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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 117 out of 3,524

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VAERS ID: 1362798 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-05-04
Onset:2021-05-21
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205AZIA / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Oligomenorrhoea
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu, severe body cramping, 45, October 2019, unknown
Other Medications: None
Current Illness: None
Preexisting Conditions: PCOS IBS NAFLD
Allergies: Clam shell Birth control made with clam shell
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe menstrual cycle, debilitating cramping, heavier flow, longer cycle


VAERS ID: 1363795 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Vermont  
Vaccinated:0000-00-00
Onset:2021-05-21
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 182266 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hepatitis C (recently recovered); Liver cirrhosis (stage 1); Pulmonary embolism (Patient had pulmonary embolism 10 years ago.); Comments: The patient was not pregnant at the time of reporting.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210551734

Write-up: MALNOURISHED; NOT ABLE TO EAT; SORE ARM; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. The patient''s past medical history included pulmonary embolism, hepatitis c, and liver cirrhosis, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 182266, and expiry: UNKNOWN) dose was not reported, administered on 21-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 21-MAY-2021, the subject experienced sore arm. On 22-MAY-2021, the subject experienced malnourished. On 22-MAY-2021, the subject experienced not able to eat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm on 21-MAY-2021, and the outcome of malnourished and not able to eat was not reported. This report was non-serious.; Sender''s Comments: V0: Medical Assessment Comment not required as per standard procedure as the case assessed as non-serious


VAERS ID: 1363835 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-05-21
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Glaucoma; Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210554537

Write-up: LOT OF EXTRA PAIN; This spontaneous report received from a patient concerned a 62-year-old Other race (Not Hispanic/Latino) female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included multiple sclerosis, and glaucoma. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 207A21A expiry: UNKNOWN) dose was not reported, administered on 20-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 21-MAY-2021, the subject experienced lot of extra pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from lot of extra pain. This report was non-serious.


VAERS ID: 1363907 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Washington  
Vaccinated:0000-00-00
Onset:2021-05-21
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Dizziness, Oropharyngeal pain, Pyrexia, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LISINOPRIL
Current Illness: Alcohol use; Blood pressure high; High cholesterol; Non-smoker
Preexisting Conditions: Comments: The patient had not known allergies to drug.
Allergies:
Diagnostic Lab Data: Test Date: 20210521; Test Name: Body temperature; Result Unstructured Data: fever 104
CDC Split Type: USJNJFOC20210556539

Write-up: SORE THROAT; FEVER OF 104/LOW GRADE FEVER; DIZZINESS; BLURRED VISION; This spontaneous report received from a patient concerned a 49 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included high blood pressure, high cholesterol, alcohol consume 3 glass per week, and non smoker, and other pre-existing medical conditions included the patient had not known allergies to drug. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: UNKNOWN) dose was not reported, administered on 21-MAY-2021 for prophylactic vaccination. Concomitant medications included lisinopril for high blood pressure. On 21-MAY-2021, the patient experienced dizziness. On 21-MAY-2021, the patient experienced blurred vision. On 21-MAY-2021, the patient experienced fever of 104/low grade fever. Laboratory data included: Body temperature (NR: not provided) fever 104. On 23-MAY-2021, the patient experienced sore throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever of 104/low grade fever, and had not recovered from dizziness, blurred vision, and sore throat. This report was non-serious


VAERS ID: 1364020 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-19
Onset:2021-05-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Conjunctival haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Conjunctival 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: INSULIN; RESTASIS; LATANOPROST
Current Illness:
Preexisting Conditions: Comments: No medical history reported by the reporter.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: subconjunctival hemorrhage 2 days after 2nd dose of Moderna vaccine; This spontaneous case was reported by a health care professional and describes the occurrence of CONJUNCTIVAL HAEMORRHAGE (subconjunctival hemorrhage 2 days after 2nd dose of Moderna vaccine) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025B21A) for COVID-19 vaccination. No medical history reported by the reporter. Concomitant products included INSULIN, CICLOSPORIN (RESTASIS) and LATANOPROST for an unknown indication. On 19-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-May-2021, the patient experienced CONJUNCTIVAL HAEMORRHAGE (subconjunctival hemorrhage 2 days after 2nd dose of Moderna vaccine) (seriousness criterion medically significant). The patient was treated with DORZOLAMIDE HYDROCHLORIDE, TIMOLOL MALEATE (COSOPT PF) at a dose of UNK dosage form and Lumify eye drops at a dose of UNK dosage form. At the time of the report, CONJUNCTIVAL HAEMORRHAGE (subconjunctival hemorrhage 2 days after 2nd dose of Moderna vaccine) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. 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.; 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.


VAERS ID: 1364580 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-05-19
Onset:2021-05-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blister, Rash
SMQs:, Severe cutaneous adverse reactions (broad), 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: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient broke out in rashes that blistered on her right (opposite) arm 2-3 days after receiving her 2nd moderna vaccine


VAERS ID: 1364644 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Immediate post-injection reaction
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)

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

Write-up: Patient received Moderna Vaccine and immediately felt dizzy. 911 was called and recommended to go to the hospital for more observation. Patient was discharged from the hospital with no further issues.


VAERS ID: 1364648 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-19
Onset:2021-05-21
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH WW0164 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: DOSE ONE RECEIVED 04/19/2021, DOSE 2 RECEIVED 05/07/2021. PT ASYMPTOMATIC AT TIME OF TESTING. REPORTS LATER THE SAME DAY AS TESTING HE HAD SUBJ FEVER, CHILLS AND FATIGUE. PCR POSITIVE 05/21/2021.


VAERS ID: 1364799 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 1 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Interchange of vaccine products, No adverse event
SMQs:, Medication errors (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: He was also given the Janssen covid vaccine on 3/31/21. He did not report this information when offered the moderna vaccine. No adverse symptoms have been reported.


VAERS ID: 1364830 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017B21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dysgeusia, Dysphagia
SMQs:, Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Several medication per patient that she does not remember them all.
Current Illness: N/A
Preexisting Conditions: Anemic
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Got metallic taste in the mouth following shot approximately one minute after and last 30 minutes. Also when walking out having a hard time swallowing, stopped on top of the stairs and swallowed but went to car and waiting x20 minutes before leaving/ after feeling better.


VAERS ID: 1364857 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-15
Onset:2021-05-21
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Computerised tomogram abdomen, Computerised tomogram thorax, Dysphagia, Oesophageal dilation procedure, Oesophageal pain, Pyrexia, Volvulus
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol (PROVENTIL HFA, VENTOLIN HFA) 90 mcg/actuation cyclobenzaprine (FLEXERIL) 10 MG tablet fluticasone propion-salmeteroL (ADVAIR) 250-50 mcg/dose DISKUS HYDROcodone-acetaminophen (NORCO) 10-325 mg per tablet montel
Current Illness:
Preexisting Conditions: GERD, Depression, Osteoarthritis, Asthma
Allergies: Penicillins
Diagnostic Lab Data: CT (5/21/21) Chest, Abdomen, Pelvis with cecum
CDC Split Type:

Write-up: colitis(5/8) and esophageal dilation (5/18) who presents with fever, chills, esophageal/epigastric pain and dysphagia as well as incidental finding of cecal bascule


VAERS ID: 1364922 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 2 LA / IM

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

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

Write-up: Sore Arm & Headache


VAERS ID: 1364923 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA EW0162 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: PCN
Diagnostic Lab Data:
CDC Split Type:

Write-up: PFIZER VACCINE PLACED IN FREEZER 050621 AND DUE TO BE MOVED TO REFRIGERATOR 05192021. PFIZER VACCINE WAS USED 05212021 AFTER BEING THAWED FROM FREEZER.


VAERS ID: 1364935 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Montana  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Fever, Chills, Headache, & Sore arm


VAERS ID: 1364937 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-19
Onset:2021-05-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear discomfort, Ear disorder, Head discomfort, Inflammation, 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: Turmeric Probiotic Vitamin D Vitamin B 12 Physillum Husk
Current Illness: None
Preexisting Conditions: None
Allergies: Benedryl Demerol Gluten
Diagnostic Lab Data:
CDC Split Type:

Write-up: I am experiencing severe head and ear pressure. Came on two days after my vaccine and has not gone away. Went to doctor and they said my ears were both inflamed and the right ear had fluid behind it. So I have been put on ear drops and Allegra D. (Said maybe allergies for the head pain). Took ibuprofen as well 600 mg 3 times a day for 4 days with no relief. I am on Day 4 of the ear drops with not much relief for my head pressure. Ears have slightly improved but the head pressure is still intense. At this point I am 13 days out since my vaccine. Also have arm pain in both limbs. Near the biceps pain comes and goes. This has been since day 1 of vaccine. I believe all this is related to the J and J vaccine.


VAERS ID: 1364970 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-24
Onset:2021-05-21
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Extra dose administered, SARS-CoV-2 antibody test negative
SMQs:, Medication errors (narrow), 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: Amlodipine 10mg daily; aspirin 325mg daily, cavedilol 37.5mg daily, cinacalcet 30mg daily, doxazosin 1mg daily, mycophenolate 360mg, EC daily; omeprazole 20mg BID; prednisone 10mg daily, sulfamethoxazole-trimethoxazole-tremethoprim 400-80 m
Current Illness: CKD, stage V HTN Anemia
Preexisting Conditions: CKD, stage V HTN Anemia
Allergies: No Known Allergies
Diagnostic Lab Data: 5/20/2021 SARS-COV-2 Antibody, IgG: negative
CDC Split Type:

Write-up: No antibodies to COVID 19 in lab test done 5/20/2021. 3rd dose of COVID-19 Moderna vaccine administered 6/1/2021. Titers planned for 4-6 weeks post 3rd vaccine.


VAERS ID: 1365024 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0162 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
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: PCN
Diagnostic Lab Data:
CDC Split Type:

Write-up: PFIZER VACCINE PLACED IN FREEZER 050621 AND DUE TO BE MOVED TO REFRIGERATOR 05192021. PFIZER VACCINE WAS USED 05212021 AFTER BEING THAWED FROM FREEZER.


VAERS ID: 1365029 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0162 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
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: UNKNOW
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PFIZER VACCINE PLACED IN FREEZER 050621 AND DUE TO BE MOVED TO REFRIGERATOR 05192021. PFIZER VACCINE WAS USED 05212021 AFTER BEING THAWED FROM FREEZER.


VAERS ID: 1365033 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0162 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
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: NONE
Preexisting Conditions: UNKNOWN
Allergies: PCN
Diagnostic Lab Data:
CDC Split Type:

Write-up: PFIZER VACCINE PLACED IN FREEZER 050621 AND DUE TO BE MOVED TO REFRIGERATOR 05192021. PFIZER VACCINE WAS USED 05212021 AFTER BEING THAWED FROM FREEZER.


VAERS ID: 1365037 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0162 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
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: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PFIZER VACCINE PLACED IN FREEZER 050621 AND DUE TO BE MOVED TO REFRIGERATOR 05192021. PFIZER VACCINE WAS USED 05212021 AFTER BEING THAWED FROM FREEZER.


VAERS ID: 1365039 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0162 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
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: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: PFIZER VACCINE PLACED IN FREEZER 050621 AND DUE TO BE MOVED TO REFRIGERATOR 05192021. PFIZER VACCINE WAS USED 05212021 AFTER BEING THAWED FROM FREEZER.


VAERS ID: 1365080 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

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

Write-up: none


VAERS ID: 1365111 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthritis, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Systemic lupus erythematosus (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Started Depo-Provera the same day, 05/20/2021
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: This patient received the Pfizer COVID-19 vaccine on 05/20/21, On 05/28/21 pt brought her child in for catch-up vaccines and reported this "adverse reaction". She stated that upon waking on the morning after she received the vaccine, 05/21/21, the fingers on her right hand, excluding her little finger and thumb, were swollen and "stuck in place". Pt described what sounds like "trigger finger". She took Ibuprofen and Tylenol during the day and was back to normal the next morning. Subsequently, patient stated that on the morning of her child''s vaccines, 05/28/21, she experienced this issue again on only one finger. I observed no edema and the patient appeared to move all digits on both hands without difficulty.


VAERS ID: 1365133 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-18
Onset:2021-05-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cardiac pacemaker insertion, Delusion, Heart rate decreased
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalopathy/delirium (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ramipril - (generic - Altace 5 MG) - (Blood Pressure) - 1 x a day AM BYDUREON BCISE 2MG/0.85 AUIJ - 1 x per/week given every fri Atoryastatin 10mg ? (Cholesterol) ? 1 x a day PM Prednisone - (respiratory) 10 mg -1 x a day Clopidogrel
Current Illness:
Preexisting Conditions: COPD, DIABETES, VASCULAR DISEASE, AKA AMPUTATION 2018
Allergies: PENICILLIN
Diagnostic Lab Data: HOSPITAL DID ALL THE TESTING - NO ONE AT THE HOSPITAL WOULD CONFIRM THAT THIS WAS AN ADVERSE EFFECT OF THE SHOT CAUSING SUCH A LOW HEART RATE BUT AS A FAMILY WE BELIEVE THAT THIS WAS TRULY AN ADVERSE REACTION.
CDC Split Type:

Write-up: 5/21/21 - HEART RATE 33%, - 911 CALLED - BECAME DELUSIONAL, PATIENT WAS FULLY AWARE OF EVERYTHING - END RESULT PACEMAKER AND STILL DELUSIONAL. HOSPITAL STAY FRIDAY 5/21/21 - 5/27/21 NEVER HAD HEART RATE ISSUES PRIOR


VAERS ID: 1365147 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0168 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none reported, but had chest pain x 2 weeks that sounds non-specific
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data: Troponin high-sensitivity 1970 (5/24) -$g 4470 (5/25) -$g 2230 (5/26) -$g 9 (5/28) -$g 6 (5/29)
CDC Split Type:

Write-up: Patient had worsening of underlying chest pain with episodes lasting longer, but still intermittent in nature. Happened throughout the weekend until patient came to the ED on 5/24/2021.


VAERS ID: 1365216 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 20ASA21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Chest pain, Costochondritis, Electrocardiogram, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Lexapro and Blisovi
Current Illness: I had COVID in March 2021
Preexisting Conditions: Acid reflux and lactose intolerance
Allergies: N/A
Diagnostic Lab Data: I went to the doctor on 6/1/21 for an ECG. They determined it is not a heart condition and is Costochondritis. They said it will take a few weeks to reduce inflammation.
CDC Split Type: J&J 20ASA21A

Write-up: I received my vaccine at 11:30 AM and had a 102 degree fever by 6 PM. I began to shake very hard and had significant chest pain in my left side by my heart. The shaking and fever subsided by that Sunday night. However, it is now 6/1/21, and I had to go to the doctor today for my chest pain. While the ECG came back clear, the doctor determined that I have Costochondritis. As this is nothing I ever encountered before, I know that is was caused from the COVID vaccine inflammation response during my fever. This is when it was first noticed. It also causes back pain since it is between the breast bone and rib cage.


VAERS ID: 1365217 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 2 LA / IM

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

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

Write-up: Headache, Chills, Sore arm


VAERS ID: 1365268 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-13
Onset:2021-05-21
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Dyspnoea, Laboratory test, Pain in extremity, Peripheral swelling, Pulmonary embolism, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole 20 mg
Current Illness: Gastritis
Preexisting Conditions: Chronic Kidney Disease
Allergies: No Allergies
Diagnostic Lab Data: Ultrasound, CT Scan Angiogram, labs
CDC Split Type:

Write-up: Complained of right lower leg pain and swelling, shortness of breath, sent to hospital for Ultrasound of right lower leg, Ultra sound was positive for a DVT. Was then sent to the Emergency room for evaluation and treat for DVT. Complained of Shortness of breath. CT Scan Angiogram completed and found to have bilateral Pulmonary Embolism


VAERS ID: 1365273 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Pain, Palpitations, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: Fever, Chills, Heart Palpitations, Body aches


VAERS ID: 1365346 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-15
Onset:2021-05-21
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 03B21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Patient hospitalized due to COVID-19 after testing positive on 5/21/2021. Patient is fully vaccinated.


VAERS ID: 1365376 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-19
Onset:2021-05-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Electrolyte imbalance, Influenza like illness
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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol 25mg bid Pravastatin 20mg qd Patoprazole 40mg qd Cetirizine 10mg qd Tradjenta 5mg qd Doxazosin 2mg qd Torsemide 20mg 3 qam 2 at 5pm insulin asmanex inhaler Advair hfa Multivitamin Vitamin D 2000 IU qd Vitamin B12 500mg qd
Current Illness:
Preexisting Conditions:
Allergies: Dovan Norvasc Prilosec OTC
Diagnostic Lab Data:
CDC Split Type:

Write-up: Per patient report: The patient reported chest pain along with flulike symptoms soon after his first dose of the Moderna vaccine. He called today to cancel his second dose appointment. The patient reported that he went to the hospital after the development of chest pain, and was told that his electrolytes were "off". Per the patient, he was not given a definitive explanation of what caused the chest pain.


VAERS ID: 1365413 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Rash erythematous
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Keppra 200mg, lamictal 250mg extended, buspar 10 mg
Current Illness:
Preexisting Conditions: Epilepsy
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Large red rash appeared on second day and continued to grow and get larger. Today is the 12th day since vaccine and it continues even with medicine.


VAERS ID: 1365501 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-05-18
Onset:2021-05-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / UNK RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / UNK RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Blood test normal, Exposure during pregnancy, Laboratory test normal, Mobility decreased, Premature delivery, Premature labour, Pyrexia, Retained placenta or membranes, Thrombosis, Ultrasound antenatal screen normal, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NO
Current Illness: NO
Preexisting Conditions: NO
Allergies: NO
Diagnostic Lab Data: Genetic Testing, Ultrasound and Blood Work come up Normal/Low Risk-05/15/2021
CDC Split Type:

Write-up: on Tuesday 05/18/2021 i take my 2th dose of Vaccine and on 05/19/2021 at around 2100 pm i start to develop high fever at 103-104 with abdominal cramps, same way i was on the 05/20/2021 and on Friday morning 05/21/2021 i start bleeding with large clots and wasn''t able to get from the bed, and around noon my waters broke following with a lot of blood and clots,i had to deliver my baby girl at home at 15 weeks, 911 was called, because the placenta didn''t come out, so i was rushed to the ER Baby was Delivered at 13:30pm on 05/21/2021


VAERS ID: 1365505 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-15
Onset:2021-05-21
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Cough, Feeling abnormal, Headache, Musculoskeletal chest pain, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Had a Varicilla rash after two week after her varicilla vaccine when she was one years old. (She had chicken pox looking rash.)
Other Medications: Tylenol and Ibuprofen
Current Illness: no
Preexisting Conditions: no
Allergies: seasonal allergies
Diagnostic Lab Data: 21st - took her to ER - no labs or x-rays because it was getting better by the time they examined her.
CDC Split Type: vsafe

Write-up: She was taking Claritin for the few days before this event. She normally takes it every fall and every spring. She had seasonal allergy symptoms on the days leading up to this event- she had sore throat, runny nose, a little headache and congestion and developed a cough; on the day of this symptoms she spiked a low grade fever - 100.5. I did a rapid test for COVID at home which was negative for her. Sudden onset: A bunch of knives poking her on the inside of her stomach - pokey from hips to ribs. She started to double over and bend over. Within 10 minutes, she couldn''t stand up. She was telling me that something was really wrong. This isn''t her character so I knew it was very wrong. I took her to ER. I was still concerned about appendicitis or COVID. This episode lasted for 90 minutes and then it came and went for the rest of the night and then after that - she had runny nose and congestion (normal allergies after that). She was better before they gave her the medication but it didn''t seem like she really needed them. She was improving before she got either of the medications: Zofran; Levsin. They gave her a dosage of each there and sent home with a prescription but we never had them filled as she was feeling better. - As it started to improve - it ( being the pokey pain) it was located closer to her ribs and breastbone.


VAERS ID: 1365738 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / UNK - / IM

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

Write-up: Red Rash persisting over 10 days


VAERS ID: 1366120 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Menstruation delayed
SMQs:, Fertility 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: Allergic reaction
Other Medications: Multivitamins, Omega 3, NAC, Vitamin C
Current Illness:
Preexisting Conditions: PKD
Allergies: Penicillin and family, blue cheese,
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12 days missing period , not pregnant. Usually periods are regular.


VAERS ID: 1366556 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Asthenia, Cold sweat, Decreased appetite, Eye haemorrhage, Fatigue, Nausea, Ocular hyperaemia, Visual impairment
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: HX of COVID
Preexisting Conditions:
Allergies: HKA
Diagnostic Lab Data: CHIEF COMPLAINT & HPI: 21-year-old male here with periumbilical abdominal discomfort, mild nausea, loss of appetite. No fevers or chills. No vomiting or diarrhea. Patient also ha
CDC Split Type:

Write-up: c/o no appetite,nausea,fatigue, weak, cold sweat, epigstric pain, redness on both eyes with visual change sicne 21May2021(s/p J&J Vaccination).


VAERS ID: 1366787 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-05-21
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Gastric disorder, Pain in extremity, Thrombosis
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Comments: The patient had no known allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210556510

Write-up: BLOOD CLOT; BELLY BUTTON PAIN; LOWER LEG PAIN; STOMACH PROBLEMS; This spontaneous report received from a patient concerned a 57 year old white(Not Hispanic or Latino) female. The patient''s height, and weight were not reported. No past medical history was reported. The patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025,expiry: UNKNOWN) dose was not reported, administered on 09-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 21-MAY-2021, the patient experienced stomach problems(pain, cramping, bloating). On an unspecified date, the patient experienced blood clot, belly button pain, and lower leg pain. The patient did not made any changes to diet and no new medications took since getting the vaccine. The patient had tried yogurt and probiotic. Treatment medications (dates unspecified) included: bismuth subsalicylate for unknown indication. On 28-May-2021, she started taking turmeric, but so far nothing had resolved the issues. The patient had a tele visit with family doctor of medicine and would go next week wednesday. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood clot, and lower leg pain, and had not recovered from stomach problems, and belly button pain. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210556734.; Sender''s Comments: V0 20210556510- COVID-19 VACCINE AD26.COV2.S- blood clot. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1366892 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abnormal behaviour, Feeling abnormal, Mental disorder, Muscle twitching, Speech disorder, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASHWAGANDHA ROOT
Current Illness:
Preexisting Conditions: Comments: Medical history was not provided.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Unusual symptoms; Unusual behavior; Almost like different person with mental problem; Can''t complete a sentence; Muscle twitching; Cant stop shaking; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Unusual symptoms), ABNORMAL BEHAVIOUR (Unusual behavior), MENTAL DISORDER (Almost like different person with mental problem), SPEECH DISORDER (Can''t complete a sentence), MUSCLE TWITCHING (Muscle twitching) and TREMOR (Cant stop shaking) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Medical history was not provided. Concomitant products included WITHANIA SOMNIFERA ROOT (ASHWAGANDHA ROOT). On 20-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-May-2021, the patient experienced FEELING ABNORMAL (Unusual symptoms) (seriousness criterion hospitalization), ABNORMAL BEHAVIOUR (Unusual behavior) (seriousness criterion hospitalization), MENTAL DISORDER (Almost like different person with mental problem) (seriousness criterion hospitalization), SPEECH DISORDER (Can''t complete a sentence) (seriousness criterion hospitalization), MUSCLE TWITCHING (Muscle twitching) (seriousness criterion hospitalization) and TREMOR (Cant stop shaking) (seriousness criterion hospitalization). At the time of the report, FEELING ABNORMAL (Unusual symptoms), ABNORMAL BEHAVIOUR (Unusual behavior), MENTAL DISORDER (Almost like different person with mental problem), SPEECH DISORDER (Can''t complete a sentence), MUSCLE TWITCHING (Muscle twitching) and TREMOR (Cant stop shaking) outcome was unknown. Received a call from the patient''s father who wanted to report that his daughter received the 2nd shot of Moderna Covid 19 Vaccine last Thursday evening, 20-May-2021 along with her mother. On Friday, 21-May-2021, His daughter had unusual symptoms of unusual behavior, almost like different person with mental problem, can''t complete a sentence, muscle twitching and can''t stop shaking. The unusual symptoms had not resolved. On 22-May-2021, they went to the Emergency Room where his daughter was admitted. Treatment information was not provided. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1366904 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: terrible blood bleeding in both of her legs; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE (terrible blood bleeding in both of her legs) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 20-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-May-2021, the patient experienced HAEMORRHAGE (terrible blood bleeding in both of her legs) (seriousness criterion medically significant). At the time of the report, HAEMORRHAGE (terrible blood bleeding in both of her legs) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The reporter reported on 22-MAY-2021 that her mother woke up to terrible bleeding in both of her legs after she has received the first dose of Moderna Covid-19 vaccine on 20-MAY-2021. No treatment or concomitant medications were reported by the reporter. 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.; 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.


VAERS ID: 1367260 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
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: Lymphadenopathy, 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? 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 INC2021583224

Write-up: Caller experienced swelling of the eyelid after receiving the second dose of the vaccine; swollen lymph nodes; This is a spontaneous report from a contactable consumer. A 53-years-old female patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 21May2021 as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) for covid-19 immunization. On 21May2021, the patient experienced swelling of the eyelid after receiving the second dose of the vaccine and also experienced swollen lymph nodes and has been using cold compresses and tea bags to remedy the swelling. Patient also mentioned that she had the photos of the AE she experienced take last Wednesday (19May2021) and yesterday (21May2021). Overall safety summary included in clinical studies, adverse reactions in participants 16 years of age and older included injection site swelling (10.5%). Clinical trials experience solicited local and systemic adverse reactions across both age groups, 18 through 55 years of age and 56 years and older, mean duration of swelling 2.3 days (range 1 to 34 days). No information found for swelling specifically in the eyelid area. Referred to HCP. The events were considered as non-serious. The outcome of events was unknown. Follow up attempts are needed. Further information has been requested.


VAERS ID: 1367268 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-21
   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 - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Hyperhidrosis, Increased appetite, Nervousness, Pain, Psychomotor hyperactivity, Pyrexia, Vaccination site pain
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021583456

Write-up: Pain at injection site; Body aches and pains (esp. back and hips); fever; heavy sweating (esp. during sleep); headache; fatigue; Nervous fidgety energy; Nervous fidgety energy; An unusual increase in appetite, very hungry every couple hours; This is a spontaneous report from a non-contactable consumer, the patient. A 33-years-old non-pregnant female patient received BNT162B2(PFIZER, COVID 19 VACCINE; formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 20May2021 at 16:30 (at the age Vaccination 33-years-old) as a 2ND DOSE, SINGLE for covid-19 immunisation. The patient''s medical history was not reported. The patient received historical vaccine of BNT162B2 (PFIZER COVID 19 Vaccine) on 29Apr2021 at 04.00 PM as first dose on left arm, single for covid-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID 19. Since the vaccination, the patient had not been tested for COVID 19. The patient''s concomitant medications were not reported. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. No list of any other medications the patient received within 2 weeks of vaccination. The patient was not prior to vaccination, was the patient diagnosed with COVID-19 and since the vaccination, has the patient been tested for COVID-19. On 21May2021 04:00 the patient experienced pain at injection site, body aches and pains (esp. back and hips), fever, heavy sweating (esp. during sleep), headache, fatigue, nervous fidgety energy, nervous fidgety energy, an unusual increase in appetite, very hungry every couple hours. The case was a non serious. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1367269 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-04-28
Onset:2021-05-21
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Headache, Myalgia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021583469

Write-up: Chills; muscle aches; joint aches; vomiting; headache; fatigue; brain fog; This is a spontaneous report from a contactable consumer(patient). A 25-years-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot Number: EW0176) via an unspecified route of administration, administered in Arm Left on 28Apr2021 (at the age of 25-year-old) as single for covid-19 immunisation. The patient medical history was not reported. The patient received Birth control pill within 2 weeks of vaccination. The Patient did not receive any other vaccines within 4 weeks Prior to vaccination. The patient was not diagnosed with COVID-19 Prior to vaccination. Since the vaccination, patient was not tested for COVID-19. On 21May2021 at 23:00 the patient experienced chills, muscle aches, joint aches, vomiting, headache, fatigue and brain fog. The patient did not receive any treatment for the events. On an unspecified date, the outcome of the events was resolving.


VAERS ID: 1367274 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 RA / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache
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: Medical History/Concurrent Conditions: Food allergy (known allergies: Sulfa drugs and some foods); Sulfonamide allergy (known allergies: Sulfa drugs and some foods)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021584787

Write-up: Terrible headaches lasting several days. Today the headache is very bad; This is a spontaneous report from a contactable consumer (Patient). A 56-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection), dose 1 via an unspecified route of administration in Arm Right on 21May2021 14:30 (Batch/Lot Number: Ew0161 RA, 56-years age at the time of vaccination) as single dose for covid-19 immunisation. Medical history included Sulfa drugs (Drug hypersensitivity) and some foods allergies. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Since 21May2021 19:00, the patient experienced terrible headaches lasting several days. Today the headache is very bad. Patient was taking Aleve for terrible headaches; laying down. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The event outcome of event was not recovered.


VAERS ID: 1367301 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Body temperature, Body temperature increased, Crying, Emotional disorder, Headache, Hyperhidrosis, Paranoia, Pyrexia, Vaccination site pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LISINOPRIL; HCTZ
Current Illness: Asperger''s disorder (she was diagnosed with Asperger''s when she was 57 years old); Blood pressure high (she developed high blood pressure when she was 32 during her first pregnancy.); Drug allergy (Verbatim-Sensitive to medications); Suicidal depression (medications throughout the years caused her depression and suicidal thoughts.)
Preexisting Conditions: Medical History/Concurrent Conditions: Arthritis; Overweight; Penicillin allergy (diagnosed with penicillin allergy at age 10, Her daughter and mother also had penicillin allergy)
Allergies:
Diagnostic Lab Data: Test Date: 20210521; Test Name: body temperature; Result Unstructured Data: Test Result:98.8 or 99.2 Centigrade; Test Date: 20210522; Test Name: body temperature; Result Unstructured Data: Test Result:normal Centigrade
CDC Split Type: USPFIZER INC2021592614

Write-up: a low grade fever; worried; emotional basket case; she experienced emotional side effects stating she felt paranoid and was crying.; she experienced emotional side effects stating she felt paranoid and was crying.; Body temperature running 2 degrees high; Headache; Arm site injection pain; Broke out into a couple of drenching sweats; This is a spontaneous report from a contactable consumer. A contactable 63-year-old female consumer(patient) reported for herself that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0186) via an unspecified route of administration on 21May2021 on left arm as a single dose for COVID-19 immunization. The patient''s medical history included Asperger''s syndrome (From: Unspecified To: Ongoing), she was diagnosed with Asperger''s at age 57 and has had this type of reaction with other drugs and foods in the past. She says she has taken antidepressants in the past which caused this type of reaction which included having suicidal thoughts. She had history of high blood pressure (From: Unspecified To: Ongoing) since she was 32 years old. The patient reported that she developed high blood pressure during pregnancy with her first child. She reported that she was never given a chance by her physician to see if her blood pressure would recover on its own after pregnancy, she just put on blood pressure medications, penicillin allergy (From: Unspecified To: Ongoing), she was overweight and had depression and suicidal thoughts with certain medications (From: Unspecified To: Unspecified). The patient reported that almost all antidepressant drugs and certain pain killers for arthritis caused her to have depression and suicidal thoughts. She did not provide details regarding which medications caused her to experience depression or suicidal thoughts. She had sensitivities to medications (From: Unspecified To: Ongoing). She reported that she cannot take any generic form of Imitrex, she can only take the brand name. Also reported that the medication sensitivity runs in her family. Her daughter was allergic to penicillin and had a moderate to severe reaction to the pertussis vaccine at 6 months old. The patient reported that her daughter could not take anything with the ingredients in that vaccine. She reported that her mother also almost died from anaphylactic shock from a penicillin drug. The medication sensitivities run right down the female family line. She did not provide details for medication that resulted in her mother''s anaphylactic shock. The historical vaccine of the patient included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0167) via an unspecified route of administration on 30Apr2021 on left arm as 1st dose, single dose for COVID-19 immunization. It was reported that the patient did not receive any prior Vaccinations (within 4 weeks): and did not report any adverse events following prior vaccinations. The concomitants medications included lisinopril and hydrochlorothiazide (Start: Unspecified Stop: Ongoing). The patient reported that she has been taking lisinopril and hydrochlorothiazide since she was 32 years old for blood pressure. The patient reported that she was aware of all the side effects and everything, and kind of knew what to expect. After the second dose on 21May2021 caller reported that much to her surprise at 21:00 hours, her physical side were extremely mild. Body temperature running 2 degrees higher at 98.8 or 99.2 and she still felt ok. She reported that her body temperature normally runs a little low, 97.2 degrees F or 97.6degrees F. The same day she experienced arm site injection pain, she applied Aspercreme and CBD oil. The same day patient also experienced headache. She reported that she does not have a primary care physician. She was drenching sweat she experienced told her that she was running a low-grade fever. She reported that the elevated temperature continued through the night and into the morning of 22May2021. She reported that her body temperature returned to normal after she had the second episode of drenching sweat around 2:00 PM on 22May2021. She reported that she was done with the paranoia and was worried about if the paranoia was coming back, she would not think it was funny. She reported that she got the Covid-19 vaccine because she does not have health insurance and she is also 63, overweight, and has high blood pressure. She stated why would you not get the Covid- 19 vaccine if there was no charge for it and it could save your life and keep you out of the hospital. She stated that the pros of the Covid-19 vaccine outweigh the cons. She does not want other people that have the same issues with the Covid-19 vaccine affecting their mental health to get caught by surprise and think that it was permanent. She woke up the next morning on 22May2021 and did not even think about the arm pain. All the physical stuff was a walk in the park. She did not expect and what took her by surprise was that she was an emotional basket case on the morning of Saturday, 22May2021. She reported that she has had this side effect with various other drugs in the past. At first she did not put two and two together because thats how far removed it has been since she had this reaction to the other drugs. She inquired if becoming an emotional basket case was a known side effect of the Covid-19 vaccine and inquired if mental impact of the Covid- 19 was part of the study and if mental health questions were part of the surveys completed by patients. She reported that emotional changes for her can be associated with certain medications that she takes. She reported that antidepressants in particular will send her into a tailspin. She was encouraged to continue taking antidepressants in the past but stopped when she began feeling suicidal. She did not provide product details for the antidepressants that she experienced adverse events with while taking. She reported that she was basically on a 100% raw organic diet. After she had the second episode of drenching sweats, all of her side effects left. She stated that people may want to know that mental side effects of the Covid-19 vaccine are temporary and that it might happen. On 22May2021, she experienced emotional side effects stating she felt paranoid and was crying. She stated that this had been reported or evaluated for in the trials. The outcome of the events was crying, a low-grade fever and worried was unknown and rest of the events recovered on 22May2021. It was reported that the patient did not require emergency room or physician office visit. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1367305 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Vermont  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: School       Purchased by: ?
Symptoms: Chest pain, Dizziness, Heart rate, Heart rate increased, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210521; Test Name: pulse; Result Unstructured Data: Test Result:rapid
CDC Split Type: USPFIZER INC2021592644

Write-up: Sudden chest pain radiating toward armpit; Dizzy; Sweaty; Rapid pulse rate; Nausea; This is a spontaneous report received from a contactable consumer (patient). A 13-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administered in left arm on 21May2021 13:30 as single dose for COVID-19 immunisation at School or Student Health Clinic. Medical history was reported as none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient did not diagnose with COVID-19. Since the vaccination, patient had not been tested for COVID-19. The patient did not receive other medications within 2 weeks of vaccination. The patient''s concomitant medications were not reported. Patient had no allergies. On 21May2021 22:30, the patient experienced Sudden chest pain radiating toward armpit, dizzy, sweaty, rapid pulse rate, nausea. The symptoms resolved after about 10-15 minutes. This repeated a second time on Saturday 22May around 4 pm. Repeated a third time on Sunday 23May around 3 pm but was less in severity. Lot number on card not clear but appears to be EN0185 or EW0185. The events assessed as non-serious. No treatment was received for the events. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested.


VAERS ID: 1367439 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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: USPFIZER INC2021612599

Write-up: This is a spontaneous report from a contactable consumer (Patient himself). A 39-year-old male consumer received bnt162b2 (BNT162B2, COVID-19 VACCINE; formulation: Solution for injection, Lot number: unknown, Expiration date: unknown) via an unspecified route of administration on Friday, 21May 2021 (at the age of 39-years-old) as Unknown dose, single dose for covid-19 immunisation. The patient medical history and concomitant medications was not reported. On the day of vaccination, he felt a slight numbness of the face, on the right side, above the eyebrow and the outside corner of eye and ending up in the jaw, he was let it go at that time when he leaving the vaccination center, But these days he felt that tingling or numbness again. Also felt tingling in hand. Patient was asked whether any reports on this. Events were considered as non serious. The outcome of the both events was reported as not recovered. Information about lot/batch number has been requested.


VAERS ID: 1367718 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005CZIA / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Vaccination site erythema, Vaccination site induration, Vaccination site swelling
SMQs:

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

Write-up: 3-4 cm circumscribed indurated area on left upper arm at site of vaccine injection with mild central erythema and surrounding swelling


VAERS ID: 1367730 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Blood glucose increased, Catheterisation cardiac, Chest X-ray, Chest pain, Chills, Computerised tomogram thorax, Coronary artery disease, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Full blood count, Injection site swelling, Pneumonia, Pyrexia, SARS-CoV-2 test negative, Thirst, Troponin increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), COVID-19 (broad)

Life Threatening? Yes
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: Bisoprolol, armour thyroid, loratadine 24 hr, cinnamon, vitamin c, evening primrose oil, krill oil, probiotic, red marine algae, lecithin, garlic,
Current Illness: Asthma, high blood pressure, pre-diabetes, nafld/enlarged liver, enlarged kidney
Preexisting Conditions: Asthma, high blood pressure, nafld/enlarged liver, osteoarthritis, rheumatoid arthritis, avascular necrosis of left hip, spondylosis
Allergies: Amoxicillin, epinephrine, benadryl, morphine
Diagnostic Lab Data: Ekg 5/24-5/25/21; cbc 5/24-5/26/21; covid test 5/24 - negative; heart catheter 5/25; echocardiogram 5/26/21; troponin levels check slowly lowering since 5/24; chest x-rays 5/24; ct scan chest 5/25?;
CDC Split Type:

Write-up: Swelling injection site, chest pain, difficulty breathing, stomach pain, extreme fatigue, excessive thirst, fever, chills, dizziness, back pain, shoulder blade pain, elevated troponin, elevated blood sugar, hospitalization, CAD, pneumonia, antibiotics, fluids / hospital stay 5/24 - 5/26/21


VAERS ID: 1367796 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Oropharyngeal pain, Pruritus, Rash, 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? Yes
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: PT STATES 1 HR AFTER COVID SHOT SHE DEVELOPED A RASH AND HIVES TO BOTH ARMS AND LEGS, THIS PROGRESSED TO HER ABD BY SATURDAY. SHE HAD ITCHING, A SORE THROAT AND FELT LIKE THROAT WAS ''CLOSING''. SHE WAS SEEN AT URGENT CARE AND GIVEN BENADRYL CREAM AND ZYRTEC. STATES SHE WAS FEELING A LITTLE BETTER AFTER 2 DAYS. ADVISED NOT TO TAKE PFIZER AGAIN WITHOUT TALKING TO PCP OR AN ALLERGIST.


VAERS ID: 1367906 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-27
Onset:2021-05-21
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident, Facial paresis
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I63.9 - CVA (cerebral vascular accident) (CMS/HCC) R29.810 - Facial weakness


VAERS ID: 1367913 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-15
Onset:2021-05-21
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebral haemorrhage, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I61.9 - Intraparenchymal hemorrhage of brain (CMS/HCC) EXTREMITY WEAKNESS


VAERS ID: 1367940 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 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: unknown
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Moderna COVID -19 vaccine given to 12 year old- outside of age approved EUA


VAERS ID: 1368049 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-12
Onset:2021-05-21
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bronchitis, Cough, SARS-CoV-2 test negative, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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: Lamotrigine, Wellbutrin, Adderall, rexulti, trintellix, Lisinopril, multivitamin, D, E, C, fish oil
Current Illness: None
Preexisting Conditions: Hearing impairment, depression, obesity
Allergies: None
Diagnostic Lab Data: Had rapid and regular COVID tests, both resulting negative, on Wed. 5/26 before a weekend trip. Diagnosed there with bronchitis on 5/2 after a week of coughing all night especially and wheezing toward mornings.
CDC Split Type:

Write-up: Dry cough that started within the two weeks to full effectiveness period after the second shot progressed to bronchitis within a week. I don''t think I''ve ever had bronchitis-only head colds/infections.


VAERS ID: 1368119 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Dizziness, Fatigue, Headache, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

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

Write-up: Widespread body aches- 13 days Intense chills without a fever- 12 days Nausea- 10 days Stomach pain/vomiting/diarrhea- 1 day Diarrhea- 10 days Severe exhaustion-12 days Bad headache- 3 days Light headedness- 6 days Neurological issues- 10 days


VAERS ID: 1368202 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-28
Onset:2021-05-21
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Breast swelling, Breast tenderness, Fatigue, Pain, Premenstrual syndrome, Vaginal haemorrhage
SMQs:, Angioedema (broad), Haemorrhage terms (excl laboratory terms) (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: Allegra D, Sudafed, multivitamin
Current Illness: none
Preexisting Conditions: none
Allergies: eggs, dairy
Diagnostic Lab Data:
CDC Split Type:

Write-up: After three years of menopause, the month after the vaccine I experience several PMS symptoms, including very swollen and tender breasts, body aches, and fatigue. 5 weeks after the shot, I am bleeding as if menstrating.


VAERS ID: 1368362 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac stress test normal, Chest pain, Computerised tomogram thorax normal, Dizziness, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer increased, Myalgia, Myocarditis, Nausea, Sinus rhythm, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Obstructive sleep apnea
Allergies:
Diagnostic Lab Data: Troponin 4.6 (5/24/2020) Troponin 5.78 Troponin 8.29 EKG: NSR D-dimer 0.64 Normal Chest CT COVID-19 negative ECHO - normal Stress test (5/26/2021) - normal
CDC Split Type:

Write-up: Patient experienced myalgias, dizziness and nausea. Single episode of mild chest pain 2 minutes day prior to presentation. Diagnosed with myocarditis in the Emergency Department (5/24/2021) and admitted for treatment. Discharged on 5/26/2020.


VAERS ID: 1368382 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203AZ1A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Dizziness, Dyspnoea, Myalgia, Nausea, Pain in jaw, Toothache
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Osteonecrosis (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: No.
Current Illness: No.
Preexisting Conditions: No.
Allergies: No.
Diagnostic Lab Data: No.
CDC Split Type: vsafe

Write-up: About ten minutes after the shot I had tightness of the chest and difficulty breathing, An hour later nausea and dizziness. Later that day I experienced muscle aches and joint pain, teeth started to hurt on the right side and jaw was hurting.


VAERS ID: 1368400 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-20
Onset:2021-05-21
   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 - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Headache, 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, pre natal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: lactose
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pregnant, due June 17th. The day after I got my second COVID vaccine dose, I felt body aches, headache in the morning, and then terrible chest pain that evening. Everything went away the next day.


VAERS ID: 1368411 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Decreased appetite, Heavy menstrual bleeding, Hyperhidrosis, Injection site pain, Intermenstrual bleeding, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament 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: I have the mirena
Current Illness: n/a
Preexisting Conditions: i''m overweight
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: I was violently throwing up for about six hours, sweating, chills, and I couldn''t eat for about two days. I was extremely weak. after I recovered from the two days of being miserable, my neck got really swollen and sore. I had mild soreness in my right arm at the injection site as well, but it wasn''t as sore as the first shot. I drank a ton of water and took the tylenol muscle soreness medicine. In addition to soreness on my left arm (injection site) from the first shot, my period also got heavier and I have spotting in between.


VAERS ID: 1368437 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-15
Onset:2021-05-21
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6208 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Testicular pain
SMQs:

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

Write-up: - Pain in left testicle


VAERS ID: 1368487 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Lethargy, Pain, SARS-CoV-2 test, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant 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), COVID-19 (broad)

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

Write-up: headache, body ache, lethargic, temp of 103.9 peak, chills, joint aches, vomiting


VAERS ID: 1368523 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-08
Onset:2021-05-21
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Epistaxis, Gingival swelling, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal allergic conditions (narrow), Guillain-Barre 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: trazodone, wellbutrin, zoloft, iron
Current Illness:
Preexisting Conditions: depression
Allergies: vistaril
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt presented with rash on trunk of body that was tingly and painful, upon inquest he also revealed he had been having nose bleeds and swollen gums. The pt had been out of zoloft ~5d prior to event. Recommended f/u with PCP and pt went to urgent care where he was given amoxicillin and a topical ointment for his irritation. He also refilled zoloft prescription after initial presentation. 5/24 phone f/u revealed pain was gone and rash had subsided.


VAERS ID: 1368536 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-02-09
Onset:2021-05-21
   Days after vaccination:101
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Abortion spontaneous, Dizziness, Laboratory test, Ultrasound foetal
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Termination of pregnancy and risk of abortion (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: Hydroxychloroquine, magnesium, prenatal vitamins
Current Illness: None
Preexisting Conditions: Arthritis and chronic constipation
Allergies: Naproxen, alcohol wipes, bentoperoxide
Diagnostic Lab Data: Ultrasounds Lab work
CDC Split Type: vsafe

Write-up: 03/04/2021 I had my last period. Then I had the second dose and a month later I knew I was pregnant and then I had a missed miscarriage. They gave me misoprostol and misoprostol. After the missed miscarriage I was dizzy because I lost blood.


VAERS ID: 1368731 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-07
Onset:2021-05-21
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH RW0173 / UNK RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Back pain, Implant site swelling, Tinnitus
SMQs:, Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow)

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

Write-up: Buzzing in ears, back pain. swelling around implants


VAERS ID: 1368854 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: New York  
Vaccinated:2021-02-27
Onset:2021-05-21
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013L20A / 1 UN / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 014M20A / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Confusional state, Hospitalisation, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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: Fluticasone nasal spray, cyanocobalamin, Tamsulosin, tolterodne
Current Illness:
Preexisting Conditions: Dementia, frequent falls
Allergies: Gabapentin - confusion
Diagnostic Lab Data: SARS-CoV-2 test positive on 5/21/21
CDC Split Type:

Write-up: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Moderna series completed on 2/27/21). Patient was admitted to the hospital on 5/16/21 for worsening confusion and was stable to discharge to Agency on 5/21/21. Patient had tested positive for SARS-CoV-2 on 5/21 while in agency


VAERS ID: 1369023 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-05-19
Onset:2021-05-21
   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 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: Vaginal bleeding started 2 days after shot.. it has been almost two weeks and still bleeding.


VAERS ID: 1369343 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-20
Onset:2021-05-21
   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 EW0173 / 2 UN / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram, Chest pain, Fibrin D dimer, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Kariva- OCP Prenatal
Current Illness:
Preexisting Conditions: Psoriatic Arthritis
Allergies: Morphine
Diagnostic Lab Data: 5/21/21- + d-dimer, CTA There are small acute segmental pulmonary emboli within the posterior basilar segments of both lower lobes.
CDC Split Type:

Write-up: Patient presented to the ER one day post second dose of vaccine with chest pain and was diagnosed with pulmonary embolism.


VAERS ID: 1369785 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Nausea, Pain, Pain in extremity, Photophobia, Pyrexia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: I am a healthy individual with no pre-existing conditions. I had Covid-19 in August of 2020. I was in bed for 5 weeks with most of the symptoms and regularly had fever exceeding 104. When I was allowed to return to work, the Dr. gave me light duty orders to not exceed 5 hours worked per day for 2 months. After receiving the first vaccination dose, my arm became incredibly sore. These symptoms lasted for almost 2 weeks. The morning following vaccination, my body began to ache and hurt on touch to the point where the cover woke me up in pain. These symptoms lasted nearly three days during both day and night. I became nauseous about 24 hours following the vaccination. These symptoms lasted almost 4, 24 hour days. I became dizzy, periodically, about 24 hours after receiving the vaccination. These symptoms lasted for almost 7 days. I had low grade fever on three occasions that I knew about, I treated with Tylenol. These symptoms lasted 3 days after vaccination. I had a horrible headache (I never have had headaches before) I could not open my eyes or expose them to light. Most of the pain was concentrated on the left side of my head. These headaches started 3 days after receiving the vaccination and lasted 5 days later until day 8. I used Tylenol, which seemed to have little effect and slept all day.


VAERS ID: 1369983 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-16
Onset:2021-05-21
   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 FY2VED2S9Q5GAZ / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Neck pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)

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

Write-up: Numbness of my hand with tingling fingers for 3 days accompanied with severe headaches that started from the back of my head to my neck.


VAERS ID: 1369992 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-14
Onset:2021-05-21
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Back pain, Blood test, Chest discomfort, Chest pain, Computerised tomogram, Dyspnoea, Electrocardiogram, Feeling abnormal, Loss of personal independence in daily activities, Pneumonitis
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexium, Ibuprofen, Iron, multi-vitamin, Calcium
Current Illness:
Preexisting Conditions: I had Covid February 17, 2021 and had just recovered from most of the symptoms and was getting back to normal except for swelling in the feet and ankles, and shooting pains in the arms and hands.
Allergies: Penicillin, Milk
Diagnostic Lab Data: I went to the ER at Hospital May 27, 2021 and was given EKG, Blood Tests and CT Scan with Contrast. Told it is inflammation in my lungs.
CDC Split Type:

Write-up: Chest pain and pressure, back pain and severe shortness of breath. Weakness and brain fog. The shortness of breath has lasted 2 weeks and caused me to not be able to do activities.


VAERS ID: 1370002 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-18
Onset:2021-05-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Confusional state, Dizziness, Fatigue, Feeling abnormal, Headache, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular disorders (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: Citalopram 40mg daily
Current Illness: Depression Anxiety
Preexisting Conditions: Depression Anxiety
Allergies: None that I am aware of
Diagnostic Lab Data:
CDC Split Type:

Write-up: I have developed tinnitus in both ears which is massively effecting my quality of life. Fatigue Headaches all of the time Periods of confusion/brain fog Dizziness


VAERS ID: 1370695 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oklahoma  
Vaccinated:2021-05-20
Onset:2021-05-21
   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 ER8733 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Gait disturbance, Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021605933

Write-up: Intense lower leg pain and weakness in the legs; the pain became really intense and she felt like she really could not walk; Intense lower leg pain and weakness in the legs; This is a spontaneous report from a Pfizer sponsored program via a contactable consumer. A 28-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection, Batch/Lot Number: ER8733), via an unspecified route of administration, administered in Arm Left on 20May2021 15:45 as 2nd dose, single for COVID-19 immunization. The patient medical history was reported as none. The patient concomitant medications were not reported. The patient did not receive any other vaccines within four weeks, prior to vaccination. Patient''s family medical history related to AE was none. The patient previously took first dose of BNT162B2 (Lot: EW0162) on 29Apr2021 in upper left arm at about 15:30. Patient clarified that she did not receive her first dose of Pfizer Covid Vaccine last Thursday, 20May2021 she received her second dose of Pfizer Covid Vaccine last Thursday 20May2021. She clarified that she had onset of intense lower leg pain and weakness in both legs after having received the second dose of Pfizer Covid Vaccine. She verified that she called to ask if these events are common or known side effects of the Pfizer Covid Vaccine. Intense pain in lower legs initial onset was on 21May2021, probably around 21:00, but was minimal pain at that time, and it improved by around Sunday, 23May2021 or the 3rd or 4th day after onset. Yesterday, 25May2021, around 10:00-11:00 the pain became really intense and she felt like she really could not walk; then she clarified that she is able to walk; but she is experiencing severe intense pain that is very abnormal for her. It is not normal pain, not something normal. She had not had any unusual physical activities everything is normal but both legs are hurting in the lower part of the legs. If she just keeps walking the pain is intense; if she just sleeps all the time it''s fine, the pain improves. The Intense pain in lower legs is getting better. Weakness in both legs initial onset was on 25May2021 probably around 10:00-11:00 when the intense pain in lower legs worsened. She feels a lot of weakness in both legs, something like how if you experience a very serious illness and feel so weak; it is like that. Like she has no energy in her legs. When she sleeps for a long time the weakness does not improve like the pain does, and the weakness feeling gets very unusual. She does not think it worsens when she sleeps for a long time, but it is pretty much the same as when she does not sleep for a long time. She reported this event worsened this morning, felt more weakness in both legs this morning. On 21May2021 21:00, patient experienced intense lower leg pain and weakness in the legs, but was minimal pain at that time, and it improved by around Sunday, 23May2021 or the 3rd or 4th day after onset. If patient just keeps walking the pain is intense; if patient just sleeps all the time it''s fine, the pain improves. The Intense pain in lower legs is getting better. On 25May2021 probably around 10:00-11:00 when the intense pain in lower legs worsened she feels a lot of weakness in both legs. When patient sleeps for a long time the weakness does not improve like the pain does, and the weakness feeling gets very unusual. patient reported this event worsened this morning, felt more weakness in both legs this morning. The events were considered as non-serious. The events resulted in urgent care visit. The outcome of the event intense leg pain was recovering and outcome of event weakness of both legs was not recovered, outcome of the event she felt like she really could not walk was recovered on an unknown date in 2021. Information on lot/batch number was available. Additional information has been requested.


VAERS ID: 1370976 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Shoulder injury related to vaccine administration
SMQs:

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

Write-up: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)


VAERS ID: 1371091 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0179 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dysphagia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

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

Write-up: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Additional Details: Patient stated her throat felt tight. pulse ox was 99, bp 105/80 Patient was with husband, checked for sign of swollen lips and tongue. I did not see any. asked husband to confirm. Husband confirmed patient looked normal with no swelling. Sat with patient and administered benadryl. gave patient water. Talked with patient and discovered issue was most likely anxiety related. sat with pt for 30 min. Followed up with patient on 05/22/2021. Patient totally normal, no illness and no reactions.


VAERS ID: 1371245 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EWQ164 / 1 RA / SYR

Administered by: School       Purchased by: ?
Symptoms: Erythema, Induration, Pain, Skin warm, Swelling, Urticaria, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: butalbital-acetaminophen-caffeine 50-325-40 MG per tablet FLUoxetine 40 MG capsule gabapentin 300 MG capsule vitamin D 1.25 MG (50000 UT) Caps capsule pantoprazole 40 MG tablet spironolactone 100 MG table
Current Illness:
Preexisting Conditions: Hyperlipidemia with target LDL Vitamin D deficiency Diverticular disease MTHFR gene mutation (HCC) Essential hypertension Chronic GERD Acquired hypothyroidism Morbid obesity with BMI of 50.0-59.9, adult (HCC) Umbilical hernia without obstruction and without gangrene Lymphedema of both lower extremities Hepatic steatosis Osteopenia of multiple sites
Allergies: Doxycycline Amoxicillin Ace Inhibitors Chlorhexidine Gluconate Metformin And Related
Diagnostic Lab Data:
CDC Split Type:

Write-up: I started with a hard and red raised spot. It lasted 10 days but slowly went down to just a light red. Today is day 13 and now it it back with what looks like hives or welts. It is quite painful and warm to the touch. It is around a quarter to 50 cent piece size.


VAERS ID: 1371463 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-03
Onset:2021-05-21
   Days after vaccination:48
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047A21A / 2 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Ileus
SMQs:, Gastrointestinal obstruction (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: biceps tendinitis, depression, COPD, hx of cholorectal cancer, S/P partial resection of the colon
Allergies: augmentin, cyclobenzaprine hydrochloride, acetaminophen, ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna Covid19 Vaccine EUA Admitted acute due to ileus


VAERS ID: 1371564 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-12
Onset:2021-05-21
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Auditory disorder, Cervical spinal stenosis, Compression fracture, Guillain-Barre syndrome, Lumbar spinal stenosis, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Accidents and injuries (narrow), Demyelination (narrow), Hearing impairment (narrow), 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: sildenafil prn
Current Illness: etoh use disorder, chronic pain
Preexisting Conditions: etoh use disorder, chronic pain
Allergies: none
Diagnostic Lab Data: MRI C/T/L spine w/ contrast (5/29/21): IMPRESSION: 1. Motion limited study. 2. No acute compression fracture. Multiple chronic compression fractures most pronounced at T2, T3, T7 and T11. 3. No suspicious marrow process. 4. Spinal cord appears normal, within the limits of motion artifact. Although motion artifact limits visualization there is probable mild to severe foraminal narrowing and mild central stenosis within the cervical spine as detailed above 5. No spinal canal stenosis or neural foraminal narrowing in the thoracic spine. 6. Multilevel degenerative changes in the lumbar spine most pronounced at L4-5 where there is moderate to severe spinal canal stenosis with effacement of the thecal sac. 7. Lower lumbar spine endplate marrow edema is likely degenerative. MRI IAC and brain w/ contrast (5/31/21): IMPRESSION: 1. Foci of enhancement measuring 2-3 mm at the fundi of the internal auditory canals extending to the geniculate ganglia. This could represent infectious/inflammatory etiology. No nodularity to suggest bilateral schwannomas. 2. There is abnormal enhancement the left cisternal trigeminal nerve. 3. The above enhancement is without nodularity. Infectious/inflammatory etiology is considered most likely, however neoplastic process is not entirely excluded and correlation is recommended with CSF. 4. Limited evaluation of the brain demonstrates no additional enhancement on motion degraded examination. No acute infarct or suspicious parenchymal FLAIR signal abnormality. 5. Additional findings as above. CSF confirmation
CDC Split Type:

Write-up: guilliane barre syndrome


VAERS ID: 1371863 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0186 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Chest pain, Dizziness, Eye irritation, Fatigue, Headache, Heart rate increased, Nausea, Pancreatitis
SMQs:, Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Corneal disorders (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot makes me feel bad
Other Medications: Calcium, D3, fish oil, turmeric, glucosamine
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten - celiac disease
Diagnostic Lab Data: Pancreatitis
CDC Split Type:

Write-up: 30 minutes after receiving the shot I became dizzy, head hurt, burning eyes, fatigue and nauseous. The second day to present day, all the symptoms from first day plus a stomachache. Over the course of the next week, all symptoms continued then chest pains and a high resting pulse began. Eight days after the shot I went to the emergency room for chest pains and all the symptoms from above. I followed up with primary care three days after ER visit and was told of a possible pancreatitis. My gastroenterologist does not have time in his schedule to see me anytime soon. I?m in the process of trying to get an appointment with a gastroenterologist. If symptoms worsen I will go back to emergency room. I?m waiting to be accepted by a office for treatment.


VAERS ID: 1372149 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0178 / 1 LA / IM

Administered by: Private       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: unknown
Current Illness: none
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient was administered Pfizer vaccine at the age of 11 years 9 months. Current guideline were given for the approval of use in 12+.


VAERS ID: 1372556 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Eosinophilic pneumonia (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: Gabapentin
Current Illness: None
Preexisting Conditions: Neuropathy
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Wheezing, hives all over body, itching. Treatment: EpiPen, Benedryl. Hives and itching still present.


VAERS ID: 1372579 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-08
Onset:2021-05-21
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Feelings of dizziness and vertigo that started 2 weeks after the second shot and has continued for 2 weeks .


VAERS ID: 1372926 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-21
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Platelet count decreased, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: Plts $g 3
CDC Split Type:

Write-up: Thrombocytopenia


VAERS ID: 1373139 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-24
Onset:2021-05-21
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / UNK RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Amenorrhoea
SMQs:, Fertility 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: No
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Daughters has missed her period main event the COVID shot. She is very regular so this is not a normal reaction/event. Will wait a few more weeks and if it still has not come we will make a doctors appointment.


VAERS ID: 1373295 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C2HA / 1 RA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Illness, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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: Back surgery (2 back surgeries); Hypertension; Seizures; Spinal cord disorder (Spinal problem)
Preexisting Conditions: Medical History/Concurrent Conditions: Epilepsy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Nausea; getting more and more sick, it is getting worse as the day goes; stomach problems; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (Nausea), ILLNESS (getting more and more sick, it is getting worse as the day goes) and ABDOMINAL DISCOMFORT (stomach problems) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003C2HA) for COVID-19 vaccination. The patient''s past medical history included Back surgery (2 back surgeries) since an unknown date. Concurrent medical conditions included Hypertension, Epilepsy, Spinal cord disorder (Spinal problem) and Seizures. On 20-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-May-2021, the patient experienced NAUSEA (Nausea) (seriousness criterion medically significant), ILLNESS (getting more and more sick, it is getting worse as the day goes) (seriousness criterion medically significant) and ABDOMINAL DISCOMFORT (stomach problems) (seriousness criterion medically significant). At the time of the report, NAUSEA (Nausea), ILLNESS (getting more and more sick, it is getting worse as the day goes) and ABDOMINAL DISCOMFORT (stomach problems) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication included unspecified seizure medication, blood pressure patch and pain medicine. No treatment products were reported. Patient had her first dose on 20 May 2021 in her right dominant arm. On 21 May 2021, patient experienced nausea, getting more sick and worse as the day goes stomach problems. Patient called her family doctor but doctor was left for the day. Patient wanted to knowwhat to do about her side effects. Patient provided her doctor''s contact information and permission to contact her doctor. The patient had her first dose in her doctor''s office. No treatment medications were reported. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 25-May-2021: Non-Significant follow up appended; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1373927 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-20
Onset:2021-05-21
   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 EW0176 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal discomfort, Anxiety, Feeling abnormal, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), 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: ALPRAZOLAM; ZOLOFT; ATENOLOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021633844

Write-up: Rash still after almost 2 weeks, spreading, very itchy.; Felt run down; Stomach issues; Anxiety; This is a spontaneous report from a contactable consumer. A 41-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EW0176) via an unspecified route of administration on 20May2021 at 10:30 in right arm as a single dose for COVID-19 immunization. Medical history was not reported. The patient previously took naproxen for allergies. The patient did not received any other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient had not been tested for COVID-19. Concomitant medications included Alprazolam, Zoloft and Atenolol. On 21May2021, the patient experienced Rash still after almost 2 weeks, spreading, very itchy. Felt run down and having stomach issues and anxiety. The patient did not receive any treatment medication. The outcome of all events was not recovered. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1374005 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Contusion, Hemiparesis, Immobile, Pain, Vaccination site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Entire left side of the body is immobile; Entire left body not working properly / entire left side functioning half of the capacity; Pain started in leftpinky finger and then entire left side of body in pain/pain isolated to left side of body/ left side from tonsils to big toe hurt; 13 purple bruises all over body/ dark bruises on side, ankle, toe, chin, leg; Pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of IMMOBILE (Entire left side of the body is immobile) and HEMIPARESIS (Entire left body not working properly / entire left side functioning half of the capacity) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 033C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 21-May-2021 at 10:26 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-May-2021, the patient experienced IMMOBILE (Entire left side of the body is immobile) (seriousness criterion medically significant), HEMIPARESIS (Entire left body not working properly / entire left side functioning half of the capacity) (seriousness criterion medically significant), PAIN (Pain started in leftpinky finger and then entire left side of body in pain/pain isolated to left side of body/ left side from tonsils to big toe hurt) and CONTUSION (13 purple bruises all over body/ dark bruises on side, ankle, toe, chin, leg). 21-May-2021, the patient experienced VACCINATION SITE PAIN (Pain at the injection site). The patient was treated with IBUPROFEN ongoing since an unknown date for Pain, at a dose of 200 mg. At the time of the report, IMMOBILE (Entire left side of the body is immobile), HEMIPARESIS (Entire left body not working properly / entire left side functioning half of the capacity), PAIN (Pain started in leftpinky finger and then entire left side of body in pain/pain isolated to left side of body/ left side from tonsils to big toe hurt), CONTUSION (13 purple bruises all over body/ dark bruises on side, ankle, toe, chin, leg) and VACCINATION SITE PAIN (Pain at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reportedly, patient''s left side from her tonsils to her big toe it hurt. She took ibuprofen for the pain but it did not help. After the vaccine, patient noticed that she started to develop dark bruises on her side, ankle, toe, chin, leg. Patient was not pregnant or taking any concomitant medications. Company comments:Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 21-May-2021: Additional information received on 21 May 2021. Added one event and other event details were updated.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.


VAERS ID: 1374154 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-04-22
Onset:2021-05-21
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA OO2C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Muscle contractions involuntary, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad), 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: Amlodipine, Fluoxetine, Ammonium Lactate
Current Illness: highly functioning autism
Preexisting Conditions:
Allergies: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 4 weeks after receiving the second dose of Moderna COVID-19 vaccine, patient experienced tingling and loss of muscle control on one side of his face. He presented to Emergency department and was diagnosed with Bells Palsy. The ED was not concerned that he had received the vaccine 4 weeks earlier and dismissed it as a coincidence. Family and I decided it would be a good idea to report here just in case there is a pattern with other people.


VAERS ID: 1374193 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Diarrhoea, Dysgeusia, Headache
SMQs:, Taste and smell disorders (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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: No Prescriptions or over the counter medication. I did take Pedialyte.,
Current Illness: No other illnesses at the time of vaccination.
Preexisting Conditions: No chronic or long standing health conditions.
Allergies: No allergies to medications or other products.
Diagnostic Lab Data: No medical test or labs performed.
CDC Split Type: vsafe

Write-up: I experienced diarrhea and headaches on the third day. I also experienced cold sweats and I also had a bad taste in my mouth approximately 3 days.


VAERS ID: 1374241 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-21
Onset:2021-05-21
   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 EW0186 / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient falsified DOB when registering for vaccination. Guardian consented to the vaccination. Department of Health verified with statistical records the patients actual DOB which made the vaccine a contraindication. No known adverse reactions noted.


VAERS ID: 1374299 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-16
Onset:2021-05-21
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8728 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Angiogram cerebral normal, Anxiety, Blood test normal, Computerised tomogram head abnormal, Dizziness, Echocardiogram normal, Fatigue, Full blood count normal, Headache, Ischaemic stroke, Magnetic resonance imaging head abnormal, Metabolic function test normal, Thrombosis, Ultrasound Doppler, Ultrasound scan normal, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEXAPRO
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: CBC, BMP, HYPERCOAGULATION PANEL, LIPID PANEL - 5/28/2021 - WNL CT ANGIOGRAM, ECHO, U/S CAROTIDS - 5/28/2021 - ALL NORMAL
CDC Split Type:

Write-up: PT STARTED EXPERIENCING INTENSE HEADACHES ON THE MORNING OF 5/21/2021. THE HEADACHES CONTINUED ON AND OFF FOR SEVERAL DAYS UNTIL ON 5/24/2021 AT 3 PM, SHE HAD A DEBILITATING HEADACHE WITH DIZZINESS THAT COULD NOT BE RELIEVED. THEN ON THE AFTERNOON OF 5/25/2021, SHE STARTED EXPERIENCING VISUAL CHANGES WITH BLACK SPOTS IN HER VISION. SHE WAS ABLE TO SEE HER DOCTOR ON 5/27/2021 AT 10 AM. HE SENT HER FOR A CT SCAN OF HER HEAD WHICH WAS FOLLOWED BY A MRI OF HER BRAIN. THE MRI AND CT SCAN REVEALED THAT SHE HAD A LEFT FRONTAL ISCHEMIC STROKE. SHE WAS ADMITTED TO THE HOSPITAL ON 5/27 AND DISCHARGED HOME ON THE AFTERNOON OF 5/28. SHE HAD A CT ANGIOGRAM OF THE BRAIN, AN ECHO OF THE HEART, ULTRASOUND OF THE CAROTIDS AND A HYPERCOAGULATION BLOOD PANEL. ALL OF WHICH WERE NORMAL AND SHOWED NO EVIDENCE OF WHERE THE BLOOD CLOTS CAME FROM THAT CAUSED HER STROKE. SHE CONTINUES TO HAVE HEADACHES WITH DIZZINESS, FATIGUE, AND NOW BAD ANXIETY.


VAERS ID: 1374337 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered, Interchange of vaccine products
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: unknown
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Male was administered single dose of Janssen Vaccine on 5/21/21. Male neglected to inform staff that he had previously been administered both doses of Moderna vaccine on 1/19/21 and 3/3/21. Male has now received a total of 3 doses of covid 19 vaccine.


VAERS ID: 1374553 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-19
Onset:2021-05-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 - / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cellulitis, Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram 40 mg ; MVI; Zinc, Vitamin D, Cyanocobalamin
Current Illness: none
Preexisting Conditions: Bradycardia Pacemaker, HTN, obstructive sleep apnea
Allergies: Codiene, Dilaudid, Latex Prednisone
Diagnostic Lab Data:
CDC Split Type:

Write-up: redness and induration and cellulitis of the upper arm treated with cephalexin for 7 days


VAERS ID: 1374718 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-05-13
Onset:2021-05-21
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Formication, Injection site erythema, Insomnia, Muscular weakness, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Extremely hot, red area appearing in site of vaccine. Very painful and swollen. Lasted 8 days. Felt movement under the skin. Arm very weak since. General physical weakness since day of vaccination. First dose. Very painful and very hot. Cannot sleep well and am exhausted all the time.


VAERS ID: 1375372 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-06
Onset:2021-05-21
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Injection site pain, Mobility decreased, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Two weeks and one day after receiving second dose of COVID19 vaccine, patient experienced extreme sharp pain in injection arm (left arm: injection site, shoulder and elbow) as well as muscle in opposite leg and hip that prevented him from walking. Pain has minimized since then (report is one week after incident) but patient still feels some minor pain, and says he will report to his primary care provider if symptoms persist for one week. Patient took aspirin for pain, which helped.


VAERS ID: 1375588 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037C21A / 1 RA / IM

Administered by: Private       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? 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: rash on left arm.


VAERS ID: 1375825 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-21
Onset:2021-05-21
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Computerised tomogram abnormal, Dyspnoea, Electrocardiogram normal, Headache, Impaired work ability, Laboratory test, Lumbar puncture normal, Neuropathy peripheral, Paraesthesia, Paraesthesia oral, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Just tylenol
Current Illness: no
Preexisting Conditions: no
Allergies: cipro
Diagnostic Lab Data: CT-Scan Monday 5/31/21. All lab tests and results came back in normal range. Lumbar Puncture and 2 EKG''s & routine ER blood work all came back normal on 6/2/31.
CDC Split Type:

Write-up: Neuropathy initially in right arm, then subsided after two days. Neuropathy/tingling of fingers and toes returned with increasing sensation on May 21, 2021. On friday May 28, 2021 lips are now tingling and more feeling of full body tingling and weakness followed by close to fainting spells. Sunday night worst headache of life, followed by chills, almost fainted, went to ER and all tests normal. Neuropathy has not left. Sent home with no answers. Wednesday June 2, 2021 tingling of hands, feet and lips more extreme followed by moments of shortness of breath and fainting. Went back to ER all vitals normal. Two days later I have missed two days of work because my body is so weak and the nreopathy remains. Please help. I cannot continue to live with these symptoms. I had zero health issues leading up to this and all of the dr''s are stumped.


VAERS ID: 1375968 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Drooling, Facial paralysis, Headache, Muscular weakness, Oral disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (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: Pt seen in clinic 5/25/21 and found to have L-sided facial paralysis, possibly Bells Palsy reactivated by recent COVID vaccine. Pt reported that on 5/21, pt experienced drooling on L side, difficulty drinking from a straw, lower extremity weakness, and L-sided headache 7/10 constant, throbbing. Pt reported trying acupuncture which did not help. Dx: Seventh nerve palsy. Prednisone x 1 week prescribed. Pt seen in office again on 6/1/21 with improvement in L facial movement.


VAERS ID: 1376293 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Musculoskeletal chest pain
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021643053

Write-up: Chest pain after she got first shot; chest has been really tight and it hurts; chest has been really tight and it hurts; This is a spontaneous report from a contactable consumer (Patient). A 62-years-old female patient received First dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: ER8736; Expiration Date: 20Jul2021) via an unspecified route of administration, administered in left upper arm on 21May2021 as 1ST DOSE, SINGLE DOSE for covid-19 immunization. The patient medical history was not reported. Concomitant medications were not reported. It was reported that after she got the first shot, on 21May2021 she started having pains in her chest. It didn''t last long. She didn''t think anything about it at the time. Then she had more chest pains. It scared her. Since then her chest has been really tight and it hurts. Patient stated that she did not think she would get the second shot. She also stated The chest pain started right after/ Chest pain after she got first. Her chest felt really tight. No treatment for chest pain. She was taking any medications within 2 weeks before getting the vaccine, she said she was. Then she said that she was out of time and she needed to go. Follow-up attempts completed. No further information is expected.


VAERS ID: 1376420 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-21
Onset:2021-05-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bone pain, Condition aggravated, Headache, Hot flush, Pyrexia, Stiff leg syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Osteonecrosis (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D, magnesium, zinc
Current Illness: none
Preexisting Conditions: osteoporosis
Allergies: sulfa, coedine, tramadol
Diagnostic Lab Data: none
CDC Split Type:

Write-up: started with headache, fever, hot flashes bone pain...after 2 weeks the headaches continue, my lower back bone ( where years ago I had pain) has returned and several times at night whilelying in bed I have a tightmess in my legs.


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