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From the 1/21/2022 release of VAERS data:

Found 1,049,249 cases where Vaccine is COVID19 and Patient Did Not Die

Government Disclaimer on use of this data



Case Details (Reverse Sorted by Onset Date)

This is page 103 out of 10,493

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VAERS ID: 2014694 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-12-21
Onset:2021-12-31
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Rash, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Body aches, very tired. 44 years old. 5/5/21 was second vaccine and both of my vaccines were Moderna
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash/hives 10 days after booster shot. So far I?ve had it for a week and it?s still itching.


VAERS ID: 2014763 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE8762 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Headache, Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, Tinnitus
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow), Arthritis (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin, Duricef
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe headache, joint pain, swelling of lymph glands in arms & neck side of booster, swelling, redness & pain @ injection site, ringing in ears. Symptoms. 6 days


VAERS ID: 2014797 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-07-30
Onset:2021-12-31
   Days after vaccination:154
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051C21A / 1 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040C21A / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Unevaluable event
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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient hospitalized


VAERS ID: 2014826 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-30
Onset:2021-12-31
   Days after vaccination:215
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Exposure during pregnancy, Foetal growth restriction, Gestational diabetes, Labour induction, SARS-CoV-2 test positive
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: admitted to a Birth Center for induction of labor for fetal growth restriction and elevated dopplers. Her pregnancy was complicated by GDMA1, history of preeclampsia, and COVID-19 positive screen on HCF admission.


VAERS ID: 2014833 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-13
Onset:2021-12-31
   Days after vaccination:232
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic 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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: was planning to visit family soon and went to get a COVID test today. Unexpectedly, the COVID test returned positive. She has not had any fevers, chills, shortness of breath, or cough.


VAERS ID: 2014839 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-01
Onset:2021-12-31
   Days after vaccination:274
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8733 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asymptomatic COVID-19, 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: had asymptomatic COVID test as had placement identified. COVID test returned positive so placement is on hold. He reports no symptoms and is hopeful he can leave the hospital soon.


VAERS ID: 2014921 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Arthralgia, Chest discomfort, Chest pain, Condition aggravated, Fatigue, Feeling abnormal, Influenza like illness, Migraine, Myalgia, Nausea, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Autoimmune disease (Hashimoto''s and at least one other likely but not yet diagnosed/determined) Asthma (mild and controlled)
Preexisting Conditions: Autoimmune disease (Hashimoto''s and at least one other likely but not yet diagnosed/determined) Asthma (mild and controlled)
Allergies: Sulfur antibiotics, CT dye, gluten, egg
Diagnostic Lab Data: Took a covid test (Dr recommended I get a PCR test to rule out covid and make sure it was from the vaccine and not covid. Covid PCR test was negative for covid.
CDC Split Type:

Write-up: -Day after shot: adverse effect was severe joint pain like someone was drilling into my joints with a drill; aside from that I had a fever of 102.5, severe flu like symptoms (fatigue/muscle ache/nausea/fever/migraine) but all those were expected although they were worst than the first 2 shots I had. If helpful I had a very bad reaction to the first shot where I had severe flu like symptoms for several days. The 2nd shot was better but I had a very sore arm (not slightly but very sore) for 2 weeks. -2nd day after shot: adverse effect was chest pain/tightness for 2 hours and when that ended I got extremely severe and sharp continuous stomach pains (lower abdominal) for 10 hours non stop. The chest pain and severe abdominal pain had me reach out to my Dr the next weekday. Aside from that a fever of 101; continuation of flu like symptoms but less severe. Joint pain still bad but not quite as severe. -3rd day after shot: fever of 99-100 varying throughout day but only remaining symptoms were a migraine -4th day after shot: no more fever or flu like symptoms but still moderate joint pain and a migraine that I had since the day after my shot. Aleve would help but not get rid of it just made it less intense. Migraine went away on 6th day. Still have brain fog and mildly achy joints but migraine gone.


VAERS ID: 2014945 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041J21A / 3 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood calcium decreased, Blood test normal, Chest X-ray normal, Confusional state, Electrocardiogram normal, Fatigue, Gait inability, Hypotension, Lethargy, Movement disorder, Muscle rigidity, Musculoskeletal stiffness, Pyrexia, Speech disorder, Tremor, Unresponsive to stimuli
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (narrow), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Arthritis (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Memantine 10 mg Donepezil 10 mg
Current Illness: dementia, just diagnosed with Parkinson''s Dec 2
Preexisting Conditions: same as above # 11
Allergies: none
Diagnostic Lab Data: X HEART NORMAL EKG NORMAL BLOOD WORK GOOD LOW ON CALCIUM ALL DONE ON DEC 31
CDC Split Type:

Write-up: THE MORNING AFTER BOOSTER SHOT JOE WAS RUNNING A FEVER 99.8 HE STAYEDIN BED TOO TIRED TO GET UP. BY THE EVENING OF DEC 31 HE WAS E UNABLE TO WALK, OR TALK,VERY STIFF RIGID MUSCLES , CONFUSION , HE WAS TREMBLING AND i THOUGHT HE WOULD PASS OUT STANDING IN THE BATHROOM UNABLE TO MOVE FINALLY ABLE TO GET HIM DOWN TO FLOOR WHERE HE COULD BE SAFELY MOVED TO BED NEIGHBOR ASSISTED 911 CALLED EMT''S WORKED WITH HIM, HE WAS NOT RESPONDING TO THEM VERY LETHARGIC AND HIS BLOOD PRESSURE WAS SO LOW THEY CARRY HIM TO AMBULANCE AND WAS TAKEN TO BOULDER CITY HOSPITAL ER. BLOOD TESTS , XRAYS ,EKG DONE. INTRAVENOUS WAS GIVEN. ER DOCTOR POSSIBLE REACTION TO BOOSTER


VAERS ID: 2017510 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-12-31
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 211D21A / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dry mouth, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), 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:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness: Allergy to antibiotic; Drug allergy (Lidocaine); Environmental allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Bursitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20220101004

Write-up: NON-RAISED RASH ABOVE LEFT KNEE; ITCHING ON ARMS AND LEGS; DRY MOUTH; This spontaneous report received from a patient concerned a 64 year old white not hispanic or latino female. The patient''s height, and weight were not reported. The patient''s past medical history included: bursitis, and concurrent conditions included: allergy to antibiotics, environmental allergies, and drug allergy with lidocaine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 202A21A, expiry: Unknown) dose was not reported (dose number in series 1), 01 in total, administered on 07-APR-2021 at 13:00 hours on left deltoid for prophylactic vaccination. On 07-APR-2021, within 15 minutes of vaccination, the patient had redness of face, and fever (dose number in series 1). It subsided within the next 15 minutes. On 08-APR-2021, in the evening, 24 hours after vaccination, the patient had bursitis type irritation (dose number in series 1) which didn''t last very long. The patient also had headache in the back of the head on the right side on the base of the skull and felt like pulsating pain (dose number in series 1). The headache subsided within next 20 minutes. As per patient, she had Bursitis in the past and the vaccine seemed to trigger it, hence she contacted doctor''s office at that time. The patient recovered from bursitis type irritation on an unspecified date, redness of face and fever on 07-APR-2021, and headache in the back of the head on the right side on the base of the skull and felt like pulsating pain on 08-APR-2021 (dose number in series 1). The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration not reported, batch number: 211D21A, expiry: Unknown) dose was not reported (dose number in series 2), 01 in total, administered on 30-DEC-2021 at right deltoid for prophylactic vaccination. Concomitant medications included cetirizine hydrochloride for environmental allergy. On 31-DEC-2021, the patient experienced itching on arms and legs (dose number in series 2) in the middle of the night and it had continued till the morning of reporting, without a rash. On 01-JAN-2022 (in the morning), the patient had some pink dots/ non-raised rash above her knee on the left side (dose number in series 2). According to the patient, it might had happened due to itching. The patient reported that she did not have dry mouth in past. At the time of reporting patient''s mouth was dry and she felt thirsty (dose number in series 2). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from itching on arms and legs, and dry mouth, and the outcome of non-raised rash above left knee was not reported (dose number in series 2). This report was non-serious. This case, involving the same patient is linked to 20220100909 (Dose number in series 1).


VAERS ID: 2017566 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-12-31
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042AZ1A / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20220101; Test Name: COVID-19 virus test; Result Unstructured Data: Positive
CDC Split Type: USJNJFOC20220105390

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 63 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s(dose number in series 1) (suspension for injection, route of admin not reported, batch number: 042AZ1A, expiry: unknown) dose was not reported, 1 total, administered on 10-APR-2021 for prophylactic vaccination on left arm. No concomitant medications were reported. On 31-DEC-2021,the patient had scratchy throat, coughing, headache and body aches (suspected covid-19 infection) and suspected clinical vaccination failure. On 01-JAN-2022, the patient tested positive for COVID-19. Laboratory data included: COVID-19 virus test (home kit test) (NR: not provided) Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected clinical vaccination failure and suspected covid-19 infection was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint.; Sender''s Comments: V0: 20220105390-Covid-19 vaccine ad26.cov2.s-Suspected clinical vaccination failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 2017790 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Vaccination site pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20224

Write-up: Arm was a little sore at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Arm was a little sore at the injection site) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer (First dose) on 26-Apr-2021 and Pfizer (Second dose) on 17-May-2021. Past adverse reactions to the above products included No adverse event with Pfizer and Pfizer. On 31-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Dec-2021, the patient experienced VACCINATION SITE PAIN (Arm was a little sore at the injection site). At the time of the report, VACCINATION SITE PAIN (Arm was a little sore at the injection site) had resolved. Concomitant information was not provided. Treatment information was not provided. This case was linked to MOD-2022-437393 (Patient Link).


VAERS ID: 2017796 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Pollakiuria, Polyuria
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Tubulointerstitial diseases (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20224

Write-up: Urinating a lot after booster; Tremendous amount of urine after booster; Rough Headache after booster; This spontaneous case was reported by a consumer and describes the occurrence of POLLAKIURIA (Urinating a lot after booster), POLYURIA (Tremendous amount of urine after booster) and HEADACHE (Rough Headache after booster) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 31-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Dec-2021, the patient experienced POLLAKIURIA (Urinating a lot after booster), POLYURIA (Tremendous amount of urine after booster) and HEADACHE (Rough Headache after booster). At the time of the report, POLLAKIURIA (Urinating a lot after booster), POLYURIA (Tremendous amount of urine after booster) and HEADACHE (Rough Headache after booster) outcome was unknown. No concomitant were reported. Patient stated that patient did not have a history of UTI and dose not think it was UTI. No treatment were reported. This case was linked to MOD-2022-437599, MOD-2022-437614 (Patient Link).


VAERS ID: 2017905 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Chills, Feeling of body temperature change, Therapeutic response unexpected
SMQs:, Arthritis (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: Chronic pain; Rheumatoid arthritis (was disabled with the diagnosis of rheumatoid arthritis)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20224

Write-up: Felt hot and cold; Felt little chills; Little pain in the ankle; Chronic pain from rheumatoid arthritis pain has resolved tremendously and it made such a turn around; This spontaneous case was reported by a consumer and describes the occurrence of FEELING OF BODY TEMPERATURE CHANGE (Felt hot and cold), CHILLS (Felt little chills), ARTHRALGIA (Little pain in the ankle) and THERAPEUTIC RESPONSE UNEXPECTED (Chronic pain from rheumatoid arthritis pain has resolved tremendously and it made such a turn around) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Rheumatoid arthritis (was disabled with the diagnosis of rheumatoid arthritis) and Chronic pain. On 31-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Dec-2021, the patient experienced THERAPEUTIC RESPONSE UNEXPECTED (Chronic pain from rheumatoid arthritis pain has resolved tremendously and it made such a turn around). On 03-Jan-2022, the patient experienced FEELING OF BODY TEMPERATURE CHANGE (Felt hot and cold), CHILLS (Felt little chills) and ARTHRALGIA (Little pain in the ankle). On 04-Jan-2022, FEELING OF BODY TEMPERATURE CHANGE (Felt hot and cold), CHILLS (Felt little chills) and ARTHRALGIA (Little pain in the ankle) had resolved. At the time of the report, THERAPEUTIC RESPONSE UNEXPECTED (Chronic pain from rheumatoid arthritis pain has resolved tremendously and it made such a turn around) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient reported that before the vaccine, he felt horrible everyday. It was reported that the lot number was 028R or a K21A. No concomitant medications were reported. No treatment medications were reported.


VAERS ID: 2017928 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-01-16
Onset:2021-12-31
   Days after vaccination:349
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041L20A / 2 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Chills, Diarrhoea, Flatulence, Headache, Listless, Nasopharyngitis, Nausea, Pain, Pyrexia, Vaccination site pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Arthritis (broad), 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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic reaction (Allergic reaction years ago to a blood pressure pill)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20224

Write-up: Periodically after that she has felt her tummy rolling & has had gas; felt listless; may have had a mild fever because she felt cold; some diarrhea; slight joint pain in her left shoulder; shot site was sore/Her left arm was sore for 2 or 3 days; chills that started between an hour to 2 hours after the booster dose; headache that got real bad; slight nausea especially when breathing in deeply; may have had a mild fever because she felt cold; an achy feeling; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (an achy feeling), FLATULENCE (Periodically after that she has felt her tummy rolling & has had gas), LISTLESS (felt listless), NASOPHARYNGITIS (may have had a mild fever because she felt cold) and DIARRHOEA (some diarrhea) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 041L20A and 016M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Allergic reaction (Allergic reaction years ago to a blood pressure pill). Previously administered products included for Vaccination: Flu vaccine (Patient has had something similar at times during her annual flu shots.). Past adverse reactions to the above products included No adverse event with Flu vaccine. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-Dec-2021, the patient experienced PAIN (an achy feeling), LISTLESS (felt listless), NASOPHARYNGITIS (may have had a mild fever because she felt cold), DIARRHOEA (some diarrhea), ARTHRALGIA (slight joint pain in her left shoulder), VACCINATION SITE PAIN (shot site was sore/Her left arm was sore for 2 or 3 days), CHILLS (chills that started between an hour to 2 hours after the booster dose), HEADACHE (headache that got real bad), NAUSEA (slight nausea especially when breathing in deeply) and PYREXIA (may have had a mild fever because she felt cold). On an unknown date, the patient experienced FLATULENCE (Periodically after that she has felt her tummy rolling & has had gas). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Headache, at an unspecified dose and frequency. At the time of the report, PAIN (an achy feeling), FLATULENCE (Periodically after that she has felt her tummy rolling & has had gas), LISTLESS (felt listless), NASOPHARYNGITIS (may have had a mild fever because she felt cold), DIARRHOEA (some diarrhea), ARTHRALGIA (slight joint pain in her left shoulder), CHILLS (chills that started between an hour to 2 hours after the booster dose), HEADACHE (headache that got real bad), NAUSEA (slight nausea especially when breathing in deeply) and PYREXIA (may have had a mild fever because she felt cold) outcome was unknown and VACCINATION SITE PAIN (shot site was sore/Her left arm was sore for 2 or 3 days) had resolved. No concomitant medications were reported. Patient''s left arm was sore for 2 or 3 days. Patient used an ice pack on her head & took 2 Tylenol for her headache & used Sprite for her stomach. Patient had something similar at times during her annual flu shots.


VAERS ID: 2017979 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Disorientation, Dizziness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20224

Write-up: soreness in the shoulder; being disoriented and dizzy, not to the point of spinning but disorientated; being disoriented and dizzy, not to the point of spinning but disorientated; This spontaneous case was reported by a consumer and describes the occurrence of DISORIENTATION (being disoriented and dizzy, not to the point of spinning but disorientated), DIZZINESS (being disoriented and dizzy, not to the point of spinning but disorientated) and ARTHRALGIA (soreness in the shoulder) in a 91-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 31-Dec-2021 at 10:30 AM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-Dec-2021, the patient experienced DISORIENTATION (being disoriented and dizzy, not to the point of spinning but disorientated) and DIZZINESS (being disoriented and dizzy, not to the point of spinning but disorientated). On an unknown date, the patient experienced ARTHRALGIA (soreness in the shoulder). At the time of the report, DISORIENTATION (being disoriented and dizzy, not to the point of spinning but disorientated) and DIZZINESS (being disoriented and dizzy, not to the point of spinning but disorientated) had not resolved and ARTHRALGIA (soreness in the shoulder) outcome was unknown. Concomitant medication was not provided. Treatment information was not provided. The patient experienced dizziness and disorientation at the afternoon of 31-Dec-2021. The patient would make an appointment with the local general practitioner and asked whether the event was a side effect of Moderna vaccine or not. The patient was physically fine, could walk, but would not drive now because of this reason.


VAERS ID: 2018770 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-12-20
Onset:2021-12-31
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059H21A / 3 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Rash, 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin xl 300mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa-antibiotics
Diagnostic Lab Data:
CDC Split Type:

Write-up: I?ve developed prettt extensive hives and a rash that won?t seem to go away just over a week after my 3rd dose of Moderna. Antihistamines and Prednisone have been prescribed, but aren?t fully helping. Nothing else has changed in my life- no new foods, personal care products, etc. the Vaccine has been the only change, and now the hives are pretty intense. Will be following up with an allergist.


VAERS ID: 2018860 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-12-31
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Immunisation, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211231; Test Name: covid; Test Result: Positive
CDC Split Type: USPFIZER INC202101886094

Write-up: Booster; have Pfizer vaccine and booster, and today test positive for covid; have Pfizer vaccine and booster, and today test positive for covid; This is a spontaneous report received from a contactable reporter from medical information team. The reporter is the patient. A patient (no qualifiers provided) received bnt162b2 (Batch/Lot number: unknown) as dose 3 (booster), single, (Batch/Lot number: unknown) as dose 2, single and (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: immunization, outcome unknown; drug ineffective, COVID-19 both with onset 31Dec2021, outcome unknown and both described as have Pfizer vaccine and booster, and today test positive for covid. The lot number for bnt162b2 was not provided and will be requested during follow up.


VAERS ID: 2019150 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33030BD / 3 RA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Immunisation, 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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202200000120

Write-up: Mild body aches; Dose number 3; This is a spontaneous report from a contactable reporter (consumer or other non-HCP). A 20-year-old male patient received bnt162b2 (BNT162B2), intramuscular, administered in right arm, administration date 31Dec2021 (Lot number: 33030BD) at the age of 20 years as dose 3 (booster), single for COVID-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE; Lot Number: EP6955; Route of administration: Unspecified), administration date: 27Mar2021, when the patient was 20 years old, for COVID-19 immunisation and Bnt162b2 (DOSE 2, SINGLE; Lot Number: EP6955; Route of administration: Unspecified), administration date: 17Apr2021, when the patient was 20 years old, for COVID-19 immunisation. The following information was reported: IMMUNISATION (non-serious) with onset 31Dec2021, outcome "unknown", described as "Dose number 3"; PAIN (non-serious) with onset 01Jan2022, outcome "recovering", described as "Mild body aches". Therapeutic measures were not taken as a result of pain. Additional Information: The patient had no known allergies. The patient did not receive any other vaccines within four weeks prior to COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2019164 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: California  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33025BD / 2 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Headache, Lymphadenopathy, Myalgia, Nausea, Vaccination site pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202200004290

Write-up: Swollen lymph nodes; Nausea; Injection site pain; Headache; Muscle and joint pain; Muscle and joint pain; This is a spontaneous report from a contactable reporter (consumer or other non-HCP). The reporter is the patient. A 44-year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 30Dec2021 at 09:00 (Lot number: 33025BD) at the age of 44 years as dose 2, single for COVID-19 immunisation. Relevant medical history included: "None". There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE; Lot Number: 33026BD; Anatomical location: Right arm), administration date: 09Dec2021 at 09:00, when the patient was 44 years old, for COVID-19 immunisation. The following information was reported: LYMPHADENOPATHY (non-serious) with onset 31Dec2021 at 00:00, outcome "not recovered", described as "Swollen lymph nodes"; NAUSEA (non-serious) with onset 31Dec2021 at 00:00, outcome "not recovered", described as "Nausea"; VACCINATION SITE PAIN (non-serious) with onset 31Dec2021 at 00:00, outcome "not recovered", described as "Injection site pain"; HEADACHE (non-serious) with onset 31Dec2021 at 00:00, outcome "not recovered", described as "Headache"; MYALGIA (non-serious), ARTHRALGIA (non-serious) all with onset 31Dec2021 at 00:00, outcome "not recovered", and all described as "Muscle and joint pain". The events "Swollen lymph nodes", "Nausea", "Injection site pain", "Headache" and "Muscle and joint pain" were evaluated at the physician office visit. Therapeutic measures were not taken as a result of lymphadenopathy, nausea, vaccination site pain, headache, myalgia and arthralgia. Additional information: Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Since the vaccination, the patient had not been tested for COVID-19.


VAERS ID: 2019362 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33025BD / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chest pain, Chills, Fatigue, Injection site pain, Joint stiffness, Musculoskeletal pain, Neck pain, Pain in jaw, Painful respiration, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: B complex 50 mg daily. Hair, Skin and Nails 1 tablet daily. Vitamin D3, 2000 mcg daily.
Current Illness: Tooth infection on 11/29/21 - tooth was pulled on 11/30/21 and antibiotics given (Clindamycin 300 mg 3x/daily for 7 days).
Preexisting Conditions: Mild COPD. CHF with preserved EF. Permanent colostomy. History of Stage 3 anorectal cancer (5 years ago) treated with chemo and radiation, with NED.
Allergies: Penicillin and sulfa - rash. Prednisone - palpitations. Dairy insensitivity. Mold and dust.
Diagnostic Lab Data: None. I plan to follow up with my PCP.
CDC Split Type:

Write-up: The shot to my upper left arm, at the time of administration, caused no pain. Immediately afterward I went home and rested. By early evening, a sensation of tightness and pain began in my upper left shoulder and quickly spread across the top of my shoulder into my neck, left chest, around to my left shoulder blade, and even briefly into my left jaw. This progressed, and I found I was unable to take a deep breath without pain in my chest. Other symptoms I had were chills, fever to 99.5, fatigue, and weakness to the point of tremor. After 3 days I remembered I had Ativan 1 mg tablets originally prescribed by my cardiologist, so I tried taking 0.25 mg Ativan (which is all I ever need), and this did help my breathing for the next 24 hours or so. A couple nights after that I tried one Tylenol 500 mg capsule instead of the Ativan, and it also helped the pain, so I presumed it was not heart related. However, the pain was scary and quite debilitating, and I am wondering if it is some sort of brachial neuritis. I also tried my chiropractor yesterday, 1/7/22, but the pain has returned today, milder, but persistent.


VAERS ID: 2019492 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033H21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: 12/02/2021
Other Medications: Claritin
Current Illness: None
Preexisting Conditions: None
Allergies: None know of
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Shivers and nausea came first, proceeded by a fever and continued chills and tiredness throughout the day till about 8PM (temperature highest 101.4).


VAERS ID: 2019567 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-12-28
Onset:2021-12-31
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD7218 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Chest pain, Electrocardiogram, X-ray
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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Shellfish, eggs
Diagnostic Lab Data: Blood work, EKG, X-ray 12/31/2021 regional medical center ER, 1/5/2022 medical center ER, 1/9/2022 medical center ER, 1/11/2022 cardiologist Medical center
CDC Split Type:

Write-up: SEVERE CHEST PAIN


VAERS ID: 2019635 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-12-23
Onset:2021-12-31
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mechanical urticaria, Pruritus, 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? 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: Full body hives, dermatographia, itchiness everywhere


VAERS ID: 2019887 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FL0007 PEDI / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hyperhidrosis, Vision blurred, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (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: None
Current Illness: None. She had covid about 2 months ago though
Preexisting Conditions: None
Allergies: She had skin rash for a month during covid lockdown. We suspected of the cat which was something new in the house, or staying too long in the house. Did not repeat again. Other then that no known allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: She got the shot and we walked about 20 steps or so, and then she started having some blacked vision and blurred vision. She said she feels different but couldnt describe how she feels. I noticed she sweated. She sit and nurse put her feet at another chair. She tried walking after 30 minutes, she had to sit back again. After total of about 45 minutes of sitting, she felt normal and was able to walk and see normal


VAERS ID: 2020344 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33130817 / 2 LA / SYR
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Adenovirus infection, Condition aggravated, Cough, Headache, Lymphadenopathy, Oropharyngeal pain, Respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day 1-3 headache swollen neck lymph nodes Day 4-10 (and currently) sore throat, congestion, cough, headache Possible activation of latent adenovirus???


VAERS ID: 2020669 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-05-14
Onset:2021-12-31
   Days after vaccination:231
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 UN / SYR

Administered by: Public       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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Rapid AG test administered at the Regional Walk-In Clinic on 01/03/2022.
CDC Split Type:

Write-up: Patient Contracted COVID-19.


VAERS ID: 2020684 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-11-13
Onset:2021-12-31
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Cardiac flutter, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Starting 4 days after his second shot on 12/27/2021 Patient has experienced feelings of having a fast-beating, fluttering, or pounding heart. It has continued to this day and we are not sure what to do other than to find a heart doctor. His sister complained of similar heart issues over the past year which we now believe are attributed to her receiving the Pfizer shot last summer. We didn''t make the connection until now. His mother is also experiencing a fluttering of her heart a few days a week this year (also a new condition) and she is vaccinated. We were on vacation when it happened so we only called a doctor and have not taken him in yet. We will look for a heart doctor for him and my daughter.


VAERS ID: 2020700 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-27
Onset:2021-12-31
   Days after vaccination:218
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 2 - / -

Administered by: Private       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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Alcohol abuse;Benign essential hypertension; Cardiomyopathy; hypertrophic; Gastro-esophageal reflux disease; Hyperlipidemia; Obesity; Osteoarthritis of both hips;Peripheral neuropathy; Tobacco user.
Allergies:
Diagnostic Lab Data: COVID + ~12/31/2021`.
CDC Split Type:

Write-up: COVID BREAKTHROUGH CASE.


VAERS ID: 2020726 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-10-01
Onset:2021-12-31
   Days after vaccination:91
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / UNK - / -

Administered by: Unknown       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? 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: Covid positive contact unknown


VAERS ID: 2020738 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-09-15
Onset:2021-12-31
   Days after vaccination:107
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037F21A / UNK - / -

Administered by: Unknown       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? 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: Covid positive contact unknown. Client did receive booster.


VAERS ID: 2020753 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-09-15
Onset:2021-12-31
   Days after vaccination:107
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037F21A / UNK - / -

Administered by: Unknown       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? 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: Covid positive through church contact. Client did receive booster


VAERS ID: 2020765 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Ohio  
Vaccinated:2020-12-29
Onset:2021-12-31
   Days after vaccination:367
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Fluid retention, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), 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: Athletic Greens (every other day), Bare Performance Nutrition Whey Protein Supplement (every three days), Optimum Nutrition Vegan Protein Supplement (every three days)
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Swelling and fluid retention in lower legs.


VAERS ID: 2020766 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-08-19
Onset:2021-12-31
   Days after vaccination:134
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / UNK - / -

Administered by: Unknown       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? 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: Covid positive through contact with friend


VAERS ID: 2020864 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-01
Onset:2021-12-31
   Days after vaccination:274
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / UN
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal, Bacterial infection, Basophil count decreased, Basophil percentage decreased, Bilirubin conjugated normal, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood magnesium increased, Blood osmolarity decreased, Blood potassium normal, Blood sodium normal, Blood urea increased, Blood urea nitrogen/creatinine ratio, Body temperature increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal, Cough, Dyspnoea, Eosinophil count decreased, Eosinophil percentage decreased, Essential hypertension, Gastrooesophageal reflux disease, Glomerular filtration rate normal, Haematocrit normal, Haematology test, Haemoglobin normal, Immature granulocyte count, Intensive care, Interstitial lung disease, Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Microbiology test, Monocyte count decreased, Monocyte percentage, Neutrophil count normal, Neutrophil percentage increased, Oedema, Platelet count normal, Pleural effusion, Pleural fibrosis, Pneumonia bacterial, Procalcitonin, Protein total decreased, Pseudomonas infection, Pseudomonas test positive, Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width, Red cell distribution width normal, SARS-CoV-2 test positive, Serology test, Sputum culture positive, Superinfection, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Haematopoietic leukopenia (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (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), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow), 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? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Date of Admission Admit Date: Dec-31-2021 Date of Discharge Date of discharge Jan-08-2022 Allergies No Known Allergies Chief Complaint Shortness of breath Final Diagnoses Secondary bacterial pneumonia COVID-19 Procedure(s) Performed None Lab Results Jan-08-2022 0439 Serology PROCALC 0.06 Jan-08-2022 0439 Hematology WBC 8.3 RBC 5.02 HGB 15.8 HCT 44.9 MCV 89.4 MCH 31.5 (H) MCHC 35.2 RDW 12.6 RDWSD 41.5 PLT 284 MPV 9.9 AUTONEU% 81.7 (H) AUTOLYM% 7.0 (L) AUTOMON% 6.5 AUTOEOS% 0.1 AUTOBAS% 0.5 AUTONEU# 6.8 (H) AUTOLYM# 0.6 (L) AUTOMON# 0.5 AUTOBAS# 0.0 AUTOEOS# 0.0 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.35 IG% 4.2 Jan-08-2022 0439 Chemistry GLUCOSE 117 (H) BUN 21 CREAT 0.8 MDRD GFR 99 NA 139 K 4.6 CL 102 CALCIUM 8.2 (L) CO2 25.6 OSMO 281.5 ANION GP 16.0 BUN/CRE 26.3 (H) CRP 1.20 (H) Jan-07-2022 0428 Serology PROCALC 0.17 Jan-07-2022 0428 Hematology WBC 7.9 RBC 4.98 HGB 15.7 HCT 44.2 MCV 88.8 MCH 31.5 (H) MCHC 35.5 RDW 12.7 RDWSD 40.8 PLT 253 MPV 10.0 AUTONEU% 75.8 (H) AUTOLYM% 10.3 (L) AUTOMON% 8.1 AUTOEOS% 0.1 AUTOBAS% 0.4 AUTONEU# 6.0 AUTOLYM# 0.8 (L) AUTOMON# 0.6 AUTOBAS# 0.0 AUTOEOS# 0.0 SCAN DIF Y NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.42 IG% 5.3 Jan-07-2022 0428 Chemistry GLUCOSE 117 (H) BUN 22 CREAT 0.8 MDRD GFR 99 NA 135 K 4.6 CL 98 CALCIUM 8.1 (L) CO2 26.5 OSMO 274.5 (L) ANION GP 15.1 BUN/CRE 27.5 (H) CRP 2.90 (H) 1 of6 Name (M) MRN Jan-08-2022 1001 Attending Encounter Discharge Summary Medical Ctr Admitted Discharged Dec-31-2021 Jan-08-2022 Date of Service Primary MD Jan-06-2022 0445 Serology PROCALC 0.36 Jan-06-2022 0445 Hematology WBC 5.6 RBC 4.75 HGB 15.3 HCT 42.0 MCV 88.4 MCH 32.2 (H) MCHC 36.4 RDW 12.6 RDWSD 41.1 PLT 218 MPV 9.5 AUTONEU% 80.8 (H) AUTOLYM% 7.9 (L) AUTOMON% 5.9 AUTOEOS% 0.0 AUTOBAS% 0.4 AUTONEU# 4.5 AUTOLYM# 0.4 (L) AUTOMON# 0.3 AUTOBAS# 0.0 AUTOEOS# 0.0 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.7 IG# 0.28 IG% 5.0 Jan-06-2022 0445 Chemistry GLUCOSE 128 (H) BUN 22 CREAT 0.9 MDRD GFR 86 NA 134 K 4.7 CL 99 CALCIUM 8.1 (L) ALK PHOS 85 CO2 27.1 AST 11 (L) ALT 48 AST/ALT 0.2 (L) TL PROT 5.8 (L) ALBUMIN 2.1 (L) TBILI 0.4 DBILI 0.2 OSMO 273.2 (L) ANION GP 12.6 BUN/CRE 24.4 (H) CRP 8.20 (H) MAGNESIU 2.4 Jan-05-2022 0455 Serology PROCALC 0.12 Jan-05-2022 0455 Microbiology C SPUT Pseudomonas aeruginosa GS Few gram positive rods Jan-05-2022 0455 Hematology WBC 11.1 (H) RBC 4.76 HGB 14.9 HCT 42.4 MCV 89.1 MCH 31.3 (H) MCHC 35.1 RDW 12.5 RDWSD 41.4 PLT 270 MPV 9.7 AUTONEU% 91.0 (H) AUTOLYM% 3.3 (L) AUTOMON% 3.6 AUTOEOS% 0.2 AUTOBAS% 0.2 AUTONEU# 10.1 (H) AUTOLYM# 0.4 (L) AUTOMON# 0.4 AUTOBAS# 0.0 AUTOEOS# 0.0 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.19 IG% 1.7 Jan-05-2022 0455 Chemistry GLUCOSE 102 BUN 17 CREAT 0.8 MDRD GFR 99 NA 135 K 4.2 CL 102 CALCIUM 7.9 (L) CO2 26.7 OSMO 271.8 (L) ANION GP 10.5 BUN/CRE 21.3 (H) CRP 7.40 (H) Jan-04-2022 0530 Serology PROCALC <0.05 Jan-04-2022 0530 Hematology WBC 6.8 RBC 4.64 (L) HGB 14.6 HCT 41.2 (L) MCV 88.8 MCH 31.5 (H) MCHC 35.4 RDW 12.5 RDWSD 40.7 PLT 270 MPV 10.3 AUTONEU% 83.9 (H) AUTOLYM% 8.6 (L) AUTOMON% 4.5 AUTOEOS% 0.9 AUTOBAS% 0.1 AUTONEU# 5.7 AUTOLYM# 0.6 (L) AUTOMON# 0.3 AUTOBAS# 0.0 AUTOEOS# 0.1 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.14 IG% 2.0 Jan-04-2022 0530 Chemistry GLUCOSE 105 BUN 14 CREAT 0.7 MDRD GFR 115 NA 135 K 4.3 CL 103 CALCIUM 7.6 (L) CO2 23.7 OSMO 270.9 (L) ANION GP 12.6 BUN/CRE 20.0 CRP 7.10 (H) Jan-03-2022 0427 Serology PROCALC <0.05 2 of6 Name (M) MRN Jan-08-2022 1001 Attending Encounter Discharge Summary Medical Ctr Admitted Discharged Dec-31-2021 Jan-08-2022 Date of Service Primary MD Jan-03-2022 0427 Hematology WBC 8.4 RBC 4.63 (L) HGB 14.5 HCT 40.8 (L) MCV 88.1 MCH 31.3 (H) MCHC 35.5 RDW 12.7 RDWSD 40.6 PLT 276 MPV 10.0 AUTONEU% 85.9 (H) AUTOLYM% 6.9 (L) AUTOMON% 5.3 AUTOEOS% 0.1 AUTOBAS% 0.1 AUTONEU# 7.2 (H) AUTOLYM# 0.6 (L) AUTOMON# 0.4 AUTOBAS# 0.0 AUTOEOS# 0.0 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.14 IG% 1.7 Jan-03-2022 0427 Chemistry GLUCOSE 114 (H) BUN 19 CREAT 0.7 MDRD GFR 115 NA 137 K 4.6 CL 104 CALCIUM 7.8 (L) CO2 24.1 OSMO 276.9 ANION GP 13.5 BUN/CRE 27.1 (H) CRP 1.20 (H) Jan-02-2022 0548 Hematology WBC 7.4 RBC 4.50 (L) HGB 14.4 HCT 40.0 (L) MCV 88.9 MCH 32.0 (H) MCHC 36.0 RDW 12.5 RDWSD 41.0 PLT 266 MPV 10.2 AUTONEU% 83.7 (H) AUTOLYM% 7.7 (L) AUTOMON% 7.6 AUTOEOS% 0.0 AUTOBAS% 0.1 AUTONEU# 6.2 AUTOLYM# 0.6 (L) AUTOMON# 0.6 AUTOBAS# 0.0 AUTOEOS# 0.0 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.07 IG% 0.9 Jan-02-2022 0548 Chemistry GLUCOSE 117 (H) BUN 21 CREAT 0.8 MDRD GFR 99 NA 137 K 4.3 CL 104 CALCIUM 7.9 (L) CO2 24.2 OSMO 277.8 ANION GP 13.1 BUN/CRE 26.3 (H) CRP 2.80 (H) Jan-01-2022 0730 Hematology WBC 5.6 RBC 4.90 HGB 15.5 HCT 43.7 MCV 89.2 MCH 31.6 (H) MCHC 35.5 RDW 12.7 RDWSD 41.6 PLT 257 MPV 9.9 AUTONEU% 75.7 (H) AUTOLYM% 14.3 (L) AUTOMON% 8.6 AUTOEOS% 0.0 AUTOBAS% 0.2 AUTONEU# 4.3 AUTOLYM# 0.8 (L) AUTOMON# 0.5 AUTOBAS# 0.0 AUTOEOS# 0.0 NRBC% 0.0 NRBC 0.0 HGB/HCT 2.8 IG# 0.07 IG% 1.2 Jan-01-2022 0730 Chemistry GLUCOSE 107 BUN 18 CREAT 0.8 MDRD GFR 99 NA 137 K 4.4 CL 102 CALCIUM 8.1 (L) ALK PHOS 78 CO2 23.2 AST 24 ALT 27 AST/ALT 0.9 (L) TL PROT 6.0 (L) ALBUMIN 2.4 (L) TBILI 0.7 DBILI 0.3 OSMO 276.2 ANION GP 16.2 BUN/CRE 22.5 (H) CRP 8.20 (H) MAGNESIU 2.3 -Sputum cultures have grown out pansensitive Pseudomonas aeruginosa. Imaging Results Portable chest x-ray obtained December 31, 2021. Report is as follows: Impression: 1. Moderate to severe bilateral COVID-19 pneumonia, increased. Portable chest x-ray obtained January 5, 2022. Report is as follows: Impression: 1. Moderate/severe interstitial and airspace opacities bilaterally, probably multifocal pneumonia/edema. COVID-19 pneumonia possible based on of the appearance. 2. Trace bilateral pleural fluid/scar Functional Status* No Functional Impairments 3 of6 Name (M) MRN Jan-08-2022 1001 Attending Encounter Discharge Summary Medical Ctr Admitted Discharged Dec-31-2021 Jan-08-2022 Date of Service Primary MD Mental Status* Normal Cognition Social History tobacco use Never Smoked, 0 yrs, Smoking Cessation Not Applicable alcohol use Beer, Current Reports drinking 3-4 beers every night drug use No Known Use marital status Married occupation Works lumbar general comment Lives at home with his wife Health Concerns Secondary bacterial pneumonia COVID-19 Beer, Current Father Deceased @ 83 Mother Deceased Failure to thrive @ 80 Vital Signs Jan-08-2022 0732 T 98.4 HR 53 (L) RR 23 (H) BP 100 / 63 O2Sat 95 Jan-08-2022 0600 HR 46 (L) RR 17 BP 92 (L) / 63 O2Sat 93 Jan-08-2022 0400 T 98.3 Patient is on 2 L of supplemental oxygen via nasal cannula. PHYSICAL EXAM Constitutional: patient is a pleasant 6-year-old male who appears to be of stated age. Patient appears to be in no acute distress. Cardiovascular: Heart sounds are of regular rate and rhythm. S1 and S2 are both present without rubs clicks or murmurs. Radial pulses are 2+ bilaterally. Dorsalis pedis pulses are 2+ bilaterally. No edema is appreciated in the bilateral lower extremities. Respiratory: There is no observed increased work of breathing or accessory muscle use. Patient does not become conversationally dyspneic. Lungs are clear to auscultation in all fields.Patient is currently on 2 L supplemental oxygen was observed to decrease to for 87% while on room air at rest. GI: Abdomen is soft and nondistended. Bowel sounds are normoactive on auscultation. Abdomen is nontender to both light and deep palpation. No masses organomegaly are appreciated on exam. Neuro: Patient is alert and oriented x4. Cranial nerves 2-12 appear to be grossly intact. Patient is able to move all 4 limbs independently. Psych: Patient is currently RASS score 0. Patient is attentive during the exam is able answer questions appropriately. Patient 4 of6 Name (M) MRN Jan-08-2022 1001 Attending Encounter Discharge Summary Medical Ctr Admitted Discharged Dec-31-2021 Jan-08-2022 Date of Service Primary MD displays appropriate mood and affect. Heme/lymph: There is no evidence of excessive bruising in exposed skin. There is no saturation of bandages over vena puncture sites or oozing around IV catheters. No cervical or supraclavicular lymphadenopathy is appreciated on exam. Hospital Course Patient is a 60-year-old male who presented to the emergency department December 31st 2021 with complaint of shortness of breath. Patient was diagnosed with the COVID-19 pneumonia with onset of symptoms approximately 1 week prior to presentation. And a positive COVID test on December 28, 2021. Patient received initial workup in the emergency department and was found to have acute hypoxic respiratory failure secondary to COVID-19 pneumonia and was admitted to the PCU under the care of the Internal Medicine team. Patient was started on daily dexamethasone and continued on supplemental oxygen for management. Patient progressed to requiring noninvasive respiratory support specifically Airvo which he tolerated well patient was saline locked on day 5 of his hospitalization is he was having adequate oral intake to maintain hydration. On day 6 the patient was found to have a superimposed bacterial pneumonia and was started on doxycycline. The doxycycline was changed to oral levofloxacin but the next day to complete the course. Hospital day 7 patient was maintaining saturation on supplemental oxygen at 4 L. patient was titrated down to 2 L supplemental oxygen and was tolerated well. Patient was determined to no longer require an inpatient level of care and was discharged home with home oxygen. Condition at Discharge Stable Discharge Medications ACETAMINOPHEN 650 MG ORALLY EVERY 6 HOURS AS NEEDED for FEVER, MILD-MODERATE (PAIN 1-5 ) BENZONATATE 100 MG ORALLY 3 TIMES A DAY AS NEEDED for COUGH (ePrescribed by ASSADI AZHAR DO on Jan-08-2022 1006) DEXAMETHASONE 6 MG ORALLY DAILY AT 1600 (ePrescribed by DO on Jan-08-2022 1006) levoFLOXacin 750 MG ORALLY ONCE A DAY (ePrescribed by DO on Jan-08-2022 1006) omeprazole 20 mg TbEC 20 MG ORALLY TWICE DAILY BEFORE MEALS Xarelto 20 mg tab 20 MG ORALLY ONCE A DAY Discharge Disposition Discharge to home Plan Assessment: - Acute hypoxic respiratory failure secondary to COVID-19 pneumonia, requiring high flow supplemental oxygen, improving - Secondary bacterial pneumonia with Pseudomonas aeruginosa - COVID-19 pneumonia, positive test 12/26 - History of DVT, on Eliquis - Essential hypertension, on metoprolol and lisinopril - Gastroesophageal reflux disease, on omeprazole Plan: The patient has been determined to no longer require an inpatient level of care and is discharged home with home oxygen. Patient may return to normal activity as tolerated. Patient may return to normal diet as tolerated. At the time of discharge we are holding the patient''s lisinopril metoprolol to soft blood pressures they should follow-up with his primary care physician to restart these medications if necessary. Patient is discharged with an additional 3 days of Levaquin to complete a 5 day course for his superimposed bacterial pneumonia as well as additional 2 days of steroids to complete 10 day course. Patient should follow-up with 5 of6 Name (M) MRN Jan-08-2022 1001 Attending Encounter Discharge Summary Medical Ctr Admitted Discharged Dec-31-2021 Jan-08-2022 Date of Service Primary MD his PCP within 7-10 days of discharge. The patient should return to the hospital should he begin experiencing fevers, chills, or worsening shortness of breath which is not improve with increasing his supplemental oxygen. Primary Care Provider MD Electronically signed by DO RESIDENT on Jan-08-2022 1011


VAERS ID: 2020883 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-01-26
Onset:2021-12-31
   Days after vaccination:339
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030620A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, 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? 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: Covid positive through family contact


VAERS ID: 2020929 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-12-31
   Days after vaccination:267
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Anion gap, Anticoagulant therapy, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased, Bipolar disorder, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal, Chronic respiratory failure, Condition aggravated, Cough, Creatinine renal clearance normal, Diarrhoea, Differential white blood cell count abnormal, Dyspnoea, Ejection fraction normal, Eosinophil count decreased, Eosinophil percentage decreased, Fibrin D dimer increased, Full blood count abnormal, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin decreased, Haemorrhage, Headache, Immature granulocyte count, Inappropriate schedule of product administration, Infection, Left ventricular failure, Lung disorder, Lung opacity, Lymphocyte count decreased, Lymphocyte percentage, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume normal, Mean platelet volume increased, Metabolic function test abnormal, Mixed anxiety and depressive disorder, Monocyte count, Monocyte percentage, Neutrophil count decreased, Neutrophil percentage, Oedema, Oedema peripheral, Platelet count decreased, Pleural effusion, Positive airway pressure therapy, Procalcitonin, Protein total normal, Pulmonary congestion, Rales, Red blood cell count decreased, Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test positive, Sleep apnoea syndrome, Type 2 diabetes mellitus, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Systemic lupus erythematosus (narrow), 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), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Myelodysplastic syndrome (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen 500 mg Oral Every 6 hours PRN Atorvastatin Calcium 10 MG Take 1 tablet by mouth once daily B Complex Vitamins Oral Daily Calcium Carbonate-Vit D-Min Oral 2 times daily Cholecalciferol 125 mcg Oral Daily, Vitamin D3 125mcg (5,0
Current Illness:
Preexisting Conditions: Past Medical History: Diagnosis Date ? Acute bronchitis ? Anxiety ? Bilateral leg numbness ? Bilateral leg pain ? Bipolar 1 disorder ? CHF (congestive heart failure) ? Closed fracture of one or more phalanges of foot ? Coccyx pain ? CPAP (continuous positive airway pressure) dependence ? Depression ? Diabetes mellitus ? Diabetic neuropathy ? Disease of nail ? GERD (gastroesophageal reflux disease) ? Hyperlipidemia ? Hypoxemia ? Low testosterone ? Mixed anxiety and depressive disorder 2/20/2014 ? Neuropathic pain, leg 02/20/2014 ? Neuropathy ? Obesity ? OSA (obstructive sleep apnea) 02/20/2014 CPAP ? Oxygen dependent only at noc with cpap at 2L ? Pain in finger of left hand ? Pain in left hand ? Systolic murmur heart surgery at age 5 ? VSD (ventricular septal defect)
Allergies: NSAIDS
Diagnostic Lab Data: D-Dimer (Abnormal) Collected: 01/01/22 0623 Order Status: Completed Specimen: Blood, Venous Updated: 01/01/22 0728 D-Dimer Quant 600 High 0 - 500 ng/mL FEU C Reactive Protein (CRP), Blood Level (Abnormal) Collected: 01/01/22 0623 Order Status: Completed Specimen: Blood, Venous Updated: 01/01/22 0708 C-Reactive Protein 33.3 High <=5.0 mg/L Comprehensive Metabolic Panel (CMP) (Abnormal) Collected: 01/01/22 0623 Order Status: Completed Specimen: Blood, Venous Updated: 01/01/22 0708 Sodium Level 140 134 - 146 mmol/L Potassium Level 4.3 3.4 - 5.0 mmol/L Chloride 102 98 - 112 mmol/L HCO3 25 21 - 29 mmol/L Anion Gap 13 9 - 18 mmol/L Glucose Level 188 High 70 - 99 mg/dL Blood Urea Nitrogen 13 8 - 20 mg/dL Creatinine 0.87 0.60 - 1.30 mg/dL MDRD eGFR $g60 $g=60 mL/min/1.73 m2 CG eCrCl 97 mL/min/1.73 m2 Calcium Level Total 8.6 8.6 - 10.4 mg/dL Protein Total 7.3 6.0 - 8.0 g/dL Albumin Level 3.2 Low 3.5 - 5.0 g/dL Bilirubin Total 0.3 0.2 - 1.0 mg/dL Alkaline Phosphatase 61 40 - 129 IU/L Alanine Aminotransferase 17 10 - 40 IU/L Aspartate Aminotransferase 24 10 - 40 IU/L Complete Blood Count w/Differential (Abnormal) Collected: 01/01/22 0623 Order Status: Completed Specimen: Blood, Venous Updated: 01/01/22 0649 White Blood Cell 3.38 Low 4.00 - 10.80 x10*3/uL Red Blood Cell 4.47 Low 4.60 - 6.00 x10*6/uL Hemoglobin 11.8 Low 14.0 - 18.0 g/dL Hematocrit 37.7 Low 42.0 - 52.0 % Mean Cell Volume 84.3 80.0 - 100.0 fL Mean Cell Hemoglobin 26.4 Low 27.0 - 33.0 pg Mean Cell Hemoglobin Concentration 31.3 Low 32.0 - 37.0 g/dL Red Cell Diameter Width 13.0 11.0 - 16.0 % NRBC Absolute Count 0.00 0.00 - 0.01 x10*3/uL NRBC Automated 0.0 0.0 - 0.1 %WBC Platelet 118 Low 140 - 400 x10*3/uL Mean Platelet Volume 10.9 7.4 - 11 fL Neutrophil Automated 64.8 35.0 - 80.0 % Immature Granulocyte Automated 0.6 0.0 - 0.6 % Lymphocyte Automated 26.9 20.0 - 50.0 % Monocytes Automated 7.4 2.0 - 12.0 % Eosinophil Automated 0.0 0.0 - 6.0 % Basophil Automated 0.3 0.0 - 2.0 % Neutrophil Absolute Count 2.19 1.80 - 7.80 x10*3/uL Immature Granulocyte Absolute Count 0.02 0.00 - 0.05 x10*3/uL Lymphocyte Absolute Count 0.91 Low 1.00 - 4.00 x10*3/uL Monocyte Absolute Count 0.25 0.00 - 0.90 x10*3/uL Eosinophil Absolute Count 0.00 0.00 - 0.50 x10*3/uL Basophil Absolute Count 0.01 0.00 - 0.20 x10*3/uL DR CHEST SINGLE VIEW Resulted: 12/31/21 1841 Order Status: Completed Updated: 12/31/21 1843 Narrative: EXAMINATION: Single View Chest EXAM DATE: 12/31/2021 6:34 PM TECHNIQUE: Single view chest INDICATION: Cough shortness of breath COMPARISON: May 13, 2021 ENCOUNTER: Not applicable _________________________ FINDINGS: Heart is enlarged. Pulmonary vasculature appears congested. There are perihilar opacifications bilaterally. Focal airspace disease at the left base. Left-sided pleural fluid not excluded. No visualized pneumothorax. No visualized rib lesions. _________________________ Impression: Bilateral perihilar opacifications and focal opacification at the left base may indicate infection or edema. A pleural effusion on the left is not excluded. There is cardiomegaly and vascular congestion.
CDC Split Type:

Write-up: Hospitalized (12.31.21 - 1.1.22); COVID-19 positive (12.31.21); Fully vaccinated - pfizer x2 D/c Summary: Discharge Summary PA-C (Physician Assistant-Certified) ? ? Hospitalist Cosign Needed BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: ANP Admission Date: 12/31/2021 Discharge Date: 1/1/2022 DISCHARGE MEDICATIONS: ? lidocaine (XYLOCAINE) 2 % jelly ? acetaminophen (TYLENOL) 500 MG tablet Take 500 mg by mouth Every 6 hours as needed for Pain. ? albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler Take 2 puffs by inhalation every 6 hours as needed for Wheezing. ? atorvastatin (LIPITOR) 10 MG tablet Take 1 tablet by mouth once daily ? B Complex Vitamins (B COMPLEX 1 PO) Take by mouth Daily. ? Calcium Carbonate-Vit D-Min (CALCIUM 1200 PO) Take by mouth 2 times daily. ? Cholecalciferol (VITAMIN D PO) Take 125 mcg by mouth daily. Vitamin D3 125mcg (5,000 IU) Softgel ? Cyanocobalamin (VITAMIN B 12 PO) Take by mouth Daily. ? escitalopram (LEXAPRO) 10 MG tablet Take 10 mg by mouth daily. ? hydrOXYzine (VISTARIL) 50 MG capsule Take 50 mg by mouth 3 times daily as needed for Itching. ? insulin glargine (LANTUS SOLOSTAR) 100 UNIT/ML pen-injector Inject 50 Units under the skin nightly. (Patient taking differently: Inject 84 Units under the skin nightly.) ? lamoTRIgine (LAMICTAL) 200 MG tablet Take 200 mg by mouth daily. ? loratadine (CLARITIN) 10 MG tablet Take 10 mg by mouth daily. ? losartan (COZAAR) 25 MG tablet Take 1 tablet by mouth once daily ? melatonin 10 MG TABS tablet Take 10 mg by mouth nightly. ? metformin (GLUCOPHAGE) 1000 MG tablet Take 1 tablet by mouth twice daily ? Multiple Vitamins-Minerals (MULTI COMPLETE PO) Take 1 tablet by mouth Daily. ? omeprazole (PRILOSEC) 20 MG delayed release capsule Take 1 capsule by mouth once daily in the morning (Patient taking differently: Take 20 mg by mouth daily. Take 1 capsule by mouth once daily in the morning) ? prazosin (MINIPRESS) 2 MG capsule Take 2 mg by mouth Nightly. ? predniSONE (DELTASONE) 10 MG tablet Take 4 pills for 2 days followed by 3 pills for 2 days followed by 2 pills for 2 days and finished by 1 pill for 2 days ? pregabalin (LYRICA) 100 MG capsule Take 100 mg by mouth 2 times daily. 200mg in the morning, 100mg in afternoon, and 100mg at night ? pregabalin (LYRICA) 200 MG capsule Take 200 mg by mouth every morning. Takes 200 mg in the morning, 100 mg in the afternoon, and 100 mg at night. ? quetiapine (SEROQUEL XR) 400 MG 24 hr tablet Take 400 mg by mouth nightly. ? rOPINIRole (REQUIP) 1 MG tablet Take 2 mg by mouth nightly. ? tadalafil (CIALIS) 20 MG tablet Take 1 tablet by mouth if needed for Erectile Dysfunction. use one hour prior ? TRULICITY 3 MG/0.5ML injection Inject 3 mg under the skin per week. (Wed or Thurs) Active Issues Requiring Follow-up * Pneumonia due to COVID-19 virus Assessment & Plan Date of Symptom onset:12/30/21 Date of positive COVID-19 test:12/31/21 CXR: Bilateral perihilar opacifications and focal opacification at the left base may indicate infection or edema. A pleural effusion on the left is not excluded. There is cardiomegaly and vascular congestion. Patient appears stable from a respiratory standpoint Discharge patient home with prednisone taper Chronic respiratory failure with hypoxia Assessment & Plan Patient has baseline oxygen needs of 2 L of continuous oxygen at night bled into his CPAP Type 2 diabetes mellitus without complication, with long-term current use of insulin Assessment & Plan Resume home diabetic regimen Chronic diastolic congestive heart failure Assessment & Plan Ejection fraction of 58% on 09/11/2019 Chest x-ray does show cardiomegaly with vascular congestion Continue Cozaar Plan to give IV Lasix 40 mg once now Bipolar depression Assessment & Plan Continue Lexapro, Lamictal, Seroquel Mixed anxiety and depressive disorder Assessment & Plan Continue Lexapro, Lamictal, and Seroquel DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 51-year-old gentleman with chronic respiratory failure secondary to sleep apnea requiring 2 L of oxygen at night presented with complaints of increasing shortness of breath and cough. The patient has been vaccinated for COVID but was found to have a COVID infection on presentation. The patient was admitted for ongoing monitoring as he was requiring 2 L of oxygen on presentation to maintain saturations. Patient was started on Decadron and remdesivir. The following day after admission the patient was reporting feeling significantly better. He was requiring intermittent oxygen supplementation throughout the day but no more than 2 L of oxygen when he had required. Patient request to be discharged home. Based on patient''s vaccination status and relative stability overnight, this was felt reasonable as the patient already had oxygen set up at home. Will continue to treat the patient with a prednisone taper at discharge. Patient has been instructed to return to the hospital should his hypoxia continued to worsen. Questions have been answered to the patient''s satisfaction he is being discharged home in stable condition. Patient recovered fasted than anticipated leading to a faster than anticipated discharge. BP 103/60 | Pulse 90 | Temp 36.8 ?C (Oral) | Resp 18 | Ht 1.727 m | Wt (!) 148.5 kg | SpO2 91% | BMI 49.79 kg/m? Physical Exam Vitals and nursing note reviewed. Constitutional: Appearance: He is well-developed. He is obese. HENT: Head: Normocephalic and atraumatic. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Musculoskeletal: Cervical back: Normal range of motion and neck supple. Skin: General: Skin is warm and dry. Neurological: Mental Status: He is alert and oriented to person, place, and time. Mental status is at baseline. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. H&P: CHIEF COMPLAINT: Pneumonia due to COVID-19 virus Assessment/Plan ASSESSMENT / PLAN: * Pneumonia due to COVID-19 virus Assessment & Plan Date of Symptom onset:12/30/21 Date of positive COVID-19 test:12/31/21 CXR: Bilateral perihilar opacifications and focal opacification at the left base may indicate infection or edema. A pleural effusion on the left is not excluded. There is cardiomegaly and vascular congestion. Patient is vaccinated for COVID-19 Current oxygen requirement: SpO2: 98 % O2 Flow Rate (l/min): 1.5 l/min CRP: No results found for requested labs within last 720 hours. D-dimer: No results found for requested labs within last 720 hours. Prone patient Albuterol INH 2 puffs q 6 hours Dexamethasone - 6 mg po/IV day 1/10 Remdesivir - 200 mg IV day 1, followed by 100 mg day 2-5 DVT prophylaxis: Lovenox SCDs Daily CBC w/diff, CMP, CRP, D-Dimer Chronic diastolic congestive heart failure Assessment & Plan Ejection fraction of 58% on 09/11/2019 Chest x-ray does show cardiomegaly with vascular congestion Continue Cozaar Plan to give IV Lasix 40 mg once now Bipolar depression Assessment & Plan Continue Lexapro, Lamictal, Seroquel Mixed anxiety and depressive disorder Assessment & Plan Continue Lexapro, Lamictal, and Seroquel Type 2 diabetes mellitus without complication, with long-term current use of insulin Assessment & Plan Continue Lantus 84 units nightly Hold home metformin and Trulicity Add lispro corrective scale Subjective HISTORY OF PRESENT ILLNESS: Patient is a 51 y.o. male who presents today with shortness of breath and cough. Patient has a pertinent medical history for CHF, type 2 diabetes, anxiety, depression, bipolar, chronic obstructive pulmonary disease, and OSA with CPAP use with 2 L of oxygen overnight. The patient reports that he developed a headache and cough on 12/30 and then this morning on 12/31 he developed worsening shortness of breath and cough which brought him to the ER. The patient or nurses headache, cough, diarrhea, and shortness of breath. The patient denies dizziness, lightheadedness, sore throat, chest pain, vomiting, leg pains. The patient has been vaccinated for COVID-19 in March and April of this year. In the ER the patient was found to be hypoxic at 80% on room air and was placed on 2 L of oxygen nasal cannula. His white blood cell count was low at 2.75. Chest x-ray shows vascular congestion and bilateral perihilar opacifications. I updated patient on the plan of care that includes giving dexamethasone, remdesivir, and monitoring oxygen requirements. I also give 1 dose of IV Lasix at this time. The patient agrees with this plan of care all questions and concerns were addressed to patient''s satisfaction OBJECTIVE: BP 130/67 | Pulse 86 | Temp 37.9 ?C (Oral) | Resp 18 | Ht 1.727 m | Wt (!) 148.5 kg | SpO2 94% | BMI 49.79 kg/m? Physical Exam Vitals and nursing note reviewed. Constitutional: General: He is not in acute distress. Appearance: Normal appearance. He is obese. He is not ill-appearing or toxic-appearing. HENT: Head: Normocephalic and atraumatic. Eyes: Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Rales present. No wheezing. Abdominal: General: Abdomen is flat. Bowel sounds are normal. Palpations: Abdomen is soft. Musculoskeletal: General: Normal range of motion. Cervical back: Normal range of motion. Right lower leg: Edema present. Left lower leg: Edema present. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Mental status is at baseline. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought cont


VAERS ID: 2020946 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-11-16
Onset:2021-12-31
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034F21A / UNK - / -

Administered by: Unknown       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? 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: Covid positive through out of town travel and family contact. Client did receive Booster


VAERS ID: 2020999 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-09-15
Onset:2021-12-31
   Days after vaccination:107
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Unevaluable event
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? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient hospitalized


VAERS ID: 2021038 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Myocarditis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: NONE
Preexisting Conditions: NONE LISTED
Allergies: NKA
Diagnostic Lab Data: not given any tests or lab results
CDC Split Type:

Write-up: Patient started to exhibit chest pain on 12/31/21. Mom said he felt like he was having a heart attack and trouble breathing. He was taken to ER and diagnosed and treated for Myocarditis.


VAERS ID: 2021301 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-11
Onset:2021-12-31
   Days after vaccination:323
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9262 / 2 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 330268D / 3 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Exposure via direct contact, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Medication errors (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA, Atorvastatin, Calquence, Carvedilol, Co-Q 10, HCTZ, Sym-Cort, Verapamil, Vit B12, Zetia
Current Illness: Unknown
Preexisting Conditions: HTN, Hyperlipidemia, CAD, COPD, Vit B12 deficiency, Anemia, Osteoarthritis, Sleep apnea, Tobacco use
Allergies: No know allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12/31/2021 History of Present Illness The patient presents with 76 year old male with a medical hx of pneumonia and leukemia presents with worsening shortness of breath and associated yellow nasal drainage onset of x4 days ago. Patient reports of recent sick exposure from wife. Pt notes of getting pneumonia yearly and is worried for that. Patient denies any chest pain, fevers, chills, diarrhea, vomiting, back pain, nausea or vomiting.. The onset was 4 days ago. Risk factors consist of age.


VAERS ID: 2021355 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: New York  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 80777-0273-10 / 3 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Computerised tomogram, Fall, Head injury, Skin abrasion, X-ray
SMQs:, Guillain-Barre syndrome (broad), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Weakness after 2nd dose
Other Medications: Claritin, Biotin, Calcium, Benadryl
Current Illness:
Preexisting Conditions:
Allergies: Aspirin, Penicillin, Latex Tylenol with Codeine
Diagnostic Lab Data: CT Scan, XRAYlesf shoulder right hand and both kness
CDC Split Type:

Write-up: Weakness, collapsed hit head got abrasion


VAERS ID: 2021392 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-12-29
Onset:2021-12-31
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Insomnia, 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: sore arm, mild flu like symptoms
Other Medications: flu shot received 12/18/2021. I take Seraquel each evening
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: extreme fatigue, ache-y, chills, insomnia


VAERS ID: 2021439 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-09
Onset:2021-12-31
   Days after vaccination:266
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Myalgia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (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), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: fever, cough, myalgias + COVID test


VAERS ID: 2021445 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-30
Onset:2021-12-31
   Days after vaccination:245
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: fever, sore throat, headache + COVID test


VAERS ID: 2021448 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-07
Onset:2021-12-31
   Days after vaccination:115
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Myalgia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: chills, fever, cough, short of breath, myalgia + COVID test


VAERS ID: 2021457 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-09
Onset:2021-12-31
   Days after vaccination:113
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: chills, fatigue, cough, short of breath + COVID test


VAERS ID: 2021460 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-10-29
Onset:2021-12-31
   Days after vaccination:63
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: chills, fever, sore throat, cough, myalgias + COVID test


VAERS ID: 2021466 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-12-02
Onset:2021-12-31
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 213D21A / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dizziness, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: chills, cough, dizziness + COVID test


VAERS ID: 2021508 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-10-04
Onset:2021-12-31
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8839 / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Lisinopril Fish oil; Vitamins C, D, E,B-12; , L-Lysine; Theracurmin; Advil
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: Home COVID tests: 12/31/2021: Positive test 1/7/2022: Positive covid test 1/9/2022: Negative covid test
CDC Split Type:

Write-up: 12/31/2021: Onset of symptoms (fever 100-101, muscle aches, fatigue, sore throat) and positive COVID home test. 1/1/2022 - 1/2/2022: fever 100-101, muscle aches, chills, fatigue, sore throat. 1/3/2022 - 1/5/2022: no fever, much reduced symptoms 1/6/2022 - 1/8/2022: low fever 99, fatigue; positive COVID test on 1/7/2022 1/9/2022: negative COVID test no fever. 1/9/2022 - 1/10/2022: Lingering fatigue.


VAERS ID: 2021613 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-22
Onset:2021-12-31
   Days after vaccination:253
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 3 RA / IM

Administered by: Private       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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: low-ogestrel, Pepcid, omeprazole,
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: positive covid test
CDC Split Type:

Write-up: positive covid


VAERS ID: 2021759 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-11-05
Onset:2021-12-31
   Days after vaccination:56
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 051F21A / 3 LA / IM

Administered by: Private       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? Yes
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: pineapple
Diagnostic Lab Data: covid positive test
CDC Split Type:

Write-up: covid positive


VAERS ID: 2022009 (history)  
Form: Version 2.0  
Age: 6.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-12-27
Onset:2021-12-31
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FK5618 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Laboratory test abnormal, Pruritus, Rash, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (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: Clonidine, Risperidone, Vitamin D, Iron
Current Illness: None
Preexisting Conditions: wiedemann steiner syndrome, Chiari malformation, brain inflammation (from toxicara), autism
Allergies: None
Diagnostic Lab Data: Lab draw was donbe at PCP office on 1/6 for other reason and WBC was noted to be just over the high range. Not sure if this is related to vaccine or not, but worth noting.
CDC Split Type:

Write-up: Intermittent Rash started about 2.5 days after first pfizer covid vaccine. Rash would appear for about an hour, then disappear completely. About a hour later it would reappear in a different location on the body. This repeated itself for about 3 days. PCP office was contacted on 12/30, pictures were sent for them to review. PCP advised Zyrtek 5-10 ml per day until rash was gone. Patient had itching and seemed fatigued.


VAERS ID: 2022049 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-03-25
Onset:2021-12-31
   Days after vaccination:281
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Anion gap, Antibody test negative, Anticoagulant therapy, Aspartate aminotransferase normal, Bacterial test, Basophil count decreased, Basophil percentage decreased, Blood albumin decreased, Blood alkaline phosphatase increased, Blood bicarbonate decreased, Blood bilirubin decreased, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood culture negative, Blood glucose normal, Blood grouping, Blood magnesium normal, Blood phosphorus decreased, Blood potassium normal, Blood sodium decreased, Blood urea decreased, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Creatinine renal clearance increased, Eosinophil count decreased, Eosinophil percentage decreased, Glomerular filtration rate normal, Gram stain positive, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased, Immature granulocyte count, Influenza A virus test negative, Influenza B virus test, Infusion, International normalised ratio normal, Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased, Malaise, Maternal exposure before pregnancy, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased, Monocyte count normal, Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Nucleated red cells, Pelvic pain, Platelet count normal, Pollakiuria, Protein total normal, Prothrombin time shortened, Pyrexia, Red blood cell count decreased, Red cell distribution width increased, SARS-CoV-2 test positive, Tachycardia, Tachycardia foetal, Urinary casts, Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Lactic acidosis (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Congenital and neonatal arrhythmias (broad), Biliary system related investigations, signs and symptoms (broad), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin 81 MG chewable tablet enoxaparin Sodium (LOVENOX) 40 MG/0.4ML injection Ferrous Sulfate (IRON) 325 (65 Fe) MG TABS Misc. Devices (BREAST PUMP) MISC omeprazole (PRILOSEC) 10 MG delayed release capsule Prenatal MV & Min w/FA-DHA (PREN
Current Illness:
Preexisting Conditions: Digestive Obesity in pregnancy Infectious/Inflammatory Urinary tract infection in pregnancy in third trimester, antepartum Hematologic Anemia during pregnancy in third trimester Nervous Vaping nicotine dependence, non-tobacco product Other MFM PLAN OF CARE GAD (generalized anxiety disorder) Moderate episode of recurrent major depressive disorder Encounter for supervision of normal first pregnancy in second trimester Self IUI of donor sperm Routine Prenatal Care Encounter for fetal anatomic survey Depression affecting pregnancy
Allergies: Minocycline [Tetracyclines] Penicillins
Diagnostic Lab Data: COVID-19 PCR 12/31/2021 Detected* Urine Leukocyte Esterase 12/31/2021 Moderate* Negative Urine Bacteria 12/31/2021 Moderate* Negative Urine Hyaline Casts 12/31/2021 5.56* <3 /LPF C-Reactive Protein 12/31/2021 8.2* <=5.0 mg/L Cult Blood Peripheral 12/31/2021 No growth to date, less than 24 hours PreliminaryCult Blood Peripheral 12/31/2021 No growth to date, less than 24 hours Blood Urea Nitrogen 12/31/2021 7* 8 - 20 mg/dL Final HCO3 12/31/2021 20* 21 - 29 mmol/L Final Sodium Level 12/31/2021 133* 134 - 146 mmol/L Final ? Sodium Level 12/31/2021 133* 134 - 146 mmol/L Final ? Potassium Level 12/31/2021 4.0 3.4 - 5.0 mmol/L Final ? Chloride 12/31/2021 101 98 - 112 mmol/L Final ? HCO3 12/31/2021 20* 21 - 29 mmol/L Final ? Anion Gap 12/31/2021 12 9 - 18 mmol/L Final ? Glucose Level 12/31/2021 88 70 - 99 mg/dL Final ? Blood Urea Nitrogen 12/31/2021 7* 8 - 20 mg/dL Final ? Creatinine 12/31/2021 0.60 0.50 - 1.10 mg/dL Final ? MDRD eGFR 12/31/2021 $g60 $g=60 mL/min/1.73 m2 Final MDRD GFR calculation is based on the 4 value MDRD equation. K/DOQI Clinical Practice Guidelines for chronic kidney disease. MDRD estimated GFR (eGFR) is best used for detection of chronic kidney disease in clinically stable patients. DO NOT USE VALUES FROM THIS EQUATION FOR DRUG DOSING. It has not yet been validated for drug dosing or for patients with rapidly changing clinical situations (inpatient care). The calculated GFR is gender, age, and race specific. Values for patients identified as one are calculated using the equation one race and for patients who do not report race are calculated using the equation for one race patients. ? CG eCrCl 12/31/2021 155 mL/min/1.73 m2 Final ? Calcium Level Total 12/31/2021 8.7 8.6 - 10.4 mg/dL Final ? Protein Total 12/31/2021 6.6 6.0 - 8.0 g/dL Final ? Albumin Level 12/31/2021 2.3* 3.5 - 5.0 g/dL Final ? Bilirubin Total 12/31/2021 <0.2* 0.2 - 1.0 mg/dL Final ? Alkaline Phosphatase 12/31/2021 141* 35 - 104 IU/L Final ? Alanine Aminotransferase 12/31/2021 6* 10 - 40 IU/L Final ? Aspartate Aminotransferase 12/31/2021 11 10 - 40 IU/L Final ? White Blood Cell 12/31/2021 10.04 4.00 - 10.80 x10*3/uL Final ? Red Blood Cell 12/31/2021 3.73* 4.20 - 5.40 x10*6/uL Final ? Hemoglobin 12/31/2021 10.3* 12.0 - 16.0 g/dL Final ? Hematocrit 12/31/2021 32.5* 37.0 - 47.0 % Final ? Mean Cell Volume 12/31/2021 87.1 80.0 - 100.0 fL Final ? Mean Cell Hemoglobin 12/31/2021 27.6 27.0 - 33.0 pg Final ? Mean Cell Hemoglobin Concentration 12/31/2021 31.7* 32.0 - 37.0 g/dL Final ? Red Cell Diameter Width 12/31/2021 15.0 11.0 - 16.0 % Final ? NRBC Absolute Count 12/31/2021 0.00 0.00 - 0.01 x10*3/uL Final ? NRBC Automated 12/31/2021 0.0 0.0 - 0.1 %WBC Final ? Platelet 12/31/2021 190 140 - 400 x10*3/uL Final ? Mean Platelet Volume 12/31/2021 11.3* 7.4 - 11 fL Final ? Neutrophil Automated 12/31/2021 88.3* 35.0 - 80.0 % Final ? Immature Granulocyte Automated 12/31/2021 0.3 0.0 - 0.6 % Final ? Lymphocyte Automated 12/31/2021 4.3* 20.0 - 50.0 % Final ? Monocytes Automated 12/31/2021 6.8 2.0 - 12.0 % Final ? Eosinophil Automated 12/31/2021 0.2 0.0 - 6.0 % Final ? Basophil Automated 12/31/2021 0.1 0.0 - 2.0 % Final ? Neutrophil Absolute Count 12/31/2021 8.87* 1.80 - 7.80 x10*3/uL Final ? Immature Granulocyte Absolute Count 12/31/2021 0.03 0.00 - 0.05 x10*3/uL Final ? Lymphocyte Absolute Count 12/31/2021 0.43* 1.00 - 4.00 x10*3/uL Final ? Monocyte Absolute Count 12/31/2021 0.68 0.00 - 0.90 x10*3/uL Final ? Eosinophil Absolute Count 12/31/2021 0.02 0.00 - 0.50 x10*3/uL Final ? Basophil Absolute Count 12/31/2021 0.01 0.00 - 0.20 x10*3/uL Final ? Prothrombin Time 12/31/2021 9.9 9.5 - 12.0 second(s) Final ? INR 12/31/2021 0.9 0.9 - 1.2 Ratio Final Low intensity anticoagulation therapeutic range: 2.0-3.0 High intensity anticoagulation therapeutic range: 2.5-3.5 INR value is clinically relevant ONLY when patient is on warfarin. ? Activated Partial Thromboplastin T* 12/31/2021 28 21 - 31 second(s) Final High and Reduced intensity anticoagulation therapeutic range: 42-57 See individual nomograms for therapeutic ranges for other indications. ? Calcium Level Ionized 12/31/2021 1.11* 1.12 - 1.40 mmol/L Final ? Magnesium Level 12/31/2021 1.7 1.6 - 2.5 mg/dL Final ? Phosphorus Level 12/31/2021 2.3* 2.5 - 4.5 mg/dL Final ? Gram stain 12/31/2021 Many WBCs Final ? Gram stain 12/31/2021 No yeast observed. Final ? Gram stain 12/31/2021 Normal vaginal microbiota. Final ? Antibody Screen Interpretation 12/31/2021 Negative Final ? ABO Rh Interpretation 12/31/2021 A Positive Final ? Historical ABO Check 12/31/2021 On File Final ? Influenza A PCR 12/31/2021 Not Detected Not Detected Final ? Influenza B PCR 12/31/2021 Not Detected Not Detected Final DR CHEST SINGLE VIEW [361399349] Resulted: 12/31/21 0809 Order Status: Completed Updated: 12/31/21 0811 Narrative: EXAMINATION: Single View Chest EXAM DATE: 12/31/2021 8:01 AM TECHNIQUE: Single view chest INDICATION: respiratory illness COMPARISON: Chest radiograph 12/16/2021 ENCOUNTER: Not applicable _________________________ FINDINGS: The cardiomediastinal silhouette is unchanged in appearance. There are minimal streaky opacities at the lung bases. No sizable pleural effusion is present. No pneumothorax is visualized. ______________________________________ Impression: Minimal streaky opacities in the lung bases may represent atelectasis or very mild airspace disease without confluent consolidation.
CDC Split Type:

Write-up: Patient hospitalized for 8 hours. Patient is a 25yo female who presented at 34w0d with fever, tachycardia, and malaise. Given her symptoms a sepsis workup was completed and was given IV fluid resuscitation and oral tylenol. She was found to be positive for Covid 19. After her fluid resuscitation she felt much better. Her vital signs normalized with a heart rate of 88. The fetal heart rate on arrival was tachycardic in the 170''s - this also resolved with fluid resuscitation to a baseline of 145-150, moderate variability, with +accels, no decels. She had a normal WBC count and her CBC and CMP were normal. She did report lower pelvic pain and urinary frequency, although denies dysuria or hematuria. A urinalysis was suspicious for a UTI so she was treated with 3gm fosfomycin. As she did not meet inpatient hospitalization criteria the monoclonal antibody team was consulted and she elected to receive the infusion. This was given while she was in triage. The patient was advised to return to the hospital with any alarming signs/sxs including severe chest pain, shortness of breath, severe abdominal pain or decreased fetal movement. We discussed quarantining due to Covid and will plan to reschedule her next prenatal visit. She was also taught to administer lovenox and was given her first dose of 40mg SQ. A rx was sent for 40mg BID for 10 days for DVT prophylaxis. She felt comfortable with the plan for discharge and had no further questions.


VAERS ID: 2022054 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FL3198 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Abnormal behaviour, COVID-19, Chills, Cough, Decreased appetite, Diarrhoea, Disorientation, Malaise, Mood altered, Pyrexia, SARS-CoV-2 test positive, Urinary incontinence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (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: Tramadol, Zolpidem, Carisoprodol (SOMA), Tylenol, Prevastatin, Lisinopryl
Current Illness: High Blood Pressure, beginning of dementia, has had falls, irate and erratic behaviors.
Preexisting Conditions: Scoliosis, Hematomas, Has high blood pressure, headaches, herniated discs, and four inguinal hernia operations He takes sleeping pills
Allergies: Has in the past suffered from food allergies (pineapple) and NSAIDS.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Father has been complaining of severe pain in abdomen (near inguinal hernia area) has had no hunger, has been erratic, no orientation to time and space. Has been walking naked in the home (which he has not done) has had bouts of diarrhea, has peed the floor more than 5-7 times daily, has not shaven, and says he is dressed (He isn''t dressed with Pajamas, or clothing) and my mother has had to tell him to dress up and have some decency as I (His daughter) are in the home. Father came home with covid symptoms week of December 28th, 2021 and began coughing and feverish/shivering. We (mother and I) suspected He has covid, and he failed to be tested and proceeded to get vaccinated on 12/30/2021. I his 50 year old daughter, came back positive for COVID on 01/05/2022 (As the test results took long to arrive). I am an immunocrompressed person, and he has failed to observe covid protocols in the home. Morever, Pharmacy was highly irresponsible to vaccinate someone with covid symptoms already on 12/30/2021. Father has had erratic mood behaviors, is not oriented to time and space, and is avoiding to be seen by a doctor or listen to advise.


VAERS ID: 2023686 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: New York  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Work       Purchased by: ?
Symptoms: Lymphadenopathy
SMQs:, 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: Meloxicam
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Injection side, underarm lymph nodes swollen for three days.


VAERS ID: 2023698 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013H21B / 3 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Migraine, Myalgia, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Moderna 2nd dose , February 2021, 40 years old. Mild body aches for 48 hours.
Other Medications: Levothyroxine
Current Illness: Diarrhea/nausea for 2 days. Tested negative for covid 48 hours prior to booster
Preexisting Conditions: Hypothyroidism, anxiety, migraines
Allergies: NA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe Body aches, muscle and joint pain, fever 102.5, daily migraines and fatigue . Took 800 mg Ibuprofen every 4-6 hours for 48 hours for pain and excedrin migraine 2 tabs every 12-24 for 48 hours for migraine. S


VAERS ID: 2024029 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-09-01
Onset:2021-12-31
   Days after vaccination:121
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (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? 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: USJNJFOC20220112442

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total administered on SEP-2021 for prophylactic vaccination (Dose number in series 1). The batch number was not reported. The company is unable to perform follow-up to request batch and lot numbers. No concomitant medications were reported. On 31-DEC-2021, the patient experienced suspected clinical vaccination failure, and suspected covid-19 infection. Patient stated that "felt exactly like when he had Covid but much less intense. The two of us who never had Covid, including me who had one shot of J and J in SEP-2021 and another who had no vax are both legitimately sick. We are both on day eight with fevers, relentless headache and cough. Mostly in bed." The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected clinical vaccination failure and suspected covid-19 infection was not reported. This report was serious (Other Medically Important Condition). This report was associated with a product quality complaint: 90000210791.; Sender''s Comments: V0.20220112442-covid-19 vaccine ad26.cov2.s -suspected clinical vaccination failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 2024377 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Altered state of consciousness, Anosmia, Blindness, Deafness, Dyspnoea, Feeling abnormal, Feeling cold, Feeling hot, Hallucination, Headache, Immunisation, Limb discomfort, Pain
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202200016897

Write-up: Hallucinations; in and out of consciousness; Couldn''t see; Couldn''t hear; Couldn''t smell; Couldn''t feel; Struggled to breathe; Severe body aches; severe hot/cold flashes; severe hot/cold flashes; debilitating headache; limbs hurt; booster; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 37 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 31Dec2021 12:00 (Batch/Lot number: unknown) at the age of 37 years as dose 3 (booster), single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Bnt162b2 (Dose Number: 2, Batch/Lot No: Unknown. Unable to locate or read the details, Location of injection: Arm Left, Vaccine Administration Time: 08:00 AM), administration date: 11May2021, when the patient was 36 years old, for COVID-19 Immunization; Bnt162b2 (Dose Number: 1, Batch/Lot No: Unknown. Unable to locate or read the details, Location of injection: Arm Left, Vaccine Administration Time: 08:00 AM), administration date: 25May2021, when the patient was 36 years old, for COVID-19 Immunization. The following information was reported: IMMUNISATION (medically significant) with onset 31Dec2021 12:00, outcome "unknown", described as "booster"; HALLUCINATION (medically significant) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Hallucinations"; ALTERED STATE OF CONSCIOUSNESS (medically significant) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "in and out of consciousness"; BLINDNESS (medically significant) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Couldn''t see"; DEAFNESS (medically significant) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Couldn''t hear"; ANOSMIA (non-serious) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Couldn''t smell"; FEELING ABNORMAL (non-serious) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Couldn''t feel"; DYSPNOEA (non-serious) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Struggled to breathe"; PAIN (non-serious) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "Severe body aches"; FEELING HOT (non-serious), FEELING COLD (non-serious) all with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021) and all described as "severe hot/cold flashes"; HEADACHE (non-serious) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "debilitating headache"; LIMB DISCOMFORT (non-serious) with onset 31Dec2021 22:00, outcome "recovered with sequelae" (2021), described as "limbs hurt". Therapeutic measures were not taken as a result of hallucination, altered state of consciousness, blindness, deafness, anosmia, feeling abnormal, dyspnoea, pain, feeling hot, feeling cold, headache, limb discomfort. Clinical course: The patient had not received any other vaccine within 4 weeks prior to the COVID vaccine. Patient had no known allergies. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 2024378 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Pyrexia
SMQs:, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20220106; Test Name: Fever; Result Unstructured Data: Test Result:102.3
CDC Split Type: USPFIZER INC202200018458

Write-up: Fever has been on and off and today its 102.3; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the parent. A 7 year-old male patient received bnt162b2 (BNT162B2), administration date 30Dec2021 (Batch/Lot number: unknown) as dose 2 (tris), single for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary immunization series complete but unknown manufacturer), for COVID-19 Immunization. The following information was reported: PYREXIA (non-serious) with onset 31Dec2021, outcome "not recovered", described as "Fever has been on and off and today its 102.3". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: Reported events experienced after 2nd dose of Pfizer covid vaccine received. The lot number for bnt162b2 was not provided and will be requested during follow up.


VAERS ID: 2024597 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-20
Onset:2021-12-31
   Days after vaccination:255
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Dyspnoea, Glycosylated haemoglobin normal, Hyperglycaemia, Nasal congestion, Oxygen saturation decreased, Polyuria, Pyrexia, Refusal of treatment by patient, Renal impairment, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (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), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amLODIPine (NORVASC) 10 MG tablet Ascorbic Acid (VITAMIN C) 100 MG CHEW atorvastatin (LIPITOR) 20 MG tablet calcium carb-cholecalciferol (CALCIUM 500/D) 5
Current Illness:
Preexisting Conditions: Pneumonia due to COVID-19 virus HTN (hypertension) Vitamin D deficiency Obesity Membranous glomerulonephritis Group B streptococcal infection Venous stasis dermatitis Cellulitis of left lower extremity Type 2 diabetes mellitus with diabetic neuropathy, with long-term current use of insulin Nicotine dependence Nephrotic syndrome Stage 3 chronic kidney disease Dyslipidemia Severe sepsis Lumbar disc disease
Allergies: Niacin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized 1/1/2022; COVID-19 positive 12/31/2021; fully vaccinated Admit Date: 1/1/2022 3:23 AM Discharge Date: 1/7/2022 4:31 PM Hospital Course: Patient is a 50 year old male with history of hypertension, hyperlipidemia, CKD 4, morbid obesity, uncontrolled diabetes, obstructive sleep apnea noncompliant with CPAP, diabetic neuropathy, hypothyroidism presented to the ER with complaints of cough and fever. Patient also had nasal congestion but cough/SOB were at baseline. He was vaccinated for COVID but did nto yet receive booster. In the ER, he tested postive for COVID. CXR showed bilateral airspace disease consistent with COVID pneumonia. Patient was admitted for acute hypoxic respiratory failure due to COVID pneumonia. Patient was placed on supplemental oxygen and oral dexamethasone. Oxygen was gradually weaned off to room air at the time of discharge. Patient continued to have drop in oxygen saturations overnight. Refused to wear CPAP in the hospital. Patient prefers following up with his PCP for sleep study referral. Patient has uncontrolled diabetes which his outpatient endocrinologists have struggled with getting tight control with U500 insulin. Patient had significant hyperglycemia with steroids so DGMS was consulted. HbA1C is 8.3%. IV insulin was recommended, however patient refused it. Patient''s blood sugars slowly improved. Nephrology was consulted for worsening renal function. Patient briefly received IV fluids with improvement in renal function. Lasix was held. As patient is having good diuresis Lasix was resumed at half the home dose. Patient was discharged to Home with services - COVID at home in stable condition.


VAERS ID: 2024905 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-30
Onset:2021-12-31
   Days after vaccination:245
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Ammonia normal, Anaemia, Angina pectoris, Anion gap, Asthenia, Atrial fibrillation, Bacteraemia, Blood bicarbonate decreased, Blood chloride decreased, Blood creatinine increased, Blood culture negative, Blood culture positive, Blood folate normal, Blood gases normal, Blood glucose normal, Blood iron decreased, Blood potassium increased, Blood sodium decreased, Blood thyroid stimulating hormone decreased, Blood urea increased, COVID-19, Carbon dioxide normal, Cardiac failure congestive, Catheter removal, Cerebral atrophy, Cerebral ventricle dilatation, Chest X-ray abnormal, Clostridium test positive, Computerised tomogram head abnormal, Condition aggravated, Constipation, Cough, Decreased activity, Diarrhoea, Drug level, Dysphagia, Ejection fraction, Electroencephalogram abnormal, Encephalopathy, End stage renal disease, Fall, Fatigue, Fluid intake restriction, General physical condition abnormal, Glomerular filtration rate decreased, Glycosylated haemoglobin normal, HIV test negative, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Hallucination, Head injury, Hyperkalaemia, Hypertensive emergency, Hypoglycaemia, Hyponatraemia, Insulin-requiring type 2 diabetes mellitus, Lung infiltration, Lung opacity, Magnetic resonance imaging head abnormal, Malaise, Mean cell volume increased, Medical diet, Mental status changes, Myalgia, Nausea, Neutrophil count, Packed red blood cell transfusion, Platelet count decreased, Pleural effusion, Pulmonary oedema, Pyrexia, Rales, Red blood cell count decreased, SARS-CoV-2 antibody test positive, SARS-CoV-2 test positive, Scab, Serum ferritin increased, Skin warm, Staphylococcus test positive, Streptococcus test positive, Therapy interrupted, Thyroxine normal, Toxic encephalopathy, Treponema test negative, Vascular catheterisation, Vitamin B1, Vitamin B12 normal, Vomiting, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haematopoietic thrombocytopenia (narrow), Lactic acidosis (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (narrow), Myelodysplastic syndrome (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (narrow), Infective pneumonia (broad), Sepsis (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, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen 650 mg Oral Every 6 hours PRN amLODIPine Besylate 10 mg Oral Every morning Aspirin 81 mg Oral Every morning Atorvastatin Calcium 40 mg Oral Every other day, At night B Complex-C-Folic Acid 1 tablet Oral Every morning Carvedilo
Current Illness: 12/10/21 - ED at hospital for fall with acute head injury-without loss of consciousness 12/20-12/24/21 - Hospital admission for hypertensive emergency & Hyperkalemia
Preexisting Conditions: Past Medical History: Diagnosis Date ? (HFpEF) heart failure with preserved ejection fraction 04/11/2019 ? Acute myocardial infarction 2000 ? Acute respiratory failure with hypoxia and hypercapnia 12/7/2020 ? CAD (coronary artery disease) ? Chest pain, unspecified type 6/27/2019 ? Chronic diastolic heart failure ? Diabetes mellitus ? Diabetes mellitus, type II ? ED (erectile dysfunction) ? GERD (gastroesophageal reflux disease) ? HTN (hypertension) ? Hyperlipidemia ? Hypertensive emergency ? Kidney disease, chronic, stage IV (GFR 15-29 ml/min) ? Pneumonia
Allergies: hydralazine - vasculities hydrocodone - "gets violent"
Diagnostic Lab Data: Recent Labs 12/31/21 1717 WBC 6.92 HGB 8.2* HCT 24.7* PLATELET 99* SODIUM 128* POTASSIUM 5.1* CHLORIDE 94* HCO3 13* CREATININE 12.71* BUN 108* GLUCOSE 106* Lab Results Component Value Date WBC 7.90 01/10/2022 RBC 2.48 (L) 01/10/2022 HGB 8.3 (L) 01/10/2022 HCT 24.8 (L) 01/10/2022 MCV 100.0 01/10/2022 PLATELET 114 (L) 01/10/2022 NEUTABSOLU 5.27 01/03/2022 Lab Results Component Value Date GLUCOSE 81 01/10/2022 SODIUM 136 01/10/2022 POTASSIUM 4.1 01/10/2022 CHLORIDE 99 01/10/2022 TOTALCO2 29 02/26/2018 HCO3 22 01/10/2022 ANIONGAP 15 01/10/2022 BUN 38 (H) 01/10/2022 CREATININE 7.51 (H) 01/10/2022 EGFR 7 (L) 01/10/2022
CDC Split Type:

Write-up: Hospitalized (12.31.21 - still admitted currently); COVID-19 positive (12.31.21); Fully vaccinated - moderna x2 H&P: History and Physical Date of Admission: 12/31/2021 Chief complaint End stage renal disease on dialysis Assessment and Plan Principal Problem: End stage renal disease on dialysis Active Problems: Coronary artery disease of native artery of native heart with stable angina pectoris Essential hypertension Chronic diastolic heart failure Recurrent right pleural effusion Type 2 diabetes mellitus with hypoglycemia without coma Atrial fibrillation, unspecified type COVID-19 PLAN ESRD on HD Hyponatremia Hyperkalemia: - Missed multiple dialysis sessions since last week due to feeling unwell and vomiting - monitor on telemetry - consult nephrology for dialysis COVID-19 with possible pneumonia - vaccinated but has not received booster - Developed symptoms on 1 week ago, date of positive test 12/31 - Chest x-ray shows bilateral central lung opacities, correlate for edema or pneumonia - currently not a candidate for decadron or remdesivir. Can consider monoclonal antibodies - Symptomatic treatment with tylenol, antitussives, PRN albuterol, etc DMII: - continue lantus and correction scale Chronic diastolic CHF Unspecified atrial fibrillation Essential hypertension CAD: - BPs stable - continue amlodipine, carbedilol, nifedipine, losartan - continue ASA DVT prophylaxis: heparin sq Code Status: Full code, per discussion with patient History of Present Illness History obtained from patient, ED physician/records, and personally reviewedpast medical records. Patient is a 70 y.o. male who presents today with weakness, fatigue, nausea/vomiting, diarrhea. Patient has a history of end-stage renal disease on hemodialysis, chronic diastolic CHF, unspecified atrial fibrillation, essential hypertension, coronary disease, type 2 diabetes, PRES syndrome. He was recently hospitalized from 12/20-12/24 with hypertensive emergency. He had a full run of dialysis on 12/24 and he was discharged home. He states that he felt okay at the time of discharge, however, since then, he has been feeling very weak. He was unable to go to his dialysis 1 week ago. Since then he has missed his dialysis due to either weakness or vomiting. He states that he feels very fatigued and has also been having diarrhea. He denies any fever or chills. He thinks he has some cough but denies any shortness of breath. He denies any abdominal pain. Overall he is feeling run down and unwell. Emergency department, patient is hemodynamically stable. Labs do reveal hyponatremia, hyperkalemia, elevated BUN and creatinine from patient''s baseline. COVID testing is positive. Chest x-ray reveals edema versus infiltrate. Review of Systems Review of Systems Constitutional: Positive for activity change and fatigue. Negative for fever. HENT: Negative for congestion. Eyes: Negative for visual disturbance. Respiratory: Positive for cough. Negative for shortness of breath. Cardiovascular: Negative for chest pain and palpitations. Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain. Endocrine: Negative for polyuria. Musculoskeletal: Positive for myalgias. Skin: Negative for color change. Neurological: Negative for dizziness and light-headedness. Hematological: Negative for adenopathy. Psychiatric/Behavioral: Negative for confusion. All other systems reviewed and are negative. Physical Exam BP 119/61 | Pulse 57 | Temp 36.4 ?C (Oral) | Resp 18 | Ht 1.829 m | Wt 85.1 kg | SpO2 96% | BMI 25.44 kg/m? No intake or output data in the 24 hours ending 12/31/21 2041 Physical Exam Vitals and nursing note reviewed. Constitutional: General: He is not in acute distress. Appearance: He is ill-appearing. He is not toxic-appearing. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Rales present. Abdominal: General: There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. There is no guarding. Musculoskeletal: General: No swelling, tenderness or deformity. Cervical back: Normal range of motion and neck supple. Skin: General: Skin is warm. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. 1/10/22 General Medicine progress note: Attestation signed by MD, MPH at 1/10/2022 5:23 PM Management was discussed with PA-C on 1/10/2022. I agree with the documented findings and plan of care in his note. Brief history and medical decision making: Patient awaiting PermCath placement. Patient will need subacute rehab at discharge along with outpatient hemodialysis. Can be difficult placement. Expand All Collapse All Hide copied text Hover for details Progress Note CHIEF COMPLAINT: Bacteremia Assessment/Plan ASSESSMENT / PLAN: Polymycrobial Bacteremia -febrile 1/2, Blood Cx 1/2 positive for MRSA, Clostridium perfingens, Step mitis/oralis, staph epidermis -repeat blood Cx 1/3 and 1/5 NGTD -s/p permacath removal 1/4; per ID no need for foreign body culture -echo: LVEF 51%, no evidence of endocarditis -ID consult appreciate recs; abx history: - vancomycin 1/3-1/5 - penicillin G 1/3-1/5 - cefazolin 1 gm q 24 hrs 1/5-present - will need 2 weeks antibiotics following negative cultures -Vascath placed 1/6; premacath planned for later today Acute Encephalopathy, suspected Toxic metabolic encephalopathy; improving Hallucinations -likely multifactorial in setting of COVID, Bacteremia, missed HD, fever -CT head w/o contrast 1/4: ventriculomegaly similar to prior; no acute process -MRI Brain w/o contrast 1/6: global brain atrophy slightly greater than expected for age; no acute process -EEG: GRDA, periodic discharges, no evidence of seizure activity -ammonia, vbg unremarkable -neurology following; appreciate recs -b1, b12, folate wnl; tsh low t4 wnl, hiv and syphilis negative -Minimize narcotics/sedatives as able. -Encourage normal sleep/wake cycle. -Encourage use of melatonin qhs. -frequent re-orientation ESRD on HD HD Inadherence - MWF dialysis - Missed multiple dialysis sessions PTA - nephrology consulted; appreciate recommendations -Na/fluid restriction, daily weights -renally dose medications -continue phos binder COVID-19 with possible pneumonia -$gvaccinated with booster - Developed symptoms on 1 week prior to admission, date of positive test 12/31 - out of respiratory precautions - CXR on admission with bilateral central lung opacities - COVID 19 spike antibody positive - not candidate for monoclonal, decadron or remdesivir - supportive care; on room air Dysphagia -SLP recommended pureed solids and thin liquids, pills in puree Constipation - last BM 12/31 - senna and miralax - prn suppository DMII, insulin dependent - Hgba1c 5.0 - home regimen: lantus 5 units and sliding scale corrective - has not required any insulin while inpt; will d/c - diabetic liberal diet Acute on Chronic Anemia -s/p 1 unit PRBCs 1/9 - folate, b12 wnl , ferritin significantly elevated, iron level and IBC low - no active signs of bleeding contine to monitor - blood consent obtained via phone with RN witness from wife - Epo with HD per outpatient regimen Epilepsy Hx Status Epilepticus -continue depakote; 1x IV dose ordered today given patient Npo for permacath and needs purees for meds -valproate levels wnl -seizure precautions Chronic diastolic CHF Atrial fibrillation, unspecified Essential hypertension CAD - BPs stable - continue amlodipine, carvedilol, nifedipine, losartan - continue ASA COPD -not on home inhalers DVT prophylaxis: Heparin SubQ Code status: Full code per admission Dispo: Plan for permacath today. Following placement patient is medically ready for discharge pending SAR placement. The above stated assessment and plan was discussed with Dr. and reflects his input. Subjective SUBJECTIVE: Patient seen and examined in bed. He was just working with PT/OT. Denies any chest pain, SOB. A&Ox3. Review of Systems Unable to perform ROS: mental status change Respiratory: Negative for shortness of breath. Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for nausea and abdominal pain. Objective OBJECTIVE: BP 150/88 | Pulse 69 | Temp 36.6 ?C (Oral) | Resp 14 | Ht 1.829 m | Wt 83 kg | SpO2 100% | BMI 24.81 kg/m? Physical Exam Vitals and nursing note reviewed. Constitutional: General: He is not in acute distress. Appearance: He is ill-appearing. He is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Eyes: Conjunctiva/sclera: Conjunctivae normal. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: No murmur heard. Comments: vascath right chest wall with dressing clean, dry and intact Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing, rhonchi or rales. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. There is no guarding. Musculoskeletal: Right lower leg: No edema. Left lower leg: No edema. Skin: General: Skin is warm and dry. Comments: Small scab over left hip Neurological: Mental Status: He is alert. Comments: Patient states his name, DOB and that he is in the hospital. Able to state month as Jan and year as 2022. When asked reason for hospitalization he states "high blood pressure". Slow to respond to questions. Moving all extremities in bed. Psychiatric: Comments: Increased participation in conversation today


VAERS ID: 2025001 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-09-04
Onset:2021-12-31
   Days after vaccination:118
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30130BA / UNK - / -

Administered by: Unknown       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? 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: Covid positive contact unknown. Client did receive booster shot


VAERS ID: 2025238 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032H21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Decreased appetite, Dehydration, Dizziness, Headache, Heart rate abnormal, Hypoaesthesia, Myalgia, Pain in extremity, Pyrexia, Seizure, Tremor, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (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), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: lisinopril/ rovostatin
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Felt like a heart attack/ pain right arm and chest/ numb in face/ admitted into hospital dehydration/ 2 bags i.v. Abnormal heart rate 135 brought down with seditive given nausea medicine/ released slow recovery / 1 week / dizzy /no appetite 2 weeks later still have headache
CDC Split Type:

Write-up: woke up with shakes turning into convulsions lasting 30 min. followed by uncontrolled vomiting 4 hrs fever, headache, dizziness. 4 days sore muscles from vomiting and convulsions


VAERS ID: 2025340 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Gait disturbance, Imaging procedure, Muscle spasms, Muscle twitching, Pain, Pain in extremity, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Moderna Vaccine number 2 - 38 years old. 3/12/21. Hives and itching that began 10 days after vaccination - hives primarily on le
Other Medications: Fish oil, vitamin D, Thorne Methyl-Guard, aspirin
Current Illness: N/A
Preexisting Conditions: Hereditary blood disorders: PAI-1 4g/4g, MTHFR C677T homozygous, Factor 13 heterozygous
Allergies: Phenergan with codeine
Diagnostic Lab Data: Vascular venous imaging - unilateral lower extremity, left side, 1/7/22: Veins easily compressible and feel normal. Left great saphenous and small saphenous veins also appear normal. No evidence of DVT or superficial vein thrombosis.
CDC Split Type:

Write-up: I had the anticipated reactions to the booster including fever and body aches. While laying in bed that night after I received the booster, I began to feel a pain in the front of my left leg that felt similar to shin splints. By the next day that pain had gone away, but my left calf began to hurt. I had pain in the side and back of the left calf - the pain was to the touch and also made it difficult to walk. The pain got worse over the next several days; when walking it felt as if I had gone running without stretching, then went running again the next day. Motrin did not help the pain, and stretching did not help. I went to the doctor and was told to get a scan to rule out blood clots. Those scans were done on 1/5/22 and nothing was found. The night of 1/5/22 I began to have what felt like muscle twitching in the left calf, left shoulder, stomach, and left thigh. That night I also had muscle spasms in both lower legs. 1/6/22 felt very similar. By 1/7/22 the pain in my calf was lessening. The twitches also began to lessen to just a handful of times per day. However I developed an itch on my scalp that persisted for three days. On 1/11/22 I woke up and had itchy points on several areas of my body. I noted that I had a small circular hive on my neck that itched. The itching on my neck decreased after about twenty minutes.


VAERS ID: 2025558 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-04-22
Onset:2021-12-31
   Days after vaccination:253
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 2 LA / IM

Administered by: Private       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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, depo provera
Current Illness: none
Preexisting Conditions: asthma, hip replacement
Allergies: none
Diagnostic Lab Data: positive covid test
CDC Split Type:

Write-up: positive covid


VAERS ID: 2025946 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-12-03
Onset:2021-12-31
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cough, Dysphonia, Oropharyngeal pain, Pyrexia, Sinusitis, Viral test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Presumptive positive test on 12/31/2021 through PCR test. Symptoms started 12/27/2021 but tested negative on 12/27/2021 through PCR test.
CDC Split Type:

Write-up: Hoarse throat, soar throat, sinusitis, fever, dry cough.


VAERS ID: 2026252 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-08-18
Onset:2021-12-31
   Days after vaccination:135
Submitted: 0000-00-00
Entered: 2022-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 3 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Ascites, Back pain, COVID-19, COVID-19 pneumonia, Chills, Crohn's disease, Cytopenia, Deep vein thrombosis, Diarrhoea, Diffuse large B-cell lymphoma, Dizziness, Dyspnoea, Gastric varices, Hypertension, Hypotension, Infection, Iron deficiency anaemia, Platelet count decreased, Pleural effusion, Polyuria, SARS-CoV-2 test positive, Sleep apnoea syndrome, Splenomegaly, Tachycardia, Tachypnoea, Thrombocytopenia, Transaminases increased, Troponin increased, Ultrasound Doppler abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Agranulocytosis (narrow), Asthma/bronchospasm (broad), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic thrombocytopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (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), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal premalignant disorders (narrow), Thrombophlebitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Malignant lymphomas (narrow), Myelodysplastic syndrome (broad), Noninfectious diarrhoea (narrow), Tubulointerstitial diseases (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: apixaban (ELIQUIS) 5 MG tablet B Complex Vitamins (VITAMIN B COMPLEX) tablet brimonidine (ALPHAGAN) 0.2 % ophthalmic solution Cholecalciferol (VITAMIN D PO) ciclopirox (PENLAC) 8 % solution dexamethasone (DECADRON) 6 MG tablet famotidine (P
Current Illness:
Preexisting Conditions: Iron deficiency anemia secondary to blood loss (chronic) Cholesterol Goal < 160 Lumbar radiculopathy, chronic left leg Postthrombotic syndrome of left lower extremity Crohn''s disease involving terminal ileum (HCC) Gastroesophageal reflux disease without esophagitis History of adenomatous polyp of colon Excessive daytime sleepiness OSA (obstructive sleep apnea) - APAP 6-16 - HTN (hypertension), benign Prediabetes Diffuse large B-cell lymphoma of lymph nodes of multiple regions (HCC) Pancytopenia due to chemotherapy (HCC) History of DVT (deep vein thrombosis) - 2014 -
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalized (1.3.22); COVID-19 positive (12.31.21); fully vaccinated PLUS booster DATE OF ADMISSION: 01/03/2022 DATE OF DISCHARGE: 01/08/2022 DISCHARGE DIAGNOSES 1. Severe COVID pneumonia with acute hypoxic respiratory failure. 2. Acute left popliteal deep vein thrombosis. 3. Community-acquired pneumonia ruled out. 4. Chronic left pleural effusion. 5. Diffuse large B-cell lymphoma with splenomegaly and ascites. 6. Hypertension. 7. Iron deficiency anemia. 8. Crohn disease. 9. Chronic back pain. 10. History of prediabetes. 11. Obstructive sleep apnea. 12. Nonischemic troponin elevation due to infection. 13. Mild transaminitis, resolved PROCEDURES 1. CTA thorax. 2. Bilateral upper and lower extremity Dopplers. HOSPITAL COURSE 1. COVID pneumonia. A 71-year-old patient presented to the ER with chills, dyspnea and dizziness (no falls), and diarrhea. Symptoms started 12/23 and patient tested positive outpatient, 12/31. At home, he was hypoxic, using his home pulse oximeter and presented for evaluation. On presentation, his SpO2 was 77% on room air, temp 39.3 with mild tachycardia (109) and tachypnea (26). Initially placed on non-rebreather, but rapidly transitioned to high-flow nasal cannula. CTA of the thorax was negative for PE. Left pleural effusion was present but was unchanged based on prior CTs. He was initially started on Decadron, then changed to Solu-Medrol ***mg/kg per 24 hours. We felt he was extremely high risk to develop PE given his underlying malignancy, and we elected to start full-dose Lovenox 1 mg/kg q.12 hours. This was done despite thrombocytopenia and known gastric varices. Very close monitoring for acute bleeding was done. He did not show any evidence of acute bleeding during the hospitalization. He did have lower extremity venous Doppler that showed an acute nonocclusive left popliteal vein DVT. Right lower extremity negative and both arms negative as well. Aggressive diuresis was performed throughout the hospitalization. He slowly improved and by discharge was on room air with an ambulatory pulse ox of 91% on room air. He received a total of 5 days of steroids during the hospitalization (01/04-01/08) and is being discharged on an additional 5 days of Decadron to complete 10 days of treatment. 2. Acute left popliteal DVT. Treated with Lovenox 90 mg q.12 hours during the hospitalization and discharged on Eliquis. Would recommend 3 months of therapy. 3. Hypertension. Blood pressure was low during the hospitalization. Norvasc and hydralazine held both during the hospitalization and at discharge. Blood pressures ranged from 109/70 to 131/74 on the day of discharge. Would ask PCP to closely follow this and decide when to resume antihypertensives. 4. History of prediabetes. Treated with very low-dose corrective scale during the hospitalization. He was not sent home on any medications for diabetes. 5. Chronic thrombocytopenia. Present since July and felt to be due to chemotherapy. Last platelet count before discharge (on 01/07/2022) is 102. No evidence for bleeding. 6. Stage IV diffuse large B-cell lymphoma. Status post R-CHOP x6 cycles February through June of 2021, requiring multiple dose reductions due to cytopenias. He has known occluded segment of the splenic vein, left upper quadrant splenic and gastric varices and persistent splenomegaly. None of these issues were acutely addressed during this hospitalization. Additionally, his chronic left pleural effusion was not addressed. 7. Crohn disease. On chart review, it is noted he was on Humira until December 2020. This was discontinued when lymphoma was diagnosed with no plans to resume


VAERS ID: 2027316 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Aphasia, Dyspnoea, Feeling hot, Hyperhidrosis, Pallor, Palpitations, Posture abnormal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 11 mins into having the 2nd shot my daughter Was saying her stomach hurt she couldn?t breathe her heart was pounding she turned white as a ghost she was sliding out of her chair, then wasn?t able to really speak much, be came hot in touch sweaty. Call the pharmacist over he offered us an ice pack then put it on her head it was rotating it to her side of her neck and back then her color started coming back.


VAERS ID: 2027650 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-17
Onset:2021-12-31
   Days after vaccination:136
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 - / -

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211231; Test Name: Abott Home test; Result Unstructured Data: Test Result:Positive; Comments: Nasal Swab
CDC Split Type: USPFIZER INC202200018892

Write-up: Covid positive; Covid positive; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 43 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administration date 17Aug2021 (Lot number: EW0196) at the age of 43 years as dose 2, single and administration date 27Jul2021 (Lot number: EW0196) as dose 1, single for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION FAILURE (medically significant) with onset 31Dec2021, outcome "unknown", COVID-19 (medically significant) with onset 31Dec2021, outcome "recovering" and all described as "Covid positive". The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (31Dec2021) positive, notes: Nasal Swab. Clinical information: The patient was not receiving any other vaccines within 4 weeks prior to the COVID vaccine and no other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, has the patient been tested for COVID-19. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2027858 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Vermont  
Vaccinated:2021-12-21
Onset:2021-12-31
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33025BD / 3 LA / -

Administered by: Public       Purchased by: ?
Symptoms: C-reactive protein increased, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Mirena IUD
Current Illness: none
Preexisting Conditions: congenital heart defect
Allergies: opiates
Diagnostic Lab Data: ER visit, labs - elevated CRP 1/2/2022
CDC Split Type:

Write-up: swelling of several toes L foot, pain and swelling of pad of R foot CRP elevated @ 26.5 CRP repeated 1/10/22 @ 7.8


VAERS ID: 2027970 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-12-28
Onset:2021-12-31
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031H21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain upper, Blister, Condition aggravated, Diarrhoea, Hypoaesthesia, Inflammation, Oral mucosal blistering, Rash, Skin laxity, Skin ulcer, Swelling face, Vertigo, Vomiting
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (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: Albuterol, Prednisone, Valacyclovir 1g. bid, Doxycycline, Flovent, Spiriva, Keppra
Current Illness: 3 rounds of URI beginning 8/2021, Shingles outbreak-12/3/2021
Preexisting Conditions: Upper lobe of lung-removed, COPD, Sleep Apnea, Cancer Survivor
Allergies: latex, penicillin, sulfa
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: Prior to the vaccine I had a Shingles outbreak on 12/3 in which a disgusting yellow glaze developed on my face around my chin/lip area with terrible fever blisters inside my mouth and little painful blisters on my lower lip appeared as well, something I have never experienced in my life. Pain down inside my ear drum, down the ear tube below my neck which hurt extremely bad. I had severe scabbing all down the front of my face which stopped at the bottom of my chin and all of my teeth hurt and turn black in the gums. I feel all my teeth will eventually have to be pulled sooner than later and my whole chin and right cheek area was numb as well. Around 12/24 I noticed most of the scabs on my face beginning to heal, but the chin and right cheek area was still numb. I had severe sensitivity to cold drinks resulting in me having to drink hot drinks. But on 12/31 a few days after the vaccine I begin getting new sores and blisters everywhere and little tiny bumps appeared at the lower lash line of my right eye. And my chin and right cheek area is still numb resulting in me not even being able to feel drool sometimes. The skin on my jaw line now hangs from all the inflammation. I begin healing from those blisters after a few days but again on 1/6 again new blister begin developing all inside my mouth again and I feel the Shingles outbreak is returning. I developed sever diarrhea, my stomach begin bloating where I could literally see it swelling in my face so I tried using a rubbing therapy to help. I developed terrible pain in my stomach which has since been controlled. I developed severe vertigo for about an hr. resulting in me throwing up for about 1hr. My digestive system is now seeming to be going back towards normal. I have seen an eye surgeon who is monitoring my eyes. And I am slowly recovery but new blisters has appeared today.


VAERS ID: 2028251 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-10-27
Onset:2021-12-31
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 3 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Angiogram pulmonary abnormal, Aspartate aminotransferase normal, Aspiration, Atelectasis, Blood alkaline phosphatase increased, Blood bicarbonate normal, Blood chloride normal, Blood creatinine normal, Blood gases, Blood glucose normal, Blood magnesium normal, Blood pH increased, Blood potassium normal, Blood sodium normal, Blood urea normal, COVID-19, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram neck, Cough, Creatinine renal clearance increased, Dyspnoea, Full blood count, Haematocrit decreased, Haemoglobin decreased, Human chorionic gonadotropin negative, Lung disorder, Lung infiltration, Lung opacity, Mean cell volume normal, Metabolic function test, Platelet count normal, Pneumonia, Positive airway pressure therapy, Procalcitonin normal, Respiratory failure, SARS-CoV-2 test positive, Scan with contrast abnormal, Stridor, Swallow study, Total lung capacity decreased, Wheezing, White blood cell count increased
SMQs:, Cardiac failure (broad), Liver related investigations, signs and symptoms (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), 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), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (narrow), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Hypokalaemia (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? Yes
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol (PROVENTIL, VENTOLIN, PROAIR) 108 (90 Base) MCG/ACT inhaler ARIPiprazole (ABILIFY) 10 MG tablet buPROPion (WELLBUTRIN XL) 150 MG 24 hr tablet buPROPion (WELLBUTRIN XL) 300 MG
Current Illness: Acute bilateral low back pain without sciatica 9/27/21
Preexisting Conditions: Morbid obesity with BMI 57 OSA (obstructive sleep apnea) Depression, major, recurrent Asthma with acute exacerbation Acute hypoxemic respiratory failure Subglottic stenosis Non-Hospital Depression Mild intermittent asthma without complication Choledocholithiasis Cholelithiasis Iron deficiency
Allergies: Precedex [Dexmedetomidine Hcl]Other Cats Dogs Dust Molds & Smuts Pollen Trees / Grass
Diagnostic Lab Data: 12/31/21 0635 WBC 15.85* HGB 11.3* MCV 82.9 HCT 36.3* PLATELET 385 SODIUM 136 POTASSIUM 4.7 CHLORIDE 103 HCO3 22 BUN 15 CREATININE 0.75 GLUCOSE 120* AST 24 ALT 20 MAGNESIUM 2.0 Serum creatinine: 0.75 mg/dL 12/31/21 0635 Estimated creatinine clearance: 190.4 mL/min FL VIDEO SWALLOW FUNCTION WITH ORAL CONTRAST Resulted: 01/11/22 1152 Order Status: Completed Updated: 01/11/22 1152 Narrative: This imaging study has been auto finalized, please refer to the performing providers procedure note for details. DR CHEST SINGLE VIEW Resulted: 01/10/22 0750 Order Status: Completed Updated: 01/10/22 0752 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/10/2022 6:55 AM TECHNIQUE: Single view chest INDICATION: hypoxic respiratory failure COMPARISON: 1/9/2022 ENCOUNTER: Subsequent _________________________ FINDINGS: Relatively similar areas of patchy airspace disease within the medial left lung base. The heart size projects enlarged. Similar tracheostomy and Corpak tubes. No pneumothorax. No pleural effusion. Pulmonary vascular markings are mildly prominent. _________________________ Impression: 1. Similar appearance of either atelectasis or pneumonia left midlung field and left lung base. 2. The heart size projects slightly enlarged and the pulmonary vascular markings appear to be mildly prominent. 3. Tubes and lines as described above. No pneumothorax. DR CHEST SINGLE VIEW Resulted: 01/09/22 0937 Order Status: Completed Updated: 01/09/22 0939 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/9/2022 6:31 AM TECHNIQUE: Single view chest INDICATION: hypoxic respiratory failure COMPARISON: 1/8/2022 ENCOUNTER: Not applicable _________________________ FINDINGS: Tracheostomy and enteric feeding tube with tip in the left upper quadrant are unchanged. Low lung volumes. Worsening right perihilar opacities. Left perihilar opacity is unchanged. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. _________________________ Impression: Worsening right perihilar opacities. Unchanged left perihilar opacities. DR CHEST SINGLE VIEW Resulted: 01/08/22 0936 Order Status: Completed Updated: 01/08/22 0938 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/8/2022 6:26 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: January 7, 2022 ENCOUNTER: Not applicable _________________________ FINDINGS: There is a tracheostomy tube in place. There is a feeding tube entering the upper abdomen. The tip of the feeding tube overlies left upper quadrant. Low lung volumes. Streaky areas of atelectasis. I do not see pneumothorax. No pneumomediastinum. Better aeration of the lungs compared to the prior study. Surrounding bony structures and soft tissues appear stable. _________________________ Impression: 1. Streaky areas of atelectasis. Better aeration of the lung fields compared to the previous study. No progressive infiltrates or large effusions. FL C-ARM PROCEDURE Resulted: 01/07/22 1711 Order Status: Completed Updated: 01/07/22 1711 Narrative: This order has been auto-finalized and does not contain a result. DR ABDOMEN FLAT PLATE - AP (KUB) Resulted: 01/07/22 1303 Order Status: Completed Updated: 01/07/22 1305 Narrative: EXAMINATION: Abdomen Single View EXAM DATE: 1/7/2022 12:39 PM TECHNIQUE: Single view INDICATION: fluid collection in stomach. COMPARISON: 01/07/2022 chest ENCOUNTER: Not applicable _________________________ FINDINGS: Bowel: Feeding tube and orogastric tubes appear coiled in the gastric fundus. Unremarkable bowel gas pattern. Abnormal Calcifications: None. Bones: Unremarkable. Other Findings: Surgical clips right upper quadrant. _________________________ Impression: Feeding tube and orogastric tube terminates in the stomach. DR CHEST SINGLE VIEW Resulted: 01/07/22 0826 Order Status: Completed Updated: 01/07/22 0828 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/7/2022 6:36 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: 1/6/2022 ENCOUNTER: Subsequent _________________________ FINDINGS: On image wires overlie the chest. Tracheostomy present. Lung volumes are low, slightly lower than prior exam. Heart size relatively normal. Relatively similar appearance of patchy opacities within the lungs bilaterally overall mild burden. No pneumothorax or pleural effusion. Osseous structures similar. _________________________ Impression: 1. Similar mild burden of airspace disease with overall lung volumes being lower than prior exam. 2. Normal sized heart. No pneumothorax. Tracheostomy. DR CHEST SINGLE VIEW Resulted: 01/06/22 0804 Order Status: Completed Updated: 01/06/22 0806 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/6/2022 6:43 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: 01/05/2022 ENCOUNTER: Not applicable _________________________ FINDINGS: Tracheostomy tube in place terminating at the level the clavicles. Feeding tube courses through the esophagus, well below the GE junction off the inferior film margin. Hypoinflation. Perihilar, bibasilar and more confluent retrocardiac opacity similar to previous. No pneumothorax or effusion. _________________________ Impression: Stable areas of airspace disease likely infiltrates and/or atelectasis. Feeding tube placement. FL C-ARM PROCEDURE Resulted: 01/05/22 1336 Order Status: Completed Updated: 01/05/22 1336 Narrative: This order has been auto-finalized and does not contain a result. DR CHEST SINGLE VIEW Resulted: 01/05/22 0720 Order Status: Completed Updated: 01/05/22 0722 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/5/2022 6:20 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: 1/4/2022. ENCOUNTER: Not applicable _________________________ FINDINGS: Redemonstration of a tracheostomy. Hypoventilatory lung volumes. Unchanged cardiac mediastinal silhouette. There are perihilar opacities and ill-defined opacities in both lungs, similar compared to the prior exam. Unchanged retrocardiac left basilar airspace disease. No pneumothorax or pleural effusion. DR CHEST SINGLE VIEW Resulted: 01/04/22 0823 Order Status: Completed Updated: 01/04/22 0825 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/4/2022 6:30 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: 1/3/2022 ENCOUNTER: Not applicable _________________________ FINDINGS: Endotracheal tube and nasogastric tubes in satisfactory position. Some poorly defined opacities seen within the left lung base and medial right lung base. Heart size is relatively normal. Pulmonary vascular markings are relatively normal. No pneumothorax or pleural effusion. Osseous structures similar prior exam. Impression: 1. There is a similar mild burden of strandy and poorly defined patchy opacities distributed throughout both lungs representing airspace disease. 2. No heart failure. 3. Tubes DR CHEST SINGLE VIEW Resulted: 01/03/22 0707 Order Status: Completed Updated: 01/03/22 0709 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/3/2022 6:27 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: Yesterday 0619 hours ENCOUNTER: Not applicable _________________________ FINDINGS: The tip the ET tube is again about 1 cm above the carina. NG tube is in satisfactory position. Inspiration is moderately severely shallow. Heart is within normal limits in size. Mildly increased patchy right perihilar and right upper lobe atelectasis/infiltrate. There is again patchy atelectasis/infiltrate in the left perihilar region with a few air bronchograms. The CP angles are sharp. _________________________ Impression: 1. Continued low position of the ET tube. 2. Increased mild perihilar atelectasis/infiltrate, especially on the right. DR CHEST SINGLE VIEW Resulted: 01/02/22 0825 Order Status: Completed Updated: 01/02/22 0827 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/2/2022 6:18 AM TECHNIQUE: Single view chest INDICATION: respiratory failure COMPARISON: January 1, 2022 ENCOUNTER: Not applicable _________________________ FINDINGS: Endotracheal tube has been mildly retracted, now approximately 1 cm above the carina. Enteric tube continues in similar fashion. Its distal tip is not visualized. Lung volumes are low. Bilateral lung opacities appear significantly improved. No visualized pleural fluid or pneumothorax. Heart hilar and mediastinal borders grossly unremarkable. _________________________ Impression: Repositioning of the endotracheal tube, tip is now approximately 1 cm above the carina. Improved radiographic appearance of the chest. DR CHEST SINGLE VIEW Resulted: 01/01/22 2326 Order Status: Completed Updated: 01/01/22 2328 Narrative: EXAMINATION: Single View Chest EXAM DATE: 1/1/2022 2:18 PM TECHNIQUE: Portable semiupright AP INDICATION: respiratory failure COMPARISON: CT angiogram chest and plain film from yesterday. ENCOUNTER: Not applicable _________________________ FINDINGS: Interval intubation with the endotracheal tube tip directly at the carina. Recommend withdrawing 2-3 cm. New enteric tube coursing off the inferior aspect of the film. Persistent low lung volumes. Mild hazy opacification of the lungs which is new and is probably due to COVID-19 pneumonia with appearance accentuated by the low lung volumes. Differential diagnosis includes pulmonary edema. No pleural effusions or pneumothorax. _________________________ Impression: 1. Endotracheal tube tip directly at the carina. Recommend withdrawing 2 to 3 cm. 2. Low lung volumes with new mild hazy opacification of the lungs probably due to COVID-19 pneumonia. Differential diagnosis includes pulmonary edema. The orange significant findings protocol was initiated at 1/1/2022 11:24 PM due to the endotracheal tube position. The presence of a significant findings result is to be communicated with a clinician and/or clinical staff by support staff. CT NECK SOFT TISSUE WITH IV CONTRAST Resulted: 12/31/21 1944 Order Status: Completed Updated: 12/31/21 1949 Narrative: EXAMINATION: CT soft tissue neck with contrast. EXAM DATE: 12/31/2021 6:32 PM TECHNIQUE: Multiple axial images were obtained from the aorticopulmonary window through the cavernous sinus after the intravenous administration of contrast. The amount and type of contrast are recorded in the medical chart. Coronal and sagittal reconstructions were obtained and provided. QPP documentation: At least one of the following dose reduction techniques was utilized: iterative reconstruction, and/or automatic exposure control, and/or mA/kV adjustment based on body size. INDICATION: stridor COMPARISON: None ENCOUNTER: Not applicable _________________________ FINDINGS: Skin and subcutaneous soft tissues: Within normal limits. Aerodigestive structures: The subglottic trachea appears severely narrowed in the transverse dimension at the level of the thyroid gland. No evidence of masslike abnormality within the tracheal walls or extrinsic abnormality. Lymph nodes: No pathologic adenopathy by imaging size criteria. Submandibular glands: Within normal limits. Parotid glands: Within normal limits. Thyroid gland: Normal. Vascular structures: Within normal limits. Osseous structures: No fracture, dislocation or destructive lesion. Partially visualized intracranial structures: Normal. Paranasal sinuses: Within normal limits. Mastoid air cells: Clear. Partially visualized orbits: Within normal limits. Partially visualized lung apices: Please see concurrent CT thorax. ________________________ Impression: The subglottic trachea appears severely narrowed in the transverse dimension at the level of the thyroid gland. This was assessed with PA at the time of dictation. CT ANGIO THORAX WITH IV CONTRAST Resulted: 12/31/21 1854 Order Status: Completed Updated: 12/31/21 1856 Narrative: EXAMINATION: CT Angiography of the Thorax EXAM DATE: 12/31/2021 6:32 PM TECHNIQUE: Standard protocol CT angiogram images were obtained through the chest following the administration of intravenous contrast. Coronal and sagittal MIP 3-D reformations were performed. CONTRAST: The amount and type of contrast are recorded in the medical record. QPP DOCUMENTATION: At least one of the following dose reduction techniques was utilized: Iterative reconstruction, and/or Automatic Exposure Control, and/or mA/kV adjustment based on body size. INDICATION: PE suspected, high prob. Shortness of breath. Wheezing. COMPARISON: None ENCOUNTER: Not applicable ____________________ FINDINGS: Base of Neck & Axillae: There is no mass or lymph node enlargement within the lower neck or axillary regions. The subglottic trachea appears narrowed in the transverse dimension at the level of the thyroid, but without extrinsic mass or mass effect and without wall thickening. The remainder the trachea appears normal. Mediastinum & Hila: There is no mediastinal or hilar lymph node enlargement. The esophagus is patulous and air filled, probably due to reflux. Cardiovascular: The heart has a normal size. There is no pericardial effusion. The thoracic aorta is not aneurysmal and there is no dissection. There is no evidence for right heart strain. Pulmonary Arteries: There are no suspicious findings for pulmonary embolism. There is suboptimal evaluation of the pulmonary arteries distal to the distal segmental level due to poor opacification and image noise related the patient''s body habitus. Lungs & Airways: No infiltrate is seen. There is mild linear subsegmental atelectasis in the posterior lower lobes. The intrathoracic portion of the trachea and the major central bronchi appear normal. Pleural Space: There are no pleural effusions. There is no pneumothorax. Upper Abdomen: Included portions of the upper abdomen are unremarkable. Chest Wall & Musculoskeletal: No significant abnormality. ____________________ Impression: 1. No evidence of pulmonary embolism with limited evaluation for pulmonary emboli from the distal segmental level distally. 2. No finding to indicate pneumonia. Mild bibasilar subsegmental atelectasis. 3. The subglottic trachea appears narrowed in the transverse dimension, but without evidence of intrinsic tracheal abnormality or extrinsic mass. DR CHEST SINGLE VIEW Resulted: 12/31/21 0715 Order Status: Completed Updated: 12/31/21 0717 Narrative: EXAMINATION: Single View Chest EXAM DATE: 12/31/2021 7:08 AM TECHNIQUE: Single view chest INDICATION: sob. COMPARISON: 12/29/2021 ENCOUNTER: Not applicable ________________________ FINDINGS: Mediastinum and hila are unremarkable. No pulmonary vascular congestion is present. Volumes are low. There is bibasilar airspace opacity, left greater than right. No pleural effusion or pneumothorax is present. . _________________________ Impression: Low lung volumes with bibasilar airspace opacities new from yesterday, atelectasis versus pneumonia or aspiration.
CDC Split Type:

Write-up: Patient currently hospitalized at (12) days admission. This is a 23 y/o female with a PMH of morbid obesity BMI 57, OSA, asthma, hx of extreme premature birth with tracheostomy x 1 year as newborn who presents with a CC of shortness of breath. On interview, pt is wearing bipap. Bipap was removed and pt was placed on 3L O2. pt has significant stridor and wheeze on exam. She is able to answer all questions but is a limited historian. She is reporting associated cough. She denies fever, chills, productive cough, diarrhea, or trouble swallowing. She is joined at bedside by her mother who states the pt has had stridor like symptoms mostly while latying flat for the last few months. She states she has been seen by her PCP and urgent care a few times over the last month and treated with steroids, antibiotics, duonebs and inhalers with short but temporary improvement. She confirms the pt is fully vaccinated and boosted with covid 19 vaccine. In the ER the pt was found to be afebrile with HR 130, RR 29, BP 143/82, and was placed on bipap. CBC with WBC 15.9, Hgb 11.3, otherwise WNL. VBG with pH 7.46. , procal WNL. CMP with glucose 120, ALP 137, otherwise WNL. viral CPR positive for covid 19. CXR showed new low lung volumes with bibasilar airspace opacities suspicios for atelectasis vs PNA vs aspiration. Hcg negative. The pt was given solumedrol, albuterol, duoneb, racemic epinephrine and admitted for workup.


VAERS ID: 2028553 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-12-15
Onset:2021-12-31
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043L20A / 3 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Fatigue, Illness, Pain, Pain in extremity, Peripheral swelling, Plantar fasciitis, X-ray
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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? Yes
Hospitalized? No
Previous Vaccinations: The first two Moderna shots I had the normal sickness of feeling awful, chills, tired, body sore. They were January 2021 & Febru
Other Medications: Mono-Linyah birth control, spironolactone, probiotic pills
Current Illness: None that I recall.
Preexisting Conditions: Body pain from car accident in 2003. Rib pops out regularly since 2013.
Allergies: Sulfa
Diagnostic Lab Data: X-rays on January 2, 2022.
CDC Split Type:

Write-up: Normal sickness, body aches and fatigue after the booster. The following week I donated blood. I sought medical care after my foot started hurting really bad on December 31, 2021. Not sure if it''s related, but it''s odd how my foot started hurting out of nowhere. I went to Urgent Care on January 2, 2022. Took x-rays. Didn''t indicate anything wrong. Was given antibiotics and Prednisone in case it was an infection. Also a medical boot to wear so I could walk along with my hiking pole. Had a virtual and an in-person follow up appointments with my regular doctor. She''s thinking it may be plantar fasciitis. But I do yoga and foot stretches, so it''s weird it would be that. Also, I had some swelling/red marks along the side of my foot which doesn''t align with plantar fasciitis. All very confusing, stressful and painful.


VAERS ID: 2028649 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-10-06
Onset:2021-12-31
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, Chest pain, Chills, Cough, Diarrhoea, Dyspnoea, Headache, Myalgia, Nausea, Parosmia, SARS-CoV-2 test positive, Taste disorder, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Taste and smell disorders (narrow), 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), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: admitted on 12/31/21, due to acute resp failure with hypoxia d/t covid. Tested positive for COVID on 12/27/21. Patient is a 76 y.o. male w/ pmh significant for ESRD on HD however, still makes some urine, HRN, COPD, morbid obesity, hypothyroidism who presented to the ED w/ sob. Symptoms started about 1 week prior to presentation on 12/24/2021. Associated symptoms have included cough, chest pain with coughing, shortness of breath, chills, myalgias, headache, nausea, vomiting and diarrhea, as well as a change to his taste and smell.


VAERS ID: 2028656 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-02-09
Onset:2021-12-31
   Days after vaccination:325
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Exposure to SARS-CoV-2, Fall, Hypoxia, Oxygen saturation decreased, Pneumonia, Pneumothorax, Rib fracture, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteoporosis/osteopenia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: COPD, CHF, ANEMIA, EPILEPSY, HTN, CAD, FORMER SMOKER, LUNG CANCER
Allergies: UNKNOWN
Diagnostic Lab Data: CXR-PNEUMONIA, PNEUMOTHORAX AND FRACTURED RIBS COVID PCR TEST-POSITIVE
CDC Split Type:

Write-up: HOSPITALIZED BREAKTHROUGH CASE VACCINATED WITH MODERNA ON 1-12-21 AND 2-9-21. SYMPTOMS-HYPOXIA EXPOSURES-WIFE ALSO TESTED POSITIVE FOR COVID ON 12-31-21 HE WAS TAKEN TO THE ER AFTER A FALL AT HOME. HE HAD FRACTURED RIBS AND A PNEUMOTHORAX. AFTER HIS OXYGEN LEVELS DROPPED, HE WAS TESTED FO COVID AND FOUND TO BE POSITIVE.


VAERS ID: 2028779 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-28
Onset:2021-12-31
   Days after vaccination:125
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure during pregnancy, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Levothyroxine, Citrulline, Kroger Prenatal Vitamin
Current Illness: None
Preexisting Conditions: Celiac Disease, Grave''s Disease, Seasonal Allergies(Mild)
Allergies: Gluten
Diagnostic Lab Data: 01/02 CoVid test(positive)
CDC Split Type: vsafe

Write-up: ETD: March 3, 2022, 3rd pregnancy, 1st born was early by 7 weeks cause of IUGR Reversal of Diastolic flow. 12/31/2021 Possible Laryngitis when I woke, didn''t think much of it because I talk to a lot of people. 01/01/2022 I had a Runny nose, cough, no fever, fatigue and notice other family members also showed some symptoms. 01/02/2022 Got a PCR CoVid test and was positive. 01/03/2022 Was the day I received notice that I had CoVid and I immediately called my OB and thru telehealth discussed it. Advised to get pluse Oxy meter, do spot checks, drink plenty of water, Tylenol ect.


VAERS ID: 2028809 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33130BA / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hangover, Headache, Pyrexia
SMQs:, 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Prolonged "hang-over" headaches, fever


VAERS ID: 2030768 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-12-20
Onset:2021-12-31
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041J21A / UNK LA / IM

Administered by: Pharmacy       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? 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: Urticaria started on the back of my body and would appear randomly on limbs, face and neck. The hives would disappear in about 2 hours but new ones would reappear in different areas. I tried using antihistamines (loratadine and Benadryl), but they provided minimal relief. Still having these symptoms daily and seems to be worse during the night.


VAERS ID: 2030927 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-11-10
Onset:2021-12-31
   Days after vaccination:51
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 211A21A / 2 - / OT

Administered by: School       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient had no known allergies
Allergies:
Diagnostic Lab Data: Test Date: 20220101; Test Name: COVID-19 virus test; Result Unstructured Data: positive
CDC Split Type: USJNJFOC20220104848

Write-up: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID 19 INFECTION; This spontaneous report received from a patient concerned a 41 year old female. Initial information processed along with the follow up information received on 07-JAN-2022. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included: Patient had no known allergies. The patient previously received covid-19 vaccine ad26.cov2.s (dose number in series 1, unspecified manufacturer) (suspension for injection, route of admin and batch number were not reported, expiry: unknown) dose was not reported, 1 total administered on unspecified date in APR-2021 for prophylactic vaccination. It was unknown whether patient had any adverse events following vaccination with first dose of covid-19 vaccine ad26. cov2.s (dose number in series 1). The patient received covid-19 vaccine ad26.cov2.s (dose number in series 2) (suspension for injection, route of admin not reported, batch number: 211A21A, expiry: unknown) dose was not reported, 1 total administered on the left arm on 10-NOV-2021 for prophylactic vaccination. No concomitant medications were reported. On 31-DEC-2021, the patient experienced symptoms tired, body aches and headaches (subsumed under confirmed covid-19 infection and confirmed clinical vaccination failure) (dose number in series 2). On 01-JAN-2022, patient tested positive for Covid-19. Laboratory data included: COVID-19 virus test (NR: not provided) positive. On 02-JAN-2022, Covid-19 symptoms of tiredness, body aches and headache resolved. She was not aware of being in contact of anyone who was Covid-19 positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from confirmed covid 19 infection, and the outcome of confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report is associated with product quality complaint number 90000210071. The suspected product quality complaint has been confirmed to be the reported allegation could not be confirmed. A manufacturing related root cause could not be identified based on the Regulatory Authority evaluation/investigation performed. .; Sender''s Comments: V0- 20220104848- covid-19 vaccine ad26.cov2.s -Confirmed clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 2030945 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Off label use, Product administered to patient of inappropriate age
SMQs:, Medication errors (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: USJNJFOC20220116147

Write-up: OFF LABEL USE; 17 YEAR OLD MALE PATIENT GOT THE VACCINE; This spontaneous report received from a patient concerned a 17 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 31-DEC-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 31-DEC-2021, the patient experienced off label use, and 17 year old male patient got the vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the off label use and 17 year old male patient got the vaccine was not reported. This report was non-serious. This case, from the same reporter is linked to 20210407314.


VAERS ID: 2031624 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FJ1611 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Cardiac flutter, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Losartan, Metoprolol, Statin, Xarelto, Tramadol
Current Illness: N/A
Preexisting Conditions: HBP, Irregular Heart Beat (Pace Maker)
Allergies: Bioxin, Benadryl
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states that after receiving the 3rd dose of Phizer 12/30/2021, started experiencing symptoms 12/31/2021 of high heart rate 60-70 (randomly) and "A-Fib" fluttering. Cardiologist visit 01/2022 with no recommendations. Pt. still experiencing symptoms.


VAERS ID: 2031757 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New York  
Vaccinated:2021-12-29
Onset:2021-12-31
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood urine present, Chills, Haematuria, Pyrexia, Urine analysis abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tubulointerstitial diseases (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: Cetirizine, multivitamin, albuterol inhaler
Current Illness: None
Preexisting Conditions: Allergic rhinitis, allergy induced asthma, hyperlipidemia
Allergies: NKDA
Diagnostic Lab Data: Urinalysis on 1/3/22 showed hemoglobin in urine. Repeat UA in office on 1/13/22 showed large blood in urine
CDC Split Type:

Write-up: Patient had fevers, chills, and hematuria after his booster with Moderna mRNA covid vaccine. He also had hematuria with his second dose of Pfizer mRNA shot. Cleared up after a couple of weeks.


VAERS ID: 2031876 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 33130BA / 3 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (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: Not aware
Current Illness: Not aware
Preexisting Conditions: Autism
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Per father, no adverse event reported. Patient at the time was 15 and guidelines only included patients 16+ for booster. On 1/5/22, guidelines changed to include patients 12+ for Pfizer booster shot.


VAERS ID: 2032164 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-10-07
Onset:2021-12-31
   Days after vaccination:85
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 442587 / 2 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Lymphadenitis, Ultrasound scan
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pascal insulin pump
Current Illness: N/A
Preexisting Conditions: Type 1 diabetic
Allergies: N/A
Diagnostic Lab Data: Ultrasound
CDC Split Type: vsafe

Write-up: I had an inflammation right side lymph node. These is still there as of today. I went to doctor about this. They did an ultrasound and we are watching it and hoping it will go away.


VAERS ID: 2032201 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: New York  
Vaccinated:2021-12-01
Onset:2021-12-31
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Limb mass, Pain, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme joint pain lasting 4 days, fatigue and arm pain with painful lump for 6 days


VAERS ID: 2032253 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: California  
Vaccinated:2021-10-11
Onset:2021-12-31
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (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: lisinopril (PRINIVIL) 20 MG Tab sildenafil citrate (VIAGRA) 100 MG tablet naproxen (NAPROSYN) 500 MG Tab
Current Illness: Low back pain radiating to right leg Lumbar stenosis CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min (HCC) Other nonspecific abnormal serum enzyme levels Elevated fasting glucose Other and unspecified hyperlipidemia
Preexisting Conditions: Low back pain radiating to right leg Lumbar stenosis CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min (HCC) Other nonspecific abnormal serum enzyme levels Elevated fasting glucose Other and unspecified hyperlipidemia
Allergies: NKA
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: A FOURTH DOSE WAS ADMINISTERED 12/31/2021 AT A VACCINE CLINIC


VAERS ID: 2032356 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-12-29
Onset:2021-12-31
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012H21B / UNK RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: N/A
Current Illness: None
Preexisting Conditions: None
Allergies: Morphine
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Swollen armpit.


VAERS ID: 2032375 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-18
Onset:2021-12-31
   Days after vaccination:378
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Unevaluable event
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: unknown


VAERS ID: 2032376 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-03-07
Onset:2021-12-31
   Days after vaccination:299
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026B21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Cough, Nasal congestion, Sinus congestion, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (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: ?Adderall XR 25 MG Capsule Extended Release 24 Hour 1 capsule in the morning Orally Once a day ?busPIRone HCl 7.5 MG Tablet TAKE 1 TABLET BY MOUTH TWICE A DAY ?Drospirenone-Ethinyl Estradiol 3-0.03 MG Tablet TAKE 1 TABLET BY MOUTH EV
Current Illness: none
Preexisting Conditions: GERD. Anxiety. Acne.
Allergies: Amoxicillin: rash - Allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: post nasal drainage- nonproductive cough- sinus congestion- nasal congestion. Patient denies headache- sore throat- fever- chills- shortness of breath- body aches- loss of taste- loss of smell- diarrhea- ear pain- swollen glands- chest congestion- chest tightness- chest pain- wheezing- sneezing- itchy eyes- ear drainage- ear fullness. symptoms starting 12/31/21


VAERS ID: 2032455 (history)  
Form: Version 2.0  
Age: 93.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-12-06
Onset:2021-12-31
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Polymerase chain reaction
SMQs:, Anaphylactic reaction (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), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

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, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine, aspirin, levothyroxine, lorazepam, losartan, lovastatin, memantine, potassium chloride, sertraline
Current Illness: Aortic stenosis, grade 3 cystocele, dementia, T2DM, HLD, HTN, osteoporosis, thyroid disease
Preexisting Conditions: Aortic stenosis, grade 3 cystocele, dementia, T2DM, HLD, HTN, osteoporosis, thyroid disease
Allergies:
Diagnostic Lab Data: Cycle Threshold: 25.4
CDC Split Type:

Write-up: Acute hypoxic respiratory failure from COVID-19 PNA


VAERS ID: 2032589 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Illinois  
Vaccinated:2020-12-18
Onset:2021-12-31
   Days after vaccination:378
Submitted: 0000-00-00
Entered: 2022-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cellulitis, Chest X-ray normal, Cough, Feeling abnormal, Oxygen saturation decreased, Respiratory tract infection, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin, vitamin D3, ezetimibe, metoprolol tartrate, rosuvastatin
Current Illness:
Preexisting Conditions: PAST MEDICAL HISTORY aborted acute ST-segment elevated MI on 05/15/2021, He has dyslipidemia and is on high-dose statin therapy. He has a history of situational depression, but this is improved. Really otherwise a medically healthy individual.
Allergies: none
Diagnostic Lab Data: 12/25/21 COVID19: positive
CDC Split Type:

Write-up: Received pfizer COVID19 vaccine on 12/18/20 and 01/08/21. Presented to ER on 12/31/21 and admitted for cellulitis. Was admitted for hand cellulitis, NOT COVID19. Treated for COVID19 at another facility. He has a second home in another state and was there over the holidays and developed a respiratory infection, which prompted an ER visit to a local hospital in the area. He was noted to be desaturating into the mid 80% range, although he was told he had no acute pneumonia on x-ray. He had 1 chest x-ray done. He was admitted to the hospital, was given 5 days of remdesivir and Decadron per protocol and sent home just 2 days ago. He has had a persistent cough and he decided to come back to the city last evening and brought a red-eye flight home to the city and on the flight, he was just absolutely miserable with an uncontrollable generally nonproductive cough. He got back to another city about 11 or 12 last night and went home, but because of the persistent cough, eventually showed up in the emergency room this morning, more concerned about the cough than his leg. Dishcarged on 1/5/22


VAERS ID: 2034144 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032141A / 3 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Interchange of vaccine products, SARS-CoV-2 test
SMQs:, Medication errors (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20220105; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: tested positive for covid
CDC Split Type: USMODERNATX, INC.MOD20224

Write-up: tested positive for covid; Interchange of vaccine products; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (tested positive for covid) and INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032141A) for COVID-19 vaccination. Previously administered products included for COVID-19 vaccination: COVID-19 VACCINE NRVV AD26 (JNJ 78436735) (Patient had received one Johnson&Johnson COVID-19 vaccine dose). Past adverse reactions to the above products included No adverse event with COVID-19 VACCINE NRVV AD26 (JNJ 78436735). On 31-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Dec-2021, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products). On 05-Jan-2022, the patient experienced COVID-19 (tested positive for covid). On 31-Dec-2021, INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) had resolved. At the time of the report, COVID-19 (tested positive for covid) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Jan-2022, SARS-CoV-2 test: tested positive for covid (Positive) tested positive for covid. Concomitant information was not provided. Treatment information was not provided. The patient reported that she feels ok. State was reported. Company comment: This is a spontaneous case concerning a 56 year-old, female patient with no reported medical history, who experienced the non-serious unexpected, according RA, AESI of COVID-19. Additionally, interchange of vaccine products was reported in this case since the patient received a dose of Janssen COVID-19 vaccine on an unknown date. The event occurred approximately 5 days after the booster dose of mRNA-1273 vaccine. The outcome of the event was not reported. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender''s Comments: This is a spontaneous case concerning a 56 year-old, female patient with no reported medical history, who experienced the non-serious unexpected, according RA, AESI of COVID-19. Additionally, interchange of vaccine products was reported in this case since the patient received a dose of Janssen COVID-19 vaccine on an unknown date. The event occurred approximately 5 days after the booster dose of mRNA-1273 vaccine. The outcome of the event was not reported. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.


VAERS ID: 2034537 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:2021-12-31
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Immunisation, SARS-CoV-2 test, Sleep apnoea syndrome
SMQs:, Lack of efficacy/effect (narrow), Acute central respiratory depression (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20211231; Test Name: COVID home test; Test Result: Positive ; Comments: tested positive with a home test today
CDC Split Type: USPFIZER INC202200005382

Write-up: Had both Pfizer-BioNTech vaccines and the booster and tested positive with a home test today; Sleep apnea; Had both Pfizer-BioNTech vaccines and the booster and tested positive with a home test today; Had both Pfizer-BioNTech vaccines and the booster and tested positive with a home test today; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). A 62 year-old male patient received bnt162b2 (BNT162B2) (Batch/Lot number: unknown) as dose 3 (booster), single, (Batch/Lot number: unknown) as dose 2, single and (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: IMMUNISATION (medically significant), outcome "unknown", DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 31Dec2021, outcome "unknown" and all described as "Had both Pfizer-BioNTech vaccines and the booster and tested positive with a home test today"; SLEEP APNOEA SYNDROME (non-serious), outcome "unknown", described as "Sleep apnea". The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (31Dec2021) positive, notes: tested positive with a home test today. Therapeutic measures were taken as a result of sleep apnoea syndrome, patient was using cpap for sleep apnea. The lot number for bnt162b2 was not provided and will be requested during follow up.


VAERS ID: 2034606 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-02-22
Onset:2021-12-31
   Days after vaccination:312
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 - / -

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma (Other medical history: Asthma); Sulfonamide allergy (Known Allergies: sulfa drugs)
Allergies:
Diagnostic Lab Data: Test Date: 20211231; Test Name: covid test; Test Result: Positive
CDC Split Type: USPFIZER INC202200015258

Write-up: Positive COVID case; Positive COVID case; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient. A 25 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administration date 22Feb2021 (Lot number: EL3247) at the age of 25 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Known Allergies: sulfa drugs" (unspecified if ongoing), notes: Known Allergies: sulfa drugs; "Asthma" (unspecified if ongoing), notes: Other medical history: Asthma. The patient took concomitant medications (Junel Birth Control). Vaccination history included: Bnt162b2 (Dose Number: 1, Batch/Lot No: EL3247), administration date: 01Feb2021, when the patient was 25 years old, for COVID-19 Immunization. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 31Dec2021, outcome "unknown" and all described as "Positive COVID case". The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (31Dec2021) positive. If Other vaccine in four weeks: No. If covid prior vaccination: No. If covid tested post vaccination: Yes


VAERS ID: 2034646 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Iowa  
Vaccinated:2021-12-31
Onset:2021-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, Immunisation, Pulmonary congestion, SARS-CoV-2 test
SMQs:, Cardiac failure (broad), Lack of efficacy/effect (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20220105; Test Name: Covid test; Result Unstructured Data: Test Result:Positive; Comments: Positive Covid test this morning
CDC Split Type: USPFIZER INC202200024473

Write-up: Positive Covid; Positive Covid; pulmonary congestion developed; booster; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). A patient (no qualifiers provided) received bnt162b2 (BNT162B2), administration date 31Dec2021 (Batch/Lot number: unknown) as dose 3 (booster), single for covid-19 immunization. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Manufacturer: unknown, dose 1, single), for COVID-19 immunization; Covid-19 vaccine (Manufacturer: unknown, dose 2, single), for COVID-19 immunization. The following information was reported: PULMONARY CONGESTION (medically significant) with onset 01Jan2022, outcome "not recovered", described as "pulmonary congestion developed"; COVID-19 (medically significant), DRUG INEFFECTIVE (medically significant) all with onset 05Jan2022, outcome "unknown" and all described as "Positive Covid"; IMMUNISATION (medically significant) with onset 31Dec2021, outcome "unknown", described as "booster". The patient underwent the following laboratory tests and procedures: sars-cov-2 test: (05Jan2022) positive, notes: Positive Covid test this morning. It was reported that, the patient experienced fever, aches, cough, congestion, wheezing, pulmonary congestion developed on 01Jan2022. Fever persisted until 02Jan2022, other symptoms continue to now, 05Jan22. Stated that, the events took place after use of product. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 2034996 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-12-30
Onset:2021-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 068H21A / 3 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Cold sweat, Head injury, Nausea, Pain, Spinal column injury, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Body aches, chills following 2nd dose of Moderna 05/04/21
Other Medications: Claritin, Amitriptyline, Methotrexate, Folic Acid, Pilocarpine, Metoprolol supinate er, Valsartan
Current Illness: None
Preexisting Conditions: Hypertension, Lichen Sclerosis, Psoriatic Arthritis
Allergies: Sulfa
Diagnostic Lab Data: Urgent Care 01/09/22 for back pain, took X-rays, gave me 2 injections, one for pain and a steroid. Follow up visit with my doctor 01/14/2022
CDC Split Type:

Write-up: Body aches, cold sweats, queasiness, Fainted, put a hole in the wall with my head and hurt my tailbone.


VAERS ID: 2035090 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-12-12
Onset:2021-12-31
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 069F21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030H210 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Erythema, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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: Vitamins C & D3 Omega 3 SimplyOne 50+ Triple Power Multivitami
Current Illness:
Preexisting Conditions: Superventricular Tachycardia
Allergies: Iodine, shell fish
Diagnostic Lab Data: None
CDC Split Type:

Write-up: First shot: all over body itchiness for 24 hours; left underarm swollen lymph node; fever; body aches. Second shot: Approximately 3 weeks after the second shot, I developed red angry patches. Very itchy. Painful. Felt burning in the area of the itchy patches. At first the red itchy patches (resembled mosquito bites) developed on my right arm. Within days they developed on my left arm. As days passed those subsided and new ones developed on face and neck. Each day I develop new ones on both legs and now my lower back, hands, fingers and top of left foot. These are extremely itchy. this began 12/31. Today is 1/14/2022 and I am still experiencing new red, itchy patches every day.


VAERS ID: 2035257 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-06
Onset:2021-12-31
   Days after vaccination:269
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 320308D / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Cough, Nasopharyngitis, Respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow)

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: Taking tylenol 1 tab Oral , Taking Ibuprofen 400 MG Tablet Orally once a day, Taking Vitamin B-Complex - Tablet as directed Orally , Taking Magnesium 250 MG Tablet 1 tablet with a meal Orally Once a day, Taking Loratadine 10 MG Tablet 1 tab
Current Illness: none
Preexisting Conditions: Attention deficit; seasonal allergies
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: ith cold symptoms: cough, congestion, loss of taste. starting 12/31/21


VAERS ID: 2035362 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: New York  
Vaccinated:2021-12-29
Onset:2021-12-31
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 330258D / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Muscle disorder, Muscle spasms
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (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 known
Current Illness: None
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient started with random muscle spasms throughout her body 2 days after receiving the Pfizer Covid vaccine. Spasms described as a "fluttering" feeling in the muscle followed by painful cramping lasting approx. 30 seconds. Areas of reported spasms are hands, calves, thighs and back. Spasms occurring every 4-5 days since vaccinated. No history of this type of muscle cramping prior to vaccine. No treatment administered yet. Will consider lab work if this continues.


VAERS ID: 2035465 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-12-18
Onset:2021-12-31
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2022-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling hot, Flushing, Full blood count normal, Rash erythematous, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A
Diagnostic Lab Data: CBC Panel ran, numbers returned normal
CDC Split Type:

Write-up: Skin hives appear and disappear randomly throughout the day. Appear in lines or as red dots on various parts of the body. Skin feels flush, like a sunburn, generally warm feeling across body. Prescribed prednisone, Allegra and Xyzal. This does not help. Recurring for two weeks, required hospitalization.


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