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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 125 out of 3,524

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VAERS ID: 1364933 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-26
Onset:2021-05-20
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Body temperature increased, Chills, Decreased appetite, Headache
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yes I was taking prescriptions.
Current Illness: No other illnesses.
Preexisting Conditions: I have no chronic or long-standing health conditions.
Allergies: I am allergic to latex, shrimp, tomatoes, green peppers , penicillin ,zinc & titanium oxide.
Diagnostic Lab Data: No medical test.
CDC Split Type: vsafe

Write-up: I had every side affect listed on the internet. I had stomach ache, temp of 102 for three days. I had a serve headache I had chills and I could not eat.


VAERS ID: 1364997 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-10
Onset:2021-05-20
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Epistaxis, Spontaneous haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Betaloc Zok 25 mg (1/day) Aspirin 80 mg (1/day) Rosuvastatin 40 mg (1/(day) Duodart (1/day)
Current Illness:
Preexisting Conditions: Hypertension under control BPH
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nasal Hemorrhage (Spontaneous) lasting around 30 minutes and again the following day.


VAERS ID: 1365117 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025B21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 LA / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood glucose increased, Blood test normal, Erythema, Heart rate increased, Hypertension, Hypoaesthesia, Inflammation, Ocular hyperaemia, Palpitations, Pyrexia, Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Eyes went bright red, Heart rate went up to 187 on my fitness watch, 150 heart rate by the time the paramedics arrived, I couldn?t feel my arms or legs, I had a high blood pressure and sugar level of 220. Went to the hospital and ran tests. Fever of 99.9-100.5 for two days straight. There was a red, warm, and inflammation in my left arm for two days. My heart felt like it was pounding out of my chest and I had a high rate for 5 days straight. I would be sitting down and it would be at 100.


VAERS ID: 1365141 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-05-11
Onset:2021-05-20
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

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

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

Write-up: Shingles outbreak. Rash across left side of torso and chest and back. Nerve pain ongoing for a couple weeks now Never had shingles before. Outbreak due to physical/mental stress factors is very unlikely.


VAERS ID: 1365150 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0161 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Audiogram, Deafness neurosensory
SMQs:, Hearing impairment (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: metformin 500mg Qday
Current Illness:
Preexisting Conditions: glucose intolerance
Allergies: none known
Diagnostic Lab Data: See above- audiogram 5/21/21, audiogram 6/1/21
CDC Split Type:

Write-up: Left sided sudden sensorineural hearing loss - seen at ENT specialist 5/21/21, confirmed with audiogram and treated with steroid course. At 2 weeks, the hearing has recovered to his baseline.


VAERS ID: 1365152 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0185 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Migraine, Neck pain, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Migraine onset 5/20 and lasting each day until 5/28/2021. Some days worse than others. Extreme fatigue 5/21/2021 throughout the day and evening (I had three naps and went to bed around 7 PM until 7 AM the next day)! Neck and arm pain lasting 5/20 - 5/24/2021 (tightness, soreness, pain) slight loss of appetite


VAERS ID: 1365174 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-01-06
Onset:2021-05-20
   Days after vaccination:134
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 UN / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030M20A / 2 UN / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetes Mellitus
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalization due to chest pain


VAERS ID: 1365209 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-03-22
Onset:2021-05-20
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction, COVID-19, Chest pain, Cough, Myocarditis, Neurological symptom, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? Yes
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: Atorvastatin 80 mg daily Dabigatran 150 mg twice a day Hydroxyzine 25 mg p.o. q.day p.r.n. anxiety Metformin 1000 mg twice a day Nitroglycerin 0.4 mg sublingual Q 5 minutes for chest pain Sertraline 100 mg p.o. q.day Tamsulosin 0.4 mg p.o.
Current Illness:
Preexisting Conditions: CAD Anxiety Parox Afib on dabigatran Carotid disease - needs CEA? Aortic stenosis Bilateral renal artery stenosis BPH CHF? CAD s/p stenting 2013/2014 Type 2 DM depression
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received Covid vaccine in March (unknown date). He subsequently developed a burning chest pain and cough. Diagnosed with Covid May 20,2021. Admitted to the hospital May 27th with new stroke symptoms and mycoarditis/NSTEMI


VAERS ID: 1365363 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-12
Onset:2021-05-20
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bell's palsy, Blood test, Dizziness, Facial paralysis, Hypoaesthesia oral, Laboratory test, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hearing impairment (broad), Vestibular disorders (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: Suboxone
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Patent stated that he had blood work done, and was given a taste test to rule out a stroke
CDC Split Type:

Write-up: For the first week the patient was nauseous, dizzy, and experienced joint aches, then after a week patient experienced inflamed muscle pain in the back of his head. After a week afterwards the patient noticed his lip was numb, and then a day later patient had paralysis on the left side of his mouth. The patient first went to an urgent care, and was then refered to the ER where he was diagnosed with Bell''s Palsy. The date of the diagnosis was 5/27/21


VAERS ID: 1365488 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-17
Onset:2021-05-20
   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 ER8736 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Discomfort, Feeling abnormal, Headache, Influenza virus test, Myalgia, Pyrexia, SARS-CoV-2 test, Streptococcus test
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycycline, one daily pill for acne (at the time of the vaccination, he had been taking thos pills for a month an a half) Probiotic, one daily pill (same time)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: I took him to his doctor. Doctor performs Covid test (negative) Flu test (negative) estreptocos (negative).
CDC Split Type:

Write-up: Three days after receiving the firts dose, my 15 years old soon started to felling bad, with fever (between 99 to 102 f grades, muscle pain, headache, general discomfort and not energy at all. Syntomps lats for almost 3 days, My main concern is why the symphtoms showed up three days after the vaccination day, and not before.


VAERS ID: 1365493 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-06
Onset:2021-05-20
   Days after vaccination:44
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 13948 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROPRANOLOL ER 60 MG CAPSULE MAG-OXIDE
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: caught covid a month later 05-20-2021


VAERS ID: 1365711 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-04-20
Onset:2021-05-20
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017B21A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Foetal death, Ultrasound foetal, Ultrasound foetal abnormal, Uterine dilation and curettage
SMQs:, Foetal disorders (narrow), 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: Anti-histamines PIO (progesterone in oil) shots Estrace
Current Illness: None
Preexisting Conditions: None
Allergies: Shellfish, apples, pollen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Missed miscarriage. Was 4 weeks pregnant at time of second shot. Estimated delivery date of Dec 26, 2021. Heartbeat at 6 week ultrasound (May 7th). No heartbeat at 8 week ultrasound (May 20th). Pregnancy through IVF - frozen embroyo transfer on April 9th. Had D&C on May 24th.


VAERS ID: 1366347 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-15
Onset:2021-05-20
   Days after vaccination:5
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: Antibody test negative, Cerebral thrombosis, Cerebral venous sinus thrombosis, Factor II mutation, Haemoglobin normal, Heparin-induced thrombocytopenia test, Jugular vein thrombosis, Platelet count normal, Protein C, Protein S normal, Red blood cell sedimentation rate normal, Russell's viper venom time abnormal, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Staphylococcus test, Superior sagittal sinus thrombosis, Thrombin-antithrombin III complex normal, Transverse sinus thrombosis, Venous thrombosis, White blood cell count increased
SMQs:, Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: No past medical history
Preexisting Conditions: No past medical history
Allergies: NKDA
Diagnostic Lab Data: 05/25/2021: Hemoglobin 15.9, WBC is 12.18, platelets 256. 05/25/2021: COVID-19 SARS?CoV-2 NAT, nasal swab negative 05/25/2021: Heparin PF4?IgG Elisa negative 05/25/2021: Serotonin release assay, UFH negative 05/25/2021: MRSA surveillance culture negative 05/25/2021: Protein S antigen 93, protein C activity 95, Antithrombin III activity 99 05/25/2021: Russell''s viper venom: DRVVT six 7.9 elevated, 1: 1 mix study RVVT 42 normal, 4: 1 Mix study RVVT 54 elevated. Russell''s viper venom?confirm: RVVT: Confirm ratio; 1.7 elevated. 05/25/2021: Factor II 20210 mutation negative 05/25/2021: Factor V Leiden negative 05/25/2021: ESR 8 normal
CDC Split Type:

Write-up: This is not very clear that the Pfizer vaccine is actually the cause of the patient''s Cerebral thrombosis, however, we are reporting to VAERS as this is a unique first case where the patient has Dural venous thrombosis within 2 weeks period of getting 2nd dose of Pfizer vaccine. 05/25/2021: CT HEAD/BRAIN W/ IV CONTRAST showed dural venous sinus thrombosis involving the superior sagittal sinus, right transverse, and sigmoid sinuses, extending into the proximal right internal jugular vein.


VAERS ID: 1367244 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-05
Onset:2021-05-20
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / OT

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021580985

Write-up: a magnet will stick to her injection site.; This is a spontaneous report from a contactable other hcp. A 46-years-old female patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EN5318; Expiration Date: unknown), dose 2 intramuscular, administered in Deltoid Left on 05Feb2021 as 2nd dose, 0.3 ml single dose for COVID-19 immunization. The patient took the Historical BNT162B2 vaccine on 14Jan2021 (Lot EL3248), 0.3ml, intramuscular, administered into the left deltoid. The patient medical history was not reported. The patient''s concomitant medications were not reported. On 20May2021, the patient experienced a magnet will stick to her injection site (vaccination site discomfort). The clinical outcome of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1367250 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-05-20
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: Vaccination site discomfort
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021581336

Write-up: a magnet will stick to her injection site.; This is a spontaneous report received from a contactable Other Health Care Professional (Nurse). Report 5 of 9. A 46-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VAC-CINE, Formulation: Solution for injection, Lot Number and Expiration Date was not reported) via an unspecified route of administration on an unspecified date, as unknown, single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The caller was registered nurse who works as a triage nurse for a coronavirus hotline. Reporter calling to report on one of her patients who stuck a magnet to their injection site after receiving the Pfizer covid vaccine, and the magnet stuck to her patient''s arm. The female patient knows of 8 individuals who have also reported it. Caller would like to know if Pfizer has any information or guidance regarding this. Caller states that the other individuals who reported it to the patient were 7 females and 1 male. The information provided was the only information that the caller was able to share per their patient protection laws. The caller does not have any more information on this event. No further information or details were captured at this time. The outcome of the event was unknown. Additional information has been requested.


VAERS ID: 1367310 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021592665

Write-up: fast heart beat; This is a spontaneous report from a contactable consumer (Patient). A female patient of an unspecified age received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: not reported), via an unspecified route of administration on 19May2021, as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The next day vaccination on 20May2021 at 12:45, patient had a fast heart beat. No serious reported. Caller states she received the first does of the Pfizer COVID-19 vaccine on 19May2021 and the next day had a fast heart beat, per Safety occurred at 12:45, she would like to know this is a common side effect. She was asking what is Polyethylene glycol. She was asking what is the efficacy after the first dose. she was told the second dose is stronger than the first. Is this true. she was trying to figure out if she should get the second dose of the vaccine. she had a side effect after the first dose of the vaccine. Should get the second dose. The outcome of fast heart beat was unknown. Follow-up attempts are needed. Information about lot/batch number is requested.


VAERS ID: 1367324 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0178 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Nasal congestion, Pyrexia, Rhinorrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergy; Blood pressure; Diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021593001

Write-up: stuffy/runny nose; stuffy/runny nose; headaches; fever; congestion; This is a spontaneous report from a contactable consumer. This contactable consumer reported for a 42-year-old male consumer patient (reporter''s father) that, A 42-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0178), dose 1 via an unspecified route of administration, administered in Arm Left on 20May2021 as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included ongoing blood pressure measurement, ongoing diabetes mellitus, ongoing hypersensitivity. It was reported that patient took medication for blood pressure, diabetes, and allergies. She does not have information with her. No further information provided. There is unknown Other Products and Patient History ware reported. No Investigation Assessment. It was reported that patient received his first Pfizer Covid vaccine dose on 20May2021. He has been experiencing a stuffy/runny nose, headaches, fever, and congestion. It was reported that patient got Pfizer vaccine first one 4 days ago on Thursday, 20 May2021. Patient having some side effects, stuffy runny nose, almost always clear liquid. Having headaches. Fever. Wants to know if there is something he can take or recommend. Having congestion as well. Going on for 4 days. Events started day of vaccination. Patient took Pfizer Covid Vaccine because he Wanted to be safe from virus, other family members got it. It was reported that patient has not done anything Treatment for event. Reporter seriousness for Stuffy runny nose, almost always clear liquid was unspecified. The outcome of event was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1367387 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chills, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Breast cancer female (/); Lumpectomy; Radiation therapy (radiation on her left breast in Sep2019 and Oct2019)
Allergies:
Diagnostic Lab Data: Test Date: 20210520; Test Name: Body Temperature; Result Unstructured Data: Test Result:103; Test Date: 202105; Test Name: Body Temperature; Result Unstructured Data: Test Result:99
CDC Split Type: USPFIZER INC2021601321

Write-up: Chills and fever; Chills and Fever/Fever has gotten better went from 103to99; Broke out in rash; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown), dose 2 via an unspecified route of administration, administered in right arm on 18May2021 at 08:30 as single dose for covid-19 immunization. Medical history included breast cancer from 19Jun2019. She had surgery in Jul2019, a lumpectomy and they did radiation on her left breast in Sep2019 and Oct2019 then she went into remission. The patient''s concomitant medications were not reported. No prior Vaccinations (within 4 weeks). No AE(s) following prior vaccinations. The patient previously received first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number: unknown) in right arm on 27Apr2021 at 08:30 (at the of 60-year-old) as single dose for covid-19 immunization. She got the shot on Tuesday. When she got her shot she did not start having a reaction until Thursday night. Then Thursday 20May2021 until 22May2021 not having chills anymore, running low grade fever. She had chills and fever on 20May2021 around 5:00 to 6 in the evening. She clarified that it has not went away she is still having a reaction. Her fever has gotten better went from 103 to 99. She took Tylenol and packed herself in ice. Around midnight she broke out in rash on left breast, abdomen and side. It started Thursday (20May2021). It has continued and is persisting. She has taken Benadryl every six hours and ice packs. She is a breast cancer survivor. She is going try to go to the doctor today because her rash is not going away. A visit to emergency room or physician office was not required. The outcome of the events chills was recovered on 20May2021, fever was recovering; rash was not recovered. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1367887 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-23
Onset:2021-05-20
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident
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)

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

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


VAERS ID: 1368059 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

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

Write-up: receive 3 doses, 1/8. 4/28 and 5/20


VAERS ID: 1368108 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 / 3 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

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

Write-up: Extra dose; received 3rd dose.


VAERS ID: 1368316 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-18
Onset:2021-05-20
   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 EW0179 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Chills, Full blood count, Muscle spasms, Nausea, Pain in extremity, Sensory disturbance
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Junel
Current Illness: none
Preexisting Conditions: IBS
Allergies: Codeine
Diagnostic Lab Data: CBC drawn 6/2/21, no results yet.
CDC Split Type:

Write-up: Initial Arm pain, Fever like chills and nausea for the day after, which subsided a day later. Starting 2 days after vaccine there was joint pain in the ankles and wrists. This progressively got worst for about a week and then muscle cramping also started. About a day after muscle cramping started burning sensation in thighs and upper arms added to reaction. Now 15 days later and still having pain and uneasy sensations. When to Primary Care where steroids were administered hoping to provide relief and stop the progression of symptoms from worsening.


VAERS ID: 1368334 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-17
Onset:2021-05-20
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac 40mg, prenatal vitamin, doxylamine pyridoxine 10mg
Current Illness: No
Preexisting Conditions: Depression
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe nausea, vomiting


VAERS ID: 1368370 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0179 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dysphagia, Throat tightness, Underdose
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), Medication errors (broad)

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

Write-up: 28 year old female administered Pfizer vaccine, 0.3 mL, EW0179 at 1610. At 1617 she reported feeling a tightness in her throat, accompanied by difficulty swallowing and agreed to be monitored more closely. She stated that she had not experienced this level of a throat sensation after the first Pfizer dose, but that this sensation was more similar to the throat swelling she experienced after exposure to shell fish, which was followed by anaphylaxis. She carries her own epi pen and diphenhydramine for such emergencies. She stated that she self administered diphenhydramine after her first immunization, which controlled the throat sensation at that time. She agreed to take a 50mg diphenhydramine at 1625. BP was approximately 152/107, 97% pulse ox on room air, HR 112. At 1635 no change in how her throat was feeling, or that it was any easier to swallow. She agreed to have EMT services called. 911 was called and the dispatch instructions were followed, including the administration of 0.3mg of epinephrine via an Mylan EpiPen (Mylan, Lot 0FM544, Exp 9/22) at 1642. Soon after, she stated she was feeling significantly better and breathing was easier. At 1645 EMT teams from arrived and assessed the situation; the patient agreed to be transported to for further evaluation.


VAERS ID: 1368495 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 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: Second dose given with Peds approval for Moderna despite under age for use.


VAERS ID: 1368826 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / UNK LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / UNK LA / IM

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

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

Write-up: patient reported rash on arm and papules around the neck after first dose


VAERS ID: 1368830 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-04
Onset:2021-05-20
   Days after vaccination:46
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B-12, metformin, pantoprazole, bictegravir/emtricitabine/tenofovir alafenamide, TMP/SMX
Current Illness: None
Preexisting Conditions: None - Dx w/ PJP and HIV/AIDS on this hospital admission (4/9/21 to 5/24/21)
Allergies: Pollen extracts
Diagnostic Lab Data: SARS-CoV-2 positive on 5/20 SARS-CoV-2 AB (Spike Assay) - 7 on 5/21
CDC Split Type:

Write-up: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 4/4/21). Patient was admitted to the hospital on 4/9/21 for acute hypoxic respiratory failure and was ultimately diagnosed with PJP and HIV/AIDS. On 5/20 patient had tested positive for SARS-CoV-2 and received treatment with monoclonal antibody.


VAERS ID: 1368834 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-18
Onset:2021-05-20
   Days after vaccination:32
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: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster, Lymphadenopathy, Rash, Sensitive skin
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprozole: 40 mg Losartan/Hydrochlorothiazide: 100/12.5mg Fluoxetine HCl: 20 mg Atorvastatin Calcium: 40 mg
Current Illness: None
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data: None. Visual diagnosis by doctor.
CDC Split Type:

Write-up: Shingles developed on my right arm up to my shoulder and down my back. My left arm ached since the second covid shot. On May 20, 2021 the lymph nodes in my left arm started to swell. Two days later my arm started to become sensitive to touch, & 2 days later the rash started. Saw my doctor & am currently taking Valacyclovir & Methylprednisolone as of today (6/2/2021).


VAERS ID: 1368892 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-17
Onset:2021-05-20
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / SYR

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

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

Write-up: under arms nodes are swollen, and throat lympth nodes swollen and painful for 16 days


VAERS ID: 1369050 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0177 / 1 UN / IM

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

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

Write-up: left anterior chest pain on and off since vaccine, EKG ordered


VAERS ID: 1369083 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 EW0167 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspepsia, Fatigue, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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

Write-up: patient received vaccine on 5/19/21. Did not report what happened to pharmacist until 06/02/21. Patient states he had " heart burn" after vaccine. He states, " chest was hurting, felt really tired". I asked if he had palpitations, pt responded " yes" . patient states symptoms happened day after vaccination and lasted one day and was over after 24 hours. Mother gave him tums for heart and it helped. patient is feeling well and not reporting any symptoms. advised pt to contact MD for follow up and have md clear pt for second covid vaccine if any concerns.


VAERS ID: 1369347 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0177 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Feeling abnormal, Hyperhidrosis, Hypoacusis, Hypoaesthesia, Injection site erythema, Injection site swelling, Limb discomfort, Mobility decreased, Pallor, Paraesthesia, Visual impairment
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: thimerosal - contact allergy and erythromycin ointment.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within minutes of receiving covid-19 vaccine, I became very excessive sweaty (my shirt was wet), felt eyesight was dimming, space perception was completely off, very pale, dizziness and unable to hear when being spoken too, felt faint. Both of my arms had a very tingly feeling and felt heavy and then became completely numb and I was unable to move to either arm for approximately 45 minutes. Movement slowly came back throughout the evening and over the next week. My legs felt tingly and heavy. I continue to have periodic tingly feeling in my joints through out my body. My chest felt heavy. I felt like I was doing to die. Large red swollen area where shot was given. I have COVID 19 in Feb, 2021. Health care profession suspects the reaction may have been related to having COVID-19, second dose not recommended. Likely to have antibodies. I have not felt 100 percent since receiving vaccine.


VAERS ID: 1370825 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-28
Onset:2021-05-20
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: diagnosed with pneumonia; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (diagnosed with pneumonia) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 28-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-May-2021, the patient experienced PNEUMONIA (diagnosed with pneumonia) (seriousness criterion medically significant). At the time of the report, PNEUMONIA (diagnosed with pneumonia) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient''s concomitant medication was not reported. No treatment information was provided. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. No further information is expected at this time.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. No further information is expected at this time.


VAERS ID: 1371039 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Chills, Chromaturia, Decreased appetite, Fatigue, Headache, Hot flush, Pain, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Irbesartan; Multivitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache, chills, vomiting, extreme exhaustion, body aches, lack of appetite, brown urine, chills, hot flashes Symptoms lasted 5 days, on and off throughout each day.


VAERS ID: 1371396 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-20
   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 EW0182 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymphadenopathy, Skin mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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 test yet follow up will be next week.
CDC Split Type: vsafe

Write-up: He noticed a lump around his collar bone. Doctor diagnosis it as two swollen cervical neck lymph nodes. On the left side which is the same side of the body where her received the injection.


VAERS ID: 1371596 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-02-04
Onset:2021-05-20
   Days after vaccination:105
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Cough, Diarrhoea, Nasal congestion, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), COVID-19 (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: unknown
Current Illness: unknown
Preexisting Conditions: GERD obesity rosacea
Allergies: NKA
Diagnostic Lab Data: Abbott nasal swab 5/24/2021
CDC Split Type:

Write-up: 32-year-old female with a history of GERD, obesity who presents the emergency department with a 4-day history of gradual onset symptoms beginning with nasal congestion sore throat followed by nonproductive cough. Patient denies subjective fevers or chills however was told by her employer to come to the emergency department for Covid testing. Patient reports that she got her second COVID-19 mRNA vaccination in February 2021. Patient denies COVID-19 or other sick contacts. Patient denies shortness of breath. Patient has been using over-the-counter loratadine with minimal improvement. Patient reports over the past 24 hours she developed some loose stools however denies any recent travel or other sick contacts no new foods. Patient denies pain other than mild burning chest discomfort with cough which she rates as a 1 out of 10 on 10 point scale it is intermittent does not radiate. 10 point review systems otherwise negative. Abbott nasal swab came back positive on 5/27/21.


VAERS ID: 1371603 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Amnesia, Anticoagulant therapy, Balance disorder, Brain injury, Confusional state, Dysstasia, Fatigue, Gait disturbance, Hallucination, Headache, Heart rate increased, Speech disorder, Tunnel vision, Vision blurred, Visual impairment
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Approximately 24 hours after second Pfizer vaccine dose, patient reported having severe vision and balance problems, headache and severe fatigue and memory loss. Vision symptoms included hallucinations, tunnel vision and blurred. Unable to stand up without staggering. Confusion. Difficulty verbalizing thoughts. Treated with ivermectin, D3, Z, quercitin, aspirin and other supplements on advice of doctor. Symptoms persisted in severe form for 48 hours, then began to improve. At 6/3/2021, blurred vision while reading, higher than normal heart rate during exercise, fatigue and intermittent memory loss. Being treated by doctor and kinesiologist for brain injury from vaccine


VAERS ID: 1371716 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Nasopharyngitis, 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: Suboxone 8 mg 2x a day
Current Illness:
Preexisting Conditions: Rheumatoid arthritis sciatica neuropathy migraines previous bells palsy asthma heart issues
Allergies: A lot of different ones
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe arm pain for 3 days and then next day after getting it I woke up with cold like symptoms


VAERS ID: 1371772 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Diarrhoea, Fatigue, Mass, Myalgia, Rash, Rash pruritic
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take Juiceplus tablets.
Current Illness: No.
Preexisting Conditions: I''m cancer survivor. 8 years in remission.
Allergies: I have a couple allergies to medications. The class of drugs from calcium channel blockers and penicillin.
Diagnostic Lab Data: No.
CDC Split Type: vsafe

Write-up: I noticed a large lump, it started as a rush that was itchy and painful. I had some joint and muscle pain. The lump is still there and painful. I did have diarreha and fatigue.


VAERS ID: 1371840 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Irritability, Mood swings, Rash, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Diffuse body rash and facial swelling within first hour after injection. Rash resolved in 24 hours, with benadryl, facial swelling took 2-3 days. Mood swings and irritability also occurred, took a week to completely subside. No respiratory symptoms at any time per mom.


VAERS ID: 1371927 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 EW0187 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Periorbital swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Orbital Swelling around the eye


VAERS ID: 1371929 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-12
Onset:2021-05-20
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Rx for blood pressure medication
Current Illness: none
Preexisting Conditions: high blood pressure
Allergies: none
Diagnostic Lab Data: yes, info at emergency room
CDC Split Type:

Write-up: seizure (one time)


VAERS ID: 1372024 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Limb discomfort, Mobility decreased
SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Patient stated that her arm has bothered her ever since the vaccination and that she cannot lift her arm to fix her hair.


VAERS ID: 1372091 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-13
Onset:2021-05-20
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Dyspnoea exertional
SMQs:, Anaphylactic reaction (broad), Pulmonary hypertension (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: + covid at the time of the vaccination
Preexisting Conditions: chronic anemia, submental lymphadenopathy, vit d deficiency
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports she went to a clinic van and was tested for COVID-19 on 5/13/2021 as she was symptomatic since 5/5. However she was also offered and given the J&J vaccine that same day (5/13/2021) which should not have happened. Her test was positive the following day for COVID-19. She has been experiencing shortness of breath with activity and cough that not resolved for the past 2 weeks.


VAERS ID: 1372121 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-15
Onset:2021-05-20
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site pain, Joint swelling, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Left arm pain and swelling in wrist and fingers. Tendonitis systems in wrist and gout like systems in fingers. Then bursitis systems in left elbow


VAERS ID: 1372344 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041521A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Exposure during pregnancy, Premature labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

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

Write-up: I had received my 2nd covid shot on May 20th I was 38 weeks 4 days pregnant with my 5 pound 14 ounce son and that night I lost my mucus plug and went into labor. I was due May 30th.


VAERS ID: 1372360 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Blood pressure increased, Diarrhoea, Fatigue, Headache, Heart rate increased, Hypoaesthesia, Nausea, Pain, Pain in extremity, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: Vasovagal syncope, GERD
Allergies: Avelox, Sulfa-antibiotics, Lexapro, Zoloft, caffeine, NSAIDs
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Within 10 minutes following the shot, elevated heartrate 30-40BPM above normal resting HR. Elevated blood pressure well above normal range for patient. Normal BP, and BP at last doctor''s visit 4/28/2021 was 97/70, and is usually around 100/60. BP within 15 minutes following vaccine was 122/80+. Within the next 24 hours patient experienced abdominal pain, diarrhea, sore arm, headache, extreme fatigue, body aches. Over the next week following the vaccine patient experienced headaches, fatigue, body aches and abdominal pain/nausea every day. 14 days later, patient is still experience headaches, fatigue, body aches daily. And in the past 5 days, patient has started experiencing numbness/tingling in both arms from shoulder to tip of pinky. On 6/3/2021 (date of filing this report), patient has experienced numbness and tingling in both arms all afternoon into the evening at the time of filing this report. Regarding daily headaches since the first dose, patient never experiences headaches unless there is a problem or illness. Patient now experiences headaches every day. Patient has been messaging primary care physician about these symptoms and messaged one of her specialists about these symptoms on 6/3/2021.


VAERS ID: 1373151 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Headache
SMQs:, Anaphylactic reaction (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: Sertraline, hydrochlorothiazide, prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headaches for 3-4 days following and chest tightness for 3-4 days following


VAERS ID: 1373244 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:2021-05-20
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site bruising, Pain in extremity, Vaccination site mass
SMQs:, Haemorrhage terms (excl laboratory terms) (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210602569

Write-up: LUMP UNDER THE SKIN CLOSE TO VACCINATION SITE; LUMP WAS GOING TO LOOK LIKE A BRUISE; SORE ARM; This spontaneous report received from a patient concerned a 45 year old female. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, and batch number: 1820095 expiry: UNKNOWN) dose was not reported, administered on 19-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 20-MAY-2021, the subject experienced lump under the skin close to vaccination site. On 20-MAY-2021, the subject experienced lump was going to look like a bruise. On 20-MAY-2021, the subject experienced sore arm. The action taken with covid-19 vaccine was not applicable. The patient had not recovered from lump under the skin close to vaccination site, and the outcome of sore arm and lump was going to look like a bruise was not reported. This report was non-serious.


VAERS ID: 1373255 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-05-20
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210604659

Write-up: TIREDNESS; This spontaneous report received from a patient concerned a 64 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 20-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 20-MAY-2021, the subject experienced tiredness. The action taken with covid-19 vaccine was not applicable. The patient recovered from tiredness. This report was non-serious.


VAERS ID: 1373271 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Nevada  
Vaccinated:0000-00-00
Onset:2021-05-20
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hives (The patient stated that she got bitten previously by a brown recluse spider and developed hives. She was treated with dexamethasone injection and Benadryl.); Spider bite
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210604951

Write-up: ITCHINESS; BODY RASH; HEADACHE; 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 hives, and brown recluse spider bite. The patient was previously treated with diphenhydramine hydrochloride for hives, and dexamethasone for hives. The patient received covid-19 vaccine (suspension for injection, route of admin not reported) dose was not reported, administered on 20-MAY-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 20-MAY-2021, the subject experienced headache. On 24-MAY-2021, the subject experienced itchiness. On 24-MAY-2021, the subject experienced body rash. Treatment medications (dates unspecified) included: dexamethasone, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine was not applicable. The patient recovered from headache, and was recovering from itchiness, and body rash. This report was non-serious.


VAERS ID: 1373293 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-22
Onset:2021-05-20
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Fatigue, Feeling abnormal, Painful respiration, Pneumothorax, Vaccination site pain
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: collapsed left lung; Does not feel good; tired all the time; Left arm pain; feel terrible; Pain spread to middle of chest; Painful to breathe; Hard to get a breath; This spontaneous case was reported by a patient (subsequently medically confirmed) and describes the occurrence of PNEUMOTHORAX (collapsed left lung) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0470 2orZ 1A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-May-2021 at 11:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-May-2021, the patient experienced PNEUMOTHORAX (collapsed left lung) (seriousness criteria hospitalization, medically significant and intervention required). On 20-May-2021 at 7:30 PM, the patient experienced FEELING ABNORMAL (feel terrible), CHEST PAIN (Pain spread to middle of chest), PAINFUL RESPIRATION (Painful to breathe), DYSPNOEA (Hard to get a breath) and VACCINATION SITE PAIN (Left arm pain). On an unknown date, the patient experienced FEELING ABNORMAL (Does not feel good) and FATIGUE (tired all the time). The patient was hospitalized for 3 days due to PNEUMOTHORAX. The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency; IBUPROFEN at an unspecified dose and frequency and Surgery (Tube placement in her chest) for Pneumothorax. At the time of the report, PNEUMOTHORAX (collapsed left lung), FEELING ABNORMAL (feel terrible), CHEST PAIN (Pain spread to middle of chest), PAINFUL RESPIRATION (Painful to breathe), DYSPNOEA (Hard to get a breath), FEELING ABNORMAL (Does not feel good), VACCINATION SITE PAIN (Left arm pain) and FATIGUE (tired all the time) outcome was unknown. Not Provided No concomitant medications were reported. Action taken with mRNA-1273 in response to the events was not Applicable. Patient stated that she had hole in the chest due to the tube placement to treat her collapsed lung. It was reported that the patient experienced symptoms on 20 May 2021. 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. This case was linked to MOD-2021-169206 (Patient Link).; 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: 1373711 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Rash papular
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576166

Write-up: there are raised bumps on the instep part of the foot below the ankle. Some are raised and some are under the skin/ it could be considered a rash; This is a spontaneous report from a contactable consumer (the patient). A 56-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0176) via an unspecified route of administration in left upper arm on 19May2021 at age of 56-year-old at single dose for COVID-19 immunisation. The patient had no medical history. There were no concomitant medications (reported as no other products). The patient received the first dose of the Pfizer COVID vaccine from Pfizer. He didn''t know if it was related or not. But this was the only thing that is different. He just sat down and was looking at his feet, and on his left foot there are about 12 bumps raised on the instep part of the foot, below the ankle. Some were raised and some were under the skin on 20May2021. When he looked at the pink part of his foot on the bottom side, he could see raised bumps underneath. He just noticed this. The patient asked if this could be a reaction. He had never had anything like this before. Some of the bumps were above the skin, and some of the bumps were under the skin. He could see them protruding out of the bottom/side of foot. Most of it was on his left foot. There looked like there might be a couple on his right foot. He has a couple raised ones on his right foot, and 2-3 under the skin. Caller stated he hadn''t thought of it before but it could be considered a rash. The outcome of the event was not recovered.


VAERS ID: 1373720 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0168 / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Diarrhoea, Dizziness, Hyperhidrosis, Nausea, Sluggishness, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576749

Write-up: throwing up non stop/throwing up all fluids now; feeling really woozy; Nauseous; Diarrhea; Sluggish; she broke out in a sweat; all her energy went away; This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 20May2021 at 11:15 (Lot Number: EW0168) as 1st dose, single for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient reported that she just got her first dose of Pfizer COVID vaccine at 11:15 am on 20May2021. At around 12:30 or 1pm, she started feeling really woozy and nauseous. Since 2:3 or 3:00pm, she has been throwing up non-stop. She stated that all her energy went away, felt sluggish was nauseous and she broke out in a sweat. She even had diarrhea a few times and that threw her off. She was throwing up all fluids now and she was scared to drink anything. The patient did not receive treatment for the events. the events did not require a visit to emergency room or physician office. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1373775 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Vaccination site pain, Vaccination site reaction
SMQs:, Dementia (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 INC2021600545

Write-up: She was just joking with her kids that she was turning into a robot.; Can stick a magnet to her arm/now able to have a magnet stick to her vaccination site; she finds the spot that is a little sore; This is a spontaneous report from a Pfizer sponsored program COVAX support via contactable consumer (patient). A 45-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number: Unknown), via unspecified route of administration in left arm on 20May2021 at 15:00 or 15:15 as 1st dose, single for COVID-19 immunisation. Medical history and concomitant medications or any other vaccinations within four weeks prior to the first administration date of the suspect vaccine were not reported. Previously patient received first dose of BNT162B2 in left arm on 26Apr2021 for COVID-19 immunisation. On 20May2021, same day when the patient had second shot, she had a spot that was a little sore. It was fading away and getting better. On 24May2021, at night for the first time, patient could stick a magnet to her arm and was now able to have a magnet stick to her vaccination site. The Medical Information document states that Pfizer was unaware of any properties that have a magnetic effect. There was a search done on 30Apr2021 and 19May2021, and it failed to identify related information on this topic. No relevant tests were performed. Outcome of the event she finds the spot that is a little sore was recovering and for other events were unknown. Follow up needed, Information on the lot/batch number has been requested.


VAERS ID: 1373871 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Body temperature, Body temperature increased, Cough, Feeding disorder, Gait inability, Headache, Illness, Lung disorder, Movement disorder, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210520; Test Name: Body temperature; Result Unstructured Data: Test Result:100 to 102
CDC Split Type: USPFIZER INC2021621124

Write-up: Got sick and she has trouble even getting up off the couch to walk. She is so weak.; She has been having temperatures now for over a week and now having any way it goes from 100 to 102 something; Headache; Nauseated; Got sick and she has trouble even getting up off the couch to walk. She is so weak; Got sick and she has trouble even getting up off the couch to walk. She is so weak; Got sick and she has trouble even getting up off the couch to walk. She is so weak; She started to cough also her lung started to sound like gurgling.; Now she started to cough also her lung started to sound like gurgling; She cannot eat; This is a spontaneous report from a contactable consumer (patient''s husband). A female patient of an unspecified age received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 19May2021 as unknown, single dose for COVID 19 immunisation. Medical history and concomitant medications were not reported. On 20May2021 patient got sick, and she had trouble even getting up off the couch to walk. She was so weak. She was having temperatures now for over a week and now any way it goes from 100 to 102 something. She had severe headache going. Also, she could not eat. She was nauseated. She started to cough, also her lung started to sound like gurgling. Outcome of the events were unknown. Follow-up attempts are needed; information about lot/batch number can be obtained


VAERS ID: 1374070 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-02
Onset:2021-05-20
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Acoustic stimulation tests, Deafness neurosensory, Deafness unilateral, Magnetic resonance imaging head
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Enbrel Methotrexate Lisinopril Amlodipine Wellbutrin
Current Illness: None
Preexisting Conditions: Psoriatic Arthritis
Allergies: None
Diagnostic Lab Data: Brain MRI Comprehensive Hearing test Steroid injections High dose oral steroids
CDC Split Type:

Write-up: Sudden onset sensorineural hearing loss in left ear


VAERS ID: 1374324 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Fatigue, Nausea, Somnolence
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Amlodipine Besylate (Norvasc) 10 mg qd Hypertension Ascorbic Acid(Vit C) 500mg 1cap qd Aspirin325 mg qd Blood thinner Calcium 600mg + D3 bid Calcium supplement Citalopram Hydrobromide (Celexa) 20mg qd Depression Clonidine HCLCatapr
Current Illness: Reaction to 1st COVID 19 vaccine
Preexisting Conditions: Hypothyroidism, Hypertension, Diabetes insulin dependent, Atrial fib,
Allergies: Kelfex, Sulfa, Tylox
Diagnostic Lab Data: none
CDC Split Type:

Write-up: No nausea until day 2, sleepy and groggy, Day 2 slept all day ate, nothing. , drank water. Day 3 slept another day away, ate very little. Day 4. sleepyness but less than previous days, began to eat again. Day 5 seemed to be back to normal, a fatigue stayed and I took lots of naps . Woke up on day 6.


VAERS ID: 1374664 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-07
Onset:2021-05-20
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Heart rate increased, Laboratory test normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Not that are known
Diagnostic Lab Data: Went into the ER on 5/20, they ran lab tests and determined that my hearth was healthy and acting normally. Went in to the ER again on 5/28 due to rapid heartbeat, which began to decrease after about 10 minutes. This could have been anxiety/panic related due to the chest tightness. They ran similar tests on 5/28 and determined that my heart was healthy and normal.
CDC Split Type:

Write-up: After about 2 weeks after receiving the first vaccine, I started experiencing some chest tightness on the left side, felt increased pulse on left arm, left side chest, left side of chest. I have not felt any pain but the chest tightness and pulse are irritating and concerning. I still have these sensations today on 6/4, almost a month after the first vaccine.


VAERS ID: 1374712 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 EW0185 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone normal, Cough, Dyspnoea, Fibrin D dimer normal, Menstrual disorder, SARS-CoV-2 test negative, Throat clearing
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: vitamin C, probiotic, Zyrtec, vit D3, vit B12, colace
Current Illness: none
Preexisting Conditions: seasonal allergies, constipation
Allergies: NKDA
Diagnostic Lab Data: COVID PCR test, D-dimer and TSH done on 6/3, all negative/normal
CDC Split Type:

Write-up: Dyspnea with throat-clearing and frequent cough, present all day long and when she wakes from sleep for other reasons (e.g. to use the bathroom), but not interfering with sleep. Also, missed menses (at time of reporting, menses are 10 days late) in a patient who is normally "like clockwork" and not at risk of pregnancy.


VAERS ID: 1375267 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 UNKNOWN / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Generalised tonic-clonic seizure
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Epilepsy, not well controlled.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s mother reported that she had a grand mal seizure about 2 hours after receiving her vaccination. Patient has poorly-controlled epilepsy.


VAERS ID: 1375353 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood creatine phosphokinase, Chest X-ray, Chest pain, Cough, Dyspnoea, Electrocardiogram, Fibrin D dimer, Full blood count, Human chorionic gonadotropin, Metabolic function test, Pain in extremity, Prothrombin time, Pyrexia, SARS-CoV-1 test, Syncope, Troponin
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraines, Constipation, Vasovagal Syncope
Allergies: None
Diagnostic Lab Data: 5/20: CXR, EKG, CBC, CMP, hCG, D-Dimer, Troponin 5/24: SARS COVID NAT, BMP, troponin, CK, CBC, PT/INR
CDC Split Type:

Write-up: At 2300 - Dyspnea, chest pain, cough, left arm pain, temperature of 99 degrees F, collapsed at home, ambulance called


VAERS ID: 1375852 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-05
Onset:2021-05-20
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 018B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Mechanical urticaria
SMQs:, Hypersensitivity (broad)

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

Write-up: Developed dermatographia two weeks and 1 day after 2nd dose


VAERS ID: 1375921 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-20
   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 EW0177 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bruising on both inner arms (not outer arm where vaccine was given), about 3 inches from armpits, looking like a series of several dots in a cluster about 2 inches long.


VAERS ID: 1375974 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 015M20A / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Extra dose administered, No adverse event
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: amlodipine, ascorbic acid, B complex w/C, bisacodyl, Vit D3, clozapine, vit B-12, docusate, famotidine, folic acid, levetiracetam, levothyroxine, linaclotide, loratadine, lubiprostone, lorazepam, mag. oxide, muti-vitamin, fish oil, polyethy
Current Illness:
Preexisting Conditions: schizophrenia, hypertension, hyperlipidemia, hypothyroidism, GERD, BPH, constipation, epilepsy, chronic rhinitis, nocturnal enuresis.
Allergies: no know allergies
Diagnostic Lab Data: vital signs q shift for 5 days.
CDC Split Type:

Write-up: Patient received a dose of Moderna covid vaccine approximately 3 months after completing a covid vaccine series with the Pfizer product (1/12/21, 2/2/21). The Moderna vaccination was also 90 days after the patient received treatment with bamlanivimab (1/17/21). This "extra" vaccination was done at the behest of the patient''s conservator. No adverse effects noted by patient''s doctor.


VAERS ID: 1376184 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Vaccination site pruritus, Vaccination site rash, Vaccination site warmth
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (Prior to vaccination, was the patient diagnosed with COVID-19?:Yes); Seasonal allergy (known_allergies: Seasonal allergies)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021583445

Write-up: "covid arm" rash - itchy , hot to the touch; "covid arm" rash - itchy , hot to the touch; "covid arm" rash - itchy , hot to the touch; Extreme fatigue; This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), at the age of 41-year, on 19May2021 19:45 at single dose in right arm for COVID-19 immunisation. Medical history included Seasonal allergies and COVID-19. The patient was not Pregnant at time of Vaccination. The patient had not been tested for COVID-19 Since the vaccination. Concomitant medication was none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 20May2021, the patient experienced "covid arm" rash - itchy , hot to the touch. Extreme fatigue. Treatment received for the events included benadryl and cortisone creme. The outcome of all events was not resolved. Information on the lot/batch number has been requested.


VAERS ID: 1376190 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 EW0186 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Axillary pain, Dyskinesia, Fatigue, Hyperpyrexia, Lymphadenopathy, Malaise, Peripheral swelling, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FIORICET
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Migraine
Allergies:
Diagnostic Lab Data: Test Date: 20210521; Test Name: spiked a temp of 103.5; Result Unstructured Data: Test Result:103.5; Comments: High
CDC Split Type: USPFIZER INC2021586945

Write-up: tired; pain in my left arm pit; I felt around its very swollen; It feels like swollen lymp node but its large; having issues lifting my arm due to the pain; spiked a temp of 103.5; didnt feel well in the evening; This is a spontaneous report from a contactable Nurse (patient). 43-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 20May2021 12:30 (Batch/Lot Number: Ew0186) as 2ND DOSE, SINGLE for covid-19 immunisation. Patient received the first dose on 29Apr2021. Medical history included asthma and migraine. Concomitant medication included butalbital, caffeine, paracetamol (FIORICET) taken for an unspecified indication, start and stop date were not reported. After the first dose, I had a terrible migraine. I Took medication it didn''t work. After the second dose, from 20May2021 21:00, I didn''t feel well in the evening, was tired the following day. During the evening I spiked a temp of 103.5, took Tylenol. I feel a little better but still not well. I took a shower and had pain in my left arm pit. I felt around it''s very swollen. It feels like swollen lymp node but it''s large. I''m having issues lifting my arm due to the pain. Patient also felt tired on 20May2021. Outcome of events was not recovered. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1376193 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   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 - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Accidental overdose, Diarrhoea, Pain in extremity, Product preparation error
SMQs:, Pseudomembranous colitis (broad), Drug abuse and dependence (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Autism; Bowel discomfort
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021599363

Write-up: Accidently administered an undiluted dose of the Pfizer BioNTech Covid 19 vaccine; He has experienced is a sore arm; He also had some diarrhea; Accidently administered an undiluted dose of the Pfizer BioNTech Covid 19 vaccine; This is a spontaneous report from a contactable pharmacist. A 17-year-old male patient (age at vaccination 17-year) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration on 20May2021 as unknown, single dose for COVID-19 immunization. Medical history included autism and bowel issues from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. On an unspecified date the patient experienced he has experienced is a sore arm and he also had some diarrhea. Pharmacist accidently administered an undiluted dose of the Pfizer BioNTech Covid 19 vaccine on 20May2021. Mother reports that all that he has experienced is a sore arm. He also had some diarrhea a few days later but he has a history of bowel issues. The clinical outcome of the events was unknown. Information on the lot/batch number has been requested. Amendment (PSSR): This follow-up report is being submitted to amend the previously reported information which includes: Deleted the event "Vaccination site pain" since there was no indication the pain in injection site and removed the classification "At Risk".


VAERS ID: 1376376 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-23
Onset:2021-05-20
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dry eye, Eye disorder, Ocular hyperaemia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Dehydration (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: Methimazole Omega 3 Anastrozol Alphagan
Current Illness: none
Preexisting Conditions: breast cancer remission tx thyroid tx
Allergies: Penicillin Aspirin
Diagnostic Lab Data: COVID19 test negative
CDC Split Type:

Write-up: Approx 1 mos after 2nd vaccine, I woke up with pink glossy eyes. I have no history of seasonal allergies and thought that perhaps I had caught something contagious from my husband who had developed bloodshot eyes that calmed to a pink glossy look over the course of a week or two. He is known for seasonal allergies and we thought that something happened during lawn mowing. However, as days went by, I started wondering if we could have caught COVID19 though vaccinated and went to Patient First to be COVID19 tested. The rapid test and PCR test were negative. Dr. also did a rapid strep test (negative). The doctor confirmed my eyes looked irritated and jaundice, but had no suggestion except OTC eye drops. I had tried Refresh eye drops without benefit. I had an upcoming eye exam appt with eye Dr. and so kept it feeling I wouldn''t be transmitting something. Dr. acknowledged the discoloration in my eyes but hadn''t heard anything related to the vaccine. My husband''s eyes, my eyes, and some community friends'' eyes are changed and looking glossy, pink, and/or yellowed. I am concerned about the lack of information about this. I am concerned about liver function and anything else that can be contributing to COVID19 vaccine eyes. Someone needs to start paying attention to this. This week I''m notifying Drs. that my situation is calmer but basically unchanged. In making that decision today, I decided to contact vaers as well. Something is going on and I want to know what so that I can understand if there is something or someone that I need to be seeing. My eyes do not itch nor burn but sometimes feel a bit dry so I''m continuing at times with OTC eye drops. My husband is NOT on any of the medications that I am on, my friends are not on any of the medications that I am on. The only thing we have in common regarding this matter is that all of our eyes have a changed appearance. I''m starting to be able to identify many who''ve had both vaccines by COVID19 pink/jaundice glossy vaccine eyes.


VAERS ID: 1376536 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Chills, Headache, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site pruritus, Pain, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 12 hours after second dose patient experienced following symptoms: headache, fever, chills, body aches, pain at injection site. All symptoms subsided in 28 hours after injection except headache which persisted for about 4 days. 12 days after second dose patient experienced intense pain and redness at site of injection leading to loss of mobility in left arm, and outbreak of hives across torso, upper arms and legs, which have persisted for 5 days (to date of Adverse Event report). Arm pain subsides with 400 mg ibuprofen taken daily. Pharmacist recommended Benadryl for hives, taking 25 mg Diphenhydramine HCI once daily with little improvement in symptoms. Patient recalls no previous history experiencing acute or chronic urticaria. Hives are moderately itchy, mostly painless, and have gradually increased to 2-3 inches in diameter.


VAERS ID: 1376576 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Oropharyngeal discomfort, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: Hydroxychloroquine, Doxycycline Hyclate, Topiramate, Librax, Metamucil, Trazodone, Vitamin D, Mutlivitamin, Refresh Eye Drops, Famotidine, Amlodipine, Valsartan.
Current Illness: none
Preexisting Conditions: Sjogren''s Syndrome, High blood pressure, sleep apnea, Irritable Bowel Syndrome
Allergies: Zoloft, Non-steroidal anti-inflammatories, Mupirocin, Sulfa
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 05/20/21 Approximately 5:30 pm, during meal, consumed steak, rice, corn. Felt like "air bubbles" in throat; felt like "throat was closing", patient coughed. Symptoms resolved in "maybe" 3 to 4 minutes.


VAERS ID: 1376610 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anal incontinence, Back pain, Gait disturbance, Lumbar puncture, Muscle spasms, Muscle tightness, Myalgia, Nausea, Paraesthesia, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 17 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prilosec
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa-rash
Diagnostic Lab Data: Pending spinal tap
CDC Split Type:

Write-up: PATIENT RECEIVED VACCINE 5/20/2021, WITHIN 8 HOURS OF VACCINATION, PATIENT BEGAN TO EXPERIECNE COVID TYPE SYMPTOMS (102.7 TEMP, MUSCLE ACHES, CORE MUSCLES BECAME VERY TENSE, NAUSEATED, SKIN FEELING PRICKLY TO THE TOUCH, DIFFICULTY WALKING. SYMPTOMS PROGRESSED TO THE POINT OF HIM LOSING ABILITY TO CONTROL BOWELS. AT THIS POINT PATIENT WAS HOSPITLIZED AT HOSPITAL FOR 1 WEEK. THERE, STAFF TREATED HIS SYMPTOMS WITH PAIN MEDICATIONS, THINKING IT WAS DUE TO BACK PAIN AND NOT THE VACCINE. THIS DID NOT ALLEVIATE HIS SYMPTOMS, HE HAD A SPASM LATING 18 HOURS. HE CAME HOME, THEN WAS REHOSPITALIZED AT MEDICAL FACILITY, AND REMAINS THERE AS PATIENT. NEUROLIGICAL TESTING WAS PERFORMED, AND MEDICAL STAFF IS THINKING THAT HE HAS TRANSVERSE MYELITIS, THIS DIAGNOSIS IS PENDING SPINAL TAP. HE IS RECEIVING IV STEROIDS, WHICH HAS DECREASED HIS INFLAMMATORY MARKERS. HIS GAIN HAS IMPROVED, VERBAL COMMUNICATION HAS IMPROVED, HAND AND BODY TREMMORS HAVE INCREASED, PAIN IS UNDER CONTROL WITH PAIN MEDICATIONS.


VAERS ID: 1376773 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

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

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

Write-up: Chest pain appeared 2 days after COVID 19 vaccine


VAERS ID: 1376781 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-13
Onset:2021-05-20
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Tremor, Vaccine positive rechallenge
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol (PROAIR HFA) 90 mcg/actuation HFA inhaler, Inhale 2 Puffs every 4 hours as needed for wheezing or cough and use with spacer, Disp: 16 g, Rfl: 0 albuterol 2.5 mg /3 mL (0.083 %) neb solution, Inhale 3 mL (2.5 mg) by nebulizer ever
Current Illness: No
Preexisting Conditions: Hearing impairment Developmental delay Hypotonia Mild persistent asthma Allergic rhinitis, cause unspecified Speech delay Constipation Gastrostomy tube in place Monocular exotropia Poor vision ADHD Legally blind in left eye, as defined in USA
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: having tremulousness 1 week after 1st shot . It worsened after the 2nd shot.


VAERS ID: 1376842 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Dyspnoea, Loss of consciousness, Peripheral swelling, Tenderness, Urticaria
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hpv, broke into hives, vaccination occurred with I was 16 or 17. Still proceeded with all 3.
Other Medications: Loestrin Fe Buproprion HCL XL
Current Illness: None
Preexisting Conditions: Crohns
Allergies: Dairy
Diagnostic Lab Data: None
CDC Split Type:

Write-up: After receiving the vaccine I passed out. Waited the 15 minutes then got into my vehicle. At that time my entire body felt as though it was on fire and I broke out in hives. Had trouble breathing. Went home, took Benadryl and waited it out. Breathing went away a few minutes later but hives stayed for 3 days. My arm was swollen and tender the next day and stayed swollen for 4 days.


VAERS ID: 1376908 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039A21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Lethargy, Muscle spasms, Muscle twitching, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Biacin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Right Leg spasms/twitching 5/20 around 8pm went away by 11pm. Next day, 5/21, my upper right lip constantly have spasms/twitching. Lasted around the clock all day and throughout the evening into bedtime. Next day 5/22 when I woke up it wasn?t present. These affects very unusual because I?ve never had them before. I did have the typical fever/chills/lethargy. Thought I would share...since I didn?t know /realize there was a method of sharing unusual symptoms from Moderna vaccine.


VAERS ID: 1376918 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-15
Onset:2021-05-20
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ? / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: I do not take any medications. Some days during the week I take a half pill iron supplement, and some times B12 Pill. And sometimes folic acid. But on the day of vaccination, I did not take any supplement as far as I can remember.
Current Illness:
Preexisting Conditions:
Allergies: Only Latex Allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: tinnitus It was more severe some days ago. Now, it is better.


VAERS ID: 1377654 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient got a 103 fever two days after injection


VAERS ID: 1377663 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Clostridium test, Colitis, Colitis ulcerative, Computerised tomogram abdomen, Decreased appetite, Diarrhoea, Faecal calprotectin increased, Haematochezia, Hypophagia, Nausea, Pyrexia, Scan with contrast abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Xeljanz 5mg BID and ezetimibe 10mg daily
Current Illness: HLD, UC, GERD, Autoimmune pancreatitis.
Preexisting Conditions: HLD, UC, GERD, Autoimmune pancreatitis
Allergies: NKA
Diagnostic Lab Data: cdiff and GI panel negative, calprotectin 1840 6/1, 10/08/2020 132
CDC Split Type:

Write-up: Patient reported her last UC flare up was 2 years ago, never required hospitalization for UC flare up. Patient followed up with Dr. and has been on Xeljanz 5 mg since 2019. Patient''s denied any recent travel history, or any food poisoning, anybody around her was sick. Received 2nd dose of Pfizer vaccine on 5/19. She mentioned it second day after she got her COVID vaccine, she noticed she started having non bloody diarrhea, abdominal cramps, nausea vomiting, loss of appetite, she contacted GI office, she was prescribed with p.o. steroids, and asked her to monitor her symptoms. She feels like her symptoms is likely UC flareup like the one she has in the past. Her symptoms subside after 1 week, however 1 week later, her symptoms back again, presented with 10 bloody bowel movements daily, nausea vomiting, unable to have good oral intake, and fever 100.5. Patient went to ED on 6/4, c-diff negative, CT abdomen and pelvis w/ contrast showed severe colitis involving the left colon from splenic flexure to rectum. Patient was recommended she should admit to the hospital for IV steroids but she left AGAINST MEDICAL ADVICE. After leaving hospital 6/4/2021, patient continued to have similar symptoms and had fever of 102 on 6/5. She decided to come back to hospital again. Patient received IV solu-medrol 20mg TID and clear liquid, and slowly advance to low fiber diet and switch to PO.


VAERS ID: 1377779 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-03-26
Onset:2021-05-20
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Exposure to SARS-CoV-2, Lung opacity, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin, Protonix, Colace, Ferrous sulfate, MVI, Symbicort, Zovirax, Flonase nasal spray
Current Illness: unknown
Preexisting Conditions: COPD, GERD, Spina bifida, HTN, hypothyroidism
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to PCP office on 5/20/21 from residence at group home with C/O body aches, fever up to 100.2, runny nose, sore throat, wheezing, and coughing. Known exposure to COVID-19 at group home. Rapid test done in office positive for COVID-19. Patient admitted to hospital on 05/20/21 and chest Xray positive for ground-glass opacities consistent with COVID pneumonia.


VAERS ID: 1377792 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-03-24
Onset:2021-05-20
   Days after vaccination:57
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Exposure to SARS-CoV-2, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mobic, Singulair, Synthroid, Prinivil, Advair, Flonase, Albuterol neb, Seroquel, Zoloft, Glucophage, Zyrtec
Current Illness: unknown
Preexisting Conditions: COPD, T2DM, HTN, Cerebral palsy
Allergies: Penicillin, Aspirin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to PCP from group home residency on 05/20/2021 complaining of fever up to 100.9, body aches, sore throat, runny nose with known exposure to COVID-19. Rapid test in office was positive for COVID-19. Chest Xray findings consistent with COVID pneumonia. Patient admitted to hospital on 05/20/2021.


VAERS ID: 1377987 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Oropharyngeal pain, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no prescription vitamin C vitamin D sporadically Prilosec rare
Current Illness: small polyps found gallbladder about same time as 1st dose vaccine
Preexisting Conditions: none heartburn mild
Allergies: none known
Diagnostic Lab Data:
CDC Split Type:

Write-up: feels short of breath mild sore /burning throat burning in chest like after a very, very hard sprint run any time of day when I''m relaxing lasts for a few minutes then goes away any time of day


VAERS ID: 1378077 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-18
Onset:2021-05-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003C21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Chills, Dizziness, Dyspnoea, Headache, Neck pain, Pain, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Arthritis (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: Lirico 150mg, Duloxetine 60mg, Doxepin 50mg, Alprazolam 1mg,
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: O2 level was taken and it was at 90
CDC Split Type:

Write-up: After vaccine it was swollen up and I felt light headed, I laid down and as the days wen on I felt worse, I couldn''t taste, body aches, chills, and bad headache and neck aches, I also had problems breathing. Also I''m still having headaches.


VAERS ID: 1378129 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Differential white blood cell count, Electrocardiogram normal, Full blood count normal, Haemoglobin normal, Headache, Metabolic function test, Palpitations, Paraesthesia, Pyrexia, Troponin normal
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: 4/28/21: ACUTE SINUSITIS, BRONCHITIS, OTITIS MEDIA
Preexisting Conditions: OSTEOARTHRITIS, DYSPEPSIA
Allergies: CYCLOBENZAPRINE
Diagnostic Lab Data: *COMPLETED ON 5/24/21: 1) COMPLETE BLOOD COUNT WITH PLATELETS AND AUTO DIFFERENTIAL 2) COMPREHENSIVE METABOLIC PANEL 3) HEMOGLOBIN A1C 4) TROPONIN I 5) EKG
CDC Split Type:

Write-up: PATIENT RECEIVED VACCINE ON THURSDAY 5/20/21 IN THE AM. SEEN IN OUR OFFICE ON 5/24/21 AND HE REPORTS SYMPTOMS OF RACING HEART, PALPITATIONS, LEFT CHEST TIGHTNESS, LOW FEVER, AND HEADACHE THAT STARTED THE EVENING OF 5/20/21, SAME DAY HE RECEIVED VACCINE. AT VISIT ON 5/24/21, HE REPORTS NEW LEFT ARM TINGLING IN ADDITION TO CONTINUED SYMPTOMS NAMED ABOVE. EKG OF HEART PERFORMED IN OFFICE 5/24/21, WHICH SHOWED NO CHANGES COMPARED TO PREVIOUS EKG IN HIS RECORD FROM OCTOBER 2020. LAB TESTS ORDERED ON 5/24/21 AND COMPLETED THE SAME DAY WERE WITHIN NORMAL LIMITS AND SHOWED NO CARDIAC CAUSE OF HIS SYMPTOMS. LABS ORDERED WERE: 1) COMPLETE BLOOD COUNT WITH PLATELETS AND AUTO DIFFERENTIAL 2) COMPREHENSIVE METABOLIC PANEL 3) HEMOGLOBIN A1C 4) TROPONIN I ON 5/25/21, PATIENT CALLED OUR OFFICE TO REPORT NEW RASH ON ONE ARM AND HIS BACK. HE REPORTS RASH DOES NOT ITCH OR HURT. ON 6/1/21, SPOKE WITH PATIENT AGAIN TO SEE HOW SYMPTOMS WERE DOING AND HE REPORTED THAT LOW FEVER, RASH, RACHING HEART, CHEST TIGHTNESS, AND LEFT AND RIGHT ARM TINGLING COMES AND GOES FROM DAY TO DAY, BUT HEADACHE HAS CONTINUED DAILY.


VAERS ID: 1378148 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-20
Onset:2021-05-20
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blister, Injection site reaction, Local reaction, Pain, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hair/skin/nails supplement, probiotic, vitamin C 500mg capsule
Current Illness: None known.
Preexisting Conditions: Mild obesity, BMI 33.
Allergies: Levaquin: joint pain. Nutrasweet: headaches. Tylenol: nausea, vomiting. Splenda: GI side effects.
Diagnostic Lab Data: Ultrasound left upper extremity, normal. 5/26/21
CDC Split Type:

Write-up: 3/20/21 received J/J COVID vaccine left upper arm. Subseqeunt soreness and local sight reaction that blistered mildly then resolved. Mild fever that resolved after first couple of days. Past couple of days has noted a "divet" in left upper arm over area of vaccination; concerned that this is a vaccine reaction. Mild tendernss along the divet, but no weakness. Able to fix hair/shower and wash hair normally.


VAERS ID: 1378164 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-05-20
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / UNK - / -

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

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

Write-up: U07.1 - COVID-19 virus infection. U07.1, J12.82 - pneumonia due to COVID-19 virus.


VAERS ID: 1378243 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Alanine aminotransferase increased, Arrhythmia, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine decreased, Blood glucose normal, Blood magnesium normal, Blood phosphorus decreased, Blood potassium normal, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood triglycerides, Blood urea normal, Brain natriuretic peptide increased, Carbon dioxide normal, Cardiac imaging procedure abnormal, Chest pain, Echocardiogram, Ejection fraction decreased, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Haematocrit decreased, Haemoglobin decreased, International normalised ratio increased, LDL/HDL ratio, Laboratory test, Low density lipoprotein, Lymphocyte percentage decreased, Magnetic resonance imaging heart, Mean cell volume normal, Myocarditis, Non-high-density lipoprotein cholesterol, Pericardial effusion, Pericarditis, Platelet count normal, Protein total normal, Red blood cell count normal, Troponin I increased, Troponin increased, Ventricular tachycardia, White blood cell count increased
SMQs:, Torsade de pointes/QT prolongation (narrow), Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: no known allergies
Diagnostic Lab Data: Recent Labs 05/24/21 05/22/21 0520 2240 WBC 6.9 10.6 HGB 14.0 13.9 HCT 42.3 40.3 RBC 5.01 4.87 MCV 84 83 PLT 211 218 LYMPHOPCT 30 11 Recent Labs 05/22/21 2240 INR 1.3* LABPROT 13.7* APTT 31.3 Recent Labs 05/24/21 05/23/21 05/23/21 05/22/21 0520 1658 0141 2240 GLU 70 74 131* 122* NA 140 140 133* 132* K 3.6* 3.8 3.6* 3.5* CL 109 109 102 101 CO2 25.0 26.0 25.0 26.0 BUN 16 12 14 14 CREATININE 0.68 0.66 0.58* 0.83 CALCIUM 8.3* 8.7 8.5 8.5 PROT 7.0 -- -- 7.4 ALBUMIN 3.2* -- -- 3.6 ALKPHOS 46 -- -- 49 AST 89* -- -- 50* ALT 41 -- -- 33 BILITOT 0.5 -- -- 0.7 MG 2.1 2.0 -- PHOS 3.0 2.0* -- HFPEP -- -- 518* TROPONINI 05/24/21 0520 12.10* 05/23/21 2251 11.80* 05/23/21 1658 17.50* 05/23/21 0823 29.00* 05/23/21 0141 25.70* 05/22/21 2240 12.70* Recent Labs 05/24/21 05/22/21 1051 2240 TSH3 2.720 -- HFPEP -- 518* Results from last 7 days Lab Units 05/24/21 05/22/21 1051 2240 TSH, 3RD GENERATION UIU/ml 2.720 -- HF PEPTIDE (PROBNP) pg/ml -- 518* Lab Results Component Value Date TSH3 2.720 05/24/2021 HFPEP 518 (H) 05/22/2021 No results found for: CHLPL, TRIG, HDLPML, VLDL, LDLCALC, CHOLHDLRATIO, LDLHDL, NONHDL EKG (interpreted by myself): Diffuse ST elevations
CDC Split Type:

Write-up: Patient is a 22 y.o. male with PMH of obesity who presented to ED on 5/22 with c/o chest pain 3 days after receiving his second dose of Pfizer COVID-19 vaccine. Trop elevated to 12.7 and ECG with diffuse ST segment elevation consistent with pericarditis. He had an episode of NSVT. Trop peak 29. Patient was started on ASA + colchicine and metoprolol. TTE revealed LVEF 49% with multiple segmental abnormalities. Due to concern for worsening arrhythmia and possible need for myocardial biopsy patient was transferred to BMMC on 5/23. Cardiology was consulted and cardiac MRI was performed. No further arrhythmias noted on telemetry monitoring. Cardiac MRI revealed LVEF 57% RVEF 53%, no vasodilator induced perfusion defect, delayed enhancement MRI is abnormal, epicardial enhancement of distal anterior and anterolateral walls with small pericardial effusion, consistent with perimyocarditis. Patient chest pain resolved and he denied other associated symptoms.Ttroponin level down to 5, VSS. Medically stable for discharge with no strenuous activities until inflammatory biomarkers normalize and close f/u with cardiology in 1 week. New medications: - ASA 650mg TID for 7 days followed by ASA 325mg daily - Colchicine 0.6mg BID for at least 3 months - Metoprolol succinate 25mg daily Follow up with cardiology clinic in 1 week with CRP, ESR, and troponin


VAERS ID: 1378269 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-05-20
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test normal, Dizziness, Electrocardiogram normal
SMQs:, Anticholinergic syndrome (broad), Vestibular 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: I took vitamin D that morning.
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Bloodwork and EKG - everything came back normal and she prescribed me some medication because experiencing the dizziness.
CDC Split Type: vsafe

Write-up: I had a mild dizziness that started on the 20th of May and has been ongoing ever since (stops and starts). I saw my Dr. the week after that and she ordered tests.


VAERS ID: 1378332 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 26A21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Injection site scab, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: RIGHT ARM WHICH IS WHERE THE INJECTION WAS RECEIVED IS SORE WHICH STARTED ON 05/20/21 STILL TO THIS DAY 06/07/21. PATIENT HAS FULL RANGE OF MOTION. CAN LIFT ARM A LITTLE MORE THAN HALF WAY TO THE SKY WHEN THE PAIN IS FELT IN THE MUSCLE. AT POINT OF INJECTION THERE IS STILL A SCAB.


VAERS ID: 1378370 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-06
Onset:2021-05-20
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Hyponatraemia, Hypoosmolar state
SMQs:, Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: U07.1 - COVID-19, E87.1 - Hypo-osmolality and hyponatremia


VAERS ID: 1378800 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-17
Onset:2021-05-20
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: she hasn''t seen the doctor yet
CDC Split Type:

Write-up: Patient came for the 2nd dose on 06/07/2021 and reported she has had pain in the lower left arm and can''t sleep her on her left side after 2-3 days from her 1 st dose. Her range of motion is not affected.


VAERS ID: 1378809 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-05-17
Onset:2021-05-20
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 LA / IM

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

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

Write-up: Patient experienced swelling under arm. Swelling has gone done now


VAERS ID: 1380477 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-05-13
Onset:2021-05-20
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arrhythmia, Asthma, Cough, SARS-CoV-1 test
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210521; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: PRPFIZER INC2021583369

Write-up: Arrhythmia; cough; Asthma; This is a spontaneous report received from a contactable consumer (patient). A 46-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Lot number EW0175, at the age of 46-year, on 13May2021 14:15 at single dose in left arm for COVID-19 immunisation. Medical history was none. The patient had no known allergies. The patient was not diagnosed with COVID-19 Prior to vaccination. The patient had not been tested for COVID-19 Since the vaccination. Concomitant medication was not reported. On 20May2021, the patient experienced Arrhythmia, cough and Asthma. Lab data included Nasal Swab negative on 21May2021. All events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Treatment received for the events included Advil, biodesp, singulair. The outcome of all events was not resolved.


VAERS ID: 1380738 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-20
Onset:2021-05-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Gait disturbance, Muscle spasms, Pyrexia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Inflammation
Allergies:
Diagnostic Lab Data: Test Date: 20210520; Test Name: Body temperature; Result Unstructured Data: 102 degrees Fahrenheit
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Can barely walk/ Difficulty walking; Tremor; Muscle spasm; Fever of 102 degrees Fahrenhei; This spontaneous case was reported by a consumer and describes the occurrence of GAIT DISTURBANCE (Can barely walk/ Difficulty walking), TREMOR (Tremor), MUSCLE SPASMS (Muscle spasm) and PYREXIA (Fever of 102 degrees Fahrenhei) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient''s past medical history included Inflammation. On 20-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-May-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced TREMOR (Tremor) (seriousness criterion hospitalization), MUSCLE SPASMS (Muscle spasm) (seriousness criterion hospitalization) and PYREXIA (Fever of 102 degrees Fahrenhei) (seriousness criterion hospitalization). On an unknown date, the patient experienced GAIT DISTURBANCE (Can barely walk/ Difficulty walking) (seriousness criterion hospitalization). At the time of the report, GAIT DISTURBANCE (Can barely walk/ Difficulty walking), TREMOR (Tremor), MUSCLE SPASMS (Muscle spasm) and PYREXIA (Fever of 102 degrees Fahrenhei) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-May-2021, Body temperature: 102 degrees fahrenheit (High) 102 degrees Fahrenheit. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided. 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 28-May-2021: Additional information received included no new information. On 28-May-2021: Additional information received included additional events, information for first dose date, event onset dates, anatomic location for first dose, lab information.; 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: 1381067 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated:2021-05-11
Onset:2021-05-20
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident, Dyskinesia, Fall, Gait disturbance, Muscular weakness, Speech disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (narrow), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021581821

Write-up: her husband might be having a stroke/ To her it almost looks like he had a mild stroke; his legs were weak; he was unable to speak clearly and was unable to open his mouth properly. She said he was just mumbling and muttering words, and could not speak clearly/he is not speaking clearly; Couldn''t walk and was kind of falling over; falling over; unable to open his mouth properly; This is a spontaneous report from a contactable consumer (patient''s wife). An 84-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on 11May2021 at single dose for covid-19 immunisation. Medical history and concomitant medications were not reported. Consumer said her husband received the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine on 11May2021. Then on 20May2021, they noticed that his legs were giving out on him. She said he had to hold onto the furniture to walk, because his legs were weak. She also said he had to use a walker. And when he tried to speak to her, she said he was unable to speak clearly and was unable to open his mouth properly. She said he was just mumbling and muttering words, and could not speak clearly. Consumer thought her husband might be having a stroke. She wanted to know if these side effects have been reported before, and if they are associated with the vaccine. Consumer said her husband was scheduled to receive his 2nd dose on 01Jun2021, and was concerned whether he should still get it. Her HCP was in the best position to assist her husband with the appropriate actions to be taken and would be able to help him decide whether or not to still get the 2nd dose. The patient was due for his second on 12June2021 3 weeks later. On 20May2021, she noticed and he noticed that he couldn''t walk and was kind of falling over. They happened to have a walker in the house, and he was using the walker. The other thing she was noticing was now that he came home, since he was not at home, he was not speaking clearly. To her it almost looks like he had a mild stroke. When he talked he was opening his mouth some and muttering. She was very concerned about this. She was looking at the side effects and it said there are others than what was listed. At first she thought maybe he had dizziness and weakness, but then it said there are others. She asked if his symptoms have been reported before. She was advising him not to get the second dose. From what she understands the side effects are worse after the second dose. He already has symptoms now 10 days after the first vaccine. She has never seen him acting like this before. The outcome of events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1381154 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-29
Onset:2021-05-20
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Dizziness, Feeling abnormal, Hyperhidrosis, SARS-CoV-2 test, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMOXICILLIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Glucose intolerance
Allergies:
Diagnostic Lab Data: Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021586695

Write-up: Extremely dizzy and chances of fainting; Extremely dizzy and chances of fainting; Sweaty; Brain fog/confusion; Brain fog/confusion; This is a spontaneous report from a contactable consumer (patient). A 29-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in left arm on 29Apr2021 (Lot Number: ER8736) at the age of 29-years-old as single dose for covid-19 immunisation. Medical history included prediabetes. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication(s) included amoxicillin within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient experienced extremely dizzy and chances of fainting, sweaty, brain fog/confusion, all on 20May2021. No treatment received for the events. Patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) administered in left arm on 29Apr2021 (as reported), (Lot Number: EW0187) for covid-19 immunisation. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included Nasal Swab: negative. Outcome of the events was recovering.


VAERS ID: 1381159 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Nausea, Presyncope
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Empty sella syndrome
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021587279

Write-up: I wanna pass out; My stomach hurts; diarrhea; I wanna puke; This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient received the second dose of BNT162B2, via an unspecified route of administration in arm right on 19May2021 12:00 at single dose for COVID-19 immunisation. Medical history included empty sella syndrome. Prior to vaccination, the patient was diagnosed with COVID-19. Concomitant medication included levothyroxine. Patient previously received COVID-19 Vaccine - Manufacturer Unknown on 27Apr2021 for COVID-19 immunization. The patient''s stomach hurt, she had diarrhea, she wanna puke, and wanna pass out on 20May2021 08:00. Since the vaccination, the patient had not been tested for COVID-19. No treatment was received for these events. Outcome of the events was not resolved. Lot/batch number has been requested. Additional information has been requested.


VAERS ID: 1381161 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood calcium, Blood potassium, Hypocalcaemia, Hypokalaemia, Periorbital swelling, Respiratory disorder, Stridor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Periorbital and eyelid disorders (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anaphylaxis; Food allergy
Allergies:
Diagnostic Lab Data: Test Name: Calcium; Test Result: 6.4 mg/dl; Comments: Hypocalcemia; Test Name: Potassium; Result Unstructured Data: Test Result:2.9 mmol/L; Comments: Hypokalemia
CDC Split Type: USPFIZER INC2021587417

Write-up: hypokalemia (2.9 mmol/L); hypocalcemia (6.4 mg/dL); puffy eyes; respiratory symptoms; possibly stridor; This is a spontaneous report from a contactable physician. A 19-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration on 19May2021 (Batch/Lot number was not reported) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included food allergy, anaphylactic reaction. The patient''s concomitant medications were not reported. The patient woke up the next morning on 20May2021 with puffy eyes and respiratory symptoms (possibly stridor) and self-administered epinephrine, then was taken to the nearest ED where she received additional epi and albuterol. Those symptoms eventually subsided, but what triggered the study stop was her lab findings consisting of hypokalemia (2.9 mmol/L) and hypocalcemia (6.4 mg/dL). In the AE grading scale that the study is using (the FDA''s scale used in vaccination studies), these values are considered Grade 4 As such, we met the study stopping rule of a single Grade 4 event and since they were detected one day after vaccination, the site PI indicated that they could be "possibly related" to the vaccine. These abnormalities were promptly corrected and the participant is doing OK, based on the most recent update. There is no report that the reporter could identify that these electrolyte abnormalities are vaccine related and I am contacting you to confirm that this is, indeed, the case. We believe other explanations should be considered (e.g. epinephrine plus beta agonist administration can lead to both hypokalemia and hypocalcemia through beta2 effects; alternatively, or in addition, hyperventilation could result in respiratory alkalosis that has similar effects). The patient underwent lab tests and procedures which included blood calcium: 6.4 mg/dl on an unspecified date Hypocalcemia , blood potassium: 2.9 mmol/l on an unspecified date Hypokalemia. Therapeutic measures were taken as a result of puffy eyes, respiratory symptoms, possibly stridor. The outcome of the events was unknown. Information regarding lot/batch number has been requested.; Sender''s Comments: Based on the available information and known product profile, the causal relationship between the reported puffy eyes and respiratory symptoms (possibly stridor) and the use of bnt162b2 is possible. Considering that these events likely occurred under the context of an allergic reaction based on the temporal association and the positive response to epinephrine and albuterol. The patient also has a history of food allergy, anaphylactic reaction which place the patient at risk. As for the events , hypokalemia and hypocalcemia, agree with the reporter that the use of the beta 2 agonist , as well as the respiratory alkalosis explain the occurrence of these events. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1381252 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-19
Onset:2021-05-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MINOCYCLINE
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021623569

Write-up: Severe itching; redness; welts; This is a spontaneous report from a contactable consumer or other non hcp. A 46-years-old female patient received first dose of bnt162b2 (BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) via an unspecified route of administration, administered in Arm Right on 19May2021 19:00 (at the age of 46-years-old) (Batch/Lot Number: EW0168, Expiration date: unknown) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included none from an unknown date. The patient known allergies was none. Concomitant medication included minocycline taken for an unspecified indication, start and stop date were not reported. on 20May2021 19:00 the patient experienced severe itching, redness, welts. Started taking antihistamine on 21May2021. The problem still persist after taking the antihistamine for a week. Went to the Urgent Care on 29May2021. The Nurse Practitioner prescribed methylprednisolone tablets and cream. she have taken Day 1 dose of the methylprednisolone and still no relief. she regret getting the vaccine. Outcome of events was not recovered. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient had not COVID prior vaccination and not tested covid post vaccination No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 1381738 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:2021-01-23
Onset:2021-05-20
   Days after vaccination:117
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042L20A / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Beta haemolytic streptococcal infection, Biopsy breast, Breast mass, Breast pain, Culture, Erythema
SMQs:, Anaphylactic reaction (broad), Lipodystrophy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, biotin, probiotics and Chantix
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: Culture, Wound, Smear 5/27/2021 Ultrasound 5/26/2021
CDC Split Type:

Write-up: I noticed a painful lump in my left breast Thursday 5/20/2021. I went to Urgent Care Friday 5/21/2021, they were going to refer me to get an ultrasound and mammogram....the Ultrasound facility would not be able to see me until August 2021. The pain increased and throughout the week redness was noticeable on the skin. I went to Emergency Room 5/26/2021...they gave me antibiotics, performed an ultrasound and set and appt for a biopsy the next day. I went in 5/27/2021 for an ultrasound guided biopsy, where they drained the abscess. I took antibiotics for ten days and the lump went down. The culture results came back as 2+ Beta Hemolytic Streptococci, Group B, no white blood cells (PMNs) seen and no organisms seen. I have a follow up appt with my PCP 6/18/2021. I am unsure if this is related to the vaccine...but I have never experienced anything like this before and it was the same side I had the vaccine.


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