seriously. 2021;24: e01143. 2020;396(10267):197993. In addition, you might benefit from connecting with others in a support group and sharing resources. The Lancet. CDC and FDA do not provide individual medical treatment, advice, or diagnosis. Heart problems are a very rare side effect of COVID-19 vaccines. They help us to know which pages are the most and least popular and see how visitors move around the site. Efficacy and side effects of Sputnik V, Sinopharm and AstraZeneca vaccines to stop COVID-19; a review and discussion. Anne M. Hause, PhD1; Julianne Gee, MPH1; Tara Johnson, MPH, MS1; Amelia Jazwa, MSPH1; Paige Marquez, MSPH1; Elaine Miller, MPH1; John Su, MD, PhD1; Tom T. Shimabukuro, MD1; David K. Shay, MD1 (View author affiliations). You may experience: trouble sleeping difficulty concentrating difficulty remembering things changes in mood flashbacks more breathlessness rapid shallow breathing difficulty slowing your breathing down chest pain racing thoughts J Neuroimmunol. Post-COVID-19 syndrome. J Neuroimmunol. Second, because the Janssen vaccine is under EUA and health care providers are required to report potentially life-threatening events, a reporting bias might exist. Transformation. Karussis D, Petrou P. The spectrum of post-vaccination inflammatory CNS demyelinating syndromes. If you had COVID-19 before being vaccinated, the first injection may cause more noticeable side effects than for people who have not had the coronavirus. DOI: http://dx.doi.org/10.15585/mmwr.mm7018e3external icon. Brain Behav Immun Health. * Each VAERS report might be assigned more than one MedDRA preferred term. Following the COVID-19 virus epidemic, extensive, coordinated international research has led to the rapid development of effective vaccines. JAMA. Reports of syncope were approximately 164 times more common after Janssen COVID-19 vaccination (8.2 per 100,000) than after influenza vaccination (0.05 per 100,000). Syncope, a common anxiety-related event reported by the five mass vaccination sites, has specific MedDRA preferred terms (syncope and syncope vasovagal) and was the focus of this follow-up investigation. According to a recent report on the Sputnik vaccine, side effects are included headache, joint pain, fever, and flu-like symptoms [14]. George G, Friedman KD, Curtis BR, Lind SE. Cureus. "No," she said. Ekizoglu E, Gezegen H, Yalnay Dikmen P, Orhan EK, Erta M, Baykan B (2021) The characteristics of COVID-19 vaccine-related headache: Clues gathered from the healthcare personnel in the pandemic. As use of COVID-19 vaccines expands into younger age groups, providers should be aware that younger persons might be more highly predisposed to anxiety-related events after vaccination than are older persons. Seventeen (3%) of the 653 reports were classified as serious. 2022;75:103293. More than half said they experienced a sore arm, fatigue or headache. What Are Side Effects of COVID-19 Vaccines? - Health Herpes zoster is a disease that occurs as a result of the reactivation of the varicella-zoster virus (VZV) after receiving the COVID-19 vaccine. 42(45):36675. The most important and common complicationsare cerebrovasculardisorders including cerebral venous sinus thrombosis, transient ischemic attack, intracerebral hemorrhage, ischemic stroke, and demyelinatingdisorders including transverse myelitis, first manifestation of MS, and neuromyelitis optica. Althoughvaccines are now considered the best way to achieve collective safety and control mortality, due to the critical situation, these vaccines have been issued the emergency use licenses andsome of theirpotentialsubsequence side effects have been overlooked. 2022;18:137. This content does not have an English version. Recommendations for observation after COVID-19 vaccine administration are available at https://www.cdc.gov/vaccines/covid-19/info-by-product/clinical-considerations.html. Acute disseminated encephalomyelitis-like presentation after an inactivated coronavirus vaccine. VAERS reports are limited by the information provided by the reporter and might be incomplete, although those missing information regarding the time of vaccination or the time of the event were not included. As reported in both studies, the majority of reactions beyond a sore arm happen . 2021;78(4):5114. Ideggyogyaszati Szemle. Vaccine viral antigens activate platelets or indirectly cause blood to clot by activating complement pathways and increasing thrombin production. Those with a history of severe allergic reaction (anaphylaxis) to injectables or other vaccines should discuss the vaccination with their doctor, who can evaluate and assess their risk. These include anaphylaxis, a severe reaction . References to non-CDC sites on the Internet are Loharikar A, Suragh TA, MacDonald NE, et al. Reporting rates were calculated using the approximate number of doses of each vaccine administered during the respective analysis periods. Descriptive analyses of VAERS data were stratified by vaccine type, sex, and age group. You might run a fever and experience body aches, headaches and tiredness for a day or two. 1. Lisa Maragakis, M.D., M.P.H., senior director of infection prevention, and Gabor Kelen, M.D., director of the Johns Hopkins Office of Critical Event Preparedness and Response, help you understand side effects associated with the COVID-19 vaccines. Multisystem inflammatory syndrome (MIS). In rare cases, coronavirus vaccines may cause Long Covid - Science Swollen lymph nodes (typically manifests as a lump in your armpit or above your collarbone) The side effects are similar for the three vaccines and are an indication that the vaccines are helping to build protection against disease. Anxiety-related adverse events following immunization (AEFI): a systematic review of published clusters of illness. Prevalence of anxiety-related adverse events ranged from 5.2 to 13.5 per 1,000 persons vaccinated. Post-vaccine symptoms are typically mild and resolve quickly without the need to use any medication. Suggested citation for this article: Hause AM, Gee J, Johnson T, et al. Acta Neurol Scand. Int Med Case Rep J. Jain E, Pandav K, Regmi P, Michel G, Altshuler I. Facial diplegia: a rare, atypical variant of Guillain-Barr syndrome and Ad26. Scully M, Singh D, Lown R, Poles A, Solomon T, Levi M, Goldblatt D, Kotoucek P, Thomas W, Lester W. Pathologic antibodies to platelet factor 4 after ChAdOx1 nCoV-19 vaccination. Adenovirus-based vaccines are at the forefront of causing this complication due to the transfer of the nucleic acids encoding the viral spike (S) protein. Four of the five sites (all except site C) offered drive-through vaccination; sites providing drive-through vaccination had previously administered 1,0004,000 mRNA COVID-19 vaccines per day without reported similar clusters of events. Among the 653 VAERS reports of syncope, 327 (50%) occurred in women. "Reassuring the public that everything is being done . This conversion might result in character translation or format errors in the HTML version. Vaccines. US case reports of cerebral venous sinus thrombosis with thrombocytopenia after Ad26.COV2.S vaccinationMarch 2 to April 21, 2021. FDA adds new warning on Johnson & Johnson vaccine related to rare Optic neuritis in a patient with seropositive myelin oligodendrocyte glycoprotein antibody during the post-COVID-19 period. CDC finds some COVID-19 vaccine reactions actually due to anxiety According to reports published in the VAERS database, COVID-19 vaccines have several local and systemic neurological complications that occur in different people, from mild to severe, depending on age, sex, history of the disease, and pre-existing immunity [7]. Terms and Conditions, This can result in extreme weakness and post-traumatic stress disorder, a mental health condition triggered by a terrifying event. 241(d); 5 U.S.C. Common COVID-19 vaccine side effects include: Redness or soreness at injection site. The vaccine cannot cause a COVID-19 infection, so symptoms mean your body is building a healthy immune response. 2021. https://doi.org/10.7759/cureus.13426. ** CDC provided recommendations on who should be vaccinated first because COVID-19 vaccine supply was initially limited. 2021;80:34852. COVID Vaccine Side Effects: Is the System Working? Among people age 65 and older, 1 in 4 has at least one medical condition that might be due to COVID-19. What Are Side Effects of the COVID-19 Vaccines? Why 25-50% of vaccine side-effects are 'anxiety-related and not a result of Covid jab' Anxiety-related reactions comprise symptoms such as vasovagal reaction, when a stressful trigger the sight of blood or syringe causes someone to feel dizzy or faint. QJM: An Int J Med. Shimabukuro TT, Nguyen M, Martin D, DeStefano F. Safety monitoring in the Vaccine Adverse Event Reporting System (VAERS). Multisystem inflammatory syndrome in children (MIS-C), Safe outdoor activities during the COVID-19 pandemic, Safety tips for attending school during COVID-19, Advertising and sponsorship opportunities, Symptoms that get worse after physical or mental effort, Lung (respiratory) symptoms, including difficulty breathing or shortness of breath and cough, Neurological symptoms or mental health conditions, including difficulty thinking or concentrating, headache, sleep problems, dizziness when you stand, pins-and-needles feeling, loss of smell or taste, and depression or anxiety, Heart symptoms or conditions, including chest pain and fast or pounding heartbeat, Digestive symptoms, including diarrhea and stomach pain, Blood clots and blood vessel (vascular) issues, including a blood clot that travels to the lungs from deep veins in the legs and blocks blood flow to the lungs (pulmonary embolism), Other symptoms, such as a rash and changes in the menstrual cycle, You had certain medical conditions before getting the, You had a condition affecting your organs and tissues (multisystem inflammatory syndrome) while sick with. 2021;114(7):5312. COVID-19 vaccine: Should I reschedule my mammogram? Source: Mass General Videos of people experiencing severe neurological symptoms, including convulsions and difficulty . Approximately one half of reports to VAERS of syncope after Janssen COVID-19 vaccination were for persons in the youngest age group (1829 years) recommended for vaccination. F.D.A. Attaches Warning of Rare Nerve Syndrome to Johnson & Johnson Vaccine All COVID-19 vaccine recipients should be observed for at least 15 minutes after vaccination for anxiety-related and other events (e.g., anaphylaxis or immediate allergic reaction) occurring shortly after vaccination. Increased awareness of anxiety-related events after vaccination will enable vaccination providers to make an informed decision about continuing vaccination. Ann Neurol. 2021. https://doi.org/10.1136/bmj.n1786. These symptoms do not mean you are sick. ** The population receiving Janssen COVID-19 likely differs from the population who received influenza vaccine in during the 201920 season; however, the latter is representative of a typical adult population seeking routine vaccination with a single-dose vaccine. You might be more likely to have post-COVID-19 syndrome if: Post-COVID-19 syndrome also appears to be more common in adults than in children and teens. Malhotra HS, Gupta P, Prabhu V, Garg RK, Dandu H, Agarwal V. COVID-19 vaccination-associated myelitis. Tseng P-T, Chen T-Y, Sun Y-S, Chen Y-W, Chen J-J. 2022. https://doi.org/10.7759/cureus.21376. Thromb Res. In connection with brain disorders, the possible mechanism is the entry of inflammatory mediators secreted by peripheral blood cells into the brain and the destruction of myelin and axonal degeneration. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. By using this website, you agree to our However, anyone who gets COVID-19 can have long-term effects, including people with no symptoms or mild illness with COVID-19. 2021;42(9):35379. Google Scholar. Median patient age was 36 years (range=1877 years). Otol Neurotol. Possible side effects: Pain, redness, or swelling at the site where the shot was administered, and/or tiredness, headache, muscle pain, chills, fever, or nausea throughout the rest of the body. Olfactory dysfunction ranges from a lack of sense of smell to an olfactory hallucination (phantosmia) that results from a bilateral disturbance or enhancement of the olfactory pathway and the olfactory bulb. Herein, we have provided a comprehensive review of documents reporting neurological side effects of COVID-19 vaccines in international databases from 2020 to 2022 and discussed neurological disorders possibly caused by vaccination. COVID Vaccines Can Cause Worrisome Side Effect But Doctors Say Don't Panic elvan on Twitter: "RT @FearDept: New study shows artificial sweetener https://www.meddra.org/how-to-use/basics/hierarchyexternal icon, Influenza vaccine doses administered during the 201920 season were estimated based on coverage estimates. Comput Struct Biotechnol J. Feelings of having a fast-beating, fluttering or pounding heartbeat, Severe or persistent headaches or blurred vision, Easy bruising or tiny blood spots under the skin near the injection site. CAS Article World J Clin Cases. Reyes-Capo DP, Stevens SM, Cavuoto KM. Adverse effects of vaccines: evidence and causality. Because COVID-19 vaccines are urgently approved, meaning they do not complete the standard clinical trials, the adverse effects of each vaccine should be closely monitored. The anxiety-related events described here were reported before reports of thrombosis with thrombocytopenia syndrome (7). Department of Biology, Faculty of Sciences, Shahid Bahonar University of Kerman, P.O.Box 76135-133, Kerman, Islamic Republic of Iran, Immunoregulation Research Center, Shahed University, Tehran, Islamic Republic of Iran, You can also search for this author in Likewise, some mass vaccination sites had more information available than did others. Questions or messages regarding errors in formatting should be addressed to Other types of side effects from the coronavirus vaccines are not unusual. The five mass vaccination sites reported 64 cases of anxiety-related events (Table 1), occurring during April 79, 2021; no event met the VAERS classification of serious. Three things to know about the long-term side effects of COVID vaccines Due to the leakage of these genetic materials and their binding to factor 4 platelet, autoimmunity develops [29]. Thread starter LuteHawk; Start date Feb 5, 2021; Prev. ), or your upcoming vacation. 2021;85(1):4655. Chen S, Fan X-R, He S, Zhang J-W, Li S-J. With most of the reactogenic side-effects considered . Data show that the vaccines are very good at preventing serious or deadly cases of COVID-19 even after considerable time since completing vaccination. Researchers have used the body's own immune cells to develop a nano-vaccine against Covid-19, according to a new study conducted in mice. the date of publication. 2014;13(3):21524. Headache. PubMed Central COVID-19: Who's at higher risk of serious symptoms? Panic attacks every time I try to get the Covid vaccine. Springer Nature. One study published by the CDC reports that from March 2020 to January 2021, patients with COVID-19 had nearly 16 times the risk for myocarditis compared with patients who did not have COVID-19. MMWR Morb Mortal Wkly Rep 2021;70:6516. Part of Long COVID or post-COVID conditions. The COVID-19 vaccine-related convulsions can be attributed to the synthesis and release of spike proteins, which cause severe inflammation and hyperthermia. 2021;21(2):18192. See I, Su JR, Lale A, et al. According to published information on the side effects of other adenovirus vaccines, it is essential to properly evaluate the efficacy of the Sputnik vaccine and publish relevant data to decide on its side effects. Although vaccines are now considered the best way to achieve collective safety and control mortality, due to the critical situation, these vaccines have been issued the emergency use licenses and some of their potential subsequence side effects have been . In November 2021 in The New England Journal of Medicine, he proposed that an autoimmune mechanism triggered by the SARS-CoV-2 spike protein might explain both Long Covid symptoms and some rare vaccine side effects, and he called for more basic research to probe possible connections. Symptoms of a panic attack may include: Pounding heart Sweating Trembling or shaking Shortness of breath Sense of choking Nausea or belly pain Dizziness or lightheadedness Feeling unreal or disconnected from oneself Fear of losing control Fear of "going crazy" or dying Numbness Chills or hot flashes 2021;19(7):17715. Pagenkopf C, Sdmeyer M. A case of longitudinally extensive transverse myelitis following vaccination against Covid-19. The symptoms usually peak in about ten minutes and then begin to subside. EVANSVILLE, Ind. The information you provide and any test results will help your health care provider come up with a treatment plan. Other tips to combat anxiety over the COVID vaccine: Check your imagination: COVID vaccine anxiety is often fueled by "what-if's"imagined scenarios of the many ways events can head south. 2022;145(1):59. COV2.S vaccination. "Please," I pleaded, "can I lie on the floor?". Allen CM, Ramsamy S, Tarr AW, Tighe PJ, Irving WL, Tanasescu R, Evans JR. Guillain-Barr syndrome variant occurring after SARS-CoV-2 vaccination. fatigue. 2021. https://doi.org/10.1016/j.nrleng.2021.05.002. 2021;14(7): e243975. panic attacks after vaccine : r/CovidVaccineEffects - reddit Can Anxiety Impact The Efficacy Of Covid-19 Vaccines? - Outlook Ann Med Surg. JAAD Case Rep. 2021;12:589. mRNA-based vaccines can increase the risk of herpes zoster [72]. The Pfizer, Moderna, and Novavax vaccines have been shown to be at. Heart Arrhythmia After COVID Vaccine: A Rare Side Effect - Healthline QJM: An Int J Med. In a short-term sense, you may find it useful to talk to somebody who can provide you non-judgemental support, advice, and immediate assistance. tiredness. Views equals page views plus PDF downloads, US case reports of cerebral venous sinus thrombosis with thrombocytopenia after Ad26.COV2.S vaccinationMarch 2 to April 21, 2021external icon. Supportive care included placing the person supine and offering hydration and food. Post-COVID conditions among adult COVID-19 survivors aged 18-64 and 65 years United States, March 2020 November 2021. Both the Pfizer and the Moderna COVID-19 vaccinations involve two injections separated by several weeks. As of November 2022, 630.3 million people have been diagnosed with COVID-19 and 6.58 million deaths worldwide, according to WHO figures [2]. Zhang Y, Zeng G, Pan H, Li C, Hu Y, Chu K, Han W, Chen Z, Tang R, Yin W. Safety, tolerability, and immunogenicity of an inactivated SARS-CoV-2 vaccine in healthy adults aged 1859 years: a randomised, double-blind, placebo-controlled, phase 1/2 clinical trial. All HTML versions of MMWR articles are generated from final proofs through an automated process. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Is tinnitus a rare side effect of Covid vaccines? - NBC News Centers for Disease Control and Prevention. There have been many reports of the Pfizer vaccine being associated with olfactory [66], visual [67], auditory [68, 69], and sometimes abducens nerve palsy. Acute disseminated encephalomyelitis (ADEM) following recent Oxford/AstraZeneca COVID-19 vaccination. Repajic M, Lai XL, Xu P, Liu A. Bells Palsy after second dose of Pfizer COVID-19 vaccination in a patient with history of recurrent Bells palsy. Due to potential blood clots following administration of the Johnson & Johnson vaccine, the CDC updated its recommendations in December 2021. Feb 6, 2021 #41 stout1 said: . Following these events, as expected, peripheral blood cells and albumin enter the brain and disrupt the osmotic balance [10]. "Up to 10 percent of people who have COVID experience side effects such as difficulty thinking, pain, tiredness, loss of taste and depression. 3501 et seq. statement and Acute transverse myelitis following COVID-19 vaccination. Due to the activity of the immune system, after the injection of COVID-19 vaccines, especially adenovirus-based type, thrombocytopenia, cerebral venous sinus thrombosis, ischemic stroke and intracerebral hemorrhage, have also been reported [27]. One hundred twenty-three (19%) reports indicated that the recipient had a history of syncope associated with receiving injections or needle aversion. Clin Imaging. All COVID-19 vaccine recipients should be observed for at least 15 minutes after vaccination for anxiety-related and other events (e.g., anaphylaxis or immediate allergic reaction) occurring shortly after vaccination. 2021;67: 102540. The most commonly reported side effects were: Fever Headache Fatigue (tiredness) Pain at the injection site Helpful tips to relieve side effects Adults To relieve pain or swelling on the arm where you got the shot: Apply a clean, cool, wet washcloth over the area. More common side effects are mild and temporary, including: fever. They signal that your immune system is responding to the shot and building up protection against the coronavirus. Saeed S, et al. The reporting rates of syncope to VAERS after Janssen COVID-19 and influenza vaccines (201920) were 8.2 and 0.05 per 100,000 doses, respectively. J Neurol Sci. Syncope and other anxiety-related events can occur after vaccination and have been reported to the Vaccine Adverse Events Reporting System (VAERS) for other vaccines. Clinics. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Use or keep moving your arm. What Are Some Side Effects Of Pfizer's Covid-19 Vaccine? Vaccine 2015;33:4398405. If you have never had COVID-19, you may notice more side effects after the second dose than after the first dose. 2021. https://doi.org/10.1111/bjh.17619. For example, if you fear getting the vaccine because you might have an allergic reaction, consult the facts: one study of the Pfizer vaccin e showed . Antonio Crespo Burillo J, Martnez CL, Arguedas CG, Pueyo FJM. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. 4,400 adverse events reported after receiving Pfizer-BioNTech vaccine COVID-19: Long-term effects - Mayo Clinic The Food and Drug Administration announced a new warning for the Johnson & Johnson coronavirus vaccine on Monday, saying the shot has been linked to a serious but rare side effect called. MacNeil JR, Su JR, Broder KB, et al. Cureus. Sect. pain at the site of the injection. Neurol Sci. Many. Permezel F, Borojevic B, Lau S, de Boer HH. 2021;64(1):E1. i had been worried about it beforehand but not to the point where i had an attack. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. What are the long-term side effects of COVID vaccines? 3 things - UAB Dyer O. Covid-19: Regulators warn that rare Guillain-Barr cases may link to J&J and AstraZeneca vaccines. 2022;73(1):8787. Many Immediate Reactions to COVID Vaccine Are Anxiety - Peoplemag But the people of developed countries are still hesitant to take vaccines. At the same time, there are many reports of side effects after getting a COVID-19 vaccine. 2021;4: 100098. Google Scholar. Pulmonary embolism, transient ischaemic attack and thrombocytopenia after the Johnson & Johnson COVID-19 vaccine. Five mass vaccination sites reported 64 anxiety-related events, including 17 events of syncope (fainting) after receipt of Janssen COVID-19 vaccine. 2021;21(4):4502. I almost passed out countless times at work. Voysey M, Clemens SAC, Madhi SA, Weckx LY, Folegatti PM, Aley PK, Angus B, Baillie VL, Barnabas SL, Bhorat QE. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-conditions.html. The median age of persons with syncope after Janssen COVID-19 vaccination was 30 years (range=1882 years). Pfizer's new RSV vaccine for older adults may trigger the potentially deadly Guillain-Barre syndrome, the Food and Drug Administration has warned.. SSRN. J Neurol Neurosurg Psychiatry. Ramsay Hunt syndrome following COVID-19 vaccination. Some patients and survivors say the experience has triggered panic attacks and debilitating anxiety for the first time. Delayed headache after COVID-19 vaccination: a red flag for vaccine induced cerebral venous thrombosis. PubMed Central COVID-19 Vaccine and ShinglesHerpes ZosterInfection Risks - Health Most people who get coronavirus disease 2019 (COVID-19) recover within a few weeks. Accessed 13 Novr 2022. Each of the five sites reported all anxiety-related events to VAERS; reports for each event were reviewed by CDC. A Timeline of COVID-19 Vaccine Side Effects - Verywell Health Cureus. Dagostino V, Caranci F, Negro A, Piscitelli V, Tuccillo B, Fasano F, Sirabella G, Marano I, Granata V, Grassi R. A rare case of cerebral venous thrombosis and disseminated intravascular coagulation temporally associated to the COVID-19 vaccine administration. Department of Health and Human Services. The vaccine should slow the spread of COVID-19 around the world. Ercoli T, Lutzoni L, Orofino G, Muroni A, Defazio G. Functional neurological disorder after COVID-19 vaccination. Inflammation Res. Delayed swelling, redness or a rash at the injection site. Tidsskrift for Den norske legeforening. Approximately one quarter of the syncopal and other anxiety-related events after receipt of Janssen COVID-19 vaccine described in this report occurred in persons who reported a history of similar events after vaccination.