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From the 6/11/2021 release of VAERS data:

Found 352,386 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 102 out of 3,524

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VAERS ID: 1352394 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-05
Onset:2021-05-23
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Injection site pruritus, Injection site swelling
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel, Zyrtec
Current Illness: none
Preexisting Conditions: none
Allergies: Peanuts, tree nuts, legumes
Diagnostic Lab Data: none
CDC Split Type:

Write-up: itchy bump on injection site no treatment unresolved at time of report


VAERS ID: 1352524 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Lymphadenopathy, Pain in extremity, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase daily and famotidine as needed.
Current Illness: Seasonal allergy. I had surgery in March and has an allergic reaction to the adhesive tape used to cover an incision that was taking longer to heal in April but was over it before my first shot. But I did have Prednisone shortly before my first vaccine as treatment for the rash from the aggressive tape. I was cleared by my doctor to get the first shot on May 1, 2921.
Preexisting Conditions: Seasonal allergy and obesity
Allergies: Latex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Arm pain, large, red, itchy rash in area of the vaccination. Swollen supraclavicular lymph node on right side.


VAERS ID: 1352781 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-04-27
Onset:2021-05-23
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 2 AR / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Cerebral venous sinus thrombosis, Cerebral venous thrombosis, Computerised tomogram head abnormal, Fibrin D dimer increased, Haemoglobin normal, Headache, Hemianopia homonymous, Heparin-induced thrombocytopenia, Jugular vein thrombosis, Leukocytosis, Magnetic resonance imaging, Magnetic resonance imaging head abnormal, Platelet count decreased, Thrombocytopenia, Transverse sinus thrombosis, Visual field defect, Visual impairment, White blood cell count normal
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Noninfectious encephalitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine Ortho novum OCP Wellbutrin
Current Illness: treated for possible sinus infection
Preexisting Conditions: Obesity PCOS Depression hypothyroidism
Allergies: NKDA
Diagnostic Lab Data: CT head venogram 5/23/21: Acute venous sinus thrombosis involving the lateral left transverse sinus, sigmoid sinus, and jugular vein. No evidence of associated parenchymal hemorrhage MR brain 5/24/21: There is increased T2 and FLAIR signal as well as slight enlargement of a left anterior and medial occipital gyrus. This is not accompanied by acute diffusion restriction but there is slight increased signal on the DWI images in the same location likely representing T2 shine through. This could represent an area of recent cortical ischemia. Labs: 5/23/21: PLT 132, WBC 9.9, HGB 12. No platelet clumping on peripheral smear. HIT panel negative. CRP 53. D-dimer 1739
CDC Split Type:

Write-up: Headache onset 3-4 days after vaccine on 4/27/21. Subsequently developed visual changes (right homonymous hemianopsia/visual field cut) on 5/23/21 and presented to ED, diagnosed with cerebral venous thrombosis (left transverse, sigmoid and internal jugular thrombosis). On initial labs also had thrombocytopenia and mild leukocytosis.


VAERS ID: 1353006 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Massachusetts  
Vaccinated:0000-00-00
Onset:2021-05-23
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Joint swelling
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sunburn
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210546760

Write-up: BOTH ANKLES WERE SWOLLEN; This spontaneous report received from a patient concerned a 24 year old female. The patient''s height, and weight were not reported. The patient''s past medical history included sunburn. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 22-MAY-2021 for prophylactic vaccination. The batch number was not reported. As per procedure no follow-up will be requested for this case. No concomitant medications were reported. On 23-MAY-2021, the subject experienced both ankles were swollen. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from both ankles were swollen. This report was non-serious.


VAERS ID: 1353044 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-05-23
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chest pain, Chills, Diaphragmalgia, Dyspnoea, Fatigue, Headache, Increased tendency to bruise, Injection site pain, Pyrexia, Sensitive skin
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210523; Test Name: Body temperature; Result Unstructured Data: 98.7
CDC Split Type: USJNJFOC20210549118

Write-up: BRUISED EASILY; PAIN NEAR DIAPHRAGM; DIFFICULTY BREATHING AND SHORTNESS OF BREATH; CHEST PAIN; HEADACHE; INJECTION SITE PAIN; SENSITIVE SKIN; CHILLS; FEVERISH; TIRED; This spontaneous report received from a patient concerned a 24 year old female. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 1805031 expiry: 26-MAY-2021) dose was not reported, administered on 23-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 23-MAY-2021, the subject experienced sensitive skin. On 23-MAY-2021, the subject experienced chills. On 23-MAY-2021, the subject experienced feverish. On 23-MAY-2021, the subject experienced tired. On 23-MAY-2021, the subject experienced injection site pain. Laboratory data included: Body temperature (NR: not provided) 98.7. On 24-MAY-2021, the subject experienced pain near diaphragm. On 24-MAY-2021, the subject experienced difficulty breathing and shortness of breath. On 24-MAY-2021, the subject experienced chest pain. On 24-MAY-2021, the subject experienced headache. On an unspecified date, the subject experienced bruised easily. The action taken with covid-19 vaccine was not applicable. The patient recovered from sensitive skin, chills, and feverish on 24-MAY-2021, was recovering from chest pain, pain near diaphragm, and headache, had not recovered from difficulty breathing and shortness of breath, and injection site pain, and the outcome of tired and bruised easily was not reported. This report was non-serious.


VAERS ID: 1353627 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Vaccination site mass, Vaccination site pain
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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592511

Write-up: Little ball behind the armpit where the second dose was administered/ little ball was painful; Little ball behind the armpit where the second dose was administered/ little ball was painful; This is a spontaneous report from a contactable consumer (patient). A 34-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot Number was not reported) via an unspecified route of administration on 22May2021 as a single dose for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient did not received any other products and investigation assessment was not reported. She stated that she had a little ball behind the armpit where the second dose was administered, the little ball was painful. She had her second dose administered on saturday i.e. 22May2021 and by Sunday i.e. 23May2021 it was painful. The outcome of both the events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1354114 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-16
Onset:2021-05-23
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Dyspnoea, Pain in extremity, Peripheral swelling, Pulmonary embolism
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bisacodyl, diphenhydramine, escitalopram, fluticasone, metformin, nicotine lozenges, omeprazole, propranolol, ropinirole, trazodone
Current Illness:
Preexisting Conditions: Essential hypertension, migraine, restless leg syndrome, primary osteoarthritis of right knee, obesity, chronic fatigue
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported signs and symptoms of SOB/right leg pain 1 week after receiving the Moderna vaccine. He stated that he was "breathing fire" and woke up with an extremely painful and swollen leg. Upon coming to the ED, it was found to be bilateral PE and right leg DVT.


VAERS ID: 1354208 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood immunoglobulin M, C-reactive protein increased, COVID-19, Chest pain, Dyspnoea, Echocardiogram abnormal, Electrocardiogram, Headache, Myocarditis, Nausea, Pericarditis, SARS-CoV-2 test positive, Troponin increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OTC daily multivitamin
Current Illness: None
Preexisting Conditions: Current tobacco abuse (half PPD), current marijuana use (smoking daily)
Allergies: NKA
Diagnostic Lab Data: Presented to the ED on 2nd day post-vaccination. Found to have EKG with pericarditis, labs with elevated CRP and troponin. COVID-19 PCR swab positive. Subsequently also tested positive for IgM. Diagnosed with acute COVID-19 infection and myopericarditis. Clinically responded to colchicine and ibuprofen. Never hypoxic, no specific treatments for COVID-19 given.
CDC Split Type:

Write-up: 1 day after vaccination developed new HA and nausea 2 days after vaccination developed new SOB, pleuritic chest pain


VAERS ID: 1354254 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymphadenopathy, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (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:
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderate Swelling of lymph node behind ear and smaller swelling at base of cranium


VAERS ID: 1354280 (history)  
Form: Version 2.0  
Age: 0.08  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Fatigue, Headache, Myalgia, Pain, Tremor, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Vestibular disorders (narrow), Tendinopathies and ligament 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: None
Current Illness: None
Preexisting Conditions: The ALT was a little high two years ago.
Allergies: None
Diagnostic Lab Data: Haven''t Yet
CDC Split Type:

Write-up: Day 1 (May 22, Sat) Almost No Symptom Day 2 (May 23, Sun) Mild muscle pain Day 3 (May 24, Mon) Severe chills, shaking, body aches - Symptoms start at midnight Day 4 (May 25, Tue) Mild Body ache, Severe Headache Day 5 (May 26, Wed) Mild headache, tiredness - Worked Day 6 (May 27, Thu) Severe dizziness, vertigo - Symptoms begin the night before


VAERS ID: 1354306 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / -

Administered by: Work       Purchased by: ?
Symptoms: Back pain, Burning sensation, Chills, Fatigue, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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:
CDC Split Type:

Write-up: Redness ,swelling, burning and warm to touch at injection site. Pain spread to upper back and down left arm to hand . Chills and fatigue. First 24 hours. Day 2 - Redness expanded and arm became swollen and hard at injection site. Chills . Day 3- Burning sensation down entire left arm . Warm to touch and swollen. Fatigue and chills.


VAERS ID: 1354314 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Pain, Pain in extremity
SMQs:, Retroperitoneal fibrosis (broad), Arthritis (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shooting pain doesn''t seem to get better, started from arm, wrist, hand, back and now radiated to left leg.


VAERS ID: 1354397 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Rash erythematous, Vaccination site bruising, Vaccination site induration, Vaccination site reaction, Vaccination site warmth
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (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: Zoloft, Ritalin, Exemestane
Current Illness:
Preexisting Conditions: Breast cancer survivor (diagnosed May 2015)
Allergies: Penicillin, bell peppers, eggplant, latex, medical/surgical tape
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Left arm very sore - started a couple of days after second vaccine was given on 5/22/2021. Area where vaccine was given is hard, red, rashy, painful, and warm. Now bruised but that could be from my scratching. All symptoms are tolerable right now and do not need medical treatment. After reading an article on "Covid arm" I decided to report this in the interest of science and providing data to advance understanding.


VAERS ID: 1354445 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Discomfort, Injection site erythema, Pruritus, Rash, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ferrous gluconate (FERGON) 324 mg
Current Illness: none
Preexisting Conditions: Constipation
Allergies: Sulfamethoxazole-trimethoprim (hives)
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient obtained her 1st dose of the Moderna vaccine on May 22nd subsequent development erythema roughly 4 fingers below the injection site, roughly 24 hours after the injection. Notes associated swelling, warmth and discomfort. Denies any open wound, fevers, chills or malaise. Since then, erythema and swelling have progressed by increasing roughly 1 cm in diameter. Notes pruritus and discomfort have improved by the time of today''s (5/27/21) clinic visit. She has tried no medications or topicals to treat the rash. No additional sites of rash. She denies syncope, lightheadedness, dizziness, lip swelling, tongue swelling, shortness of breath, wheezing, abdominal pain, nausea, vomiting. No PEG allergy history. No documented vaccine allergies. No allergies causing anaphylaxis.


VAERS ID: 1354447 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-01
Onset:2021-05-23
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shingles diagnoses


VAERS ID: 1354487 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-14
Onset:2021-05-23
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Chest discomfort, Contusion, Erythema, Headache, Inflammation, Pruritus, Pyrexia, Skin warm, Swelling, Tenderness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Case discussed with Dr who is covering for General Surgery Dr he recommends starting antibiotic. He advises follow-up with Dr next week Interventional radiology referral: 13-year-old with left chest wall lymphangioma needs follow-up with Dr. Please provide emergent evaluation and treatment. Area is acutely red inflamed and tender. General surgery referral: 13-year-old with left chest wall lymphangioma needs follow-up with Dr. Please provide emergent evaluation and treatment. Area is acutely red inflamed and tender. Pt. was started on cephalexin monohydrate 500 mg oral capsule.
CDC Split Type:

Write-up: Pt. has history of Lymphangioma. Pt. presented with lump on chest that became inflamed and red after 9 days of receiving Covid-19 vaccine. Pt. presented with itchiness, swelling, bruising, redness, fever, hot to touch and headache. Pt. used ice packs and Ibuprofen for treatment.


VAERS ID: 1354500 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-04
Onset:2021-05-23
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Blood test, Computerised tomogram head, Dysphemia, Electroencephalogram, Head titubation, Headache, Magnetic resonance imaging head, Muscle twitching, Scan with contrast, Seizure like phenomena, Stress, Urine analysis
SMQs:, Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: MRI with and without contrast. CT scan without contrast. Blood work. Urinalysis. EEG
CDC Split Type:

Write-up: The afternoon of May 4th, (the patient) had a headache at the back of her head. She took an Ibuprofen and went to bed. Over the course of the next 3 weeks, the headache would return, but was alieved with Ibuprofen. On the evening of May 23rd, 2021 (the patient) came to me and said she had a twitching in her neck. I looked, but did not see anything that was concerning. It was just a twitch. On the evening of May 24th, (the patient) went to dinner with her father. On the way to dinner, they were having a regular conversation when (the patient) began to stutter really bad. Her father pulled the car over and looked at her. He noticed her head was shaking uncontrollably and she could not talk. He immediately took her to the emergency room. When I arrived, it looked like she was having a seizure. (The patient) has never had any kind of speech problem, so she has never stuttered. the drs told us that they did not have a neurology dept, so we took her to another hospital. After numerous tests, we were told to take her home and it was probably something like stress and she should see mental health


VAERS ID: 1354536 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Flushing, Hyperhidrosis, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: severe pain and swelling at injection site-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Symptoms mostly local to injection site but more severe and longer in duration than most, site of injection was inspected and appears to have been given in a proper location


VAERS ID: 1354551 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Basophil count normal, Eosinophil count normal, Granulocyte count, Haematocrit normal, Haemoglobin normal, Lymphocyte count normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count increased, Neutrophil count normal, Platelet count decreased, Rash, Red blood cell count normal, Red cell distribution width normal, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: Eczema, seasonal allergies, peanut allergy
Allergies: Peanut
Diagnostic Lab Data: 5/24: CBC WBC 3.5 - 10.5 x10(9)/L 7.5 RBC 4.32 - 5.72 x10(12)/L 5.36 Hemoglobin 13.5 - 17.5 g/dL 15.4 HCT 38.8 - 50.0 % 45.9 MCV 80.0 - 100.0 fL 85.6 MCH 27.6 - 33.3 pg 28.7 MCHC 31.5 - 35.2 g/dL 33.6 RDW 11.9 - 15.5 % 12.1 Platelets 150 - 450 x10(9)/L 100Low Neutrophil Absolute 1.7 - 7.0 10(9)/L 5.0 Lymphocyte Absolute 1.0 - 4.8 10(9)/L 1.2 Monocytes Absolute 0.2 - 0.9 10(9)/L 0.9 Eosinophil Absolute 0.0 - 0.5 10(9)/L 0.4 Basophil Absolute 0.0 - 0.3 10(9)/L 0.0 Immature Gran % 0.0 - 0.5 % 0.0
CDC Split Type:

Write-up: Patient had vaccine and had no reaction in 30m observation period. Three days later he developed rash on thighs. Likely unrelated but timing suspicious with history of anaphylaxis.


VAERS ID: 1354575 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Catheterisation cardiac, Myocardial necrosis marker increased
SMQs:, Myocardial infarction (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Trazodone, celebrex, prilosec
Current Illness: None
Preexisting Conditions: None
Allergies: No known
Diagnostic Lab Data: CDC, heart cath
CDC Split Type:

Write-up: Went to emergency room for possible MI. Patient had elevated heart enzymes.


VAERS ID: 1354589 (history)  
Form: Version 2.0  
Age: 93.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-03
Onset:2021-05-23
   Days after vaccination:109
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Senior Living       Purchased by: ?
Symptoms: COVID-19
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? 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: Patient is COVID positive after full vaccination series.


VAERS ID: 1354603 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-19
Onset:2021-05-23
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: COVID-19
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? 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: Positive for COVID-19 after full vaccination series.


VAERS ID: 1354613 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-19
Onset:2021-05-23
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: COVID positive after vaccine series. Patient had to go to ED and is now admitted in the hospital.


VAERS ID: 1354625 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-22
Onset:2021-05-23
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (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: Daily multivitamin and oral probiotic.
Current Illness: None.
Preexisting Conditions: IBS
Allergies: Penicillin, erythromycin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient developed shingles. Reporting event based on recent linkage between Covid vaccine and shingles from medical journal.


VAERS ID: 1354648 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac imaging procedure abnormal, Electrocardiogram P wave abnormal, Electrocardiogram ST segment abnormal, Magnetic resonance imaging heart, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Supraventricular tachyarrhythmias (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: Troponin elevated to max 12.44 on 5/25 Cardiac MRI with findings consistent with myocarditis ST changes and P wave inversions on EKG on 5/25
CDC Split Type:

Write-up: myocarditis with elevated troponins, findings on cardiac MRI. No treatment required, self-resolved. Admitted for close monitoring


VAERS ID: 1354744 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Chest pain, Computerised tomogram normal, Electrocardiogram normal, Fibrin D dimer, Laboratory test normal
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: none
Current Illness: none
Preexisting Conditions: back pain, obesity
Allergies: none
Diagnostic Lab Data: ECG, CT, labs -- normal except D-dimer 0.75 -- all done 5/23/21
CDC Split Type:

Write-up: chest pain (right central) noted two days later


VAERS ID: 1354751 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-15
Onset:2021-05-23
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cellulitis
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: cellulitis


VAERS ID: 1354786 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-23
Onset:2021-05-23
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Fatigue, Headache, Laboratory test, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ER visit 5-23-21 then diagnosed with CHF and pre-diabetic. Echo done with results of a 16% ejection fraction.
CDC Split Type:

Write-up: fatigue, nausea, ha, dizziness, difficulty breathing,


VAERS ID: 1354847 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Fall, Loss of consciousness, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (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), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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: Abagio and Keppra (for MS), Amlodipine, Atorvastatin, Losartan, Gabapentin, AZO (for incontinence), Ginko Biloba, Vitamin D3, Cal-Mag-Zinc, Vitamin B12.
Current Illness: Arhtritis.
Preexisting Conditions: Relapsing/Remitting Multiple Sclerosis
Allergies: Paxil and Flexeril.
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 24 hours after receiving the 2nd dose of Moderna, Patient passed out and fell to the floor, unresponsive for about 10 minutes.


VAERS ID: 1354874 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Cough, Fatigue, Headache, Initial insomnia, Pain, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (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: pneumonia - 37yrs old - 01/2021 - unknown brand - 12hr fever then recovered
Other Medications: Buprenorphen/Nalone 8/2mg Paxil - 10mg
Current Illness: none
Preexisting Conditions: Alchoholic - Sober 5 1/2 years Opiate Addiction - Sober 2 years
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Day 2: Fever, chills, pain throughout body, weakness, sore arm, severe headache Day 3: Low grade fever, severe headache, weakness Days 4-5: Weakness, Tired, Trouble falling asleep, cough


VAERS ID: 1354888 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hyperhidrosis, Loss of consciousness, Presyncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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:
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient experienced a vasovagal reaction, loss of consciousness, sweating over the course of several minutes.


VAERS ID: 1354907 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-04-27
Onset:2021-05-23
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Herpes zoster, Myalgia, 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), Opportunistic infections (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: Singulair
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arm pain 36 hour fever,chills, muscle pain after 12 hours Developed shingles a few weeks later


VAERS ID: 1354910 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: Vitamin D and Zinc supplements
Current Illness: non
Preexisting Conditions: non
Allergies: non
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tinnitus, popping sound in the ear. Two days after the vaccine it started. it was happening once or twice a day, but has become more frequent. Symptoms started after the first shot of the Pfizer vaccine. Will NOT be returning for the second shot.


VAERS ID: 1354953 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-19
Onset:2021-05-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Back pain, Chest pain, Dyspnoea, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
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: Synthroid, atorvastatin, lisinopril , aspirin
Current Illness: none
Preexisting Conditions: none
Allergies: seasonal
Diagnostic Lab Data: CT angiogram of chest
CDC Split Type:

Write-up: Patient had SOB, upper chest and back pain, diagnosed with small pulmonary embolism in right upper lung


VAERS ID: 1355009 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Dizziness, Dyspnoea, Nausea, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Charge nurse called to attend to patient after receiving her second Pfizer vaccine. Family members reported she was anxious since yesterday about receiving her second Pfizer vaccine today. It was reported by patient that she had symptoms of nausea, dizziness and anxiousness today. As per her family same thing occurred with her 1st Pfizer vaccine. She denied any significant Medical hx , other than decreased vision, which she does not take any medication for. Charge nurse and vaccinating nurse, moved her to a private tent to vaccinate her and to be monitored. Charge nurse and myself elevated her feet, and had her take sips of water. Wet cool cloth was applied to the back of her neck. She confirmed she felt better after the cloth. She was left in stable condition with vaccinating nurse. I was called back at 1330, because she felt with SOB and more anxious. She did not have any emesis at any point while she was at vaccination site, and no syncope occurred. She was more relaxed after breathing exercises. She was walked over in stable condition closer to EMT to be monitored closely. Vitals were taken. At this time, she was more relaxed and denied any nausea, headaches, SOB or any other symptoms. Family members continued to give her water and she was able to sustain without any emesis. Pt left with family members at 1400, in stable condition.


VAERS ID: 1355156 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 RA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Feeling abnormal, Hypoaesthesia, Migraine
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre 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: 1. FEXOFENADINE HCL 180MG TAB ( PRN) 2. METFORMIN HCL 500MG 24HR SA TAB 3.GABAPENTIN 300MG CAP 4. DOXYCYCLINE HYCLATE 50MG CAP 5. TACROLIMUS 0.1% OINTMENT (PRN) 6.CLOBETASOL PROPIONATE SCALP 0.05% ( two days per week) 7. CARBOXYMETHYLCELLU
Current Illness: None
Preexisting Conditions: Diabetes, HBP, Hysterectomy one 2 years ago, Ovarian cancer- Borderline mass on Right ovary.
Allergies: Lisinopril 20 mgs HYDROCODONE/ACETAMINOPHEN LORTAB
Diagnostic Lab Data: I have informed the doc, through emails, they have not ordered any tests. The told me to take Tylenol or Motrin, and to report this to VAERS. Nothing more, no real support., it''s the clinic.
CDC Split Type:

Write-up: In a little more than 24 hrs after the injection I began to have mild Migraine, and strange feeling as if I am coming down with a cold which subsided after taking Motrin. Then later in the evening my right leg from knee to my foot began to feel numb with a desensitization feeling. I took a hot shower, massaged the leg, the feeling did not go away. I have began stretching moving about more, getting up and down walking. The feeling and desensitization only began after the injection, only in this one leg, and has not ceased. It was intermittent, as it was coming and going, it was happening in the evening, now it is happening all during the day, even as I type this note, I am experiencing this weird feeling, I am not sure what to call it, it''s not total numbness, some kind of desensitization feeling. It''s very weird and scares me. I am not sure if I should even get the second dose. feel like a guinea pig with this vaccine.


VAERS ID: 1355178 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Fall, Nausea, Scratch, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Additional Details: pt fell from chair and landed on floor. scraped his face on the way on the floor. i ran to the patient and asked him if he is okay and checked to see if he was breathing, 911 was called, and after about 3 seconds, the patient regains conciousness and explains he has no idea how he ended up on the floor but remembers getting the vaccine and sitting. this occured about 5 minutes into the 15 minute post vaccination observation. pt states he gets sqeamish and nauseus at the thought of needles


VAERS ID: 1355219 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-28
Onset:2021-05-23
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039B21A / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Full blood count, Herpes zoster
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft Excedrin Vitamin d
Current Illness: No
Preexisting Conditions: MS
Allergies: Morphine
Diagnostic Lab Data: All labs done 05/25/2021, cbc
CDC Split Type:

Write-up: Was diagnosed with Shingles. I had the shingles vaccine about 5 years ago. The nurses at the hospital said this vaccine likely causes the shingles.


VAERS ID: 1355224 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: 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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pain under armpit, swollen


VAERS ID: 1355251 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Herpes zoster, Hot flush, Injection site reaction, Musculoskeletal stiffness, Pain, Pustule, Rash, Sensitive skin, Skin warm
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (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: Mirtazapine, Methylphenidate, Propranolol, Melatonin, Benadryl, Fiber Capsules, Multivitamin, Calcium, Acetaminophen, Ibuprofen
Current Illness: Non-recurring migraine, small 2nd degree burn on right hand
Preexisting Conditions: Anxiety, depression
Allergies:
Diagnostic Lab Data: No lab tests, diagnosed through visual examination.
CDC Split Type:

Write-up: Body aches, chills and hot flashes late the night of the dose, continuing through the day and night after. Back and neck stiffness on the right side, same as the injected arm starting the day after the dose, continuing for two more days. Shingles pustules concentrated at the hairline on the right side of the back of the neck and behind the ear, skin sensitivity and warmth along a nerve line behind the right shoulder blade, starting two days after the dose. Shingles were diagnosed 5/26 at 10:30 AM by doctor at healthcare facility, who prescribed 3 daily doses of 1g Valacyclovir for 7 days. Today, the second day of treatment, more pustules have raised at the same site, but the rash hasn''t spread.


VAERS ID: 1355366 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-03-08
Onset:2021-05-23
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002A21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, Drug level decreased, Endotracheal intubation, Fall, Hypoaesthesia, Lumbar puncture, Muscular weakness, Paraesthesia, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Lack of efficacy/effect (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine, Avodart, Calcium Carbonate, Diphenhydramine, Klor-Con, lisinopril, loratadine, multivitamin, phenytoin ER, Senna-docusate, simvastatin, tamsulosin, vitamin D3
Current Illness:
Preexisting Conditions: Seizures, HTN
Allergies: NKA
Diagnostic Lab Data: Lumbar puncture completed 5/26 (results pending). Phenytoin level 4.9. WBC 24.9.
CDC Split Type:

Write-up: Neuromuscular weakness, tingling/numbness, and fall prior to admission. Progressed to acute hypoxic respiratory failure requiring intubation.


VAERS ID: 1355380 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: Vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Slight ringing/buzzing sound in ears, has been slightly decreasing in the last day but still present


VAERS ID: 1355558 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Gait disturbance
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase
Current Illness: None
Preexisting Conditions: Endometriosis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I woke up two days after the vaccine with a lack of balance and stayed in bed most of the day as walking was difficult. A couple days later the feeling subsided but it just returned six days after the vaccine.


VAERS ID: 1356081 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Loss of consciousness, Seizure, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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: Tri-lo sprintec
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa drugs and eggplants
Diagnostic Lab Data: CT scan, blood work, EKG
CDC Split Type:

Write-up: Loss of consciousness, seizure and urinary incontinence during seizure


VAERS ID: 1356317 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Body temperature fluctuation, Chills, Diarrhoea, Fatigue, Hyperhidrosis, Muscle twitching, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Dyskinesia (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Generess, OCP
Current Illness: None.
Preexisting Conditions: None.
Allergies: Sulfa.
Diagnostic Lab Data: N/A.
CDC Split Type:

Write-up: Awoke with severe fevers, sweats, chills, body aches, and writhing movements. Felt as though cayenne pepper and been rubbed on my body. Improved with tylenol and ibuprofen. Next morning still had fevers, fluctuating hot-cold, fatigue, and "pepper on skin" sensation. Significant bloating, fullness in bowel and diarrhea episodes x2. Subsided over 36 hours.


VAERS ID: 1356502 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Erythema, Eyelid irritation, Feeling abnormal, Oral discomfort, Pain, Paraesthesia oral, Peripheral swelling, Pyrexia, Skin burning sensation, Skin warm, Taste disorder, Thirst, Toothache
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (broad), 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? No
Hospitalized? No
Previous Vaccinations: I had covid arm after my first dose. It started 8-9 days after my initial Moderna dose. My arm was suddenly achy/throbbing, red,
Other Medications: Red Clover, Black Cohosh, St. John''s Wart, Vitamin C, women''s multivitamin
Current Illness: None
Preexisting Conditions: Failed spinal surgery
Allergies: NKDA
Diagnostic Lab Data: I have not seen a doctor nor had any tests done because I have no health insurance and can?t afford the appointments
CDC Split Type:

Write-up: Right after I got home, I was really thirsty and the water I drank didn?t taste right. My tongue felt weird and I was excessively thirsty throughout day and night. Monday, I had a fever, body aches everywhere, my skin hurt to the touch and my left arm was very red & swollen and hot to the touch. Tuesday, no fever and my body wasn?t as achy, but I still felt weird, my teeth started hurting and I had unquenchable thirst. Wednesday, my gums and tongue were now tingling with a burning sensation. This morning, that burning sensation spread to my lips, face, eyelids, scalp, forearms and fingers. And still excessively thirsty and everything tastes strange still and my mouth feels like I ate a bunch of black pepper. I?m very concerned about this


VAERS ID: 1357043 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-05-23
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), 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: Abstains from alcohol; Allergic reaction to bee sting; Latex allergy; Non-smoker
Preexisting Conditions: Comments: The patient was not pregnant at the time of vaccination. The patient had no illicit drug use.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210547766

Write-up: BLURRED VISION; HEADACHE; This spontaneous report received from a patient concerned a 39 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, non alcohol user, sensitive to latex, and bees venom, and other pre-existing medical conditions included the patient had no illicit drug use. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 203a21a, expiry: UNKNOWN) dose was not reported, administered on 17-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 23-MAY-2021, the subject experienced blurred vision. On 23-MAY-2021, the subject experienced headache. The action taken with covid-19 vaccine was not applicable. The patient was recovering from blurred vision, and headache. This report was non-serious. This report was associated with product quality complaint: 90000180537 The suspected product quality complaint has been confirmed to be voided (did not meet PQC criteria) based on the PQC evaluation/ investigation performed.


VAERS ID: 1357618 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-05-12
Onset:2021-05-23
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster, Pain, Rash, Sensitive skin
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (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: Famotidine, citrucel, miralax
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Diagnosed visually and through Q&A on 5/27/2021
CDC Split Type:

Write-up: Shingles - painful, sensitive skin, followed by severe rash on and around the left hip.


VAERS ID: 1357626 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein normal, Chest pain, Coxsackie virus test, Full blood count normal, Lipids normal, Liver function test normal, Parvovirus B19 test, Polymerase chain reaction, Polymerase chain reaction positive, Red blood cell sedimentation rate normal, Respiratory viral panel, Serum ferritin normal, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Mild asthma
Allergies:
Diagnostic Lab Data: Troponin 5/25 - 1931, 5/26 - 1578, 5/27 - 681 COVID IgG (Disease) negative, COVID IgG (Vaccine) positive CBC, ESR, CRP, liver panel, fasting lipids,CBC, ferritin, respiratory virus panel - all normal Coxsackie and parvovirus PCR pending
CDC Split Type:

Write-up: Chest pain, elevated troponin. No treatment, no cardiac dysfunction.


VAERS ID: 1357725 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-24
Onset:2021-05-23
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cerebrovascular accident, Hypoaesthesia, Magnetic resonance imaging head abnormal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cymbalta 60 mg 1x daily Jardiance 25mg 1x daily Neurontin 300 mg 4 x daily Neurontin 600 mg 1x daily Losartan 100 mg 1 x at bedtime Metformin 1000 mg 2 x daily Crestor 20 mg 1 x daily Amaryl 2mg 1x daily
Current Illness: N/A
Preexisting Conditions: Diabetes, High Blood Pressure, High Cholesterol
Allergies: N/A
Diagnostic Lab Data: MRI on 5/25/2021 confirmed she had a stroke
CDC Split Type:

Write-up: After the second dose of moderna vaccine the next day she started with numbness to her right side, arm, hand, leg and foot. Monday woke up and her whole right side was numb she went to ER they did a MRI which showed she had a stroke.


VAERS ID: 1357745 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-15
Onset:2021-05-23
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash, 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodepine 5mg, Wellbutrin 300mg, ompeprozole 20mg, Fish oil, Multi-vitamin
Current Illness: Seasonal allergies
Preexisting Conditions: High blood-pressure
Allergies: none
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Itching rash on tops of hands, bottom of wrists and slightly up forearms. Itching rash on tops of feet and ankles.


VAERS ID: 1357784 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deafness, Ear discomfort, Hypoaesthesia, Tinnitus
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Systemic: claims "loss of hearing, ringing, popping in right ear along with numbness in face-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: pt did not directly contact pharmacy-she filled out survey from a receipt-tried to follow up twice with pt but pt did not call back


VAERS ID: 1357811 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C27A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache
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:
Current Illness:
Preexisting Conditions:
Allergies: Orange dye
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe headache on left side of head for 6 days since the second day after vaccine, full head for the first 3 days. Pain is like lightning split my head every 8 seconds.


VAERS ID: 1357816 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Lymphadenopathy
SMQs:, 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:
CDC Split Type:

Write-up: Swollen Lymph nodes under arm near breast that were swollen and painful.


VAERS ID: 1357848 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Tenderness
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports right side CP that has point tenderness and is intermittent with no SOB or CP she reports this has happened in the past when she strained a muscle. She denies trauma and no known causes.


VAERS ID: 1357858 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-03-30
Onset:2021-05-23
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: None
Allergies: Unknown
Diagnostic Lab Data: COVID-19 rapid diagnostic test (nucleic acid amplification test NAAT) = positive SARS-CoV-2 RdRp Resp Ql NAA+probe = positive
CDC Split Type:

Write-up: Patient tested positive for COIVD-19 on 5/23/21.


VAERS ID: 1357901 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Hyperaesthesia teeth, Lymphadenopathy, Neck pain, Oral pain, Pain, Pain in extremity, Pain in jaw, Toothache
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Osteonecrosis (broad), Arthritis (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: labetol, trulicity, vitamin D
Current Illness: sinus infection
Preexisting Conditions: diabetes
Allergies: allergic to wasabi
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sore arm the night of the vaccine. Progressed to sore arm, neck and left side of body throughout the night. Sunday afternoon I could feel a lymph node in the left side of my neck had swollen. Sunday night I started feeling sensitivity in my left jaw and teeth which progressed to my entire mouth the next day (Monday). Tuesday the sensitivity was only in the right side of my mouth. The right side of my mouth, especially my teeth hurt and is extremely sensitive when I drink and eat anything.


VAERS ID: 1357938 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-18
Onset:2021-05-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test normal, Erythema, 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HYdrochlorothiazide (HCTZ), multivitamin, vitamin B12, vitamin C
Current Illness: No illnesses at the time of vaccination
Preexisting Conditions: N/A
Allergies: No food or medication allergies
Diagnostic Lab Data: My doctor requested blood work done on 5/25/2021 and the result were normal
CDC Split Type:

Write-up: I start having skin Redness and itchiness on my arms and legs


VAERS ID: 1357974 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0182 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Pain, Pyrexia, Sneezing, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ventolin hfa prn
Current Illness:
Preexisting Conditions: wheezing form dust, mold, cold, stress; mitral valve prolapse
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: aches, pain, low grade fever started on 5/23/2021 and responded to APAP; sneezing, postnasal drip, cough started on 5/24/2021 and is still ongoing


VAERS ID: 1358108 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-01
Onset:2021-05-23
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
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? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: DM Type 2, Sleep Apnea, arthritis, iron deficiency, hypothyroid, asthmas, HTN, Gerd, Gout, depression, COPD
Allergies: Zoledronic Acid, Contrast Dye, Sulfas, Quinine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rapid Covid test on 05/23/21 at 2259 with positive result PCR test was negative on 05/24/21 at 1530


VAERS ID: 1358246 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO155 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (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: Vitamin D, Vitamin B complex, Fish Oil
Current Illness: None.
Preexisting Conditions: None.
Allergies: Gluten
Diagnostic Lab Data: I was confirmed diagnosed with shingles by a medical doctor on 5/26/21.
CDC Split Type:

Write-up: I began experiencing symptoms of shingles within 48 hours of receiving my second dose of the Covid vaccine. I am 28 years old with no chronic health conditions and no prior history of shingles. As of 5/26/21 I was officially diagnosed with shingles by a medical doctor and was prescribed and have been taking Valtrex 1 gram oral tablets every 8 hours and have 20 tablets in total along with using Lidoderm 5% topical films 12 hours on 12 hours off. I am still experiencing symptoms and outbreaks of shingles and today is 5/28/21.


VAERS ID: 1358286 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis
SMQs:, Embolic and thrombotic events, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: LLE popliteal DVT


VAERS ID: 1358465 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest X-ray, Dizziness, Dyspepsia, Electrocardiogram, Heart rate increased, Laboratory test, Palpitations, Supraventricular tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific dysfunction (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKGs, labwork, CXR, holter monitor x 30 days, new Rx beta-blocker and scheduled echocardiogram
CDC Split Type:

Write-up: Following routine volleyball practice, patient developed heartburn, lightheadedness, and palpitations. Elevated heart rate noted by this reporter (mom and also RN), called Peds on-call and were directed to ED. Patient was found to be in SVT with heart rate over 250. After several tries, able to reduce HR to 110-120 range with vagal maneuvers, discharged home to follow-up with pediatric cardiology (patient has no medical history). Correlation unknown and long-term effects yet unknown (currently wearing long-term heart monitor with other testing and follow-up pending).


VAERS ID: 1358563 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-14
Onset:2021-05-23
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Loss of personal independence in daily activities, Vertigo
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (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: Ibuprofen Synthroid
Current Illness: None
Preexisting Conditions: Fibromyalgia
Allergies: None that I am aware of
Diagnostic Lab Data: None
CDC Split Type:

Write-up: At 6:00 a.m. on May 23, 2022, the 9th day after my 2nd dose of the Pfizer COVID-19 vaccine I stood up and became so dizzy I feel head-first into a chair next to the place I was standing. Since that time I have experienced extreme vertigo (for the first time in my entire life I have never been dizzy in my life, at all). I can?t lay on my left side because I can?t turn my head to the left. I can?t drive because I can?t turn my head to the left. When I do, my head becomes swimmingly dizzy. It is an extreme dizziness. Not just lightheaded. Also I cannot lean my head backward to look up because I experience the same thing. I have joined a website for COVID-19 Vertigo side effects in order to get information or ideas as to what I can do and when I can hope for relief.


VAERS ID: 1358664 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Heart rate increased, Injection site pain, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (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: Prenatal vitamins
Current Illness: Non
Preexisting Conditions: Hypothyroidism
Allergies: Seasonal
Diagnostic Lab Data:
CDC Split Type:

Write-up: Body aches, soreness in the injection site, headache, elevated resting heart rate for 2 days, pins and needles in hands and legs for 4-5 days


VAERS ID: 1358670 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-02-24
Onset:2021-05-23
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Nasal congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: 05/24/21 Positive Antigen result and symptomatic (cough, SOB, diarrhea and nasal congestion)
CDC Split Type:

Write-up: COVID 19 positive test result after considered fully vaccinated


VAERS ID: 1358689 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Influenza like illness, 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? 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:
CDC Split Type:

Write-up: On the second day after my shot, I noticed a rash on my whole belly (mosquito bite like). I took a medicine called Avapena (Chloropyramine hydrochloride) and Loratadine. The rash completely fade the next night. No other symptoms happened within the first 48 hours. On the fifth day after the shot, I started with flu-like symptoms, which have not yet fade.


VAERS ID: 1358780 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / SC

Administered by: Other       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: none
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: NKDA
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: The vaccinator gripped my arm with a wide pinch before inserting the needle. what resulted was a Raised, red, and painful area larger than a silver dollar which formed near the injection site. Painful even with light touch and movement. Did not realize the area was swollen and red immediately because I did not look at it until day 2 due to persistent pain. On Day 4, the swelling resolved and left a bruise the size of a nickel below the site of the injection.


VAERS ID: 1358811 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Erectile dysfunction
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: none
Preexisting Conditions: obesity
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Erectile dysfunction started several days after 2nd vaccine


VAERS ID: 1359008 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative, Vomiting
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), COVID-19 (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: Venlafaxine HCL ER 150 mg
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: covid test to rule out covid (rapid result) on 5/28/21. result: negative
CDC Split Type:

Write-up: Fever (over 101 degrees), chills, headache (severe), muscle pain, body aches, fatigue, nausea and vomiting starting 2 days after vaccination, lasting over 5 days.


VAERS ID: 1359251 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary normal, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Pericarditis, Pleuritic pain, Troponin normal
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune 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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Pleuritic chest pain with ST segment elevation. Normal troponin. Normal CT pulmonary angiogram. Normal echocardiogram with no evidence of myocardial dysfunction nor pericardial effusion.
CDC Split Type:

Write-up: Acute pericarditis.


VAERS ID: 1359270 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-29
Onset:2021-05-23
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Angiocardiogram, Angiogram pulmonary, Computerised tomogram thorax, Echocardiogram, Electrocardiogram abnormal, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune 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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Coronary/pulmonary angiogram, CT scan of chest, echocardiogram, ECG
CDC Split Type:

Write-up: Pericarditis by ECG criteria requiring hospitalization.


VAERS ID: 1359732 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Fall, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: Lightheadedness; Collapsing or losing consciousness.


VAERS ID: 1359845 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-12
Onset:2021-05-23
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 90JT / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Echocardiogram abnormal, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Advil and woman?s multi vitamins
Current Illness: Sinus infection treat with antibiotics with minimal symptoms of runny nose after antibiotics were completed and up to the vaccine injection.
Preexisting Conditions: I have had heart problems as a child. I have cardio myopathy and a pace maker defibrillator implant.
Allergies: None
Diagnostic Lab Data: I spent 4 days in the hospital. They did so many tests on me to try and figure out the route cause if any. Blood work, CT scans. Echo cardio gram, more blood work and a second CT scan.
CDC Split Type:

Write-up: Two weeks after receiving my vaccine, I had a mini stroke while driving. I was able to get to my destination safely thank goodness. A friend took me immediately to the Er where I was admitted for 4 days. I experienced another stroke somewhat similar as the first but less intense 2 days after the first one.


VAERS ID: 1359871 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH LOT NUMBER EW01 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Activated partial thromboplastin time shortened, Agitation, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase normal, Blood creatine phosphokinase increased, Blood fibrinogen, Blood fibrinogen increased, Blood glucose normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Blood lactate dehydrogenase increased, Blood lactic acid normal, Blood magnesium increased, Body temperature increased, Brain natriuretic peptide increased, Catheterisation cardiac normal, Chest X-ray normal, Chest discomfort, Chest pain, Diarrhoea, Discomfort, Echocardiogram normal, Fatigue, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, Insomnia, International normalised ratio normal, Irritability, Laboratory test normal, Lymphocyte count normal, Lymphocyte percentage decreased, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Mean cell volume normal, Mean platelet volume normal, Monocyte percentage, Mycoplasma test positive, Myocarditis, Nausea, Neutrophil percentage increased, Platelet count normal, Procalcitonin normal, Protein total decreased, Prothrombin time shortened, Red blood cell count decreased, Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Serum ferritin increased, Sleep disorder, Troponin I increased, Troponin increased, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Acute COVID with positive PCR on april 1 ,2021all 2 sibs twin sister and older sister 21 also positive He had loss of sense of taste and smell x 2 weeks and fatigue ,staying in bed x 5 days and no fever,no headache,no rash,no cough,no chest pain or shortness of breath Not hospitalized Recovered to 100% normal by april 15 2021l
Preexisting Conditions: Diagnosed as Beckwith Wideman as a baby with Hypoglycemia, Genetics not confirmatory No endocrine f/u after 2013 at age 8 Normal growth and development Normal high school in Track
Allergies: amoxicillin
Diagnostic Lab Data: Magnesium 1.8 mg/dL (L) (Ref. Range 2.00 - 2.90) Albumin 3.4 g/dL & (L) (Ref. Range 4.1 - 5.1) Protein- Total 5.9 g/dL (L) (Ref. Range 6.5 - 8.1) Lactate 9.0 mg/dL (Ref. Range 4.5 - 19.8) Procalcitonin 0.10 ng/mL & (H) (Ref. Range 0 - 0.09) ALK Phosphatase 111 U/L (Ref. Range 89 - 365) ALT 41 U/L (H) (Ref. Range 9 - 24) AST 91 U/L (H) (Ref. Range 14 - 35) CPK 1,000 U/L (H) (Ref. Range 80 - 354) LDH 380 U/L (H) (Ref. Range 130 - 250) B-Type Natriuretic Peptide 170 pg/mL (H) (Ref. Range - <100) IgA 112.0 mg/dL (Ref. Range 53.0 - 287.0) IgG 504 mg/dL (L) (Ref. Range 658 - 1,534) IgM 47.0 mg/dL (L) (Ref. Range 48.0 - 186.0) Sedimentation Rate 11 mm/hr (Ref. Range 0 - 20) WBC 14.3 k/uL (H) (Ref. Range 4.5 - 13.0) RBC 5.06 M/uL (Ref. Range 4.50 - 5.30) HEMOGLOBIN 15.0 g/dL (Ref. Range 13.0 - 16.0) HEMATOCRIT 43.6 % (Ref. Range 36 - 51) MCV 86 fL (Ref. Range 78 - 98) PLATELET COUNT 229 k/uL (Ref. Range 150 - 450) Mean Platelet Volume 9.8 fL (Ref. Range 7.4 - 10.4) Diff Type Manual Monocytes 8 % (Ref. Range 4 - 10) Lymphocytes 17 % (L) (Ref. Range 25 - 45) Absolute Lymphocyte Count 2.431 k/uL (Ref. Range 1.10 - 6.00) Neutrophils 73 % (H) (Ref. Range 34 - 64) Bands 2 % (Ref. Range 0 - 11) Ferritin 249 ng/mL (H) (Ref. Range 12.7 - 82.8) Mycoplasma IgG Positive & (A) Mycoplasma IgM Negative & Protime 10.8 Seconds (Ref. Range 8.5 - 12.4) INR 1.0 (Ref. Range 0.8 - 1.2) PTT 23.6 Seconds (Ref. Range 20.0 - 34.4) Fibrinogen 438 mg/dL (H) (Ref. Range 200 - 400) D-Dimer Screen 1.04 mg/L FEU & (H) (Ref. Range - <0.50) BNP 170pg/ml, Ferritin 220ng/mlCOVID PCR NP negative 5/27/2021 15:22 CDT Troponin I 11.82 ng/mL (H) (Ref. Range 0.00 - 0.08 COVID AB positive Glucose 192mg/dl CARDIAC MRI abnormal c/w myocarditis
CDC Split Type:

Write-up: On 5/23 two days after vaccine he was irritable, tired, fatigued, not sleeping well. He could not complete his track meet . He had abdominal pain, felt bloated, and he felt this nausea & discomfort. He thought he might be constipated, so he took MiraLAX and then he had diarrhea all day yesterday. on 5/26 he had a temperature of 99.2, he had acute chest pain retrosternal and feeling of compression on the chest, head fullness as if he is going to explode. He had nausea, insomnia. Ibuprofen was given to him by his mother and this helped a lot But he woke up on morning of 5/27 , but the chest pain returned with increased pressure, very nauseous, agitated, unable to be comfortable. No fever,, the pain was a sharp pressure. He had no syncope or chest shortness of breath He was seen at Hospital ER where a chest x-ray was normal. Echocardiogram was done, ,noted to have EKG changes. Troponin was elevated. He had a cardiac catheterization done emergently at hospital through the right radial artery and was noted to have normal coronaries. He also had a chest x-ray done which was negative for pulmonary lesions, and his abdominal pain he says was relieved after the MiraLAX and the diarrhea. His twin sister who received the vaccine 15 minutes after him is completely asymptomatic.


VAERS ID: 1359876 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-11
Onset:2021-05-23
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:

Write-up: Constant itchiness all over my body after 2nd dose of Moderna Covid-19 vaccine. Doctor prescribed steroids and steroid shot. Temporary relief from steroid shot. No change with steroid pill. 1st dose on 4/2/2021- itchiness only on palm and toes. Started 8 days after receiving vaccine. Bumps and pointy spots on palm and toes. Doctor prescribed steroid pills 20mg for 5 days.


VAERS ID: 1360792 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024CZ1A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site nodule, Injection site pruritus, Injection site warmth
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (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: Lisinoprilhctz 10/12.5, Apple cider vinegar gummies
Current Illness:
Preexisting Conditions: High Blood Pressure, diagnosed 2016
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Large, baseball size red mark on arm surrounding injection site. Included: skin hot to touch, knot, bruise, itching. After taking advil, antihistamine for 3 days the mark is fading, itching is not as predominate and heat is gone as well as most of the knot.


VAERS ID: 1360886 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Chills, Depression, Dyspnoea, Hyperhidrosis, Pyrexia, Weight decreased
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), Depression (excl suicide and self injury) (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin Lisinopril Mirapex Gabapentin Advair Albuterol
Current Illness: None
Preexisting Conditions: Asthma Back Pain Dupytrens High Blood Pressure High Cholesterol
Allergies: Shellfish
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe joint pain, fever, sweating, shortness of breath, chills, weight loss, depression


VAERS ID: 1360901 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-06
Onset:2021-05-23
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH OW0170 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster, Rash pustular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Excedrin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shingles outbreak on left arm from shoulder to wrist. Began 17 days after 2nd dose of vaccine. Rash with pustules.


VAERS ID: 1360966 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Musculoskeletal stiffness, Neck pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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, since ibuprofen
Current Illness: None
Preexisting Conditions: None
Allergies: Cephalexin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up Sunday morning with a slight headache at the base of skull and stiff neck. Have not had one day since without a headache or stiff neck.


VAERS ID: 1360986 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site swelling, Injection site warmth
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 36hours post vaccination patient reported one large area (large apple sized) area of bruising around injection site as well as area being somewhat swollen and warm to the touch. As days progressed smaller, less intense areas of bruising appeared on the injection arm not connected to initial swelling


VAERS ID: 1361045 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-07
Onset:2021-05-23
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Muscle spasms, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (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: Exposed Skincare Acne Treatment Serum Refresh Tears Eyedrops Aimovig Amitriptyline Anti-Diarrheal Aspirin Benedryl Ceterizine Cystex Depo-Provera Elmiron Famatidine Ferrous Sulfate Flunisolide Levothyroxine Lexapro Montelukast Omeprazole
Current Illness: None
Preexisting Conditions: Depression Anxiety Acid Reflux Interstitial Cystitis IBS Migraines TMJ Iron Deficiency Degenerative Disc Disease Asthma
Allergies: Bactrim Ceclor Cefzil Doxycycline Imitrex Motrin Nitrous Oxide
Diagnostic Lab Data: None - did not contact doctor.
CDC Split Type:

Write-up: I take the Depo-Provera shot and do not have bleeding with periods. On the morning of 5/23/2021, I woke up and I was vaginally bleeding. I am cramping worse than normal and feeling worse than normal. I have been bleeding consistently since then. I am using regular size tampons and have had to change at least 3 times a day.


VAERS ID: 1361242 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chills, Fatigue, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), 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: Woman?s daily vitamin gummy
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Symptoms started within 2 hours of 2nd vaccine when I started getting really tired. I slept off and on for hours. By the evening, I started getting chills and body aches. The following day, I had chills, body aches throughout my body to include into my fingers and ankles, a headache, a fever of 101, and heaviness in my chest. I was advised my the pharmacist who gave the vaccine that I couldn?t take Tylenol or ibuprofen so I hadn?t. When my fever got up to 102.2, I took Tylenol, which was around 2pm. The fever broke later that night. On 5/24, the body aches, chills, and headache subsided. The only thing that lingered was the heaviness/chest pain. It is 5/29, and I still have it. I came across this information and site while trying to research why I still feel this way.


VAERS ID: 1361275 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood creatine phosphokinase normal, Body temperature increased, Chest X-ray normal, Chest discomfort, Chest pain, Electrocardiogram abnormal, Fibrin D dimer normal, Laboratory test, Palpitations, QRS axis abnormal, SARS-CoV-2 test negative, Sinus tachycardia, Tachycardia, Troponin T normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (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: None
Current Illness: None
Preexisting Conditions: hyperlipidemia
Allergies: None
Diagnostic Lab Data: D-dimer = 0.20 (0-.52), CPK = 103 ( 44-196) Troponin T= <0.015
CDC Split Type:

Write-up: Patient experienced chest pain and tachycardia after covid 19 moderna #2 vaccine on 5/22/21. pt had temp 100.4 after vaccine and the following night had left chest pressure and palpitations so he went to the ER. Pt had nl labs, ECG- sinus tachy, right axis deviation , nl cxr and neg- covid 19 test. pt palpitations and pain resolved while in ER. Pt had second episode of chest pain on night of 5/24/21 but did not go to ER


VAERS ID: 1361289 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: levothyroxine, azelstaline/fluticasone spray, Odactra
Current Illness:
Preexisting Conditions: mild hypothyroidism, dust mite allergies
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Upon waking up the morning following the injection, a ~2 inch diameter erythema was present on the patient''s upper arm at the injection site. In the center was a ~1 inch raised bump, painful and hot to the touch. Later in the day, corresponding to ~24 hours post injection, the patient developed 101 degree fever, an unusually strong headache, chills and myalgias. The symptoms peaked ~28 hours post injection. The patient took 1,000 mg of acetominophen which didn''t appear to have an impact. Before going to bed that day, the patient took a full dose of Nyquil liquid. The fever, headache, myalgias and chills resolved overnight. The arm was painful and the myalgia/bump persisted for 4 additional days.


VAERS ID: 1361388 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Induration, Injection site erythema, Injection site pain, Injection site pruritus, Pain, Vaccination site reaction
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: Lamictal, risperidal, bupropion, propranolol, Flonase, generic Claritin
Current Illness:
Preexisting Conditions:
Allergies: Codeine, ibuprofen, penicillin, lactose intolerance
Diagnostic Lab Data:
CDC Split Type:

Write-up: Covid arm, red lesion, hard, painful, a little itchy, has been there for a week, gotten worse over time


VAERS ID: 1361454 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling, Rash
SMQs:, Anaphylactic reaction (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: patient states tangerine size mass at injection site


VAERS ID: 1361575 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Decreased appetite, Fatigue, Headache, Heart rate increased, Muscular weakness, Myalgia, Nausea, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Went to emergency room May 25th, nothing was done.
CDC Split Type:

Write-up: Pins and needles, tingling, muscle pain, muscle weakness, joint pain, headache, rapid heartbeat, fatigue, nausea, loss of appetite. These side effects are EVERYDAY


VAERS ID: 1361611 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-17
Onset:2021-05-23
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036CZ11A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Blood culture, Differential white blood cell count, Full blood count, Metabolic function test, Musculoskeletal stiffness, Myalgia, Pain in extremity, Rash, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (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? 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: The tests are not yet done as of now but below are the tests ordered by the doctor CBC-W DIFFERENTIAL COMP METABOLIC PANEL, BL UA - MICROSCOPIC, UR URINALYSIS RBC SED RATE, NONAUTO
CDC Split Type:

Write-up: Moderna COVID?19 Vaccine EUA After one week of receiving the second shot of Moderna Covid-19 vaccine, i started to develop muscle pain and stiffness in my left hand. After a day I started to see some rashes all over the arm and then some blisters in the rash areas all over the left arm. The pain in the arm started to develop much so that i have to go to see a doctor, who prescribed to take Cyclobenzaprine (FLEXERIL) and MethylPREDNISolone (DOSE PAK). Even after taking that for 2 days , its not getting better and the pain is increasing along with the rash and blisters in the left arm only.


VAERS ID: 1361821 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-19
Onset:2021-05-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Acute myocardial infarction, Diabetic ketoacidosis, Laboratory test, Thrombocytopenia, Thrombocytosis
SMQs:, Haematopoietic thrombocytopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HIV, DM, Hep C, NHL, CRF
Allergies:
Diagnostic Lab Data: extensive testing in hospital,
CDC Split Type:

Write-up: severe thrombocytopenia and thrombocytosis, multiple PE, DKA, NSTEMI


VAERS ID: 1361822 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Chills, Feeling of body temperature change, Headache, Moaning, Oral herpes, Pain
SMQs:, Oropharyngeal infections (narrow), Arthritis (broad), 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? No
Previous Vaccinations:
Other Medications: Dietary supplements
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Herpes on lip, all joints aching, temperature, hot and cold shivering, headache, moaning in pain. Took Excedrin. 24 hours


VAERS ID: 1361898 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-15
Onset:2021-05-23
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / SYR

Administered by: Unknown       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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control pills
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pfizer-BioNTech COVID-19 Vaccine Urticaria/hives on all body parts lasting 4 days.


VAERS ID: 1361953 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-05
Onset:2021-05-23
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EA0151 / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

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: Omeprazole
Current Illness: None
Preexisting Conditions: Mild GIRD
Allergies: None
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: Diagnosed with shingles. Currently being treated with an antiviral, Famvir. No serious complications, just a painful rash.


VAERS ID: 1362151 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium


VAERS ID: 1362208 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 80777-0273-10 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Dyspnoea, Lymph node pain, Pharyngeal swelling, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Xyzal, Nasicort, Sklya, multivitamin
Current Illness: None
Preexisting Conditions: Functional dyspepsia
Allergies: None
Diagnostic Lab Data: Blood test 05/25/21. Normal.
CDC Split Type:

Write-up: My entire body has been swollen. I went to the emergency room on Tuesday evening because my throat was starting to swell as well and I was worried I was having an allergic reaction. They said it was not an allergic reaction and gave me steroids. I was on steroids for 4 days. My body continues to be swollen. On Saturday it started to feel a little harder to breathe, but still possible. On Sunday, most of the lymph nodes in my body became very tender. My lymph nodes are still very tender and my neck and throat are swollen.


VAERS ID: 1362235 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (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: Remicade Flonase
Current Illness:
Preexisting Conditions: Ulcerative colitis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Lymph node swelling and pain under left arm lasting for 5 days and injection site tenderness. Treated with warm compresses.


VAERS ID: 1362352 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Injection site pain, Malaise, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (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: Headache for 3 days, arm pain at injection site for 3 days, fever 24hrs, chills for 2 days, general not feeling well, soar throat on 2nd day.


VAERS ID: 1362471 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Birth control pill
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Zithromax
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA About 3-4 days after the second dose, I experienced off and on moderate chest pain for about 1.5 weeks, so far. Symptoms seem to be declining now. It was a moderate aching in the center of my chest up to my left pec and shoulder. I also experienced off and on heart pounding (not necessarily elevated heart rate, and not necessarily concurrent with the chest pain). No fainting, mild headaches. *I also experienced off and on heart pounding 12-72 hours after the first dose, but no chest pain.


VAERS ID: 1362485 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: morphine
Diagnostic Lab Data:
CDC Split Type:

Write-up: numbness/tingling in left arm from shoulder down arm through fingertips. Started within a day or so of admnistration and has been continuous. Pt has not yet sought medical attention.


VAERS ID: 1362647 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Back pain, Diarrhoea, Menstruation delayed, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Fertility disorders (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: Cabergoline
Current Illness: None
Preexisting Conditions: None
Allergies: Keflex
Diagnostic Lab Data:
CDC Split Type: 04/25/2021

Write-up: Stomach cramps, upset stomach, fatigue, muscle aches, lower back pains, diarrhea, nauseous, it''s day 10 from 2nd shot and my period has not arrived yet, I''m late a week


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