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

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



Case Details (Reverse Sorted by Onset Date)

This is page 103 out of 3,524

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VAERS ID: 1363900 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-05-23
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Antibody test, Therapy non-responder
SMQs:, Lack of efficacy/effect (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: 20210523; Test Name: Antibody test; Result Unstructured Data: NEGATIVE
CDC Split Type: USJNJFOC20210556475

Write-up: CONFIRMED IMMUNOLOGICAL VACCINE FAILURE; This spontaneous report received from a patient concerned a male of unspecified age. 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 not reported, batch number: Unk) dose was not reported, administered on 04-APR-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 23-MAY-2021, the patient did not develop the antibodies (patient experienced confirmed immunological vaccine failure). Laboratory data included: Antibody test (NR: not provided) NEGATIVE. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed immunological vaccine failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0:20210556475-covid-19 vaccine ad26.cov2.s-Confirmed immunological vaccine 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: 1364024 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Haematemesis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (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: USMODERNATX, INC.MOD20211

Write-up: I am having vomiting and there is blood in it; This spontaneous case was reported by a consumer and describes the occurrence of HAEMATEMESIS (I am having vomiting and there is blood in it) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-May-2021, the patient experienced HAEMATEMESIS (I am having vomiting and there is blood in it) (seriousness criterion medically significant). At the time of the report, HAEMATEMESIS (I am having vomiting and there is blood in it) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Company Comment : Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. No further information is available for this case.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. No further information is available for this case.


VAERS ID: 1364284 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-16
Onset:2021-05-23
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: denies
Current Illness: denies
Preexisting Conditions: denies
Allergies: shrimp
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed urticarial rash 1 week after receiving 1st dose of Moderna vaccine. Has had 4 ED visits for worsening urticarial rash despite receiving treatment. Saw patient in ED tonight with rash and throat tightness concerning for anaphylaxis, responded well to medications.


VAERS ID: 1364627 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Decreased appetite, Injection site pain, Injection site swelling, Injection site warmth, Lip swelling, Oral mucosal eruption, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 4/24/21 1st Moderna shot not as severe as 2nd shot, but had a rash, swelling of injection site, the size of a golf ball
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: She has a small reaction after the first shot. After the 2nd shot, she had the following reaction: Injection site swelled up the size of a baseball and was very sore and hot to the touch, broke out in a rash around her lips and in her mouth, lips started to swell and felt like they were "vibrating". Has lost her appetite and lost taste for about a week following the injection.


VAERS ID: 1365129 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Ear pain, Joint swelling, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Slight facial muscle atrophy (mostly on right side of face) morning after receiving Botox first and only time three years ago. Muscle atrophy still present. Strained hoarse voice for last three years. Frequent yeast infections and bad breath.
Allergies: Amoxicillin allergy two years ago. 12 days after taking 10 day amoxicillin prescription i developed a full body rash.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sharp pain in ear that comes in goes morning after shot that lasted two days. Slightly swollen front inner part of right shoulder (NOT the arm that was injection) just outside bra strap, two days after shot up to present. Right arm also felt tingly. I took Ibuprofen once last week as well as yesterday and today to see if that would help with inflammation; so far it has not.


VAERS ID: 1365185 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO 191 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hyperhidrosis, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Syncope approximately 2 minutes after receiving COVID shot. Diaphoresis and pale in color.


VAERS ID: 1365192 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Deep vein thrombosis, Hyperhidrosis, Oedema peripheral, Ultrasound Doppler
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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:
Other Medications: lenalidomide, dexamethasone, amlodipine, atorvastatin
Current Illness:
Preexisting Conditions: plasma cell leukemia
Allergies: adhesive, iodine
Diagnostic Lab Data: 5/26/21: US LE Venous Duplex Doppler Left: Nonocclusive deep venous thrombus present in the left lower extremity popliteal vein and calf vein
CDC Split Type:

Write-up: Patient received 2nd COVID (Pfizer) vaccine on 5/21/21, with sweats and chills but otherwise no other issues. On 5/26/21, he note left lower extremity edema. This did not resolve with compression hose and went to hospital for a venous doppler revealing a nonocclusive DVT in the left lower extremity politeal and calf veins. He does not smoke, no change in activity, no recent travel by car or air. He is on lenalidomide and takes aspirin 81mg PO QD.


VAERS ID: 1365285 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Feeling abnormal, Hyperhidrosis, Laboratory test normal, Muscle spasms, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: In the ED on 5/25/21, the physician did not see rashes, swelling or other signs of skin infection. Lab results were within normal limits. ED physician recommended that patient follow-up with primary physician.
CDC Split Type:

Write-up: Per patient via phone call on 6/1/21: Woke on Sunday, 5/23/21 with high fever, sweats and swollen veins on hands. Went to ED on 5/25/21. At that time, he thought he had an infection "eating him away from the inside". Now he believes, after thinking about it, that it must be a reaction to the COVID vaccine he received on 5/21/21. He stated that he still has weak, cramping hands and swollen veins in his hands.


VAERS ID: 1365528 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-15
Onset:2021-05-23
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Headache, Myalgia, Odynophagia, Pain, Pyrexia, SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Albuterol 2 puffs as needed Advair HFA 2 puffs daily
Current Illness: n/a
Preexisting Conditions: Asthma
Allergies: n/a
Diagnostic Lab Data: 5/27, covid test negative.
CDC Split Type:

Write-up: 5/23-5/24, nose pain, swallow inside and under nose, fever, joint pain, muscle sore and headache 5/25-5/31, nose pain, infection area developing, fever, headache visited urgent care on 5/28, prescribed cephalexin (keflex) and mupirocin.


VAERS ID: 1365899 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-18
Onset:2021-05-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Lipodystrophy (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: Multi vitamin, birth control, pravistatin, magnesium zinc and calcium
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Body tingling, sore gland in breast


VAERS ID: 1367279 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: USPFIZER INC2021584918

Write-up: She drank a little bit of alcohol last night and today she is having diarrhea.; This is a spontaneous report from a contactable consumer (patient) . A 53-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: EW0187 and Expire Date: unknown), via an unspecified route of administration on 22May2021 as single dose for COVID-19 immunization. Patient'' medical history and concomitant medications were not reported. On 23May2021, the patient experienced diarrhea.The patient inquired what should she take for diarrhea that she started having after her first vaccine dose.Caller report she drank a little bit of alcohol last night and today she was having diarrhea.The patient reports that she spoke with her HCP and was instructed to call because her doctor doesn''t do anything with the covid vaccine.The patient was asking what can she take for diarrhea and wants to know what medication can she take. The outcome of event was unknown. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1367280 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia, Nausea, Pain, Vaccination site pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy (known allergies: Penicillin)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021584920

Write-up: lot of pain at the shot location; body aches; headache; Chills; muscle aches; tiredness; nausea; diarrhea; This is a spontaneous report from a contactable consumer. A 42-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Lot Number: EW0172), dose 2 via an unspecified route of administration, administered in left arm on 22May2021 at 15:45 (at the age of 42-years-old) as 2nd dose, single dose for COVID-19 immunization. Patient''s medical history and concomitant medication were not reported. The patient had penicillin allergy. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine and did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient was not tested for COVID-19. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0172), dose 1, administered in left arm on 01May2021 at 15:30 as 1st dose, single dose for COVID-19 immunization. on 23May2021 at 00:00, the patient experienced lot of pain at the shot location, body aches, headache, chills, muscle aches, tiredness, nausea and diarrhea. The patient did not receive treatment for the events. The reporter assessed the events as non-serious. The outcome of the events was not resolved. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1367291 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, Dyspnoea, Illness, Malaise, Peripheral swelling, Thyroid function test, Wheezing
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high (High blood pressure); Irritable bowel syndrome (rritable bowel syndrome)
Allergies:
Diagnostic Lab Data: Test Name: thyroid; Result Unstructured Data: Test Result:are little high, that was last month
CDC Split Type: USPFIZER INC2021587288

Write-up: I feel sick; Still lousy; My arm swelled and felt like it going to fall off; Asthma attack; I could not breathe, that was wheezing; Asthma attack; I could not breathe, that was wheezing; Asthma attack; I could not breathe, that was wheezing; This is a spontaneous report from a contactable consumer or other non hcp (patient herself). A 72-years-old female patient received BNT162B2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) via an unspecified route of administration in Arm Left on 22May2021 at 12:30 (Lot Number: EW0176, Expiration date: Unknown) as 2nd dose, single dose for COVID-19 immunization. The patient past Medical history included high blood pressure and irritable bowel syndrome not bothering her either. The patient previously received first dose of BNT162B2. The patient''s concomitant medications included, yes lots of it, it will be on patient''s record, because patient was on her medicines. On 23May2021, the patient experienced asthma attack, could not breathe, that was wheezing, on an unspecified date, experienced arm swelled and felt like it going to fall off, feel sick and still lousy. The first time all she had was 2nd day was her arm swelled and felt like it going to fall off, but patient got this 2nd injection yesterday and it really started bothering her but she woke up 4 this morning with an asthma attack and she have been using a nebulizer today, feel sick, really sick. The patient never had an asthma attack. Patient was breathing better but still lousy. The patient''s lab data procedures included thyroids are little high, that was last month. Therapeutic measures were taken with nebulizer Ipratropium Bromide and Albuterol sulfate inhalation solution for asthma attack, could not breathe, that was wheezing. The outcome of the events asthma attack, could not breathe, that was wheezing was recovering, still lousy was not recovered and arm swelled and felt like it going to fall off, feel sick was unknown. NDC number and UPC number, consumer stated, "All she had was the product number, the date of injection." )."


VAERS ID: 1367312 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Chills, Eye swelling, Headache, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592671

Write-up: Fever; Chills; Headache; I have both my eyes swollen; This is a spontaneous report received from a contactable consumer (reporting on himself). A 39-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number and Expiration Date was not reported) via an unspecified route of administration in Arm Left on 20May2021 11:45, as 2nd dose, single dose for COVID-19 immunization. The patient medical history nad concomitant medications were not reported. Patient previously took first dose of BNT162B2 29Apr2021 11:45. Prior to vaccination, the patient was not diagnosed with COVID-19 and did not receive any other vaccines within 4 weeks prior to the COVID vaccine and any other medications the patient received within 2 weeks of vaccination. He had his second shot on 20May2021 11:45 and he went to fever, chills and headache until Saturday morning. 23May2021 late in the evening he noticed his eyes started swelling up a little bit; they went down a little bit and he went to bed; 24May2021 he woke up with swollen eyes again. He clarified that he already reported this information; but he was unable to obtain reference number from that report. He had questions regarding these side effects after the Pfizer Covid Vaccine and wanted to know about recommendation on taking histamines like Zyrtec Benadryl after the vaccine Response. Since the vaccination, the patient has tested for COVID-19. The outcome of the event i have both my eyes swollen was not recovered and for rest events was unknown. Information about lot/batch number has been requested.


VAERS ID: 1367317 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to edible fungus; Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592724

Write-up: This is a spontaneous report from a contactable 34-year-old female consumer reported for herself. A 34-years-old female (Non-pregnant) patient received second dose of BNT162B2(PFIZER COVID 19 VACCINE; Formulation: Solution for injection; Batch/Lot Number: EW0177, expiry date: unknown) via an unspecified route of administration, administered in Arm Left on 22May2021 at 09:30 as 2ND DOSE, SINGLE for COVID-19 immunization. The patient received historical vaccine first dose of BNT162B2 (PFIZER COVID 19 VACCINE; Formulation: Solution for injection; Batch/Lot Number: EW0167, expiry date: unknown), via an unspecified route of administration in right arm on 30Apr2021 as 1st dose single for COVID-19 immunization Patient had relevant past drug history included Mushrooms, Morphine and Penicillin. Patient medical history included food allergy, drug hypersensitivity from an unknown date and unknown if ongoing. and Morphine which cause allergies. The patient''s concomitant medications were not reported. The patient previously took morphine and experienced drug hypersensitivity. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 23May2021 the patient experienced lymph node was swollen, tender in the armpit area. The outcome of the events was not recovered.


VAERS ID: 1367330 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Gait inability, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021593109

Write-up: Hard to wake up this morning; bad dizziness; unable to walk; This is a spontaneous report from a Pfizer sponsored program via medical information team. A contactable 75-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date not reported), via an unspecified route of administration on 21May2021, (75 years old at the time of vaccination) as single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 23May2021, the patient experienced bad dizziness, unable to walk, hard to wake up this morning. It was reported that patient take several deep breaths to try and calm his dizziness. it was reported that patient received first dose 21May2021, experiencing bad dizziness and unable to walk. Asks "How long will this last?" and "Will it go away?". Indicates laying down currently. Declined further demographics. Potential duplicate AE. Reported that for a couple of days he was okay with no symptoms. Yesterday he didn''t do anything. He stood up and sat right back down. His wife helped him but the dizziness got worse and worse. This morning he had a hard time waking up. States he did several deep breaths to try and calm his dizziness. Asks if this is regular? Is there anything he can do? Reported that patient thought he was being transferred to Medical Information. Declines to complete a report. he does not want to do anything else; he just wants information. States if symptoms persist he will go to his doctor. It was reported that reporter seriousness for Bad Dizziness, Unable to walk, Hard to wake up this morning was Unspecified. The outcome of all reported events was unknown.


VAERS ID: 1367340 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: USPFIZER INC2021593450

Write-up: today she is extremely nauseous; she developed severe stomach pain; This is a spontaneous report from a contactable consumer (patient''s daughter). A 74-year-old female patient received BNT162b2(PFIZERBIONTECH COVID-19 VACCINE Solution for injection, Lot Number and Expiry date: Unknown) via an unspecified route of administration on 21May2021 as 2nd dose, single for COVID-19 immunization. Historical vaccination included BNT162b2 (Dose Number-1, Batch/lot number: EW0177 Anatomical Location-Left Arm) on 30Apr2021 for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient daughter stated after received the second dose last Friday, 2 to 3 days later on 23May2021, her mother developed severe stomach pain last night and pain went away. On 24May2021, today she is extremely nauseous. The patient''s daughter questioned that can a person develop side effects two to three days after getting the shot and stated otherwise her mother had food poisoning. The clinical outcome of the event stomach pain was recovered on 23May2021 and the event today she is extremely nauseous was not resolved. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1367346 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Vaccination site discomfort, Vaccination site erythema, Vaccination site induration, Vaccination site pain, Vaccination site pruritus, Vaccination site warmth
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021593788

Write-up: redness around the injection site/discomfort, pain, itching, hardness, hot to touch and hard; redness around the injection site/discomfort, pain, itching, hardness, hot to touch and hard; redness around the injection site/discomfort, pain, itching, hardness, hot to touch and hard; redness around the injection site/discomfort, pain, itching, hardness, hot to touch and hard; redness around the injection site/discomfort, pain, itching, hardness, hot to touch and hard; redness around the injection site/discomfort, pain, itching, hardness, hot to touch and hard; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 38-years-old female patient received second dose of BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0178 and Expiration date was not reported), via an unknown route of administration in right arm on 22May2021 at 12-12:30 PM as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0169 and Expiration date was not reported), via an unknown route of administration in right arm on 01May2021 as single dose for covid-19 immunisation. Patient had no problems with vaccines in past as kid or since she worked in emergency services. No issues with any previous vaccines. Patient had no adverse event following prior vaccination. The patient reported that, after receiving second dose of COVID- Vaccine on 22May2021 (on Saturday as reported). On 23May2021 (yesterday as reported) she noticed a lot of redness around the whole injection site and was knowing that pain and discomfort were normal. On 24May2021 (Today as reported), it was very noticeable with redness, it was hurting, itching and hot to touch. It was also hard. So it was hard, hot, red and itchy. She wanted to ask that, if they are side effects and also to know what she could do to help with them, what would be good to take care of it or she should just let it be or what. The outcome of events was not recovered. Follow up attempts are needed; information about lot/batch number are provided.


VAERS ID: 1367350 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LESSINA
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 INC2021594234

Write-up: Right side facial numbness; Arms is sore; This is a spontaneous report from a contactable nurse (patient herself). A 28-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection), dose 1 via an unspecified route of administration on 22May2021 (Batch/Lot Number: EW0187/Expiry date: unknown) (at the age of 28-year-old) as 1st dose, single dose for covid-19 immunisation. The patient had no medical history. Concomitant medication included LESSINA taken for birth control. Nurse stated, on 22May2021 (yesterday) she got her Pfizer Vaccine, the first dose and today, on 23May2021 just randomly she had right side facial numbness and arms was sore. Nurse wanted to know was this common side effect that happen with Pfizer vaccine. The outcome of the events was unknown.


VAERS ID: 1367370 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: USPFIZER INC2021599433

Write-up: a little stomach ache; This is a spontaneous report from a non-contactable consumer (patient) via medical information team. A 48-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration, on 21May2021 as 1st dose, single for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient experienced a little stomach ache on 23May2021. The patient received treatment with TYLENOL (Paracetamol). The outcome of event was not recovered as the patient had this event at the time of report. Information on the lot/batch number has been requested.


VAERS ID: 1368152 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-26
Onset:2021-05-23
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Acute myocardial infarction
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Myocardial infarction (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), Embolic and thrombotic events, arterial (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I21.4 - NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) N17.9 - Acute kidney injury (CMS/HCC)


VAERS ID: 1368293 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-07
Onset:2021-05-23
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Burning sensation, Condition aggravated, Dry skin, Eye irritation, Hyperaesthesia, Rash, Rash pruritic, Skin burning sensation, Skin exfoliation, Skin warm, Sleep disorder
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Corneal disorders (broad), 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: Only a minor reaction to a shingles vaccine, 2019.
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma, seasonal allergies to pollens
Allergies: mullen plant; some expectorants
Diagnostic Lab Data: None as yet.
CDC Split Type:

Write-up: Serious skin rash over much of my body: face, trunk, arms, scalp, groin and neck. The most serious and troubling area is around the neck where t-shirt collar contacts the skin. Some areas don''t itch, but the head and neck do. Facial areas that are normally oily are now very dry, scaling and itching. Pre-existing skin problems are now heavily exaggerated. Dry areas on the fingers are worse. Dandruff is much worse. First noticed as an irritation around the eyes. Tears were burning my face, as if acidified. Then I noticed the rash on my arms. Further inspection revealed it on my face, neck, trunk and groin area. There is dryness, scaling and flaking around the eyes, nose, mouth and ears. The neck is most troubling with heat, itching and burning causing lack of sleep. It is not abating and appears to be getting worse. I will be seeking medical attention for the first time this week. If this is related to the vaccine, I want to make that known. I had the second of two shots on the Moderna COVID-19 vaccine (lot #047B21A), on May 07 at noon, meaning I was fully antibody protected on 05-21, immediately before the rash was noticed. A bad body rash is associated with this vaccine, but I find no documentation that it has been observed this long after vaccination. Just the same, I am reporting this today in part because I want this to be documented as a possible reaction to the vaccine. Other possible causes have been ruled out. Currently taking Benadryl, NSAIDS, moisturizing cream, and hydrocortisone cream.


VAERS ID: 1368318 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Deafness bilateral
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Many meds - he is on dialysis and diabetic and HTNsive.
Current Illness: CKD on dialysis and diabetic and HTNsive.
Preexisting Conditions: CKD on dialysis and diabetic and HTNsive.
Allergies: NKDA
Diagnostic Lab Data: Audiogram - not yet completed.
CDC Split Type:

Write-up: He got his shot on 5/21/21 and on 5/23/21 awoke with profound deafness in both ears.


VAERS ID: 1368377 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Joint range of motion decreased
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Persistent left shoulder pain and inability to move shoulder that started about 60 hours after vaccine and is still present over 10 days later


VAERS ID: 1368489 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-02-10
Onset:2021-05-23
   Days after vaccination:102
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cerebrovascular accident, Chest X-ray normal, Hypophagia, Mental status changes, Pyrexia, Quality of life decreased, SARS-CoV-2 test positive, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Admit 5/23. Vaccine 1/16, 2/10. H/O CAD, CHF, previous strokes. Presented to ED from NH with AMS, fever. COVID+. CXR shows no infiltrates. No supplemental O2. Also found to have acuta CVA. Palliative care consulted, family agreed to hospice. DC''d to Hospice.


VAERS ID: 1368522 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 RA / IM

Administered by: Pharmacy       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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives, body rash , still comes and goes after Prednisone treatment . Pt has an allergist appointment on 6/17/2021.


VAERS ID: 1368656 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dizziness, Dyspepsia, Echocardiogram, Electrocardiogram, Feeling abnormal, Heart rate increased, Hot flush, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Red mark on upper thigh after receiving flu vaccine around age 1 or 2
Other Medications: Low-ogestrol birth control, Claritin
Current Illness:
Preexisting Conditions: Some seasonal allergies and some occasional asthma symptoms
Allergies: Tobramycin
Diagnostic Lab Data: EKG on 05/24/2021 at pediatrician office EKG and echo 06/01/2021
CDC Split Type:

Write-up: First on Saturday May 22 had sore arm, then pain that thought was possibly heartburn/indigestion, fever over 100. Took acetaminophen and tried Tums. Then on Sunday May 23 chest pain that didn''t feel quite like indigestion and fever over 100. Continued acetaminophen and Tums. Monday May 24 felt like heart was fast, hot flash type feeling like could faint and some light headedness/off feeling, continued chest pain. Pediatrician prescribed omeprazole to see if helped, did EKG. Checked in on Wed May 26, no change except no fever and light headedness improving. Referred to cardiology.


VAERS ID: 1368672 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (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: n/a
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was 16 years old and given first dose Moderna vaccine. There were no symptoms or adverse events.


VAERS ID: 1369038 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
SMQs:, Medication errors (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:
CDC Split Type:

Write-up: Patient came in on Friday 5-22-21 to ask for his second dose of Moderna. He did not know that it was to be 28 days after his first dose. His first dose had been on 5-10-21. Patient was told to return on Saturday because we were out of doses for the day, but the staff member did not look at his file to see the date of his previous vaccination. Patient returned and did not have his vaccination CDC card with him, but stated that he was told to return on Saturday for his second dose. Second dose was administered on 5-23-21 which was 13 days after initial dose. He did not report any side effects that were unusual.


VAERS ID: 1369308 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis
SMQs:, 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? 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: acute myocarditis


VAERS ID: 1369345 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Balance disorder, Deafness, Dehydration, Diarrhoea, Dizziness, Hyperhidrosis, Muscular weakness, Nausea, Night blindness, Pyrexia, Tinnitus, Urine analysis, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Vitamin D, Calcium Magnesium Zinc, Albuterol
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Grass/Hay fever, Pollen, Mold, Horses
Diagnostic Lab Data: The urine sample came back with a good report and no urinary issues. My blood couldn''t be tested because the sample sizes were small and the ones the doctors could get kept coagulating inside the vials.
CDC Split Type:

Write-up: The following morning after I got my second COVID shot, I experienced extreme nausea, sweating, high-fever, weakness in my legs, lack on night vision (everything was unusually dark), light headedness, trouble hearing, extreme ringing in both of my ears, and trouble balancing. I felt like I was blacking out. I was treated by laying back in bed and I felt much better after about 20 minutes. 4 days later on May 26th at about 3:00 am, I experienced severe diarrhea (15-20) bouts for an entire day, I vomited 3 times by 9:00 am, severe dehydration, sweating, nausea, and stomach cramps. I was treated with 2 full bags of Iv''s and nausea medication.


VAERS ID: 1369544 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety
SMQs:, Hypoglycaemia (broad)

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

Write-up: Anxiety due to shots.


VAERS ID: 1369562 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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

Write-up: Numbness/tingling.


VAERS ID: 1369788 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Cardiac imaging procedure abnormal, Chest pain, Echocardiogram normal, Electrocardiogram abnormal, Fatigue, Inflammation, Myocardial oedema, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not applicable
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 05/25/ 2021: Troponin (17.22), EKG : Diffuse ST elevation and PR depression, Echo: No regional wall motion abnormality. 05/26/2021 Cardiac MRI: Myocardial Edema
CDC Split Type:

Write-up: Patient started having generalized body weakness and fatigue few hours after vaccination on 05/22/2021. He subsequently developed chest pain on 05/23/2021 which progressively worsened and resulted in his presentation at the emergency room on 05/25/2021. While in the ED, Troponin was elevated at 17.22. EKG done had revealed ST elevations with PR depression. Cardiac MRI done showed myocardial edema involving the mid/apical lateral wall suggestive of acute myocarditis/inflammation. Patient received a loading dose of Colchicine and Ibuprofen as anti-inflammatory agents. Troponin was trended and peaked at 23.60 and slowly down-trended to 1.84 on 5/28/21 and he was subsequently discharged to follow up as outpatient.


VAERS ID: 1369793 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Back pain, Blood test normal, Dysstasia, Gait disturbance, Movement disorder, Pain, Pain of skin, Pyrexia, Sensitive skin, Ultrasound scan normal, Urine analysis, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), 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), Arthritis (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:
Other Medications: synthroid 75 mcg
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Kidneys were tested via blood work, urine sample and sonogram but all test results were negative for infection or stones.
CDC Split Type:

Write-up: Sunday morning,(5/23) I woke up with severe back pain, vomitting and low grade fever. Monday, vomitting and fever was gone but severe back pain still present. I was unable to roll over in bed, stand or sit. The pain was present on the right low back radiating into the hip. Skin pain and sensitivity is present on right side of my lower stomach and groin area. I was unable to stand or sit for over a week. (the following tuesday). No pain medication, massage, accupuncture, chiropractor gave any relief. As of today 6/2, I still have pain but I am able to sit with minimal discomfort, but standing and walking still difficult and uncomfortable.


VAERS ID: 1369812 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-17
Onset:2021-05-23
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Dyspnoea, Fatigue, Influenza virus test negative, Muscle spasms, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad), COVID-19 (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: Taking an anxiety/sleep medication. Hydroxyzine Vitamin D. 50,000
Current Illness: Low testosterone
Preexisting Conditions: None
Allergies: aspirin Dimetapp Benadryl
Diagnostic Lab Data: Flu A/B plus Covid swab. NEGATIVE 06/02/21
CDC Split Type:

Write-up: Started to get extreme fatigue. To the point where I just wanted to lay down all day. Shortness of breath. Muscle cramping and aching in joints. Still current at this point. Both arms, both legs.


VAERS ID: 1370668 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-14
Onset:2021-05-23
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Skin discolouration
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (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: USPFIZER INC2021584789

Write-up: Yellow discoloration, like a bruise, over a week after the vaccine. No pain.; Yellow discoloration, like a bruise, over a week after the vaccine. No pain.; This is a spontaneous report from a contactable 23-year-old male consumer (patient himself). A 23-year-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EW0185) via an unspecified route of administration in left arm on 14May2021 13:30 as 2nd dose single and had previously received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- ER8729) via an unspecified route of administration in left arm on 23Apr2021 13:30 as 1st single dose for COVID-19 immunization. Patient was 23-years-old at the time of vaccination. Patient medical history and concomitant medications were not reported. Patient was not diagnosed with COVID-19, prior to vaccination. Patient has not been tested for COVID-19, since the vaccination. Facility where the most recent COVID-19 vaccine was administered was reported as Pharmacy or Drug Store. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 23May2021 at 09:00, the patient experienced yellow discoloration, like a bruise, over a week after the vaccine with no pain. Patient did not receive any treatment for the adverse events. The outcome of the event was recovering.


VAERS ID: 1370674 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Gastrointestinal disorder, Headache, Musculoskeletal chest pain, Musculoskeletal stiffness, Rash, Spinal pain, Vaccination site pain, Vaccination site rash, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (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: IBUPROFEN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy (known_allergies: other household products); Allergy (Allergies); Detergent sensitivity (known_allergies: detergents); Irritable bowel syndrome (IBS); Joint dysfunction (SI joint dysfunction); Low back pain; Meningitis; Soap allergy (known_allergies: soaps); Sulfonamide allergy (known_allergies: Sulfa drugs)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592778

Write-up: Pain at injection site; pain in rib cage and thoracic spine; pain in rib cage and thoracic spine; stiffness; chills; rash on my face and injection site; rash on my face and injection site; blurred vision/cloudy; digestive issues; headache; This is a spontaneous report from a contactable consumer (patient). A 42-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW0171), via an unspecified route of administration, on 23May2021 at 12:30 (at the age of 42-years) as single dose in left arm, for covid-19 immunization. Medical history included: allergies, meningitis, low back pain, SI joint disfunction, IBS and known allergies: Sulfa drugs, soaps, detergents, and other household products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient''s concomitant medications included: ibuprofen, multivitamin, antioxidants, leaky gut r. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient was not pregnant at the time of vaccination. On 23May2021 at 22:30, the patient experienced pain at injection site, pain in rib cage and thoracic spine, stiffness, chills, rash on my face and injection site, blurred vision, cloudy, digestive issues and headache. The patient did not receive any treatment for the events. Since the vaccination, the patient has not been tested for COVID-19. The outcome of events was not recovered.


VAERS ID: 1370693 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood test, Chest X-ray, Chills, Dizziness, Gait disturbance, Lymphadenopathy, Muscular weakness, Nausea, Night sweats, Pyrexia, Swelling face, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: Blood work; Result Unstructured Data: Test Result:normal; Test Date: 202105; Test Name: a chest X-ray; Result Unstructured Data: Test Result:normal
CDC Split Type: USPFIZER INC2021605670

Write-up: Extreme dizziness/Light headedness; Muscle weakness/ can''t walk on her own and is extremely weak; Muscle weakness/ can''t walk on her own and is extremely weak; Muscle weakness/ can''t walk on her own and is extremely weak; shakiness; Face completely swollen; Nausea; lump under arm pit, swollen lymph node; Low grade Fever; Chills; Night sweats; This is a spontaneous report from a contactable consumer (patient). A 35-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0182, expiration date: 31Aug2021), via an unspecified route of administration in the left arm on 18May2021 at 14:15 (at the age of 35-year-old), at a 0.3 ml single dose for COVID-19 immunisation in hospital. The patient had no medical history and concomitant medications were not reported. The patient did not receive any vaccination within 4 weeks. Patient had no family history, but her husband got the vaccine and has not had any reactions. Everyone was fine. On 23May2021, the patient experienced lump under arm pit, swollen lymph nodes. She went to her general practitioner''s office to check the lump and said it was normal from the vaccine and was swollen lymph nodes. On the same day overnight, she had fever/ low grade fever, chills, night sweats. On 24May2021, when she woke up, her face was completely swollen. She doesn''t know if it was from the low grade fever. On the same day, she experienced nausea. On 25May2021, she experienced light headedness/extreme dizziness, muscle weakness/ can''t walk on her own, was extremely weak and was shakiness. The patient was admitted to the emergency room for the events, and she was treated with Tylenol and anti-nausea medicines. They did a bunch of bloodwork and everything was in normal range and chest X-ray which was clear, then the patient was discharged, and patient was not admitted to the hospital (reported that probably best for her to rest at home and told her to come back if it got worse). She was also seen by the hospital neurologist and musculoskeletal neurologist. They initially thought she had Guillain-Barre syndrome but were able to rule that out. She was home today and was still experiencing light headedness and dizziness. She can''t really walk on her own and need to hold on to something to walk as her legs are weak. She has a follow up with a neurologist on 10Jun2021. The outcome of the events lump under arm pit, swollen lymph node, muscle weakness/ can''t walk on her own and is extremely weak was not recovered, shakiness was recovered and the rest of the events was unknown. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1370737 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blister, Burns second degree, Chills, Cough, Fatigue, Headache, Oropharyngeal pain, Throat irritation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Hypersensitivity (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: AMITRIPTYLINE; ZOLOFT
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy (Verbatim: Allergy I have allergy once a year); Depression (Verbatim: Depression); Intervertebral disc operation (Verbatim: Have a Plate in Neck); Mitral valve prolapse (Verbatim: Mitral valve prolapse)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021620630

Write-up: Tickling in Throat/ My throat is on fire like my brain/ My Throat hurts; Tickling in Throat/ My throat is on fire like my brain/ My Throat hurts; Arm burn blister below injection site, I can''t lift my arm, like fishy infection, I can''t even lay on that arm; Arm burn blister below injection site, I can''t lift my arm, like fishy infection, I can''t even lay on that arm; Headache; I am tired; Chills; Cough; This is a spontaneous report from a contactable consumer (patient). A 53-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EW0167), dose 1 via an unspecified route of administration on 22May2021 (at the age of 53-years-old) as a 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included depression and mitral valve prolapse from an unknown date and unknown if ongoing. Patient also stated that she has allergy (unspecified) once in a year. Patient had a plate in neck. Concomitant medication(s) included amitriptyline (AMITRIPTYLINE) 25 mg daily once taken for depression from an unspecified start date and ongoing and sertraline hydrochloride (ZOLOFT) 50 mg taken for depression, start and stop date were not reported. On 23May2021 at 03:00 the patient experienced cough and chills. Patient reported that after my first shot she had like a little tickling in her throat now and then she has an arm blister like below the (injection) site, and she did not know if anybody have that. She cannot lift her arm to do and that gave her headache. Patient was tired and wanted to know if this should last that long and why did she get the burn blister. Patient stated that her throat was on fire like her brain and her throat and headache. She wanted to know if anybody else got burnt blister, an arm blister said which was like fishy infection. She could not even lay on that arm. She had chills, cough 3 o clock in the morning. Patient had visited hospital for blister and now blister disappeared. Patient also stated that she still had headache, tiredness and her throat hurts. As a result of headache, fatigue, chills and cough, patient took paracetamol (Tylenol) and since she did not take it then (today) it gotten worse, and so she would take it now. The outcome of the event burnt blister was resolved and outcome of the events headache, fatigue and throat pain was not resolved. The outcome of all other events was unknown.


VAERS ID: 1371124 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / UNK LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Hunger, Parosmia
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Vestibular 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: Biotin, Lamicatal 200mg
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: On the second dose of Moderna done on 05/22/21 the next day which was 05/23. I woke up with a headache, could barely open my eyes, so I laid for a few minutes. Once I woke up, I was very hungry, and dizzy and tired. Later, I started cooking, and the smell of the food was gross to me. I had to sit because I was starting to get dizzy again. The head ache came back, and the pain was above my eyes. The side effects were like a pregnancy symptoms, but was NOT and I am NOT pregnant.


VAERS ID: 1371342 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Pain, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin d
Current Illness: None
Preexisting Conditions: High blood pressure, possibly fibromyalgia
Allergies: Adhesive
Diagnostic Lab Data: None yet.
CDC Split Type:

Write-up: Couldn''t move left arm in so much pain within 6 hrs of shot. 101 temperature for 4 days. Dr gave steroids. I still have pain when using. Supposed to see specialist. At this point it has been 11 days.


VAERS ID: 1371569 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Singular, D3 Vitamin, Omega 3 Vitamin
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Azythromycin
Diagnostic Lab Data: EKG on 4/24/21. Low resting heart rate of 57 bpm. Has an appointment with a cardiologist to follow up.
CDC Split Type:

Write-up: Sharp chest pains, difficulty breathing and passed out for about 30 seconds.


VAERS ID: 1371619 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blindness unilateral, Blood pressure inadequately controlled, Cerebrovascular accident, Confusional state, Dizziness, Fatigue, Gait disturbance, Headache, Hypertension, Hypoaesthesia, Lethargy, Paraesthesia, Sleep disorder, Tremor, Visual impairment
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Severe, Systemic: Hypertension-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Stroke-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: 2 days after receiving 1st dose had a stroke, went to Hospital had 3 more light strokes, loss of vision in left eye, shuffles to walk, BP not under control, patient was discharged and following up with PCP.


VAERS ID: 1371670 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (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:
CDC Split Type:

Write-up: underage


VAERS ID: 1371850 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anticoagulant therapy, Back pain, Blood bicarbonate increased, Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, C-reactive protein increased, Chest X-ray normal, Chest discomfort, Chest pain, Discomfort, Echocardiogram normal, Electrocardiogram ST segment abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Haemoglobin normal, Headache, Pain, Painful respiration, Platelet count normal, Respiratory viral panel, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Sinus arrhythmia, Troponin I increased, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tubulointerstitial diseases (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Labs at outside hospital 5/25/2021 Troponin I 1.924 glucose 111 Sodium 145 potassium 4.5 chloride 107 bicarb 29 BUN 10 creatinine 0.7 R CRP 6.0 with normal value of 0-0.3 WBC 10 hemoglobin 15.2 platelets 192 BUN 10 creatinine 0.77 . Radiology results: Chest x-ray 5/25/2021 No acute cardiopulmonary abnormality EKG at outside hospital ST elevation anterolateral and inferior EKG with diffuse ST changes Sinus rhythm with marked sinus arrhythmia Echocardiogram Non Congenital Complete Event Date: 05/25/2021 10:25:00 CONCLUSIONS: - No structural abnormalities seen. Qualitatively normal left ventricular systolic function. 5/26 - Troponin 0.8. RPP, Sars Cov, and Covid Ig negative.
CDC Split Type:

Write-up: 16-year-old male with no significant past medical history who presented on 5/25/2021 with 2-day history of chest pain. Patient had his second dose of Pfizer Covid vaccine on 5/22/2021 and on 5/23/2021 he developed headache and body aches. In the afternoon of that same day patient developed retrosternal chest pain that he described as a pressure and radiated to the back. He took 2 Tylenols and went to sleep and he reports improvement of the pain. He woke up the next day on 5/24/2021 without any pain and was most of the day doing well but in the afternoon early evening the pain returned stronger. He describes as at least 5 out of 10 in severity, no shortness of breath but the pain got worse when yawning or taking a deep breath. The pain would improved if he lay on his left side. Given the symptoms he was taken to outside hospital where he was found to have ST segment elevation and elevated troponin concerning for myo/pericarditis he was transferred from this facility for further management. He was given 2 aspirins and the pain improved down to a 1 out of 10 and has remained the same. Interval history 05/26/2021: No acute events overnight. Denies chest pain, SOB, or headache. Eating well. VSS. No emesis. Almost back to baseline very minimal residual discomfort


VAERS ID: 1371913 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-04-01
Onset:2021-05-23
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 1 AR / IM

Administered by: Military       Purchased by: ?
Symptoms: C-reactive protein increased, Chest pain, Computerised tomogram thorax normal, Costochondritis, Echocardiogram normal, Electrocardiogram normal, Myocarditis, Pericarditis, Red blood cell sedimentation rate increased, Troponin, White blood cell count
SMQs:, Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole, acetaminophen, cetirizine, albuterol
Current Illness: Endorsed flu like symptoms that lingered for three weeks after vaccination with the first three days being worst
Preexisting Conditions: Anxiety, dysmenorrhea, pelvic pain, hx oophorectomy
Allergies: None
Diagnostic Lab Data: Multiple EKG- no abnormality Echocardiogram- grossly normal without effusion noted and normal appearing pericardium CT Chest- no effusion, no PE, no vascular abnormality Troponin- undetectable X 1 WBC- 24$g21$g10 CRP 23 ESR 28 (reference range (0-20)
CDC Split Type:

Write-up: Presented with chest pain that was determined to NOT be related to ACS. Myocarditis (no troponin) and pericarditis (no EKG changes, no effusion, no friction rub) remained in the differential with costochondritis. Her symptoms resolved with NSAID and colchicine and was sent home after a three day hospitalization.


VAERS ID: 1371915 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Delaware  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Paxil 10mg daily
Current Illness: none
Preexisting Conditions: none
Allergies: Sulfa, Nubain, Latex
Diagnostic Lab Data: none at this time. I have an EKG scheduled for thursday 6/10
CDC Split Type:

Write-up: Beginning approximately 2 days after receiving the vaccine, I began to develop a harsh aching in my chest, just to the left of my sternum that would radiate across my chest wall under the entirety of my L breast. This pain would increase in intensity if I bent over forward to pick something up or if I took a deep breath or had to sneeze. I did not experience any cough, shortness of breath or rapid heartbeats. I had not done any heavy lifting or anything out of the ordinary. This went on for about a week and just disappeared on it''s own.


VAERS ID: 1372048 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-19
Onset:2021-05-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone decreased, Chest X-ray normal, Dizziness, Dyspnoea, Electrocardiogram abnormal, Thyroid function test normal, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Vestibular disorders (broad), Hypokalaemia (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: high fever and rash/swelling at injection site - 1st DTAP - 2 months
Other Medications: Carvedilol 12.5mg (twice daily) Fluoxetine 10mg (twice daily) Trazodone 50mg (half-pill daily) Esomeprazole 40mg (once daily) Probiotic Supplement (Up & Up) Daily Multi-Vitamin (Kirkland)
Current Illness:
Preexisting Conditions: tachycardia (managed by carvedilol) anxiety/panic attacks obesity high blood pressure (history - not current)
Allergies: codeine anesthesia (family history)
Diagnostic Lab Data: EKG (abnormal, PVCs every other beat) - 5/24/21 EKG (normal) - 6/02/21 TSH (abnormal - low) - 5/24/21 (at emergency room in morning) Thyroid Panel (normal) - 5/24/21 (at doctor''s office, afternoon) Chest x-ray (normal) Right Upper Quadrant (normal)
CDC Split Type:

Write-up: Severe Premature Ventricular Contraction (PVCs) four days after second vaccine. Resolved with IV administration of magnesium. Recurred and continued at a lesser frequency for the following week. Magnesium taken daily (orally 400mg). Some shortness of breath and lightheadesness. EKG normal on 6/02/21. Echo scheduled on 7/14/21.


VAERS ID: 1372063 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Blood pressure increased, Heart rate increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (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: Lisinopril 10mg once per day; Metformin ER 1000mg twice per day; Glimepiride 1mg once per day; Simvastatin 40mg once per day; Magnesium supplement 200mg twice per day;
Current Illness: N/A
Preexisting Conditions: Type 2 diabetes, High blood pressure; High cholesterol
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 30 hours after 1st Moderna shot, I began to have elevated Blood Pressure and rapid pulse. Day over day, I developed extreme abdominal bloating and elevated blood pressure and rapid pulse. Symptoms have continued for 14 days post shot. Treatment with 4,000mg Simethicone daily to treat bloating. When bloating is reduced - Blood Pressure and Pulse are significantly lowered. Had appointment with PCP on day 13 - currently stopping Metformin - extreme bloating is reducing. Have previously experienced similar (but milder) side effects of extreme abdominal bloating twice (when starting Metformin), but did not have elevated BP or Pulse.


VAERS ID: 1373760 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye disorder, Vision blurred, Vitreous floaters
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Headache; Pain in arm; Stomach ache
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592764

Write-up: his vision was blurry/Felt like his vision was getting blurry in both eyes; with eye floaters that are catching the light more often/Eye floaters and they are catching the light more often which is creating a flashing light every now and then/The floaters are happening more in his left eye; with eye floaters that are catching the light more often/Eye floaters and they are catching the light more often which is creating a flashing light every now and then; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 36-years-old male patient received first dose of bnt162b2 (BNT162B2, Solution for injection), via an unspecified route of administration, administered in Arm Left on 23May2021 12:40 (Batch/Lot Number: EW0178) as 1st dose, single for covid-19 immunisation. The patient medical history prior to vaccinations included headache, stomach ache and arm pain. Concomitant medications were not reported. History of all immunisation list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine or additional Vaccines Administered on Same Date of the Pfizer were reported as none. On 23May2021 after receiving a first dose of vaccination, a couple hours after the vaccine patient felt like his vision was getting blurry in both eyes and that had continued. He also had eye floaters before receiving the Covid 19 vaccine but now the eye floaters are catching the light more often which is creating a flashing light every now and then. It was happening in both eyes, the floaters are happening more in his left eye. He reported the ophthalmologist said his eyes were fine. He reported he was borderline on his eye prescription and according to the ophthalmologist the Covid 19 vaccine might impacted his eye muscles a little bit and pushed him over to the next prescription. The ophthalmologist said the blurred vision should go away in a few days. The ophthalmologist also said he had not heard of any vision side effects with the Covid 19 vaccine, and he should be fine a day or two. It was reported that patient was not visited to emergency room of physician office. At the time of report, patient was not recovered from the events. Additional information has been requested.


VAERS ID: 1373886 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Hypoaesthesia, Myalgia, Nausea, Palpitations, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
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 INC2021623571

Write-up: Numbness; Tingling/Pins and needles; Heart palpitations; Low grade headache; Muscle ache; Fatigue; Nausea; This is a spontaneous report received from a contactable consumer (Patient). A 36-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number and Expiration date was not reported), via an unspecified route of administration, administered on Arm Left on 18May2021, as single dose for COVID-19 immunization. The patient medical history and concomitant medications were reported as none. The patient did not receive any other vaccinations within four weeks prior to the first administration date. On 23May2021, the patient started experiencing numbness, tingling, pins and needle sensation throughout body, low grade headache every day, muscle ache every day, Fatigue every day, nausea every day, heart palpitations every day. The reporter stated that he called because he was having adverse reaction with first dose of the Pfizer vaccine and he went to emergency room and was dismissed by them. She stated that the reaction she had, specifically, the tingling the pins and needles was not listed as side effect which she found bizarre because there are thousands of people who had same reactions. The patient did not receive any treatment in response to adverse events. The outcome of the events was reported as not recovered. Information about lot/batch number has been requested.


VAERS ID: 1374096 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild


VAERS ID: 1374255 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C214 OR A AT / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Borrelia test negative, Dizziness, Fatigue, Headache, Lymphadenopathy, Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (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: Synthroid 100mcg
Current Illness: None
Preexisting Conditions: Thyroid disease
Allergies: Bee Sting Allergy
Diagnostic Lab Data: lyme disease test (June 1, 2021) Results were negative Doxycycline Hyclate 100 M prescribed to help with rash
CDC Split Type:

Write-up: Headaches, dizziness, extreme fatigue, nausea and vomiting, rash similar to chickenpox, swollen lymph nodes, knee pain. Made a doctor''s appointment and was tested for lyme''s disease (negative result). Was told the side effects from the vaccine would wear off soon.


VAERS ID: 1374472 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-04
Onset:2021-05-23
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003A21A / 2 - / -

Administered by: Public       Purchased by: ?
Symptoms: Bacterial infection, Bladder catheterisation, Blood culture, Blood lactic acid decreased, Body temperature increased, Chest X-ray abnormal, Computerised tomogram head normal, Confusional state, Culture urine, Dysarthria, Feeling cold, Gram stain positive, Incentive spirometry, Mental status changes, Pneumonia, Procalcitonin normal, Sepsis, Speech disorder, Urinary tract infection, Urine analysis abnormal, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Current Outpatient Medications on File Prior to Encounter Medication Sig Dispense Refill ? aspirin 81 MG tablet Take 81 mg by mouth daily ? brimonidine (ALPHAGAN P) 0.2 % ophthalmic solution Place 1 Drop into both eyes 3 times daily. 1
Current Illness:
Preexisting Conditions:
Allergies: nka
Diagnostic Lab Data: Septicemia -continue Zosyn IVPB -urine culture pending -blood culture pending -hydration adequate -will continue to monitor Acute UTI -continue Zosyn -g stain positive GNR -will add probiotics -encourage oral intake -awaiting culture reports -discontinue Foley catheter Right upper lobe pneumonia -patient does have a slight wheeze. -continue incentive spirometer -add expectorant-Mucinex -will continue with IV antibiotics Zosyn -oximetries good. Will consider adding nebulizer if needed.
CDC Split Type:

Write-up: 5/23/21 ER to Admission, HPI: Patient is a 79 y.o. female admitted to acute care from ED per Dr. with septicemia, acute UTI, pneumonia of right upper lobe.. The patient presented to ED brought in by EMS from local residence complaining of altered mental status. Patient states she woke up yesterday morning chilling. States she just could not get warm. Went back to bed for I while. States she did get up and go to church. After eating dinner had went over to her grandson''s. She became confused at that point. Has been states that speech was difficult to follow. Did become slightly slurred. EMS was called and patient was brought to ER for further evaluation. Upon arrival to ER patient''s temp is 102.4?. CT scan head negative for acute changes. Chest x-ray did show right upper lobe changes questionable infiltrate. Lactic acid 1.1 procalcitonin negative. Urine was highly positive with GNR on gram stain. Patient given L of normal saline along with Zosyn in ER. Subsequently admitted to acute care for further evaluation and treatment including IV antibiotics and further monitoring. Foley catheter placed ER.


VAERS ID: 1374499 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysphagia, Dyspnoea, Purpura, Rash, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: RA in remission; no meds or NSAIDs, steroids, etc Immune Thrombocytopenic Purpura
Allergies: None
Diagnostic Lab Data: Unavailable, done by ER
CDC Split Type:

Write-up: Pruiritic rash on arm on 5/23 Hives and purpura-like rash on bilateral arms, legs and chest on 5/24 Hives on neck and face; SOB, difficulty swallowing on 5/25


VAERS ID: 1374641 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Confusional state, Headache, Insomnia, Paranoia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

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

Write-up: Insomnia , paranoia , headaches, confusion


VAERS ID: 1375251 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-03-03
Onset:2021-05-23
   Days after vaccination:81
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023M20A / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Confusional state, Hyponatraemia, Transient ischaemic attack
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Vestibular disorders (broad), Chronic kidney disease (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? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin, atorvastatin, cosopt, multivitamin
Current Illness:
Preexisting Conditions: Hypertension, osteoarthritis, abnormal LFTs
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna COVID 19 Vaccine EUA Admitted for TIA, hyponatremia, confusion and dysequilibrium


VAERS ID: 1375370 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Bronchitis, Bronchospasm, Chest X-ray normal, Chest discomfort, Cough, Dyspnoea, Pulmonary congestion, Wheezing
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol HFA (ALBUTEROL) 108 (90 Base) MCG/ACT inhaler benzonatate (TESSALON) 100 MG capsule benzonatate (TESSALON) 200 MG capsule Cholecalciferol (VITAMIN D3) 2000 UNIT CAPS cholestyramine light 4 g packet estradiol (ESTRACE VAGINAL) 0.1
Current Illness: COVID-19 April 2021
Preexisting Conditions: Respiratory Restrictive lung disease Genitourinary Menopausal syndrome (hot flashes) Endocrine/Metabolic Dyslipidemia Other History of pleural empyema History of pneumonia History of diabetes mellitus, type II History of suburethral sling procedure
Allergies: No Known Allergies
Diagnostic Lab Data: 6/2/21; DR CHEST 2 VIEWS FRONTAL AND LATERAL, Final Result- Mild right-sided atelectasis.
CDC Split Type:

Write-up: Patient called nurse triage line 5/23/21 Complaint of having COVID the first week of April. She''s been coughing on and off since then. She received her first dose of the Pfizer COVID vaccine on 5/20. Two days later she started coughing more severely, which makes her SOB, and having cold symptoms. She''s only SOB when coughing. Today she started wheezing and when she takes a deep breath she feels a "pop" in her chest. Patient has tried albuterol today. Zinc supplement with no improvement. Pertinent negatives include: Afebrile. No known exposure to Covid-19. No dizziness, weakness, rash, numbness or tingling after her vaccine. 6/2/21- Patient went to ED. Pertinent Medical History: Restrictive lung disease from pneumonia in 2015, usually only needs her inhaler 3 times a year. Patient presents for evaluation of wheezing with mild cough and shortness of breath. She had COVID-19 in April, followed by the 1st dose of the Pfizer vaccine on 05/20/2021. She states her symptoms initially started with what she thought was allergies, but then moved to her chest more recently. Lung sounds are coarse bilaterally with bronchospastic cough. Clinical presentation consistent with bronchitis, suspect this is more allergic rather than infectious based on the history. I did not test for COVID-19, since she is still within the 90 day window of confirmed infection. Chest x-ray is obtained and shows mild atelectasis on the right, but no pneumonia. She was given 4 puffs albuterol MDI with improvement in her symptoms. She has an inhaler at home, advised her to use this as needed for respiratory symptoms. Patient given 60 mg prednisone in the emergency department, I prescribed for additional days of 40 mg daily to start tomorrow. She was also prescribed Tessalon Perles for the cough. Patient advised to follow up closely with primary care for further evaluation and management, she will return if worse or any other concerns. All questions were answered. Patient verbalizes good understanding, comfort, and agreement with the plan of care as described. Patient is discharged home in stable condition.


VAERS ID: 1376345 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-02-02
Onset:2021-05-23
   Days after vaccination:110
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram, Computerised tomogram neck, Dizziness, Electrocardiogram, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydro chlorothiazide
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ct head & neck scans. and ekg
CDC Split Type:

Write-up: Severe vertigo needing hospitalization Lasting 2 weeks and I still have dizziness


VAERS ID: 1376730 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-23
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 1 LA / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21-2A / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Electrocardiogram, Laboratory test, Nausea, Urinary tract infection, Vertigo
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Glipizide Lisinipril, Oxybutinin, Lupitor Percocet, Gabapentin
Current Illness: Diabetes type 2
Preexisting Conditions: Spinal injury, high blood pressure and high cholesterol
Allergies: None
Diagnostic Lab Data: 1st ER visit Blood Pressure EKG Blood drawn. 2nd ER visitBlood Pressure EKG Blood drawn, CT scan. Found culture for Urinary Track Infection. Antibiotics started 5/27
CDC Split Type:

Write-up: 5/23- VERTIGO/NAUSEA (1-2 hours) ER room visit 5/26- VERTIGO/NAUSEA (24-48 hours) 2nd ER room visit 5/30-VERTIGO (30 minutes) while sitting, after swimming 6/5- VERTIGO/NAUSEA (10 hours) 3AM from my sleep


VAERS ID: 1376973 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-23
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site pain, Neuralgia, Pain in extremity, Vein disorder
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Site: Pain at Injection Site-Mild, Systemic: radial nerve pain, swollen/raised veins on left arm-Medium, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient reports mild to moderate pain on left arm along the crease inside elbow, as well as swollen/raised veins in that same area, and sometimes some numbness to the hand/fingers. Patient noticed symptoms about 1 to 1.5 weeks after second dose of Moderna and continues to have those symptoms now. Patient advised to see doctor or go to urgent care.


VAERS ID: 1377032 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-16
Onset:2021-05-23
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye swelling, Mouth swelling, Pruritus, Swelling, Swelling face, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: Swollen neck and swollen eye. Patient went to Doctor''s office and got a prescription for Betamethasone cream which helped to reduce the swelling and symptoms. Told to take benadryl otc which made it worse. Patient stopped benadyrl and filled a prescription for betamethasone cream which helped to reduce swelling.


VAERS ID: 1377100 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Fatigue, Headache, Pain, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CYNTHROID
Current Illness: NONE
Preexisting Conditions: THYROID
Allergies: NONE
Diagnostic Lab Data: BLOOD WORK
CDC Split Type: vsafe

Write-up: TIRED ACHY HEADACHE, PATICEAL RASH ON ANKLE


VAERS ID: 1377332 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-04-30
Onset:2021-05-23
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abnormal loss of weight, Chest discomfort, Decreased appetite, Fatigue, Feeding disorder, Impaired work ability, Lymphadenopathy, Pharyngeal abscess, Pharyngeal operation, Pharyngeal swelling, Somnolence, Swelling
SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: As above.
CDC Split Type:

Write-up: He got his vaccine, and was okay. The next day was tired, drowsiness and missed a day of work, and was able to work after that. He was supposed to get his 2nd vaccine on 5/21/21 and had to go out of town and was going to get it when he got back. The next day 5/23/21 at 12:00 AM his throat began to swell up and gradually it moved from his throat to his chest area. He went to the ER on 5/23/21 in Hospital and they looked at his throat, gave him a steroid shot and some antibiotics and sent him home. The next morning he drove back to home and continued taking the antibiotics that they prescribed and his throat kept swelling more and more. On Tuesday 5/25 at 1:00 PM he went to the ER and sat there 8 hours without being seen and decided to leave. The next morning 5/26/21 he went to an UC and they sent him to an ER at Hospital and from there he was sent to another ER by ambulance to have emergency throat surgery. He had surgery on 5/27/21 at the Hospital where he had an abscess on the inside of his throat that caused his throat to swell. He had swollen lymph nodes and to release the pressure and fluid in his throat as his neck and chest were swelled up. He was discharged on 5/31/21. He is now recovering from the surgery and getting better. He lost 30# as he was not able to eat and did not have an appetite until he came home and eating a little bit better now. He goes back to his doctor on 6/15/21 to get the stitches removed from his neck.


VAERS ID: 1377789 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Differential white blood cell count, Dyspnoea, Full blood count, Hypertension, Injection site rash, Laboratory test, Metabolic function test, Urticaria, Vasculitis
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Vasculitis (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 200mg Advil tablet 1 hour prior to vaccination
Current Illness: none
Preexisting Conditions: history of ITP, RA
Allergies: none
Diagnostic Lab Data: CBC w/diff CMP Extra Blue Top additional tests post follow-up with PCP (results pending)
CDC Split Type:

Write-up: Delayed allergic reaction post vaccination beginning with rash on injection arm then becoming full body hives, urticaria. At time of arrival blood pressure was high and slight difficulty in breathing. Vascularitis visible on legs from knee to feet. Treatment with SoluMedrol and Famotidine, IV. Benedryl tablets were taken at home about 1hr prior to IV medication.


VAERS ID: 1378049 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-11
Onset:2021-05-23
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration
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: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Allergies: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: FIRST DOSE WAS ADMINISTRED ON 5/11/2021 AND SECOND DOSE WAS ADMINISTRED ON 5/23/21.


VAERS ID: 1378222 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Acne, Exposure during pregnancy, Mastitis, Scar
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Functional lactation disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Subutex Ativan Adderoll Gabapenton Effexor Abilify Claudidine Colace
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: I had severe mastitis acne. It started the day after the first and second vaccine and ended exactly two weeks later. It left horrible scars on my face even though it is now gone. I am due to give birth to my fourth child on 10/02/2022


VAERS ID: 1378374 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

Administered by: Pharmacy       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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TESTOSTERONE, TRUVADA, XARELTO
Current Illness: NONE KNOWN
Preexisting Conditions: NONE KNOWN
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT RECEIVED PFIZER COVID-19 VACCINE ON 05/20/2021 AND THREE DAYS LATER ON 05/23/2021 PT STARTED NOTICING SWOLLEN LYMPH NODES ALONG THE COLLOR BONE AREA. HE CONTINUED TO MONITOR FOR SEVERAL DAYS AND FOLLOWED UP WITH PT ON 06/02/2021 WHO STATED THAT THE SWELLING WAS STILL APPARENT AND HE MADE AN APPOINTMENT TO SEE THE DOCTOR TO FOLLOW UP WITH THIS ADVERSE EVENT.


VAERS ID: 1378535 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-15
Onset:2021-05-23
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/a
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Seasonal
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash like bumps on arms and nose and cheeks. Not red just small all-over bumps that are itchy and painful


VAERS ID: 1380699 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-01
Onset:2021-05-23
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Breast pain
SMQs:, Lipodystrophy (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: Fish Oil, 1000 mg - 1 Tablet am & 1 Tablet pm. - Vitamin E 400 i.u. - 1 Tablet am & 1 Tablet pm. - Centrum Silver Vitamin. - 1 Tablet am. - Cetirizine Hydrochloride (Zyrtec) - 10 mg - 1 Tablet am. - D3 2000 i.u. - 1 Tablet am - Colon Healt
Current Illness: None
Preexisting Conditions: None
Allergies: Sugar
Diagnostic Lab Data: Routine mammogram on May 11, 2021 was normal. before the vaccinations.
CDC Split Type:

Write-up: Very painful breasts ever since date (indicated). No problems detected by gynecologist


VAERS ID: 1381111 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac infection, Chest pain, Dyspnoea, Pneumonia
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Medical History/Concurrent Conditions: Pericarditis (with inflammation)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021584823

Write-up: pneumonia; inflammation to the heart; Shortness of breath; chest pain; This is a spontaneous report from a contactable consumer (patient). A 14-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0150, expiration date not provided), 1st dose via an unspecified route of administration, administered in Arm Left on 22May2021 08:00 at age of 14 years old as a single dose for covid-19 immunisation. Medical history included pericarditis with inflammation. The patient''s concomitant medications were not reported. The patient previously took vancomycin and experienced allergies. The patient experienced pneumonia, inflammation to the heart, shortness of breath, chest pain, all on 23May2021 07:00. The outcome of the events was not recovered. The patient was not pregnancy at time of vaccination. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The adverse events resulted in emergency room/department or urgent care. The patient received treatment for the events included Antibiotics. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19.


VAERS ID: 1381320 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-19
Onset:2021-05-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / UNK LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SPIRONOLACTONE; LEXAPRO; CANNABIDIOL; VITAMINS NOS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021641295

Write-up: I was feeling achy and itchy on upper right side of back/Achiness spread to underarm in the next couple days; I was feeling achy and itchy on upper right side of back; I had a few tiny pimple looking spots; red blotches appeared between my back and underarm; shingle; This is a spontaneous report from a contactable consumer (patient herself). A 42-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0168), via an unspecified route of administration, administered in Arm Left on 19May2021 at 14:00 (at the age of 42-years-old) as unknown, single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medications included spironolactone; escitalopram oxalate (LEXAPRO); cannabidiol and (vitamins nos). The patient had no other vaccine in four weeks. The patient not had covid prior vaccination. Consumer stated that, few days after vaccination she was feeling achy and itchy on upper right side of back. She had a few tiny pimple looking spots, but nothing looked concerning. Achiness spread to underarm in the next couple days and then raised red blotches appeared between her back and underarm. Achiness and itching now spread to side of right breast. Doctor''s office diagnosed her today with shingles. On 23May2021, the patient experienced Few days after vaccination, I was feeling achy and itchy on upper right side of back/Achiness spread to underarm in the next couple days, I was feeling achy and itchy on upper right side of back, I had a few tiny pimple looking spots but nothing looked concerning. Achiness spread to underarm in the next couple days and then raised red blotches appeared between my back and underarm. Achiness and itching now spread to side of right breast. Therapeutic measures were taken as a result of events and treatment included with Starting an antiviral for 7 days. The patient had not tested covid post vaccination. The outcome of the events was not recovered.


VAERS ID: 1381911 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Condition aggravated, Decreased appetite, Depression, Panic disorder
SMQs:, Depression (excl suicide and self injury) (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, trazodone, levothyroxine
Current Illness: Depression, anxiety
Preexisting Conditions: Depression, anxiety
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Loss of appetite, increased anxiety and panic, worsening of depression symptoms


VAERS ID: 1382203 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-02-08
Onset:2021-05-23
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Hypophagia, Hypoxia, Inappropriate schedule of product administration, Lung opacity, Malaise, Nausea, Oropharyngeal pain, Pneumonia viral, Rheumatoid arthritis, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Interstitial lung disease (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), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (narrow), Respiratory failure (narrow), Medication errors (narrow), Infective pneumonia (narrow), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, trazodone, tamsulosin, omeprazole
Current Illness:
Preexisting Conditions: BPH, GERD
Allergies: aspirin
Diagnostic Lab Data: 6/2: SARS CoV PCR- positive (6/2/21) CXR- bilateral peripheral air space opacities mid lung suspicious for COVID pneumonia.
CDC Split Type:

Write-up: Pt w/no significant PMH p/w worsening symptoms over 10 days of cough, general malaise, nausea, poor oral intake, and sore throat. On admission, was hypoxic on RA & generally ill appearing. CXR showed poss viral pneumonia consistent w/COVID-19 and COVID test was positive despite having received Pfizer vaccine on 01/15 & 2/8/21. Was admitted for acute hypoxic resp failure secondary to COVID and given 3L O2, dexamethasone and remdesivir. Was ultimately discharged 3 days later w/follow-up.


VAERS ID: 1382231 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Feeling abnormal, Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Pt reports pain, redness and itching moving down arm. Started around injection site along with a welt, swelling and hardness. Injection site is now normal but still having pain surrounding it and around elbow. Pt says it feels like there is a band wrapped around upper arm. Also extremely itchy all the time. Taking benadryl at night and ibuprofen and tylenol for pain. Also has used calamine lotion and benadryl gel. Does not have numbness, tingling or loss of sensation.


VAERS ID: 1384566 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-05
Onset:2021-05-23
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Neurofibromatosis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592591

Write-up: Bells Palsy; This is a spontaneous report from a contactable consumer (patient). A 62-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm left on 05Apr2021 16:30 (at age 62-year-old) (Batch/Lot Number: EP7533) as 1st dose, single dose for covid-19 immunisation. Medical history included neurofibromatosis from an unknown date and unknown if ongoing. There were no concomitant medications and no other vaccines received in four weeks. The patient experienced Bell''s palsy on 23May2021 08:00. Prednisone and Valtrex was given was treatment. Outcome of the event was not recovered. Patient was not diagnosed with covid prior to vaccination and had not been tested post vaccination.


VAERS ID: 1384630 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Intermenstrual bleeding, Product administered to patient of inappropriate age
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: USPFIZER INC2021599454

Write-up: Bleeding intermenstrual; Inappropriate age at vaccine administration; This is a spontaneous report from a contactable pharmacist. A 13-year-old female patient received bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration, on 23May2021, as single dose, for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient experienced bleeding intermenstrual on 24May2021 with outcome of unknown. It was reported that the patient had her monthly period earlier in month so this was very early, after about 18 days since last period. The information on the lot/batch number has been requested.


VAERS ID: 1384634 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dyspnoea, Fatigue
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NEXPLANON
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Vapor cigarette smoker
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021601299

Write-up: tired; coughing; Breathing reaction; This is a spontaneous report from a contactable consumer. A 15-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 23May2021 (at the age of 15-year-old) (Batch/Lot number was not reported) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included allergic to amoxicillin where it was a couple of times when she was little and she would get blotches and red; and has been vaping without her parents knowing. Concomitant medication included etonogestrel (NEXPLANON). On 23May2021, the patient experienced breathing reaction. The mother stated that her daughter took the vaccine, she was 15, she was aware of the normal side effect problems and heart problems as she has been hearing in the news, she was concerned because she just figured out her daughter has been vaping without her parents knowing. The mother stated that she was a family therapist, and many teens vape age 12-15, parents don''t have a clue about vaping and the chemicals in the vape that can cause heart and lung problems. She was contacting Pfizer because she wants to make sure this was in the radar, because of side effects. They should consider asking these types of things prior to administering the product. The mother was concerned watching her daughters breathing reaction. Her daughter was better today. The mother was reading side effects on vaping and there was some link to heart and lung issues, some even have lead in the chemicals or nicotine. The mother stated that she has also realized, in general when people ask if they are taking medications, especially for women they don''t say anything about taking pills, or combination of pills. Her daughter experienced a Breathing reaction after the first dose. She was better today, she took the shot on Sunday, she was tired and coughing on an unspecified date but was better now. Her main concern was the age group and the Heart problems for this group. Her First Dose was on 23May2021, she was worse yesterday but today she was better. The breathing reaction started on the 23rd. Yesterday her daughter was in bed all day. Her daughter has made no physician office visit or went to the emergency room because of this. Treatment: Not to her knowledge, Unknown for breathing reaction. The mother again stated that she just wanted to express he concerns with this age group. The patient was recovering from all events. Information on the Lot/Batch number has been requested.


VAERS ID: 1384744 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-17
Onset:2021-05-23
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, COVID-19, Drug ineffective, Eye pain, Pain, Rhinorrhoea, SARS-CoV-2 test, Skin disorder
SMQs:, Lack of efficacy/effect (narrow), Glaucoma (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: 20210523; Test Name: IgG and IgM blood tests; Result Unstructured Data: Test Result:large number of antibodies; Test Date: 20210523; Test Name: PCR test for COVID-19; Result Unstructured Data: Test Result:Positive
CDC Split Type: USPFIZER INC2021650408

Write-up: had a PCR test for COVID-19 23May2021, which came back positive; had a PCR test for COVID-19 23May2021, which came back positive; runny nose; pain in [his] eyes; on the piece of skin that covers the eyes [he] had a bump; pain in [his] body; This is a spontaneous report from a 44-year-old male contactable consumer. This consumer (patient) reported for himself. A 44-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: Not reported), via an unspecified route of administration on 17Apr2021 as single dose for covid-19 immunization. The patient medical history included "minor symptoms" on 16Feb2021. Concomitant medications were not reported. The patient clearly specified after getting the first dose of the vaccine, on an unspecified date in 2021, He specified that after getting the first dose of the vaccine he had persisting "minor symptoms" for two weeks. He listed as symptoms as "runny nose, pain in [his] eyes, on the piece of skin that covers the eyes he had a bump, pain in his body and specified he had "no fever". He sated he cannot say what was abnormal since as he doesn''t know the word, but described it as listed. He mentioned when "one symptom stopped he than started to have another one" during this 2-week post-vaccination period. He later mentioned he took an "IgG and IgM blood tests" which showed a "large number of antibodies". The patient was called back and he declined the call. He stated he would prefer to be contacted by email instead. He added he had no prescribing physician for the moment, since he recently moved. The patient was responded per attachment, offered via email for his review and was explained: - interim consideration, under "Second Dose Later than 3 Weeks" from Pfizer-BioNTech COVID-19 Vaccine - timing of Dose; - No info on 90day interval mentioned if would have had COVID-19 in between doses. "The Pfizer-BioNTech COVID-19 Vaccine does not contain SARS-CoV-2 and cannot give you COVID-19". Per CDC "interim considerations also state that if you currently have a COVID-19 (either before the first dose of vaccine or in between your first and second dose of vaccine), you should wait until you have recovered from the infection, show no symptoms and completed any required isolation" Can I Receive the Vaccine with a Prior or Current COVID-19 Diagnosis. The patient was provided disclaimer on Pfizer''s inability to make treatment recommendation for individual patients. The patient was provided callback disclaimer. The patient underwent lab tests, which included IgG and IgM blood tests on 23May2021 with result: large number of antibodies and PCR test for COVID-19 on 23May2021 with result: Positive. He later mentioned he took an "IgG and IgM blood tests" which showed a "large number of antibodies". He added that he received the first dose of the Pfizer-BioNTech COVID-19 vaccine 17Apr2021. He explained he was encouraged by his entourage to wait a 90-day period between the infection and vaccination, which led him to 16May2021. He explained he had now passed this 90-day period and was wanting to get the second dose of the vaccine. He asked if he could get the second dose of the vaccine by this coming Saturday. The outcome of the events were unknown.


VAERS ID: 1384958 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alopecia, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Women''s multivitamin, Citalopram.
Current Illness: None.
Preexisting Conditions: Depression.
Allergies: Sulfa.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: She got her vaccine, her arm hurt for a day or two. The following Monday she was brushing her hair and had to empty it as it was so full. She has been shedding her hair and has been gentle with washing her hair and coming and it continues to come out. She can now see what looks like a receding hair pattern around her forehead and has baby hairs on the sides of hair above her ears/temple region and it''s getting thinner. She googled hair loss and it showed that it was due to the vaccine, and got the pamphlet from the pharmacy and called us.


VAERS ID: 1385157 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-14
Onset:2021-05-23
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Raynaud's phenomenon
SMQs:, Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall 30 mg twice per day
Current Illness:
Preexisting Conditions:
Allergies: Mineral oil allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intermittent Raynaud''s phenomenon , ongoing since 2nd dose


VAERS ID: 1386314 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-04-14
Onset:2021-05-23
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / SC

Administered by: Private       Purchased by: ?
Symptoms: Macular oedema, Retinal vein occlusion, Specialist consultation
SMQs:, Embolic and thrombotic events, venous (narrow), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 6/2/2021 visit to general ophthalmologist 6/3/2021 visit to retina specialist; treatment with injected Lucentis 0.5mg to left eye All tests for potential causes have been negative thus far
CDC Split Type:

Write-up: Central retinal vein occlusion of left eye with macular edema--symptoms began 5/23/2021


VAERS ID: 1387016 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-23
Onset:2021-05-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Alopecia, Breast pain, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Lipodystrophy (broad), Hypersensitivity (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: PREVNAR 13 age of 64
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: PREVNAR - fever and throat tightness
Diagnostic Lab Data: Prior to the vaccine, I tested her to PEG and she was negative, so I advised her to get the vaccine.
CDC Split Type:

Write-up: Throat tightness, hair loss, left breast pain persisting since vaccine. Started about 1 hour after vaccine and has persistent since then. Went to the ER but did not want to wait so she was never evaluated.


VAERS ID: 1387732 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-06
Onset:2021-05-23
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Thyroid disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021600369

Write-up: Bell''s Palsy; This is a spontaneous report from a contactable consumer (patient). A 51-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm right on 06May2021 09:00 (at age 51-years-old) (Batch/Lot Number: EW0173) as 1st dose, single for covid-19 immunisation. Medical history included thyroid disorder from an unknown date and unknown if ongoing. There were no other medication received withing 2 weeks and no vaccine withing 4 weeks prior to vaccination. The patient was diagnosed with bell''s palsy on 23May2021 09:00 which resulted in emergency room visit. Unspecified medication for 7 days was given as treatment. Outcome of the event was unknown. The patient was skeptical in taking the 2nd dose and her physician stated to postpone it. She was asking if she should take the 2nd dose. Patient was not diagnosed with covid prior to vaccination and has not been tested post vaccination. Information on Lot/Batch number has been requested.


VAERS ID: 1387747 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0618 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Adenovirus test, Blood creatine phosphokinase, Blood creatine phosphokinase MB, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Chest pain, Cytomegalovirus test negative, Echovirus test, Electrocardiogram, Electrocardiogram ST segment elevation, Enterovirus test, Epstein-Barr virus test, Heart injury, Parvovirus B19 test, Pericardial effusion, Troponin, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Accidents and injuries (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy; Chromosomal abnormality NOS; Diabetes (endocrine abnormalities); Immune status; Obesity; Respiratory disorder
Allergies:
Diagnostic Lab Data: Test Name: Adenovirus; Test Result: Negative ; Test Name: CK; Result Unstructured Data: Test Result:Elevated; Test Name: CK MB; Result Unstructured Data: Test Result:Elevated; Test Name: CMV; Test Result: Negative ; Test Name: Echo; Result Unstructured Data: Test Result:trivial effusion, normal coronaries; Comments: low to normal function; Test Name: EKG; Result Unstructured Data: Test Result:ST Segment Elevation; Test Name: Enterovirus; Test Result: Negative ; Test Name: EBV; Test Result: Negative ; Test Name: Parvovirus; Test Result: Negative ; Test Name: Troponin; Result Unstructured Data: Test Result:Elevated
CDC Split Type: USPFIZER INC2021602041

Write-up: elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; elevated Troponins, CK, CK MB, EKG showed ST segment elevation, trivial effusion, normal coronaries, and low to normal function; Myocardial Injury; sudden chest pain that woke him up and got worse; This is a spontaneous report from a contactable physician. A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 21May2021 (Lot Number: EW0618) (at the age of 17 years old) as 2nd dose, single dose for COVID-19 immunisation. Medical history allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity from an unknown date. The patient''s concomitant medications were not reported. No reported family medical history relevant to adverse events (AE), no reported cardiac arrhythmias, myocardial infarction (MI) under 50, no early deaths, nor any pertinent history. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0619) on Apr2021 for COVID-19 immunization. The patient experienced myocardial injury on 23May2021, 2 days after he received his second Covid vaccine with possible association. It was stated that the patient came in to the emergency room (ER) about 28 hours after his second vaccine with sudden chest pain that woke him up and got worse. Further stated that the patient was seen at an outside emergency department (ED) and had elevated troponins, creatine kinase (CK), creatine kinase-MB (CK MB), electrocardiogram (EKG) showed ST segment elevation, Echo showed trivial effusion, normal coronaries, and low to normal function. It was reported that he was admitted for monitoring due to potentially decompensating. Stated that he was consulted because of the association with the vaccine, and viral testing was done; the patient was tested for enterovirus, adenovirus, cytomegalovirus (CMV), epstein-barr virus (EBV), and parvovirus, all were negative. Treatment received was intravenous immune globulin (IVIG), pain medication and general support. States that the patient did receive IVIG while he was there, a one time dose, because the cardiologist was concerned with the way his troponins were trending, no decompensation. Further stated that the patient did not receive any pressors at any point and that the patient was still in the hospital but he was being transferred to the floor and they were trending labs, but he was not on any pressors or anything and he seemed like he has been doing well. There were no additional vaccines administered on same date of the Pfizer suspect. Chest pain and myocardial injury required a visit to Emergency Room on 23May2021. No prior vaccinations (within 4 weeks). No or unknown AE following prior vaccinations. As per the reporter all events seriousness criteria reported as medically significant, hospitalization. The patient was hospitalized from 24May2021 and ongoing at the time of the report (also reported as 2 days and counting). The outcome of all the events was recovering.; Sender''s Comments: Based solely on chronological connection to the vaccine causality between reported events and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1387834 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Dizziness, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID; ALLEGRA
Current Illness: Allergy; Knee deformity (Verbatim: knee disability Diagnosed when she was 2 years old.); Thyroid disorder (Verbatim: thyroid developed as an adult, at least 20 years ago or so,)
Preexisting Conditions: Medical History/Concurrent Conditions: Difficulty breathing (The first year when she had breathing difficulties.); Sarcoidosis (In 2009 she was diagnosed with sarcoidosis in her lungs)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021655201

Write-up: A fast heartbeat; Dizziness; Weakness; This is a spontaneous report from Medical information team. A contactable consumer (patient) reported that a 55-year-old (same age at vaccination) female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot: EW0191) intramuscularly on 22May2021 as single dose in arm left for COVID-19 immunization/ preventative. Medical history reported was ongoing knee disability, she does not take any prescription medication for this, once in a while takes ibuprofen for pain. Diagnosed when she was 2 years old, ongoing thyroid developed as an adult (her mother had a thyroid condition), at least 20 years ago or so, ongoing allergies, breathing difficulties and sarcoidosis in her lungs. Concomitant medications reported was levothyroxine sodium (SYNTHROID, Tablet) orally and ongoing at 25mcg daily for thyroid and fexofenadine hydrochloride (ALLEGRA) for allergies in the morning. She will sneeze a lot if she does not take it. There were none additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations within 4 weeks were reported. She explained since then, she has been experiencing a fast heartbeat, dizziness, and weakness. She asked if her symptoms, should continue for that long, now that it has been 13 days. Patient asked if she should get the second dose of the Pfizer-BioNTech COVID-19 vaccine if the side effects from the first dose persist. Around the day after the first dose, she thinks all the symptoms started, clarified all symptoms started Sunday 23May2021. It is not as much, but still enough that she can tell. For the first few days, almost first week even at night she was having it, at night she will still have the fast heartbeat. And now she was able to sleep through the night and when she wakes up the fast heartbeat will happen, it was not continuous but frequent enough during the day. She confirmed all the symptoms have slightly improved. Patient declined any treatment, she kept thinking it will go away. She takes two medications other supplements like vitamin b. In 2009 she was diagnosed with sarcoidosis in her lungs but was not given active treatment. They did tests and told her it was almost in remission and she would go in for check-ups. Two years ago, they told her she did not need any more check-ups, it is not active. The first year when she had breathing difficulties, she was given a medication and she was to take one puff of it and that was it. Stated it was not an inhaler or spray. It was a minimal dose that had a steroid in it, and she was concerned about the steroid. It was oral and she only used it as a precaution and to help with breathing. Her breathing issue went away as soon as she lost weight, so not sure if breathing issue was sarcoidosis or being overweight. The reporter assessed seriousness as non-serious. Outcome of the events was recovering. No follow-up attempts possible. No further information expected.


VAERS ID: 1387858 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-15
Onset:2021-05-23
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), 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: Anti epileptic meds: vimpat and briviact
Current Illness: None
Preexisting Conditions: Seizures. Frequency of seizures increased tremendously due to the vaccine
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Increased frequency of seizures


VAERS ID: 1388109 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Pain, Pyrexia, Vomiting
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:
Other Medications: Doxycycline Hyclate 200 mg/3x week; Niacinamide 500 mg/2x day; Multivitamins
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fevers of over 102 and vomiting (twice). Aches and extreme fatigue starting about 8 hours after injection and lasting over 24 hours.


VAERS ID: 1388299 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dyspnoea, Oropharyngeal pain
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: Started with a sore throat for a few days and progressively turned into shortness of breath and a cough. Went to Urgent care to get steroids and antibiotics. Been coughing and short of breath for 3 weeks.


VAERS ID: 1388318 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear pain, Fatigue, Headache, Pyrexia, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: High fever and fatigue for 2 days. Ear pain, tinnitus and headache for at least a week.


VAERS ID: 1388338 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling hot, Headache, Lip swelling, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nutropin AQ
Current Illness: None
Preexisting Conditions: Still''s murmur, Hx of Kawasaki''s disease, elevated triglycerides, low weight, and short stature.
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Around 4 pm the day after receiving a COVID vaccine patient started getting tired, fatigue, headache, and feeling hot. At 7:00 pm on Sunday with bottom lip swelling. Monday eyelid swelling. No itching. Benadryl 25 mg given in office.


VAERS ID: 1388522 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Acne, Headache, Injection site pain, Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin.
Current Illness: None
Preexisting Conditions: Back pain, neck and knee pain
Allergies: Vioxx and Naproxen
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Head ache, site pain, and swollen top lip. On 6/09/21, a pimple developed on the swollen part of the lip. (Unknown if this is related to vaccine)


VAERS ID: 1388915 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Injection site pain, Injection site reaction, Injection site swelling, Skin discolouration
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (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: n/a
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Note: pt had vaccine administered at an outside facility; she thinks on 5/21 but not certain of the exact date. Reported 2-3 days later, had localized pain and swelling at injection site. On 6/2, reported she had worsening pain ("like a bee sting,") swelling, and discoloration. Saw me for this concern in my office on 6/3 at which point she had minimal discoloration and no swelling, but site was still very tender to touch. I am reporting this because it is a local site reaction that occurred/persisted later than the expected timeline of 1-2 days after vaccination.


VAERS ID: 1389057 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-12
Onset:2021-05-23
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: advil two hours post injection
Current Illness:
Preexisting Conditions:
Allergies: penecillin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: about 12 days after first dose, intense vomiting and diarrhea for 68 hours, which they ceased with no further issues. During the 68 hour period, all food and liquid resulted in symptoms within 30 minutes of consumption. No fever detected.


VAERS ID: 1389342 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-14
Onset:2021-05-23
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 RA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Blood test, Chest discomfort, Computerised tomogram, Dyspnoea, Pericarditis, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amitriptyline 20mg once daily Propranolol 40mg once daily
Current Illness: None
Preexisting Conditions: Chronic hip and back pain, osteoarthritis, migraines
Allergies: Latex
Diagnostic Lab Data: Ct scan and blood work (high white blood cell count found), when admitted on 5/24. Since release from hospital shortness or breath and chest tightness has yet gone away. Given Colchicine prescription but symptoms still present
CDC Split Type:

Write-up: Not sure if related but one month after second dose I was hospitalized with Pericarditis. I was otherwise health prior and no heart issues before.


VAERS ID: 1389526 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Inflammation, Muscle tightness, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: hydrocortisone 10mg tablets bid, wixela inhaler 500/50 bid, spiriva bid, prevacid 15mg daily, albuterol inhaler prn, vitamins C, D, and B12 daily
Current Illness: Secondary Adrenal Insufficiency, Asthma, Connective tissue disorder, Polyarthritis., GERD
Preexisting Conditions: Asthma, GERD
Allergies: Shellfish, iodine, sulfa
Diagnostic Lab Data: NONE DONE. I LOST MY PRIMARY CARE DOCTOR IN MARCH AFTER SHE AND THE HOSPITAL SYSTEM SHE WORKED FOR ABRUPTLY PARTED WAYS. I HAVE NOT BEEN ABLE TO BE SEEN BY ANOTHER PRIMARY YET AS A NEW PATIENT. I CONTACTED, BY PHONE, ENDOCRINOLOGY, WHO SEES ME FOR ADRENAL INSUFFICIENCY AND WAS ADVISED TO INCREASE MY DOSE OF HYDROCORTISONE IN ORDER TO TRY AND CONTROL MY NAUSEA IN ORDER TO PREVENT AN ADRENAL CRISIS! AS WELL AS TO BETTER CONTROL MY INFLAMMATION. THIS DID HELP BUT NOT COMPLETELY AND I WAS DOSED UP ON STEROIDS THEREFORE DO NOT KNOW HOW MUCH IMMUNITY I MAY HAVE SO FAR.
CDC Split Type:

Write-up: intermittent nausea the night of vaccine, severe nausea for four days after the vaccine, severe inflammation and tightness in the upper and midback area for four-five days and tightness and inflammation around ribcage on both sides and tightness underneath ribs on both sides mostly the right and around stomach area. worsening of inflammation tightness and burning in across my back more in the center and both sides of my spine as well as inflammation across the rest of my back. Had to double up on my hydrocortisone tablets which are taken for my adrenal insufficiency in order for it to slowly improve. Still had residual effects into the following weekend but mildly improving. THIS WAS MY 1ST VACCINE OF THE PFIZER FORMULA. AFTER TALKING TO HEALTH DEPT, THEY SUGGESTED THAT I FILE THIS WITH YOU. MY NEXT VACCINE IS SCHEDULED THIS SATURDAY ON JUNE 12, 2021 at 2:30 or sooner.


VAERS ID: 1389540 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-02-03
Onset:2021-05-23
   Days after vaccination:109
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / SC

Administered by: Other       Purchased by: ?
Symptoms: Myocarditis
SMQs:, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Inderal 40 mg prevastatin 80 mg
Current Illness: none
Preexisting Conditions: high blood pressure, high cholesterol
Allergies: dialudid latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: I came down with myocarditis on May 23, 2021 3months after vaccine Not sure if it is related and doctors aren''t sure either but I thought I should report it just in case.


VAERS ID: 1389799 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-20
Onset:2021-05-23
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test abnormal, Cerebral venous sinus thrombosis, Chills, Computerised tomogram head abnormal, Headache, Magnetic resonance imaging head abnormal, Migraine, Ophthalmological examination normal, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Loryna Birth Control
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin & Penicillin
Diagnostic Lab Data: Diagnosed with a rare blood clot in the venous sinus thrombosis after two MRI & two CTB scans.
CDC Split Type:

Write-up: 5/20/21: - I received my 2nd dose of Pfizer vaccine - I had severe chills and fever for two days 5/23/21: - Chills & fever subsided, but I woke up with a severe headache that lasted all day long despite taking ibuprofen 5/24/21: - Headache continues so I called the Doctor, am told it?s a vaccine symptom that should subside in a couple days & get prescribed Naproxen for the pain 5/28/21: - I try to ween off the medication, but the migraine is still there and now throbbing worse than ever - I call the Doctor again, this time I?m advised to get my eyes checked out and make an appt. with my primary physician 5/29/21: - Eye exam came back healthy and normal 6/1/21: - Went to appt. with PCP and she sends me for a STAT emergency MRI that day - Get MRI scans done at 8pm - Get a call personally from primary physician at 11:30pm saying one scan is inconclusive and sends me for an emergency CTB scan at the ER immediately 6/2/21: - Two CTB scans are completed at 2am - At 4am we are seen by doctor who admits me and says he wants to contact a neurologist specialist - Neurologist comes in at 8:30am and tells me I have been diagnosed with a rare mild blood clot in my brain - Put on Eliquis blood thinner for 6 months & ButalBital Acetaminophen for migraine pain relief 6/9/21: - Met with hematologist to go over blood test results, told I am a carrier for the Factor 2 Gene Mutation


VAERS ID: 1390702 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:0000-00-00
Onset:2021-05-23
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Headache, Migraine, Nasal pruritus, Sinonasal obstruction, Sneezing, Taste disorder
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (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: The patient had no history of allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210615097

Write-up: DIFFICULTY/TROUBLE BREATHING; MIGRAINES; SINUS FLUID BUILDUP FEELING; TASTES SOME KIND OF WATER-LIKE LIQUID IN MOUTH; SNEEZING ON AND OFF; ITCHY NOSE ON AND OFF; STRONG HEADACHES; This spontaneous report received from a patient concerned a 42 year old male. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included the patient had no history of allergies. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 06-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 23-MAY-2021, the subject experienced difficulty/trouble breathing. On 23-MAY-2021, the subject experienced migraines. On 23-MAY-2021, the subject experienced sinus fluid buildup feeling. On 23-MAY-2021, the subject experienced tastes some kind of water-like liquid in mouth. On 23-MAY-2021, the subject experienced sneezing on and off. On 23-MAY-2021, the subject experienced itchy nose on and off. On 23-MAY-2021, the subject experienced strong headaches. Treatment medications (dates unspecified) included: paracetamol, and ibuprofen. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from strong headaches, migraines, sinus fluid buildup feeling, tastes some kind of water-like liquid in mouth, difficulty/trouble breathing, sneezing on and off, and itchy nose on and off. This report was non-serious.


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