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From the 9/10/2021 release of VAERS data:

Found 686,636 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 132 out of 6,867

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VAERS ID: 1587462 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-08-10
Onset:2021-08-15
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Insomnia, Neuropathy peripheral
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: peripheral nueropathy, insimnia


VAERS ID: 1588539 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling cold, Hyperhidrosis, Pallor, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Patient stated that within a minute after taking the vaccination he become real cold and his skin tuned real pale and ghostly white. Patient stated it felt like he was loosing his eye sight. Patient also stated that he started sweating in his hands uncontrollably.


VAERS ID: 1588547 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2021-01-13
Onset:2021-08-15
   Days after vaccination:214
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 2 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 UN / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: obesity
Allergies: none
Diagnostic Lab Data: covid PCR test result 8/17/21, positive
CDC Split Type:

Write-up: Break through Covid 19 infection


VAERS ID: 1588575 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Hypoaesthesia, Muscular weakness, Pyrexia, Sleep disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

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

Write-up: Stomach pain, leg weakness, numbness, headache, fever, sleepless nights


VAERS ID: 1589083 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-06
Onset:2021-08-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

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

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

Write-up: DEVELOPED COVID 10 DAYS AFTER FIRST VACCINE


VAERS ID: 1589090 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram head, Full blood count, Hypoaesthesia, Lipase, Pancreatitis
SMQs:, Acute pancreatitis (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

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

Write-up: pancreatitis, lipase of 600. Left facial numbness.


VAERS ID: 1591177 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-02-22
Onset:2021-08-15
   Days after vaccination:174
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

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

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

Write-up: Patient was fully vaccinated as of 2/22/21. Symptomatic and testing positive as of 8/15/21


VAERS ID: 1591203 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-07
Onset:2021-08-15
   Days after vaccination:130
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Headache, Nasal congestion
SMQs:, Anaphylactic reaction (broad)

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

Write-up: headache, cough, nasal congestion


VAERS ID: 1591254 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-03-25
Onset:2021-08-15
   Days after vaccination:143
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 019821A / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Vertigo
SMQs:, Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine sodium 100mc
Current Illness:
Preexisting Conditions: Hypothyroidism
Allergies: Minocin
Diagnostic Lab Data: Medical appt on 08/16/2021
CDC Split Type:

Write-up: Vertigo, nothing has caused this no head injury no infection. Have had it for a week now, nothing is helping this.


VAERS ID: 1591264 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-03-17
Onset:2021-08-15
   Days after vaccination:151
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: PCR Covid-19 positive 08/16/21 with onset 08/15/21


VAERS ID: 1591340 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-18
Onset:2021-08-15
   Days after vaccination:178
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: Employee was fully vaccinated with Pfizer on 01/28/2021 and 02/18/2021. Employee became ill on 8/15 and tested positive for COVID on 8/16 with a PCR test @


VAERS ID: 1591423 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: No problems noted.
Allergies: Latex
Diagnostic Lab Data: No medical tests or laboratory results were performed in relation to the adverse events. Was provided with a one-time dose of Solu-Medrol and told to continue taking Benadryl.
CDC Split Type:

Write-up: Pfizer-BioNTech Covid-19 Vaccine EUA 24 hours after receiving the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine EUA, I broke out in systemic hives from my neck to my legs. The hives were singular dots that caused very intense itching. 4 days after the occurrence, the itching and hives were still present and taking Benadryl around the clock was not resolving the side effects. I called the pharmacist that provided the shot at the Pharmacy and reported the side effects that I had been experiencing. The pharmacist highly recommended filling and reporting this adverse reaction as well as going to an urgent Care/following up with my health care provider. I went to an Urgent Care on Thursday, August 19, 2021. I was administered a one-time dose of Solu-Medrol to try and help the situation. I was told to continue to take the Benadryl and follow up with my provider within 7-days for a follow up or report back to the Urgent Care sooner if any side effects worsened or the problem did not resolve with in the 7 day time frame. As of Friday, August 20, 2021, I am still taking Benadryl and experiencing hives and intense itching.


VAERS ID: 1591432 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrace
Current Illness: None
Preexisting Conditions: Anemia, Vitamin D deficiency
Allergies: Oxycodone and Morphine which causes nausea
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient had hives, globus sensation. Had to go to ED for benadryl, steroids.


VAERS ID: 1591440 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052EZ1A / 3 LA / SYR
FLU4: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) / SANOFI PASTEUR - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Arthralgia, Blood pressure increased, Breast pain, Feeling abnormal, Myalgia, Palpitations, Vomiting, Weight increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Lipodystrophy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Blood thinner torsemide; Potassium chloride Losartan
Diagnostic Lab Data: No bloodwork done yet.
CDC Split Type: vsafe

Write-up: 15th Bloated at 3:30PM that night, 12:30 AM heart was racing. BP was really high. Right side and right breast was pain and I was worried of having a heart problem. I shoulder felt like a muscle ache/torn. 15th at 2:34PM after a walk was 124/63 (BP) 121/50 (BP after resting. Went to Pharmacy got the shot. 12:30AM -177/86. Took nitroglycerin 1 pill. Weight had increased and I feeling pretty bad. Call the cardiologist. By 1:00AM, the paramedics. Didn''t go to ER, I didn''t want to go the ER. UTI symptoms on 16 Aug2021. I vomited many times.


VAERS ID: 1591463 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-01-04
Onset:2021-08-15
   Days after vaccination:223
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L2)A / UNK - / -

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

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

Write-up: Covid


VAERS ID: 1591489 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Otitis externa
SMQs:

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 Meds: Amitriptyline 125mg Tab sig: 1 tablet orally daily at bedtime Cialis 10 mg Tab sig: 1 tablet as needed PO at least 30 min prior to intercourse clonazePAM 1 mg Tab sig: 1-2 tablet qhs prn anxiety Mometasone Furoate 50 MCG/ACT
Current Illness: No
Preexisting Conditions: Insomnia, anxiety, seasonal allergies
Allergies: PCN, EC-Naprosyn
Diagnostic Lab Data:
CDC Split Type:

Write-up: 24-48 h after vaccination this long term surfer developed severe bilateral otitis externa


VAERS ID: 1591547 (history)  
Form: Version 2.0  
Age: 91.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-02-08
Onset:2021-08-15
   Days after vaccination:188
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Body temperature abnormal, COVID-19, Cough, Diarrhoea, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown not given at this facility
Current Illness: unknown not given at this facilty
Preexisting Conditions: hypertension, was in A fib at admit pt reports he does not see a provider regularly
Allergies: no known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pateint started with symptoms on 8/15/2021. he reported loose stools, low grade temp, cough and a runny nose. he tested positive in the emergency room on 8/17/2021. He has needed as much as 10 liters of high flow oxygen. Currently he is on 8 liter of high flow nasal cannula. he has been given remdesivir, dexamethsone, biricitinib, budesonide neb, DouNeb tx and albuterol inhaloer as needed.


VAERS ID: 1591554 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-01-15
Onset:2021-08-15
   Days after vaccination:212
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 2 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lipiotor, plavix, propanediol, lexapro, synthroid, prinzide, metformin, multivitamin
Current Illness:
Preexisting Conditions: Hypothyroidism, diabetes mellitus, CVA, obesity, hyperlipidemia, essential hypertension
Allergies:
Diagnostic Lab Data: Swabbed positive for covid on admission 8/15/2021
CDC Split Type:

Write-up: Admitted for weakness 8/15/2021


VAERS ID: 1591555 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Arthralgia, Pain, Pain in extremity, Paraesthesia, Peripheral swelling, Rash, Rash pruritic, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Unknown
Diagnostic Lab Data: I was sent to the Emergency Room in foreign country, due to the military deployment that I am on. They put me on a 20 day antihistamine regiment for the hive/rash and they still have not given me a course of action to help the issue the vaccine has caused with my arm.
CDC Split Type:

Write-up: The second day after being administered the vaccine, my right arm began to have throbbing pain from the front on my right shoulder down to the bottom of the front of my bicep. This was accompanied by swelling are deep pain. It felt almost as if my arm was having the circulation cut off. The following day my right hand, fingers, forearm began to have a numbing/pins and needle type feeling. This has still not subsided and I 6 days post vaccine. Along with the arm issue, on the second day after the vaccine; I began to have a hive/rash breakout on the sides of my upper legs and buttocks. This is extremely sore and moderately itchy. This has not subsided 6 days post vaccine.


VAERS ID: 1591810 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Minnesota  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

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

Write-up: None stated.


VAERS ID: 1592018 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-18
Onset:2021-08-15
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 UN / IM

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

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

Write-up: pt. was fully vaccinated - dose 1 - 5/21 Lot 041C21A., Dose 2 - 6/18 Lot 049C21A. SO 8/15/2021, + test 8/18/2021


VAERS ID: 1592044 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-08-15
   Days after vaccination:128
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

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

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

Write-up: PATIENT RECEIVED PFIZER COVID VACCINE ON Dose 1 date: Institute - 4/9/2021, Dose 2 date: Institute - 4/30/2021, AND TESTED POSITIVE TO COVID ON 8/16/21.


VAERS ID: 1592051 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angina pectoris
SMQs:, Other ischaemic heart disease (narrow)

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

Write-up: Heart pain that comes and goes. Has been happening everyday sense given the shot.


VAERS ID: 1592057 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-28
Onset:2021-08-15
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute respiratory failure, Atrial fibrillation, Bacteraemia, Blood creatinine normal, Blood culture positive, Blood glucose normal, Blood sodium decreased, C-reactive protein increased, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram abdomen, Cough, Electrocardiogram abnormal, Fatigue, Fibrin D dimer increased, Glycosylated haemoglobin, Hyponatraemia, Left ventricular hypertrophy, Lung opacity, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Outpatient Home Medications, Taking? HYDROcodone-Acetaminophen (NORCO) 5-325 mg Oral Tab Takes Occasionally; Sig: Take 1 tablet by mouth every 3 hours as needed for moderate pain. Take 2 tablets every 4 hours as needed for severe pain. Do n
Current Illness: None
Preexisting Conditions: h/o HTN, subclinical hypothyroidism, prediabetes
Allergies: nka
Diagnostic Lab Data:
CDC Split Type:

Write-up: Reason for Hospital Admission (Admitting Diagnosis): AHRF 2/2 COVID; 64 Y male with history of HTN, subclinical hypothyroidism, pre DM, and COVID + (5 days ago) who presents to the ED w/ AHRF 2/2 COVID PNA. Please see hospital course below by problem: 1. AHRF 2/2 COVID PNA, Recent dx COVID 5 days ago. Febrile on admission 100.9F. CRP, D-dimer elevated. Symptoms of cough and body aches started 8/7 and tested positive on 8/11 and 8/15 on admission. On 2L NC at present. Received 4mg PO Decadron x 1. Consider PE given elevated D-dimer and COVID, however breathing comfortably on 2L NC and HR 80s. No signs of fluid overload on exam to suggest HF. CXR w/ bilateral insterstitial opacities. Less likely ACS given EKG changes more consistent w/ LVH when compared to prior and Troponin 0.02. No urinary sxs and no abdominal pain. No focal deficits on neuro exam. Breathing on 1L NC comfortably. Inflammatory markers trending down. S/p Remdesavir 5 doses. -Continue Decadron and Pepcid for 5 more days until 8/25 -Self isolate until 9/3 (20 days) -COVID kit provided to patient w/ home O2 monitor -Home O2 delivered -F/u PCP via telephone or following self isolation. 2. Atrial Fibrillation - New Patient with intermittent atrial fibrillation seen on telemetry. On 8/18 a.m., patient went into atrial fibrillation with RVR (HR 115-160s) S/p PRN Metop and Dilt. H/o stroke per family. Rate controlled and sinus rhythm on day of discharge. -Continue Metop 25 mg PO BID -Continue Pradaxa BID -E-consult placed for outpt TTE; 3. Gram Positive Rod Bacteremia; 8/15 blood cx w/ 1/2 GNR. No speciation as yet. Unclear source. No abdominal pain and clean UA. Started on Ceftriaxone ovn. Discussed w/ ID. CT abd/pel w/o acute intraabdominal pathology. Patchy bilateral lobe densities. Per lab, report of blood cx w/ GNR is actually Gram positive rods (Bacillus sp, not Anthracis). Likely contaminant. No further abx. 4. Hyponatremia - Resolved; Na 130. Likely 2/2 poor PO intake in the setting of acute illness w/ fatigue and body aches at home. Cr WNL. 1L Isolyte x 1. 5. HTN; SBP 178 on admit, SBP 140s on DC. -Add 5mg Amlodipine for HTN-Continue PTA Losartan; 6. Pre DM; Last A1C 5.9. BG 195. -Monitor BG


VAERS ID: 1592350 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-04-19
Onset:2021-08-15
   Days after vaccination:118
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 003B21A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B211A / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Bell's palsy, Blood test normal, Computerised tomogram normal, Dizziness, Ear discomfort, Facial paralysis, Vertigo
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Focus Factor, vitamin D3
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Cat scan and blood work performed at local ER negative. Prescribed acyclovir 800mg 7 day course And prednisone 60mg 5 day course with scale down. 25 mg Meclizine for dizziness and vertigo symptoms due to right inner ear discomfort.
CDC Split Type:

Write-up: Facial paralysis, (Bells Palsy) Onset: 8/15 gradual paralysis to full paralysis by 8/17.


VAERS ID: 1592352 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-01
Onset:2021-08-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 059E21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dermatologic examination abnormal, Dysphonia, Ear, nose and throat examination, Eyelid rash, Fatigue, Injection site discolouration, Injection site pain, Oropharyngeal pain, Pain
SMQs:, Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Periorbital and eyelid disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ativan 0.5 Zyrtec Pro-air
Current Illness: N/A
Preexisting Conditions: Chiari Malformation, Mast Cell Activation Disorder, Asthma, Ehlers Danlos Syndrome, Fatty Liver, Thyroid Nodule, Raynauds Syndrome, Osteoarthritis, Depression, PTSD, Panic Disorder, Anxiety
Allergies: Iodine, tetracycline, macrobid, bactrim, azythromyacin, NSAIDS, Toradol, Penicilin, Pepcid, Benadryl, Lactose Intolerant, latex, lidocaine
Diagnostic Lab Data: ENT to examine the throat Demarologist looked at arm Started antiviral for rash on right eyelid- but did not tolerate med
CDC Split Type:

Write-up: Started with extremely sore throat the first week. Still have sore throat and hoarseness at times. A white circle was around the injection site. Left arm at injection will hurt on and off. Alot of fatigue and body aches. Rash on my right eyelid, unknown if it is shingles. Started antiviral but did not tolerate it.


VAERS ID: 1592570 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-07-27
Onset:2021-08-15
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pulmonary embolism, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Pepcid, Allegra, flo nase
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: Pending / still hospitalized
CDC Split Type:

Write-up: Blood clots, pulmonary embolisms (4), hospitalized 5 days so far with likely a few more days to go barring any more set backs


VAERS ID: 1592984 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Headache, Hyperhidrosis, Injection site swelling, Myalgia, Nausea, Pyrexia, Sneezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin, Lamotrigine, Trazodone, Cyanocobalamin, Alprazolam, Gabapentin, Carisoprodol, Adderall, Vitamin D
Current Illness: No
Preexisting Conditions: No
Allergies: Sulfa drugs, NSAIDS
Diagnostic Lab Data: Tested for covid on 08/19/21- NEGATIVE
CDC Split Type:

Write-up: Started with fever and progressive swelling at injection site. It kept swelling over the next couple of days with a hot fever. I woke up with a headache the next morning, 8/15/21. Today is 8/20/21, my symptoms have not subsided. Fever, headache, extreme fatigue, extreme muscular pain, chills, hot sweats, nausea, diarrhea, coughing, sneezing.


VAERS ID: 1593190 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: California  
Vaccinated:2021-08-07
Onset:2021-08-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blister, CSF test abnormal, Chest pain, Ear pain, Facial pain, Headache, Herpes zoster, Human herpesvirus 6 infection, Injected limb mobility decreased, Lumbar puncture abnormal, Neck pain, Pain, Pain in extremity, Pyrexia, Sensitive skin, Tenderness, Varicella zoster virus infection, Vomiting
SMQs:, Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: NONE
Preexisting Conditions: Hx of asthma
Allergies: Mold from childhood allergy test.
Diagnostic Lab Data: Shingles, CSF positive for Varicella Zoster and HHV6 in a healthy 15 year old who has never had chickenpox.
CDC Split Type:

Write-up: My daughter developed severe left hand sensitivity and pain 2 days after the vaccine was administered to the Left arm. The pain and sensitivity progressed moving upward to the forearm, elbow and by day 4 she was experiencing shoulder pain and sharp shooting pains from her hand to the elbow and shoulder. She had limited mobility secondary to the pain. By day 6 she developed left side chest pain and the arm pain was not moving upward towards the left side of her face and ear. Sensitivity was so severe she could not stand touch, wind, or water touching her left upper extremity or face. Saturday day 7 she developed a fever and left side headache along with the left side chest pain radiating to her arm. Sunday she still had a fever and pain was worsening she then developed blister like clusters to her left thumb and left palm of hand painful to touch which by the afternoon started moving upward to her forearm her headache was worsening and she woke up vomiting in at 3am. Monday morning she had new blister like clusters on her left upper arm and was in pain, pediatrician started her on Acyclovir orally and was diagnosed with Shingles. Wednesday morning day 11 she woke up with a fever and complaining of neck pain and headache when she tried to move her neck down (flexion). I took her to a hospital where they performed an LP where they found Varicella Zoster and HHV6 in her CSF, Acyclovir, Rocephine, and Vancomycin IV were started. She remains hospitalized for continuous treatment.


VAERS ID: 1594344 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820096 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Hot flush, Rhinorrhoea, Tinnitus
SMQs:, Hearing impairment (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210832299

Write-up: HOT FLASHES; RUNNY NOSE; TINNITUS; JOINT PAIN; LIGHT HEADACHES; MORE TIRED; This spontaneous report received from a consumer concerned a 69 year old male. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1820096 expiry: UNKNOWN) dose was not reported, administered on 06-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-AUG-2021, the patient experienced hot flashes. On 15-AUG-2021, the patient experienced runny nose. On 15-AUG-2021, the patient experienced tinnitus. On 15-AUG-2021, the patient experienced joint pain. On 15-AUG-2021, the patient experienced light headaches. On 15-AUG-2021, the patient experienced more tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the light headaches, more tired, joint pain, tinnitus, runny nose and hot flashes was not reported. This report was non-serious. This case, from the same reporter is linked to 20210832500.


VAERS ID: 1594401 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Suspected COVID-19, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210835110

Write-up: SUSPECTED CLINICAL VACCINATION FAILURE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a consumer concerned an adult white male of unspecified ethnicity. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported 1 total, administered for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 15-AUG-2021, the patient got sick and developed Covid after receiving the Covid-19 vaccine, the patient experienced suspected clinical vaccination failure. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the suspected covid-19 infection and suspected clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210835110-Covid-19 vaccine ad26.cov2.s-suspected clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1594413 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Tennessee  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had no known allergies. The patient had no medical history.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210835410

Write-up: BELOW 18 YEARS OLD GOT VACCINE; OFF LABEL USE; This spontaneous report received from a pharmacist concerned a male of unspecified age. The patient''s height, and weight were not reported. The patient''s pre-existing medical conditions included: The patient had no known allergies. The patient had no medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, expiry: 21-SEP-2021) dose was not reported, administered on 15-AUG-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-AUG-2021, the patient experienced below 18 years old got vaccine. On 15-AUG-2021, the patient experienced off label use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the off label use and below 18 years old got vaccine was not reported. This report was non-serious.


VAERS ID: 1594419 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Allergy to vaccine, Blood pressure fluctuation, Blood test, Blood thyroid stimulating hormone, Chest discomfort, Dizziness, Dysgeusia, Electrocardiogram, Fatigue, Feeling abnormal, Feeling cold, Full blood count, Headache, Heart rate, Hot flush, Hyperhidrosis, Malaise, Metabolic function test, Muscular weakness, Palpitations, Paraesthesia, Sensory loss, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: HYDROXYCHLOROQUINE
Current Illness: Dermatomyositis (She takes 200 mg hydroxychloroquine once per day.)
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to chemicals (She stated that she was told this may be a problem for her prior to receiving the vaccine and proceeded anyway as she requires vaccination before her eye surgery.); Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Date: 20210815; Test Name: Heart rate; Result Unstructured Data: 104 to 124 beats per minute; Test Date: 20210815; Test Name: Heart rate; Result Unstructured Data: 124 {beats}/min; Test Date: 20210815; Test Name: Heart rate; Result Unstructured Data: 80 {beats}/min; Test Date: 20210815; Test Name: Heart rate; Result Unstructured Data: Elevated; Test Date: 20210816; Test Name: TSH; Result Unstructured Data: Normal; Test Date: 20210816; Test Name: Troponin; Result Unstructured Data: Normal; Test Date: 20210816; Test Name: Heart rate; Result Unstructured Data: 117 to 120 beats per minute; Test Date: 20210816; Test Name: Heart rate; Result Unstructured Data: 120 {beats}/min; Test Date: 20210816; Test Name: Heart rate; Result Unstructured Data: over 100 beats per minute; Comments: On 16 Aug at 06:30 am; Test Date: 20210816; Test Name: Heart rate; Result Unstructured Data: Returned to 78 beats per minute; Comments: Around 07:30 am; Test Date: 20210816; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Normal; Test Date: 20210816; Test Name: Blood test; Result Unstructured Data: Normal; Test Date: 20210816; Test Name: Heart rate; Result Unstructured Data: did not go over 100 and fluctuated to 88, sometimes to 90 beats per mi; Comments: did not go over 100 and fluctuated to 88, sometimes to 90 beats per minute; Test Date: 20210816; Test Name: ECG; Result Unstructured Data: Normal; Test Date: 20210816; Test Name: CBC; Result Unstructured Data: Normal
CDC Split Type: USJNJFOC20210835627

Write-up: METAL TASTE IN MOUTH; NOT EXPERIENCING THE SENSATION; FELT COLD; TINGLING IN LEFT HAND; HEADACHE/HEAD THROB/HEAD POUNDING (4 OUT OFF 10 PAIN LEVEL AND INCREASED TO 7 OUT OFF 10 AFTER ONE DAY 6 OUT OFF 10 INITIALLY THEN 5 OUT OFF 10); EXHAUSTED; SWEATING PROFUSELY/SWEATY PALMS/FELT CLAMMY; HORSE KICKED IN THE CHEST; FEELING SOMETHING MOVING THROUGH THAT GETTING SO OVERHEATED/FELT TERRIBLE AND KEPT DOZING IN AND OUT OF SLEEP/EXHAUSTED AND JUST WIPED OUT AND FELT LIKE RAN A MARATHON/FELT TERRIBLE; CANNOT MOVE ARMS; POUNDING IN CHEST/HEART BEATING HARD; HEART RATE FLUCTUATION; BLOOD WAS BOILING (FROM THE TIP OF TOES MOVING TOWARDS TO HEAD)/HOT FLASHES AT THE TOP OF THE HEAD DOWN TO TOES/BROKE OUT IN A HOT SWEAT; ALLERGIC REACTION TO VACCINE; LIGHT HEADED; NOT FEELING GOOD; This spontaneous report received from a patient concerned a 65 year old female. The patient''s weight was 140 pounds, and height was 175 centimeters. The patient''s concurrent conditions included: dermatomyositis, and peg allergy. The patient experienced drug allergy when treated with macrogol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, and expiry: UNKNOWN) dose was not reported, administered on 15-AUG-2021 for prophylactic vaccination. Concomitant medications included hydroxychloroquine for dermatomyositis. On 15-AUG-2021, the patient experienced pounding in chest/heart beating hard. On 15-AUG-2021, the patient experienced heart rate fluctuation. On 15-AUG-2021, the patient experienced blood was boiling (from the tip of toes moving towards to head) /hot flashes at the top of the head down to toes/broke out in a hot sweat. On 15-AUG-2021, the patient experienced allergic reaction to vaccine. On 15-AUG-2021, the patient experienced light headed. On 15-AUG-2021, the patient experienced feeling something moving through that getting so overheated/felt terrible and kept dozing in and out of sleep/exhausted and just wiped out and felt like ran a marathon/felt terrible. On 15-AUG-2021, the patient experienced cannot move arms. On 15-AUG-2021, the patient experienced not feeling good. Laboratory data included: Heart rate (NR: not provided) Elevated, 80 {beats}/min, 124 {beats}/min, 104 to 124 beats per minute. On 16-AUG-2021, the patient experienced sweating profusely/sweaty palms/felt clammy. On 16-AUG-2021, the patient experienced horse kicked in the chest. On 16-AUG-2021, the patient experienced headache/head throb/head pounding (4 out off 10 pain level and increased to 7 out off 10 after one day 6 out off 10 initially then 5 out off 10). On 16-AUG-2021, the patient experienced exhausted. Laboratory data included: Blood test (NR: not provided) Normal, CBC (NR: not provided) Normal, Comprehensive metabolic panel (NR: not provided) Normal, ECG (NR: not provided) Normal, Heart rate (NR: not provided) 120 {beats}/min, 117 to 120 beats per minute, Returned to 78 beats per minute, over 100 beats per minute, did not go over 100 and fluctuated to 88, sometimes to 90 beats per mi, TSH (NR: not provided) Normal, and Troponin (NR: not provided) Normal. On 17-AUG-2021, the patient experienced metal taste in mouth. On 17-AUG-2021, the patient experienced not experiencing the sensation. On 17-AUG-2021, the patient experienced felt cold. On 17-AUG-2021, the patient experienced tingling in left hand. Treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache/head throb/head pounding (4 out off 10 pain level and increased to 7 out off 10 after one day 6 out off 10 initially then 5 out off 10) on 17-AUG-2021, had not recovered from pounding in chest/heart beating hard, heart rate fluctuation, and blood was boiling (from the tip of toes moving towards to head)/hot flashes at the top of the head down to toes/broke out in a hot sweat, and the outcome of light headed, not feeling good, cannot move arms, sweating profusely/sweaty palms/felt clammy, exhausted, tingling in left hand, metal taste in mouth, horse kicked in the chest, felt cold, allergic reaction to vaccine, feeling something moving through that getting so overheated/felt terrible and kept dozing in and out of sleep/exhausted and just wiped out and felt like ran a marathon/felt terrible and not experiencing the sensation was not reported. This report was non-serious.; Sender''s Comments: V0: Medical assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1594457 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-08-15
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Chest pain, Fatigue, SARS-CoV-2 test, Scan, Upper-airway cough syndrome
SMQs:, Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLONASE [MOMETASONE FUROATE]; ALLOPURINOL; VERAPAMIL; LORAZEPAM; SEREVENT
Current Illness: Alcohol use (Couple of wine glasses every night); Anxiety; Asthma (Use serevent inhaler and twist inhaler Flonase for nose, 2 sprays in each nostril once a day.); Blood pressure; Exercise induced asthma; Gout; Non-smoker
Preexisting Conditions: Comments: The patient was not a drug abuse or illicit drug user.
Allergies:
Diagnostic Lab Data: Test Date: 20210816; Test Name: Scan; Result Unstructured Data: Unknown; Test Name: COVID-19 virus test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210837701

Write-up: CHEST PAIN; FATIGUE; FEELS WEAK; POST NASAL DRIP; This spontaneous report received from a consumer concerned a 75 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included: exercise induced asthma, gout, blood pressure, anxiety, alcohol user, asthma, alcohol user, and non-smoker, and other pre-existing medical conditions included: The patient was not a drug abuse or illicit drug user. The patient experienced drug allergy when treated with acetylsalicylic acid. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and expiry: UNKNOWN) dose was not reported, 1 total administered on 09-AUG-2021 for prophylactic vaccination. Concomitant medications included lorazepam for anxiety, mometasone furoate for asthma, salmeterol xinafoate for asthma, verapamil for blood pressure, and allopurinol for gout. On 15-AUG-2021, after receiving the vaccine, the patient started having post nasal drip from the nose. It was clear, but it was very heavy and everywhere then there was mucus. On 16-AUG-2021, the patient experienced chest pain and the patient thought it was because of anxiety and took lorazepam which did not work, and was hospitalized and had to stay in emergency room for observation. The patient stated that lots of scans were done, received IV and then was released on 17-Aug-2021. The laboratory result for lots of scan was unknown. The Consumer stated that they tested him for Covid-19 and it came back negative. . On an unspecified date, the patient experienced fatigue, and feels weak, the patient was asked if the symptoms were gone the patient stated that the patient was feeling weak. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chest pain and post nasal drip on 17-AUG-2021, the patient had not recovered from feels weak, and the outcome of fatigue was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210837701-covid-19 vaccine ad26.cov2.s -Chest pain. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1602574 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Back pain, Chest discomfort, Fatigue, Feeling cold, Hyperhidrosis, Hypoaesthesia, Muscular weakness, Pain, Pain in extremity, Pain in jaw, Paraesthesia, Respiratory tract congestion, Sinus congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ekg 8/19/21
CDC Split Type:

Write-up: Within two minutes of receiving the shot I experienced left upper back pain. 1.5 hrs after receiving the shot I had extreme head congestion. My right hip started to hurt. Then I was freezing then sweating. The next day my whole entire body hurt. Every inch of it, my jaw, my fingers, my whole entire body. Extreme fatigue. That continued the following day also the congestion. Then the following day after that 8/18 I woke up with chest tightness and my whole body was weak my legs were very weak. Went to the ER and was told I was having a severe reaction to the vaccine. Rest and sleep for my body to recoup. 8/19 still congested legs and arms weak. That night at 10 pm my lower legs and feet were tingly pins and needles feeling. My hands did the same thing then started going numb. No strength. I saw my pcp on 8/20 and it?s a severe reaction to the vaccine. It?s affecting my nervous system my nerves are inflamed and was prescribed prednisone to help with the inflammation. 8/21 legs still weak. Still have the pins and needles feeling. Hands keep going numb.


VAERS ID: 1602593 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Chest discomfort, Chest pain, Dyspnoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Influenza vaccine: unknown brand 5 years ago.
Other Medications: Qvar inhaler Albuterol Inhaler Celexa lisinopril HTZ Oxybutinin Allopurinol Fluticasone nasal spray Thyroxine
Current Illness: None
Preexisting Conditions: Asthma, hypertension, anxiety, gouty arthritis, urinary frequency, Menier''s Disease.
Allergies: All statins (confusion and profound muscle pain), Epinephrine (hypertensive emergency), Advair (hypertension). Influenza vaccine (itching & hives, mouth and tongue swelling)
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Shortness of breath, wheezing, chest pain and tightness, difficulty breathing. More frequent asthma attacks requiring rescue inhaler use around the clock x several days. Routine/daily inhaler dose doubled for reduction of symptoms. Today, asthma attacks continue since last Monday.


VAERS ID: 1602694 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD8448 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fatigue, Left atrial enlargement
SMQs:, Anaphylactic reaction (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), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pirmella 1-35 Birth Control Pill
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 1 EKG, 2 View Chest X-Ray (8/17) 1 EKG, Blood Work, Cardiac Blood Work, 1 Chest X-Ray (8/18)
CDC Split Type:

Write-up: Chest pain, shortness of breath, dizziness, fatigue. Abnormal EKG signaling Left Atrial Enlargement. Emergency Room visit with similar EKG findings. Am on anti-inflammatory medication to control pain while pending an ECHO as well as a follow up with a cardiologist to bring my heart back to a healthy state.


VAERS ID: 1602881 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cyanosis, Pallor, Syncope, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Approximately 45 minutes after receiving the first dose of the Pfizer covid vaccine I entered my home and had my first syncopal episode, collapsing on the floor. About 20min after the first episode I collapsed again. Both times I had severe ringing in my ears and my husband said all color faded from my face and my lips turned blue. I laid down for a couple of hours and felt ok. For the past 6 days (days following the first dose). I have had a consistent headache as well as a stiff neck and general joint pain.


VAERS ID: 1602883 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC 3182 / 3 RA / SC

Administered by: Unknown       Purchased by: ?
Symptoms: Malaise, Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprazole, Rosuvastatin, Flovent Discus, Fluticasone Propionate Nasal Spray Fexofenadine, Guaifenesin, Calcium Orotate, Naturelo One Daily multivitamin , Vitamin D3, Coenzyme Q10, Omega-3 Fatty Acids from Fish Oil, probiotic
Current Illness: none
Preexisting Conditions: asthmatic cough, Rhinitis
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mild vertigo, nausea and malaise


VAERS ID: 1603820 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-01
Onset:2021-08-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Chills, Dyspnoea, Ear pain, Feeling abnormal, Headache, Limb discomfort, Pain in extremity, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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: None prior to vaccination. After vaccination within 30 minutes I took two Advil
Current Illness: 6 weeks prior to vaccination I was diagnosed with COVID-19. On the second day went to the hospital emergency room with a host of symptoms ie weakness severe headache joint pain ear pain shortness of breath and chills. I was given treatment and return home in isolation.
Preexisting Conditions: I''m a healthy person I take no medications. Regular doctors visits yearly was taking Covid-19 testing every two weeks for the past year at CVS always negative until 6 weeks ago.
Allergies: Allergic to Cipro
Diagnostic Lab Data: My physician prescribed antibiotics, Advil, ice pack and a Ultra sound.
CDC Split Type:

Write-up: I had all the symptoms I had with COVID-19 virus, plus a swollen arm that was hot to touch, sore and swollen. My arm was heavy and abnormal feeling.


VAERS ID: 1605752 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-08-15
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Mood altered, Night sweats
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Fertility disorders (broad)

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

Write-up: Unusual menstrual cycle, with symptoms that typically occur at start of cycle (cramping, night sweats, mood changes) occurring after one week of light-medium blood flow. On day 7 very heavy bleeding with painful cramps lasting 6+ hours. Very atypical before vaccine.


VAERS ID: 1605753 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-30
Onset:2021-08-15
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 UN / IM

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? 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: SHE CALLED THE PHARMACY TO INFORM ME THAT SHE DEVELOPED MULIPLE BRUSES ON HER CALF ABOUT TWO WEEKS AFTER GETTING THE VACCINE. SHE SAID SHE HAD EXPERIENCED SIMILAR REACTION FOLLOWING THE FIRST PFIZER SHOT TOO.


VAERS ID: 1609853 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939902 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cellulitis, Infection
SMQs:

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

Write-up: Error: Infection / Cellulitis (diagnosed by MD)-


VAERS ID: 1609867 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: pain and redness getting worse with time.


VAERS ID: 1617372 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye movement disorder, Impaired work ability, Nausea, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Ocular motility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Tetanus
Other Medications: Omeprazole, atorvastatin, mvi, zinc, vit d3, vit b complex, probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: Tetanus toxoid
Diagnostic Lab Data:
CDC Split Type:

Write-up: Was fine day of vaccine and morning after. Work night shift, so went to sleep around 1030am. Woke up at 3:30, turned over and started spinning. Made way to bathroom, vomited. Called for husband to help back to bed. Called in sick to work. Any movement, even just turning head caused spinning and nauseaand rapid eye movement. Lasted for around 16hours.


VAERS ID: 1617395 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Chills, Differential white blood cell count, Electrocardiogram normal, Feeling hot, Full blood count, Headache, Heart rate increased, Hyperhidrosis, Hypoaesthesia, Metabolic function test, Pallor, Tachycardia, Thyroxine free, Troponin I
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamin, 200 mm Hydroxychlorquine
Current Illness: none
Preexisting Conditions: Dermatomyositis
Allergies: Sulfa drugs, latex, prednisone, polyethelyne glycol
Diagnostic Lab Data: CBC with Differential, comprehensive Metabolic Panel TSH with Reflex Free T4, Tropnin I, Blood , EKG 12 lead All normal.
CDC Split Type:

Write-up: At 3:30 p.m. August 15, I was outside getting my grill ready to cook dinner. I felt headache and heart beating rapidly. I wear a fitbit Inspire HR. My heart rate is usually 60 bpm at rest. It was up to 87. I finished cooking, and notice heart rate now at 89BPM. I cleaned up, went inside, put dinner away. I was getting chills. Went to bed at 7:00 P.M at 11:00 P.M. my hear rate had sky rocketed to 117 to 124 BPM I was extremely hot, it felt as my blood was boiling. I was so numb, I could not get my phone to call 911. At 5:00 a.m 8/16 my alarm went off for work. I was sweating, heart rate at 117. My friend was called, she picked me up and took me Emergency room, where I was admitted for heart palpitations due to Covid 19 vaccine. After laying there, I was discharge at 7:30 a.m range with heart rate of 78 BPM. To date, 8/19/21 My heart rate is fluctuating, from 78 to 113 BPM and does not stabilize.


VAERS ID: 1617575 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053E21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Genital rash, Pain in extremity, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lumigan eye drops for glaucoma
Current Illness: none
Preexisting Conditions: none
Allergies: niacin
Diagnostic Lab Data: did not see a dr.
CDC Split Type:

Write-up: about an hour later my left lower arm started burning and pain. only lasted a couple hours, About 2 hours after the shot my back began itching and I broke out in a rash that went all over my back and down into my private areas. My back had whelps for a couple days but the rash on my back lasted 3 days. The rash around my privates is just starting to go away.


VAERS ID: 1617614 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-01
Onset:2021-08-15
   Days after vaccination:195
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Nasal congestion, Pain, Pyrexia, SARS-CoV-2 test positive, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Focalin, Viibryd, Mood stabilizer(s)
Current Illness: None
Preexisting Conditions: Depression, bipolar, anxiety
Allergies: NKDA
Diagnostic Lab Data: 12Aug2021: Abbott''s BinaxNOW COVID-19 Ag Card = tested Negative. 15Aug2021: Abbott''s BinaxNOW COVID-19 Ag Card = tested Positive.
CDC Split Type:

Write-up: In Feb2021 or Mar2021, the 33 yr old caucasian male, with a medical history of Depression, bipolar, anxiety, concomitant medications include Focalin, Viibryd, and unspecified mood stabilizers, received the COVID-19 vaccine by Pfizer in an unspecified arm. On 12Aug2021, he bought the Abbott''s BinaxNOW COVID-19 Ag Card for him and his mom, his mom tested positive for COVID-19 and he tested Negative. On 14Aug2021, in the evening, he was experiencing stuffy nose, headache, aches, and fever. On 15Aug2021, approx. 5pm EST, he took another test and tested positive, experiencing stuffy nose, headache, aches, but the fever resolved. The outcome of the events were unknown. The reporter (Registered Nurse) assessed this lack of effect and COVID-19 vaccination failure as absolutely related to the COVID-19 Pfizer vaccine.


VAERS ID: 1617627 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-14
Onset:2021-08-15
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Gingival bleeding, Gingival pain, Glossitis, Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Feeling of lips being swollen, gum sensitivity and bleeding, tongue irritation.


VAERS ID: 1617658 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Insomnia, Libido decreased, Paraesthesia, Testicular pain
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, Omega 3, Vitamin D3, Zinc, Melatonin, Shroom Tech Strong Immune System
Current Illness:
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tingling Sensation in back of neck and base of head that comes and goes randomly. Feelings of fatigue, when they do occur, feel more prevalent in this area of the neck. Was most noticeable in first few days after vaccine but still has not fully gone away. Lowered sex drive. Mild pain/soreness in testicles that comes and goes randomly. Started on 3rd day after shot, now seems to come up more regularly. Difficulty falling asleep. Was really bad the first few days after the shot but still has not fully gone back to normal.


VAERS ID: 1617679 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-06
Onset:2021-08-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Anticoagulant therapy, Bilevel positive airway pressure, Blood pressure abnormal, Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Fatigue, Fibrin D dimer, Haematemesis, Haematochezia, Malaise, Nausea, Pulmonary embolism, Renal infarct, SARS-CoV-2 test negative, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal haemorrhage (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypertension (broad), Cardiomyopathy (broad), Renovascular disorders (narrow), Respiratory failure (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Suboxone gabapentin furosemide
Current Illness: None
Preexisting Conditions: History oxycodone addiction
Allergies: NKDA
Diagnostic Lab Data: CT D Dimer
CDC Split Type:

Write-up: On 8/15/21 patient began to feel sick with malaise/nausea/vomiting gasping for air. He was driving and had to stop frequently to rest. He began to vomit blood as well as seeing blood in his stool. At one of his stops he was having trouble breathing and emergency called for him. Arrive to ER Spo2 in the 70''s. Patient required Optiflow and is still currrently on 80% 8LPM. Covid test negative. Antibotics started then stopped with CT Chest resulted Multi pulmonary emboli bilaterally as well as possible Renal infarct as well as bilateral DVT''s. Heparin drip started. Pt. continues to need Bipap and medications for BP.


VAERS ID: 1617693 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049E21A / 2 LA / IM

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

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

Write-up: Patient has had extreme nausea since getting her second dose. Said she has been gagging frequently. Patient reported adverse event to the pharmacy on 8/21/21. I suggested she see her PCP.


VAERS ID: 1620498 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Chest discomfort, Dyspnoea, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Caltrate Calcium + D3, 2 tabs every a.m.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: Ampicillin, Neosporin, Lortab Asa, and Oxycodone-actaminophen.
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: On 15 Aug 21 at approx 2000 I had tightness in the chest, shortness of breath (SOB) , mild fatigue, and muscle pain in the right shoulder, legs and back. On the 16 Aug 21 at approx 0930 while at work the symptoms got worse so I went home. My PCP who told me to go to the Emergency Room. I did not go. I stayed at home in the bed. On the 19 Aug 21 the tightness and (SOB) resolved; however, the fatigue got worse along with exhaustion, sore throat and a pounding headache. At 1500 I saw NP for clinic. He ordered Loratadine 1 x a day and Butalbital/Acetaminophen/Caff 1 q 4 hrs prn. I still have a headache.


VAERS ID: 1623295 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 052E21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Hyperhidrosis, Injection site pain
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (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: Losartan 50mg twice a day, Clonazepam 0.5mg twice a day, Omeprazole 20mg twice a day
Current Illness: none
Preexisting Conditions:
Allergies: amoxicillin, sulfur, tree nuts
Diagnostic Lab Data:
CDC Split Type:

Write-up: burning in arm with injection and for 1 hour after fatigue and sweating started 3 hours after injection and lasted for 3 days


VAERS ID: 1623372 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: Centrum Women 50+
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of breath and increased heart rate started 3 days after vaccination. Symptoms after a week, continues.


VAERS ID: 1623488 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-02-23
Onset:2021-08-15
   Days after vaccination:173
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Chest pain, Chills, Cough, Headache, Myalgia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Rapid test resulted positive on 8-16-2021
CDC Split Type:

Write-up: Felt feverish, chills, muscle aches, cough, chest pain, headache, loss of taste and smell.


VAERS ID: 1623517 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-01-13
Onset:2021-08-15
   Days after vaccination:214
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9265 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 2 RA / IM

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

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

Write-up: Hospitalized requiring oxygen, dexamethasone, remdesivir


VAERS ID: 1623781 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Impaired work ability, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: The patient self-reported the adverse event and has been experiencing stabbing left arm pain after the vaccine. The area is red and warm to the touch according to the patient. She has had to call out of work twice since receiving the vaccine.


VAERS ID: 1623880 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Headache, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site rash, Injection site warmth, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, allopurinol, lisnopril, oxybutinin
Current Illness: Continuing headache from first vaccination.
Preexisting Conditions: na
Allergies: na
Diagnostic Lab Data:
CDC Split Type:

Write-up: Toes itchy for a week, finally slowed down, fingers in injection arm were numb. extreme pain redness rash and very warn at injection site for 6 days. Headaches have intensified and are pretty much non stop since the first vaccine.


VAERS ID: 1623976 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-08-06
Onset:2021-08-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Cold sweat, Hyperhidrosis, Sleep paralysis
SMQs:, Neuroleptic malignant syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concerta (on school days only); Hydroxyzine (as needed-last taken 8/2/2021); Multivitamin gummies
Current Illness: No other illnesses
Preexisting Conditions: ADHD (Inattentive); anxiety disorder (unspecified)
Allergies: Motrin
Diagnostic Lab Data: On 8/19/2021, Pt saw his medical provider who also had an attending physician working with him that day- and who also completed a phone consult with a child neurologist while we were there. Based on the info given, they believe Pt suffered sleep paralysis and their recommended course of action at this point is to focus on good sleep hygiene and removing any stressors. We are to call back if these episodes happen again with any eye movement or twitching, tongue movements, rhythmic body movements, or loss of bowel/ urinary control.
CDC Split Type:

Write-up: Pfizer Dose 1: 7/16/2021 EW0180 Pfizer Dose 2: 8/6/2021 EW0178 My son woke on 8/15/2021 describing a weird dream and waking experience he had. It only lasted 1-2 minutes where he described a dream he was having but was starting to wake up from it. On 08/19/2021, he had an almost 10 minute episode upon waking where he could not move his body though he was awake. At first his hands were clammy and the fingers had to be pried open. Over that time he slowly began to move his fingers and toes. He was terrified. We made a doctor''s appointment that same day.


VAERS ID: 1624018 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-04
Onset:2021-08-15
   Days after vaccination:192
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1283 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dyspnoea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: RECIEVED COVID VACCINE X 2 .HOSPITALIZED WITH SOB,CHILLS FEVER . PLACED IN ICU ON HIGH FLOW O2


VAERS ID: 1624151 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017E21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphagia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Peripheral swelling, Pharyngeal swelling, Somnolence
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Hep B vaccine (unknown which formulation), May 2018 (Age: 25)- full body rash, itchiness, swelling about 16 hours post vaccinati
Other Medications: Nexplanon, loratadine
Current Illness: none
Preexisting Conditions: seasonal allergies
Allergies: Hep B vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8/15/2021 25 mins post vaccine - hard time swallowing and throat felt swollen, as if closing. Took 75 mg of diphenhydramine and water. About 1 hour later able to swallow without difficulty. 8/22/2021 mid-day felt excessive drowsiness followed by intense pain at injection site. Took a 1 hour nap and when I woke up my arm was swollen, sore, red, hot to the touch, and a few minutes became a bit itchy at the site of injection. Took diphenhydramine and used cold-pack to reduce swelling. Also moved arm, some stretches, and massaged the site to reduce soreness and increase circulation. 8/23/21 Site is still warm to the touch, sore, and red around the site of injection. It has reduced since 8/22/2021 but still present.


VAERS ID: 1624174 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-09
Onset:2021-08-15
   Days after vaccination:128
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / UNK - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Tested Positive after fully vaccinated. Case has very few symptoms and making a full recovery


VAERS ID: 1624195 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-08-01
Onset:2021-08-15
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Blood test, Chest X-ray, Chest pain, Electrocardiogram, Headache, Immunodeficiency, Myalgia, Pain in extremity, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: No
Current Illness: I have endometriosis and got my booster due to my immune system.
Preexisting Conditions: I have endometriosis and had surgery 4.5 years ago and all better ever since.
Allergies: No
Diagnostic Lab Data: EKG Chest X-ray Blood clot ruled out Blood work Covid test Etc
CDC Split Type:

Write-up: This was my third shot, my booster due to my immune system. When I left I felt the shot go through my body unlike the prior two and instantly my legs started to hurt. The next day I hurt so bad I didn?t want to move a hair on my body. The following day I drove around for work then started feeling chest pains, the chest pains continued and on 8-19-21 I got worried of having a heart attack and went to Hospital and they conducted several tests on me for hours and came back with nothing wrong with my heart, blood work, not covid, no blood clots, etc. They found nothing wrong and I am continuing to have chest pains. I also have headaches and some muscle aching but the chest pains won?t stop to the point I don?t know if I?m going to make it through this. I was fine until I got this shot and with the ER doctor running me through the ringer I now am reaching out to you.


VAERS ID: 1624562 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 091021A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocardial infarction, Stent placement
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No meds taken at time of vaccine.
Current Illness: None
Preexisting Conditions: None
Allergies: N/A
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Severe heart attack, taken to hospital. Stent surgery performed. Discharged from hospital 08-19-2021.


VAERS ID: 1628016 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-03
Onset:2021-08-15
   Days after vaccination:134
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Encephalopathy
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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

Write-up: Hospitalization for acute encephalopathy, COVDI19 8/15-8/19/2021. Treated with dexamethasone 6 mg IV daily and Remdesivir.


VAERS ID: 1628021 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Montana  
Vaccinated:2021-01-27
Onset:2021-08-15
   Days after vaccination:200
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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

Write-up: Patient presented with SOB, weakness, fatigue, and cough requiring supplemental oxygen. Tested positive for COVID on 8/21.


VAERS ID: 1628022 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Extra dose administered, Fatigue, Headache, Lymph node pain, Lymphadenopathy, Pain
SMQs:, Guillain-Barre syndrome (broad), Medication errors (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: Methotrexate, Coreg, folic acid
Current Illness: None
Preexisting Conditions: Rheumatoid Arthritis; Sjorgen Syndrome; HTN; Spleenectomy; Osteoarthritis; Osteoporosis
Allergies: NSAIDs, ASA, Bee Stings
Diagnostic Lab Data: At this point still determining on going to my MD or waiting another day to two for it go away.
CDC Split Type:

Write-up: THIRD BOOSTER SHOT Normal, chills, achy - has lasted off since then, extremely tired, lack of energy, headaches Rare - swollen lymph nodes in NECK, more so on the Left side (shot in the right arm); tender to touch and movement. 10 days later still very little energy, still achy


VAERS ID: 1628023 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-03
Onset:2021-08-15
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalization for COVID PNEUMONIA. TREATED WITH DEXAMETHASONE 6 MG IV DAILY; Remdesivir for 5 days.


VAERS ID: 1628118 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-13
Onset:2021-08-15
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA MODERNA 025C21A / 2 AR / IM

Administered by: School       Purchased by: ?
Symptoms: Blood test, Cerebral thrombosis, Cerebrovascular accident, Chest X-ray, Computerised tomogram head, Computerised tomogram neck, Laboratory test, Magnetic resonance imaging, Red blood cell sedimentation rate
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin C, Men''s 50+ multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CT scans of brain and neck, MRI, Bloodwork, EKC, Erythrocyte Sedimentation Rate, Chest X rays, etc.
CDC Split Type:

Write-up: I am a healthy, active male with no previous risk factors. I had a mild stroke on August 15, 2021. Admitted to hospital for observation. Tests revealed small blood clot in the brain. I believe there is a possible link to my Covid19 vaccination although there still has been no study I am aware of to link the two events. I encourage you to do more to find out if there is indeed a link between the vaccination and later occurring blood thickening.


VAERS ID: 1628175 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088021A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Patient had delayed hypersensitivity with a softball sized swelling and pain. Patient called it "COVID Arm."


VAERS ID: 1628200 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-30
Onset:2021-08-15
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Dyspnoea, Myocarditis, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

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

Write-up: Myocarditis Fever Chills Trouble breathing


VAERS ID: 1628208 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-02-16
Onset:2021-08-15
   Days after vaccination:180
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031M20A / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Amnesia, Blood test, Cerebral thrombosis, Cerebrovascular accident, Computerised tomogram, Echocardiogram, Echocardiogram normal, Electrocardiogram ambulatory, Magnetic resonance imaging head abnormal, Memory impairment, Scan with contrast
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Celexa; amitriptyline; vit D; fiber supplement
Current Illness:
Preexisting Conditions:
Allergies: Percocet; Keflex
Diagnostic Lab Data: MRI, blood work, CT Scan with and without contrast, echocardiogram, TEE
CDC Split Type: vsafe

Write-up: I had a memory lapse, loss of memory for an hour went to ER, they did MRI and diagnosed me with a stroke, they ruled out a cardiac event in ER but have not completely ruled out, however I''m wearing a holter monitor for a month. Doctors are ruling out if I even blood clotting disorders or if it was related to an autoimmune disease. When they did the echocardiogram I had no clots in heart. I had showering of clots in my brain.


VAERS ID: 1628375 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Immediate post-injection reaction, Injection site discomfort, Injection site reaction, Limb discomfort, Nausea, Pain in extremity, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take daily multivitamin, Vitamin D, Vitamin E, and fish oil.
Current Illness: None
Preexisting Conditions: None
Allergies: none
Diagnostic Lab Data: none.
CDC Split Type:

Write-up: Immediately following the injection I was nauseous for several hours. On 8/15 mid-day I began to experience significant discomfort in my lower legs that resembled pain from "shin splints" or pain in legs from not running in a long time. It was bothersome, uncomfortable, and about a 3/10 on the pain scale. It lasted about a day and a half. I then got a similar pain in my right forearm that was mildly painful but ached and bothered me for about 6 hours the evening of 8/16. I''ve also had a slight red, oval rash at the injection site that came about on 8/20 and lasted about two days. No pain but was mildly uncomfortable when touching.


VAERS ID: 1628455 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Gait disturbance, Headache
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Patient does report a history of "arthritis" ni her knees
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 days after the vaccine was administered, patient reports she had a noticeable in pain in her joints, particular her knes and her lower back. She also reports getting a headache. Now, 11 days post vaccination she reports that she has the headache "off and on". Instead of getting better, the joint pain has gotten gradually worse each day is now making it difficult for her to walk.


VAERS ID: 1628639 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-06-16
Onset:2021-08-15
   Days after vaccination:60
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19 pneumonia, Cardiac arrest, Catheterisation cardiac abnormal, Chest discomfort, Device occlusion, Electrocardiogram abnormal, Endotracheal intubation, Mechanical ventilation, Resuscitation, Stent placement
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt admitted on 8/15/2021 2 days ago with COVID-19 pneumonia. This morning he developed chest discomfort around 9:30 a.m. This progressed and his EKG progressed over time. He underwent a cardiac arrest and was resuscitated after 3 rounds of epinephrine, 300 mg amiodarone IV and debrillation x1. He was intubated on put on a ventilator. Pt was transferred to another Hospital via helicopter, taken emergently to cardiac cath lab. His LAB was occluded and stented. Pt continues to be inpatient.


VAERS ID: 1628642 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electrocardiogram, Full blood count, Metabolic function test, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: sore throat, negative Covid test to posterior nares.
Preexisting Conditions: no
Allergies: none
Diagnostic Lab Data: CBC, BMP, Troponin, CXR, EKG and physical exam.
CDC Split Type:

Write-up: Paresthesia of the left arm, left leg, and left side of face.


VAERS ID: 1628651 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-02
Onset:2021-08-15
   Days after vaccination:225
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Myalgia, Pain, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cholecalciferol, vitamin D3, 1,000 unit tablet
Current Illness:
Preexisting Conditions: Nervous Multiple sclerosis Musculoskeletal Osteopenia Endocrine/Metabolic Hyperthyroidism Graves disease Other Overweight(278.02)
Allergies: Clarithromycin Rash Methimazole Rash
Diagnostic Lab Data: 08/17/21 2340 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/17/21 1648 | Final result | Specimen: Swab COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/17/21 2340 COVID-19 PCR Collected: 08/17/21 1648 | Final result | Specimen: Swab
CDC Split Type:

Write-up: Muscle or body aches


VAERS ID: 1628679 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-05
Onset:2021-08-15
   Days after vaccination:222
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Headache, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sinusitis
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cyclobenzaprine (FLEXERIL) 5 mg tablet (Expired) ibuprofen (MOTRIN) 200 mg tablet metFORMIN (GLUCOPHAGE) 500 mg tablet
Current Illness:
Preexisting Conditions: Respiratory Allergic rhinitis Musculoskeletal Spondylosis of lumbar region without myelopathy or radiculopathy Endocrine/Metabolic Impaired fasting glucose Other Allergic to bees
Allergies: AmoxicillinHives / Urticaria PenicillinsHives / Urticaria Bee Venom Protein (Honey Bee)
Diagnostic Lab Data: 08/17/21 1613 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/16/21 0934 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical
CDC Split Type:

Write-up: New loss of taste or smell Congestion or running nose Headache ? Sinusitis COUGH


VAERS ID: 1628713 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Chest pain, Dizziness, Migraine, Pharyngeal swelling, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (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: Chantix and myo inositol
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: Dr won''t do them
CDC Split Type:

Write-up: Chest pains for 10 days now, swelling in my throat, migraines, dizzy stomach pains vomiting


VAERS ID: 1628716 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-02-11
Onset:2021-08-15
   Days after vaccination:185
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 2 LA / IM

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

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

Write-up: Fully vaccinated patient hospitalized with COVID-19.


VAERS ID: 1628734 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-08-11
Onset:2021-08-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Laboratory test, Rash, Rash erythematous, Rash pruritic, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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? 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: Testing scheduled for 8/26/2021.
CDC Split Type:

Write-up: Broke out in rash covering my back, neck, chest, and shoulders. Rash resembled red circular rings, ranging in sizes up to about 1 inch in diameter, splattered all over said area. The Rash was somewhat itchy. Doctor prescribed antihistamines and cortozone creams. Rash started on the back and back of neck and shoulders then as days went on it progressed to chest, front of neck and front shoulders. Other symptoms since the vaccine include headache and minor shakey hands. As of today, 8/24/21, rash has not fully resolved.


VAERS ID: 1628743 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Chest X-ray, Chest pain, Dyspnoea, Electrocardiogram normal, Hypoaesthesia, Pain in extremity, Palpitations
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: amoxicillin, pepsid, latex
Diagnostic Lab Data: EKG within normal range, waiting on chest x ray and for primary care doctor to order more tests. Will possibly be heading to the emergency room for more testing tonight.
CDC Split Type:

Write-up: Chest pain, shortness of breath, heart palpitations, pain and numbness in arms, pain in shoulders and collar bone. All symptoms began 2 days after vaccination.


VAERS ID: 1628744 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-08-07
Onset:2021-08-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1861286 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Asthenia, Hot flush, Influenza like illness
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxin 25mcg multivitamin Coq10 vitamin c b complex essential enzymes probiotics
Current Illness: none
Preexisting Conditions: none
Allergies: codeine penicillin wheat
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: extreme stomach pain still on going, feels like I am being punched in the stomach felt weak & like I had the flu, hot flashes


VAERS ID: 1628750 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-12
Onset:2021-08-15
   Days after vaccination:215
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hydroCHLOROthiazide (HYDRODIURIL) 12.5 mg tablet; nystatin (MYCOSTATIN) powder
Current Illness:
Preexisting Conditions: Respiratory; Asthma; Genitourinary; Vulval lesion; Infectious/Inflammatory Candidiasis
Allergies: NKA
Diagnostic Lab Data: 08/19/21 1441 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/18/21 2002 | Final result | Specimen: Swab from Nares. COVID-19 SARS-CoV-2 Overall Result DetectedCritical. 08/19/21 1441 COVID-19 PCR Collected: 08/18/21 2002 | Final result | Specimen: Swab from Nares
CDC Split Type:

Write-up: NO TASTE OR SMELL CONGESTION AND COUGH; Nasal Congestion; Cough.


VAERS ID: 1628797 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-16
Onset:2021-08-15
   Days after vaccination:180
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Headache, Nasal congestion, Nausea, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID 19 PCR test on 8/18/2021
CDC Split Type:

Write-up: Patient received 2 doses of the Pfizer COVID19 vaccine, dose 1 on 1/26/21 and dose 2 on 2/16/21. Patient traveled domestically by plane to another state and then by cruise ship and by plane again to return to home state (8/7/21 - 8/12/21) . Patient then became symptomatic on 8/15/21 with shortness of breath, cough, diarrhea, nausea, anorexia, dizziness, chills, fever, headache, congestion, fatigue, and low O2 levels ~85% - 89%. Patient still symptomatic as of 8/24/21 and instructed to follow up with a provider ASAP for low oxygen levels below 90%.


VAERS ID: 1628855 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 3 LA / IM
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS 9472F / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Extra dose administered, Inappropriate schedule of product administration, 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:
Current Illness:
Preexisting Conditions: None that is known
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pharmacist was giving Moderna Covid-19 Shots. Pt came in to get Shingrix shot. Prepared shot to give and inadvertently gave third dose of Covid-19 shot. Second shot of Covid-19 given on 3/3/21. Pt was about to leave then pharmacist noticed mistake. Apologized to patient, then proceeded to give Shingrix in other arm. Pt was ok with mistake and on follow-up no adverse reactions. Going forward pharmacist will use different color needle tips as to not make future mistake while giving out Covid-19 vaccinations and other vaccinations at same time.


VAERS ID: 1628874 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: California  
Vaccinated:2021-08-13
Onset:2021-08-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Diarrhoea, Headache, Malaise, Pain, Pyrexia, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: fish oil, glucosam-chondroit, vit D, probiotic Losartan, venlafaxine, triamterene, pravastatin
Current Illness: na
Preexisting Conditions: na
Allergies: na
Diagnostic Lab Data: na
CDC Split Type:

Write-up: Started with diarrhea, then severe head-ache and low grade fever. Aching body, low energy and loss of weight (~8lbs). Still feeling very sick on day 10.


VAERS ID: 1629068 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-08
Onset:2021-08-15
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Rash, Rash erythematous, Rash pruritic, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: "shingles" type rash on left leg, inner thigh. Have never had any type of rash issue like this before. Painful and tender on Sunday 8/15, swollen by the next day, then became red with bumps, which were at times mostly painful and sometimes itchy. The bumps are now sores that are red and dark. It is only on the one side of my body. Left leg. Inner thigh. I have self treated with ibuprofen, anti inflammatory and anti itch OTC creams.


VAERS ID: 1629086 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Blood pressure abnormal, Nausea, Palpitations
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: N/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Racing heart, nausea, unsteadiness on feet, elevated blood pressure


VAERS ID: 1629300 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002F21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dizziness, Headache, Lymphadenopathy, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: pt had 1st moderna vaccine on 8/14/21 L arm and reported to rx on 8/24/21 that the day after the shot she developed rash, welps, had chest pain, headache, dizziness and swollen lymph nodes. pt instructed to follow up with dr.


VAERS ID: 1629521 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-08-12
Onset:2021-08-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

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

Write-up: After 3 days of Vaccine I had 3-4 days of chills, body aches and low grade fever. Now about a week and a half later Im having continuous heart palpitations, heart racing, chest discomfort.


VAERS ID: 1632010 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 3 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash
SMQs:, Anaphylactic reaction (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe


VAERS ID: 1632018 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3181 / 1 LA / IM

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

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

Write-up: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild


VAERS ID: 1632188 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-08-06
Onset:2021-08-15
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006D21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: SARS-CoV-2 test, Streptococcus test, Upper respiratory tract infection
SMQs:, 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: None
Current Illness:
Preexisting Conditions: None
Allergies: No Known Allergies
Diagnostic Lab Data: COVID-19 (SARS CoV-2 RNA, RT-PCR) POCT rapid strep A
CDC Split Type:

Write-up: Upper respiratory infection


VAERS ID: 1632195 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-02-25
Onset:2021-08-15
   Days after vaccination:171
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 06M20A / 2 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Fatigue, Headache, Myalgia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: NONE
Allergies: Unknown
Diagnostic Lab Data: Covid 19 Rapid Antigen = Positive on 8/19/2021
CDC Split Type:

Write-up: Upon disease investigation of 8/21/21, case reported onset of symptoms on 8/15/21 which included fever, muscle aches, runny nose, new olfactory disorders, headache, fatigue, cough, diarrhea and loss of appetite.


VAERS ID: 1632253 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-29
Onset:2021-08-15
   Days after vaccination:78
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW1077 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Generalised anxiety disorder, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (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: aspirin 81 mg chewable tablet atorvastatin (LIPITOR) 20 mg tablet BD ULTRA-FINE NANO PEN NEEDLE 32 gauge x 5/32" needle carvediloL (COREG) 6.25 mg tablet cholecalciferol, vitamin D3, (VITAMIN D3) 25 mcg (1,000 unit) oral capsule cyanoc
Current Illness:
Preexisting Conditions: Nervous Trochanteric bursitis of left hip Circulatory Essential hypertension Coronary atherosclerosis Digestive Vitamin D insufficiency Obesity Gastroesophageal reflux disease Cobalamin deficiency Barrett esophagus Genitourinary CKD (chronic kidney disease) Increased frequency of urination Benign prostatic hyperplasia with urinary obstruction Musculoskeletal Primary osteoarthritis of left hip Endocrine/Metabolic Hyperkalemia Chronic hyponatremia Mixed hyperlipidemia Type 2 diabetes mellitus, with long-term current use of insulin Other Generalized anxiety disorder
Allergies: Grass Pollen ProcaineRash
Diagnostic Lab Data: POCT COVID-19 PCR
CDC Split Type:

Write-up: URI Cough


VAERS ID: 1632331 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-19
Onset:2021-08-15
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Lantus, Apidra, Vitamin D, Pantoprazole, Iron, Xanax XR, Lamicatal, Lisinopril, Rosuvastatin, Melatonin, Magnesium
Current Illness:
Preexisting Conditions: Diabetes Type 2
Allergies:
Diagnostic Lab Data: COVID-19 rapid antigen test positive
CDC Split Type:

Write-up: COVID-19 positive case 3 months after vaccination.


VAERS ID: 1632545 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-08-14
Onset:2021-08-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH QW0198 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram normal, Muscle tightness, Pain, Peripheral swelling, Pyrexia, X-ray normal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Mushrooms
Diagnostic Lab Data: Yes x-ray came back normal echocardiogram came back normal lab work came back with the elevated blood cell count
CDC Split Type:

Write-up: Shortness of breath, tight chest, chest pain, low-grade fever, swelling in the hands arms feet legs and face, body aches all over, felt like muscles were tightening in the entire body.


VAERS ID: 1633078 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: New York  
Vaccinated:2021-08-15
Onset:2021-08-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Chest discomfort, Chills, Cough, Decreased appetite, Discomfort, Fatigue, Headache, Myalgia, Nausea, Pain, Pyrexia, Sleep disorder, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Flu shot, arm pain
Other Medications: Junel FE 1/20 (oral contraceptive), multi vitamin, zinc, vitamin c.
Current Illness:
Preexisting Conditions:
Allergies: Stone fruits. Most nuts EXCEPT pistachio and cashews. Seasonal allergies.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heaviness while walking, Fatigue, Headache, Low Grade Fever, Chills, Muscle Pain, Body Aches, Loss of Apetite, Nausea, Odd symptom on day 2 and 3 was heaviness in chest and urge to cough 1-2x after taking a deep breath. On 8/23 around 11pm, had tenderness at 2 precise spots on right forearm; sensation like bruising but no discoloration. Felt like 2 tiny rice grains were in my vein. I had anxiety and couldn''t sleep, thinking they were blood clots. Will visit doctor to do ultrasound to rule out blood clot


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