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

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



Case Details (Reverse Sorted by Onset Date)

This is page 133 out of 3,524

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VAERS ID: 1356557 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Arthritis, Arthropathy, Condition aggravated, Dyspnoea, Fatigue, Feeling abnormal, Joint swelling, Mobility decreased, Pain, Peripheral swelling, Pyrexia, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta, Lyrica, Norco.
Current Illness: Chronic Back and nerve pain.
Preexisting Conditions: Degenerative disc disease, arthritis.
Allergies: None
Diagnostic Lab Data: I plan on going to my doctor nest week if my symptoms do not go away.
CDC Split Type:

Write-up: Immediate dizzyness followed by headache. Next day slight fever, fatigue, flare up of arthritis, swelling in ankles and by 3rd or 4th day, diarreha. 2nd dose had consult with on site doctor about my lingering symptoms. Doctor asked me a few questions. I already had Covid-19 back in January 14th, 2021. Doctor determined i should be fine. It got worse. I honestly felt like i had Covid-19 all over again, only worse beccause I was vomiting the next morninng. I had all the same exact symptoms that I had originally in January, only worse, besides vometing, arthritis flare up, feel like I have carpal tunnel syndrom, couldn''t do anything with my right hand for 2 days, and the swelling of ankles/feet and hands. Do not let me forget about the fatigue and shortness of breath. I feel like i have been hit by a truck. I even had the fever for 1 day. It was only around 99, however, I naturally run at 97.7, so 99 is high for me. Personally, I feel like I received the vaccine too soon after actually having Covid-19. I am just praying that this arthritis and carpal tunnel symptoms go away. Oh and the random shooting pains all through out my body. I am still having that as well and it has been 8 days since my 2nd dose.


VAERS ID: 1356565 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Confusional state, Depression, Dizziness, Dyspnoea, Hyperhidrosis, Hypoaesthesia, Myalgia, Swelling, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot triggered bad illness
Other Medications: Zoloft, birth control
Current Illness: Nons
Preexisting Conditions: Anxiety and depression
Allergies: Amoxicillin
Diagnostic Lab Data: Checked to see if throat was closing, administered benadryl and steroid
CDC Split Type:

Write-up: Shortness of breath, numbness is hand, sweats, blurred vision, headache, muscle aches, swelling, dizziness, confusion, worsened depression


VAERS ID: 1357020 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Medication error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210540229

Write-up: UNKNOWING ADMINISTRATION OF JNJ COVID-19 VACCINE FOLLOWING ONE DOSE OF MODERNA COVID-19 VACCINE DOSE; This spontaneous report received from a pharmacist concerned a 28 year old female. The patient''s weight, height, and medical history were not reported. The patient experienced rash when treated with mrna 1273 for prophylactic vaccination. The patient received covid-19 vaccine (suspension for injection, intramuscular, batch number: 205A21A,expiry: 23/JUN/2021) dose was not reported, administered on 19-MAY-2021 14:30 for prophylactic vaccination. No concomitant medications were reported. On 19-MAY-2021, the subject experienced unknowing administration of JNJ covid-19 vaccine following one dose of moderna covid-19 vaccine dose. The action taken with covid-19 vaccine was not applicable. The outcome of unknowing administration of JNJ covid-19 vaccine following one dose of moderna covid-19 vaccine dose was not reported. This report was non-serious.


VAERS ID: 1357032 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test
SMQs:, COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: COVID-19 virus test; Result Unstructured Data: Positive post vaccination
CDC Split Type: USJNJFOC20210545857

Write-up: ASYMPTOMATIC COVID-19; This spontaneous report received from a consumer (news report) via social media concerned a male of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine (suspension for injection, route of admin, and batch number were not reported) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 19-MAY-2021, the subject experienced asymptomatic covid-19. Laboratory data included: COVID-19 virus test (NR: not provided) Positive post vaccination. The action taken with covid-19 vaccine was not applicable. The outcome of asymptomatic covid-19 was not reported. This report was non-serious. This report was associated with a product quality complaint: 90000180193. The suspected product quality complaint has been confirmed to be voided (found to be duplicate record) based on the PQC evaluation/investigation performed. This case, from the same reporter is linked to 20210540460.; Sender''s Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.


VAERS ID: 1357366 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-13
Onset:2021-05-19
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Lymphocyte count, Lymphocyte count decreased, Mean cell haemoglobin, Mean cell volume increased, Neutrophil count, Neutrophil count decreased, Neutrophil count increased
SMQs:, Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CLOZAPINE; TAMSULOSIN HCL; BABY ASPIRIN; OMEPRAZOLE
Current Illness: Acid reflux (esophageal) (started the medication when he was throwing up at night after taking Clozapine); Enlarged prostate (Verbatim: Enlarged Prostate); Enlarged prostate (Verbatim: Enlarged Prostate a year and a half ago.); Schizophrenia (Verbatim: Schizophrenia, was diagnosed at the age of 17)
Preexisting Conditions: Medical History/Concurrent Conditions: Prostate surgery
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: Lymphocytes; Test Result: 12.7 %; Comments: Decreased; Test Date: 20210519; Test Name: Mean corpuscular hemoglobin; Test Result: 33.9 pg; Comments: elevated; Test Date: 20210519; Test Name: Absolute Neutrophils; Result Unstructured Data: Test Result:7.97; Comments: Elevated; Test Date: 20210519; Test Name: Neutrophils; Test Result: 10.7 %; Comments: Decreased
CDC Split Type: USPFIZER INC2021582841

Write-up: Abnormal blood work: mean corpuscular hemoglobin elevated 33.9, neutrophils decreased, 10.7, lymphocytes decreased, 12.7, and absolute neutrophils elevated 7.97, after first vaccine; Abnormal blood work: mean corpuscular hemoglobin elevated 33.9, neutrophils decreased, 10.7, lymphocytes decreased, 12.7, and absolute neutrophils elevated 7.97, after first vaccine; Abnormal blood work: mean corpuscular hemoglobin elevated 33.9, neutrophils decreased, 10.7, lymphocytes decreased, 12.7, and absolute neutrophils elevated 7.97, after first vaccine; Abnormal blood work: mean corpuscular hemoglobin elevated 33.9, neutrophils decreased, 10.7, lymphocytes decreased, 12.7, and absolute neutrophils elevated 7.97, after first vaccine; This is a spontaneous report from a contactable consumer (patient''s sister). A 61-years-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration, administered in left arm on 13May2021 11:30 (at the age of 61-years-old) as a single dose for covid-19 immunization at a clinic inside a hospital. Medical history included schizophrenia (diagnosed at the age of 17), acid reflux, enlarged prostate all ongoing and prostatomegaly: prostatic operation on Aug2020. Concomitant medications included clozapine (CLOZAPINE, for over 30 years, started in 1990s) taken for schizophrenia; tamsulosin hydrochloride (TAMSULOSIN HCL, about 2 years ago) 0.8 mg once a day taken for prostatomegaly, acetylsalicylic acid (BABY ASPIRIN, about 4 years ago);81mg once a day orally and omeprazole (OMEPRAZOLE, about 10 years ago); 40 mg once day oral all ongoing. The patient had no history of immunization, no other vaccine on same date of suspect. The patient had no other vaccine within four weeks and had no AE prior vaccination. Caller states her brother got the vaccine about 8 days ago. Caller states her brother has to get a blood test every month. Caller states he went for a blood test two days ago, and the results of his bloodwork are a little abnormal. Caller states that after the vaccine, his mean corpuscular hemoglobin, neutrophils, lymphocytes and absolute neutrophils were not in normal range. Caller states that these functions were normal, previous to his vaccine. caller states she does not know of any, and her health issues are not related to her brother''s. Caller states sometimes her brother has abnormal bloodwork because he can be anemic, such as his red blood cells, hemoglobin, hematocrit and red cell distribution width, can be abnormal at times. Caller notes the day that she looked up her brother''s results. Caller states it was the same day that he had the blood drawn and she got the results. Caller states it was late at night when she got the results. On 19May2021, the lab result of patient revealed abnormal blood work: mean corpuscular hemoglobin elevated 33.9, neutrophils decreased, 10.7, lymphocytes decreased, 12.7, and absolute neutrophils elevated 7.97, after first vaccine. Mean corpuscular hemoglobin was elevated: 33.9, normal range 25.0 to 33.0 pg. Neutrophils, decreased: 10.7, normal range 11.5 to 15.0%. Lymphocytes, decreased: 12.7, normal range 20.0 to 45.0%. Absolute neutrophils elevated: 7.97, normal range 1.50 to 7.50 k/ul. The patient underwent lab tests and procedures which included on 19May2021 lymphocyte count: 12.7 % decreased, mean cell haemoglobin: 33.9 on 19May2021 elevated, neutrophil count: 7.97 elevated, neutrophil count: 10.7 % decreased. Caller has a concern if her brother should get the second dose of vaccine. Outcome of the event was unknown. Information on lot/Batch number has been requested.


VAERS ID: 1357641 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Fatigue, Hyperhidrosis, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? No
ER Visit? No
ER or Doctor Visit? Yes
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: fever and fatigue and sweats x 9 days with development of urticaria at day 9


VAERS ID: 1357646 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-26
Onset:2021-05-19
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin Euthyrox
Current Illness:
Preexisting Conditions: High cholesterol
Allergies:
Diagnostic Lab Data: No tests or labs done. Just the office diagnosis.
CDC Split Type:

Write-up: I was diagnosed by Dr. on 5/27/2021 as having shingles. He did not communicate any connection to the virus. After researching online, I saw where there was some evidence of a connection, and to report it here. I was prescribed ValACYclovir which I began taking on 5/27/2021.


VAERS ID: 1357788 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, Cough, Ear pain, Facial pain, Headache, Injection site pain, Myalgia, Oropharyngeal pain, Pyrexia, Rhinorrhoea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Eosinophilic pneumonia (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: Biotin, Wellbutrin, Nexium
Current Illness: None
Preexisting Conditions: High Cholesterol
Allergies: Latex, shell fish
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 5/19-injection site pain, muscle aches, sore throat, (Tylenol taken every four hours) 5/20-injection site pain, muscle aches (Tylenol administered every 4 hours) 5/21- sore throat, muscle aches, low grade fever, (Tylenol taken every 4 hours) 5/22- extreme sore throat (burning sensation), ear ache, cough, headache, low grade fever, lost voice,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water) 5/23-sore throat, headache, cough,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water)5/24- sore throat, runny nose, cough, facial pain, ear ache, voice returned,(Tylenol taken, hot tea, throat lozenges, gargle with warm salt water) 5/25- persistent cough, runny nose, 5/26-dry cough, 5/27- dry cough, 5/28-dry cough, I am currently having coughing uncontrolled dry coughing fits which last a few minutes in duration.


VAERS ID: 1357809 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Paraesthesia, Peripheral coldness, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft 75mg QD
Current Illness: None
Preexisting Conditions: Covid cough (covid date Jan 10, 2021)
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hands and feet felt like the were on fire, swollen, and cold all at the same time. No fever present. Symptoms lasted 8 hours and since that date of onset, tingling in hands has been reoccurring at nighttime.


VAERS ID: 1357850 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Dyspnoea, Headache, Pain, Pyrexia, Respiratory syncytial virus test negative, Retching, Rhinorrhoea, SARS-CoV-1 test negative, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: anxiety
Preexisting Conditions: no
Allergies: not known
Diagnostic Lab Data: I was tested in 05/22 and it came back negative for sars cov 19 and other respiratory viruses
CDC Split Type:

Write-up: I got fever, severe pain in the body from the tip of the head to the toes, without exception. All this for 4 days. In this same period snot and gag, throat felt a bit clogged and I did force myself to breathe the first day. Headache, tiredness, a little diarrhea only for 2 days.


VAERS ID: 1357944 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Malaise, Pallor, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: VSS
CDC Split Type:

Write-up: C/O "not feeling well today" became unresponsive for less than 1 second, became pale was given juice, color improved and he stated he was ''stressed out prior to vaccine


VAERS ID: 1358018 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Catheterisation cardiac normal, Chest pain, Electrocardiogram ST segment depression, Electrocardiogram ST segment elevation, Electrocardiogram T wave inversion, Electrocardiogram abnormal, Fibrin D dimer increased, Full blood count normal, Myocarditis, Pain, Pyrexia, Red blood cell sedimentation rate increased, Troponin, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: methylphenidate
Current Illness: none
Preexisting Conditions: ADHD
Allergies: none
Diagnostic Lab Data: 5/21/21 CBC - nl, d-dimer elevated at 0.60, troponin 6,389, CRP 9.50, ESR 22, BNP 479 EKG Sinus rhythm , ST elevation II, III, aVF, V4-V6 and ST depression with T wave inversions V1-V2 Cardiac cath done - normal
CDC Split Type:

Write-up: Fever, body aches starting 1 day after vaccination. Progressed by day 3 after vaccination to chest pain and vomiting. Patient presented to ER and diagnosed with perimyocarditis; transferred to tertiary hospital. Required hospitalization with troponin level of $g6000. Patient required cardiac catheterization but no stenting. Required ibuprofen, colchicine, steroids.


VAERS ID: 1358112 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-13
Onset:2021-05-19
   Days after vaccination:67
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 20mg, clonidine patch 0.1mg, prn clonidine 0.1mg tab
Current Illness: none
Preexisting Conditions: none
Allergies: nkda
Diagnostic Lab Data:
CDC Split Type:

Write-up: very dizzy starting 05/19/2021 upon awakening almost one week since covid vaccine; pt switched his clonidine paltch to a new patch and put it on the same arm that received the vaccine; over the area where received his shot and within 2 hrs began to feel very sleepy and very dizzy ; went to dr yest and bp 82/58; dad to provide more info so that VAER can be done it was a new box of patches ; looked same as always ; took patch off 5/19 around 530 pm; seemed to wear off 30min later; and started to feel better and less dizzy ; and tic symptoms increased. Needed to take 0.1mg tab at bedtime to sleep next day dizziness "barely there" has been drinking approx 4 waterbottles per day and eating well


VAERS ID: 1358303 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-10
Onset:2021-05-19
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Blood pressure increased, Chest X-ray, Chills, Dizziness, Heart rate increased, Laboratory test, Malaise, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Swine Flu vaccine, I can''t remember the details, a few years ago
Other Medications: Propafenone; Telmisartin; Symbicort; Montelukast; Fluticasone Propionate Nasal Spray; Esomeprazole Magnesium; Eliquis; Cetrizine Hydrochloride; Ventolin HFA Inhaler; CardiOmega EPA; Coldwater Omega 3; Calcium; Florify; Phytomega; ProvexCV;
Current Illness: None
Preexisting Conditions: Atrial Fibrillation; Asthma; Chronic Kidney Disease Stage 3; Peripheral Neuropathy; Stroke in Right Eye; Pulmonary Hypertension
Allergies: Sulfa; Diltiazem ER; Breo; Sodium Bisulfite; Methylprednisolone; I have adverse reactions to Calcium Blockers and Beta Blockers; Dairy; Soy
Diagnostic Lab Data: Blood Work X-Rays of heart/lungs/chest Completed on 05/19/2021
CDC Split Type:

Write-up: After the first dose, I had the usual tiredness and sore arm, I took Tylenol for the arm. Two days later, I had an episode with my Afib being active (the propafenone had been managing this). After my second dose, I had chills, low grade fever, feeling generally sick, all this was normal per CDC. However, on the 19th I woke with full scale Atrial Fibrillation and my blood pressure was elevated. Both kept rising until my BP was 173/108, I was very dizzy and faint. I called 911, who transported me to Hospital ER (because my heart rate was extremely elevated and BP high). My heart rate eventually went back to normal, BP still higher than it should be. For the past week, my BP has fluctuated between being normal to being high. The past two days, it has been normal. The only explanation was a result of the 2nd vaccine as they could find no other problems in doing x-rays of my heart/lungs and blood work. It was a bit scary because high blood pressure affects my kidneys and was the cause of the stroke in my eye last year.


VAERS ID: 1358418 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-05
Onset:2021-05-19
   Days after vaccination:75
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: positive COVID PCR on 5/25/21
CDC Split Type:

Write-up: hospitalized with COVID with symptom onset of 5/19/21


VAERS ID: 1358513 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Coagulation test abnormal, Condition aggravated, Culture urine positive, Escherichia test positive, Escherichia urinary tract infection, Hypotonia, Loss of consciousness, Seizure, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations: After 1st dose for HPV - Gardasil - Increased seizures after this vaccine - when she was 12 years old
Other Medications: Seizure meds; Levothyroxine; birth control pill; loads of Vitamins: multivitamin, c, d, zinc, iron (about every three days) and magnesium.
Current Illness: She was feeling ill before the vaccine - she presented with nothing; when we had her urine tested before the vaccine and nothing was found -
Preexisting Conditions: Epilepsy; brain mal-formation; she had a stroke in utero
Allergies: Limitol - a seizure drug; use to be allergic to beets but not anymore
Diagnostic Lab Data: ER - Bloodwork -It showed that her blood wasn''t clotting right - it was below what it should have been for clotting. We were due on Monday for extended EEG (previously scheduled appt before the vaccine) and we were just released for - slight UTI - culture was found of: e-coli. They think it could be hormone related and they took her off the birth control pills. They gave her a different hormone to take now. They She was given an antibiotic.
CDC Split Type: vsafe

Write-up: She had been bleeding since May 2. We took her to Hospital Pediatric ER on Thursday, the ambulance took her in because she had a seizure on Wednesday (the Ambulance - they stabilized her that day and took her vitals and was sure she was okay - they knew we had an appt to go in the next day at 10:00 am for tests (previously scheduled); Thursday morning she had another seizure - we gave her seizure meds and she came out that - she ate breakfast after and then took her regular meds and the next thing we know ,50 minutes later, her head drop forward and her arms go completely limp and there was no response. She was breathing but she was out. I called the ambulance. And they took her in to ER. What they put in the paperwork was that she had a seizure and they wrote that she had had syncope episode - it took 20 minutes to come out of it. Which she has never had anything like that. We were in the ER for 7 hours. Was admitted to Hospital -from 24th -28th.


VAERS ID: 1358559 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Altered state of consciousness, Dehydration, Delirium, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: COVID with Hospitalization in Feb 2021
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hx of COVID in Feb 2021. Hospitalized Days 8-10 (No vent). Day 8 had high fever, dehydration, syncope and delirium. Vaccinated with dose 1 of Moderna on 5/18/2021. Next day had high fever (102.8), dehydration and altered level of consciousness. Taken to ER. Improved with IV fluid, observed and discharged. Physician does not recommend dose 2.


VAERS ID: 1358591 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: Parent wrote the wrong date of birth on the consent form. Year was modified to make the child 12 years old. Age was not verified and child received the vaccine at age 11. Parents were notified and told they cannot get child their second dose until they are 12 years old.


VAERS ID: 1358600 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, No adverse event
SMQs:, Medication errors (narrow)

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

Write-up: Client notified that they received mixed presentation of COVID vaccine. No complaints of ill effects.


VAERS ID: 1358659 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-02-02
Onset:2021-05-19
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030L20A / 2 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Condition aggravated, Cough, Dyspnoea exertional, Productive cough, Sinusitis bacterial, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Infective pneumonia (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: 4/19/2021 acute bacterial sinusitis 5/21/2021 asthma. chronic, moderate persistent with acute exacerbation
Preexisting Conditions: diabetes essential hypertension asthma OSA Hyperlipidemia Obesity BMI 49.12 kg/m x m
Allergies: Ace Inhibitors, Ceftin [Cefuroxime Axetil], Watermelon
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5/19/2021 Symptom Onset - cough, wheezing, no fever, no other symptoms noted per patient 5/24/2021 Treated with Casirivimab, Indevimab 2400 mg IV once at 240 ml/hr + epinephrine + diphenhydramine + famotidine 5/24/2021 productive cough, SOB with exertion, wheezing (on steroid) 5/26/2021 H/A, taking Ibuprofen, cough, SOB with exertion on stairs. Tussionex 5/26/2021 Z PAck


VAERS ID: 1358843 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine 2.5mg/d
Current Illness: none
Preexisting Conditions: dermatographia,
Allergies: no known drug allergies
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 10 hrs after receiving the vaccine, the patient developed a rash which then spread to the entire body with diffuse itching. There were no fever or shortness or breath , only rash and there were no symptoms of hives but patient has already a history of dermatographia and when she scratched, there were hives over the area she scratched. The Rash is improving with Zyrtec and Benadryl but still there now 11 days after the vaccine.


VAERS ID: 1359533 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

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

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

Write-up: Pt received both doses of Moderna Jan and Feb 2021 at off-site location. Pt insisted on receiving Janssen in addition for extra coverage compared to Moderna. Explained to patient that there is no current recommendation on getting both vaccines as there is no study on safety/efficacy on getting both vaccines. Pt still wanted to receive the vaccine. Because there is no contraindication of getting both vaccines and there was not clear instructions in this situation at the time (5/19), Pt received Janssen. Report is now made as soon as instructions was sent out by corporate regarding similar situations. Pt was counseled to monitor on potential side effects of both vaccines.


VAERS ID: 1359544 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Extra dose administered, No adverse event
SMQs:, Medication errors (narrow)

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

Write-up: Pt received both doses of Moderna Jan and Feb 2021 at off-site location. Pt insisted on receiving Janssen in addition for extra coverage compared to Moderna. Explained to patient that there is no current recommendation on getting both vaccines as there is no study on safety/efficacy on getting both vaccines. Pt still wanted to receive the vaccine. Because there is no contraindication of getting both vaccines and there was not clear instructions in this situation at the time (5/19), Pt received Janssen. Report is now made as soon as instructions was sent out by corporate regarding similar situations. Pt was counseled to monitor on potential side effects of both vaccines. No adverse reactions reported as of 5/28/21.


VAERS ID: 1359874 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Confusional state, Dizziness, Headache, Malaise, Nausea, Renal function test, Temporomandibular joint syndrome, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Arthritis (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: Negative for COVID-19, Kidney function heightened.
CDC Split Type:

Write-up: Headache, Malaise, Confusion, Blurred Vision, Nausea, Joint Pain, Dizziness, and TMJ flare ups. All symptoms have not subsided since the day after the 2nd vaccination shot. It has been 10-days.


VAERS ID: 1360585 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Lethargy, Pain in extremity
SMQs:, Taste and smell disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Back disorder NOS; COPD; Esophageal obstruction
Preexisting Conditions: Medical History/Concurrent Conditions: Feeling abnormal; Gallbladder removal (then they took out his gall bladder and his lungs are hanging where his gall bladder was); Lethargic (lethargic before because of my medicine); Toe operation (he had a toe operation and he could not walk); Walking difficulty (he had a toe operation and he could not walk).
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021569154

Write-up: Could not taste/ loss of taste; sore arm/Left Arm Hurts like Hell; Lethargic; This is a spontaneous report from a contactable consumer (patient himself) via a medical information team. A 67-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EW0182), via an unspecified route of administration in left arm on 18May2021 at 11:00 (at the age of 67-year-old) as a single dose for COVID-19 immunization. The patient''s medical history included ongoing COPD, ongoing bad back, ongoing esophagus blockage, toe operation (he had a toe operation, and he could not walk), he could not walk (he had a toe operation, and he could not walk), took out his gall bladder (then they took out his gall bladder and his lungs are hanging where his gall bladder was), lethargic before because of my medicine, make him loopy. Concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0171), via an unspecified route of administration in left arm on 27Apr2021 (at the age of 67-year-old) as a single dose for COVID-19 immunization. Patient''s medical history (including any illness at time of vaccination) was none. Family medical history relevant to adverse events was none. Adverse events following prior vaccinations was none. Prior vaccinations (within 4 weeks) was none. Additional vaccines administered on same date of the Pfizer suspect was none. States Dr. would know additional information for other conditions when that started. Caller states he was going next Thursday for his esophagus because something was wrong with it. Caller states last night he wasn''t swallowing because the food was stopping at his throat because of the blockage, so he drank 6 cans of Pepsi to blow it through. States on Monday, he was going for COVID test, because they won''t take him unless he has the test. Caller states last time he went to hospital for breathing, they made him suck 2 nebulizers and then he did two on his own and sat down and relaxed and he was okay after that. It was reported that, patient received both doses of the vaccine the first dose was on 27Apr2021 and the second dose was on 18May2021. Patient was lethargic on an unspecified date in 2021 and was lethargic before because of my medicine. Now patient could not taste on 19May2021, and patient have a sore arm on 19May2021. Enquired was loss of taste from the vaccine or not. Caller states yesterday, he got his second one and today he has no taste. Caller states he was also lethargic, and he wants to know if that was part of it or not. Lethargy adverse event: Caller states the lethargy was from all of the medication he was on and he has had it for a while. Caller states he doesn''t know exactly when it started. Caller states the drugs he was on make him loopy but states he has been functioning. Caller verifies it was not from the COVID Vaccine, he had it before, but he was still experiencing it. Caller states his doctor was trying to balance the drugs in him. States his primary has taken him off one and put him on half another. States when he got up this morning, he said whoa, he thought he saw blood out of his eye, but nothing was there. Caller states his doctor told him not to take the Prednisone one day and not to take another one at night. Names of Medications, NDC, Lot, Expiration: Unknown. He states a company puts his pills in a pack and he was supposed to take them, but they screwed up on this last one. Call handler asks for clarification on what he means by the screwed up on the last one and he clarifies by saying his doctor has been trying to get the right pills for him because he has COPD, a bad back, he had a toe operation and he could not walk, then they took out his gall bladder and his lungs are hanging where his gall bladder was. Left Arm Hurting like Hell adverse event: States he called some friends and they said, oh that was normal it would go away. No taste adverse event: Caller states he said what was this soda and said was in this because he couldn''t taste it and he can''t taste his cheese noodles or coke or anything he has tried to eat today. No investigation assessment. The adverse events did not require a visit to emergency room and physician office visit. No treatment medications was received for the adverse events. The events were considered as non-serious by the consumer. The outcome of the event could not taste/ loss of taste was not recovered and recovering for the other events. Follow up activities has been requested.


VAERS ID: 1360590 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Nebraska  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Pulmonary embolism
SMQs:, 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEXAPRO; SYNTHROID; TOPAMAX; TOPROL XL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Chronic kidney disease stage 3; Coronary artery disease; Migraine; Morbid obesity; Sulfonamide allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021570400

Write-up: DVT and PE; DVT and PE; This is a spontaneous report from a contactable Physician. This Physician reported that a 54-year-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot No.unknown) at single dose for COVID-19 immunisation on unknown date. Relevant medical history included Migraines, CAD, CKD III, morbid obesity, and allergy to sulfa. Relevant concomitant drugs included escitalopram oxalate (LEXAPRO), levothyroxine sodium (SYNTHROID), topiramate (TOPAMAX), metoprolol succinate (TOPROL-XL). No other vaccine was admitted in four weeks. The patient experienced DVT (deep vein thrombosis) and PE (pulmonary embolism) on 19May2021. Doctor or other healthcare professional office/clinic was visited. Emergency room/department or urgent care required. The patient was hospitalized for 2 days. Treatment therapy included anticoagulation. The outcome of events was resolving. The events were reported as serious (hospitalization and life-threatening). The patient did not have COVID tested post vaccination. Information on the lot/batch number has been requested; Sender''s Comments: The reported deep vein thrombosis and pulmonary embolism are considered unrelated to BNT162B2 vaccine. No details on the administration date of vaccine were provided. The presence of morbid obesity and chronic kidney disease (CKD) are considered possible contributory factors for the events. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1360803 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / UNK - / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Humalog, Levothyroxine
Current Illness: none
Preexisting Conditions: Type 1 Diabetes Mild Asthma Autoimmune Thyroiditis
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives started 24 hours after vaccine was administered.


VAERS ID: 1361097 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO177 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache
SMQs:

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

Write-up: Constant headache has lasted for the entire week, Very small windows of relief but headaches persist. Tylenol helps but doesn?t get rid of headache. Mostly back of the head and left side of the head.


VAERS ID: 1361164 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Electrocardiogram normal, Nausea, Orthostatic hypotension, Presyncope
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: Dizziness, presyncope with exertion, nausea, occurring daily


VAERS ID: 1361171 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-06
Onset:2021-05-19
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Foetal heart rate abnormal, Ultrasound antenatal screen abnormal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)

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

Write-up: I was 6 week pregnant at the time of my second vacine dose. My 8 week ultrasound found that the baby was probably 6 weeks and they couldn?t find a hear beat. The miscarriage was confirmed on the 28 of May.


VAERS ID: 1361451 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Headache, Heart rate increased, Musculoskeletal stiffness, Nausea, Neck pain, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Headache after both shots, neck pain after both. The chills, nausea, fever, body aches after second shot for 36 hours and starting 12-18 hours later., increased heart rate around 7-10 beats per minute on average persistent after both shots for several weeks to current day. Peak around 30 increased beats per minute. Neck pain and stiffness continued after weeks to current day.


VAERS ID: 1361803 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-12
Onset:2021-05-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Liquid vitamin supplement, ZEN herbal supplement. Vivelle Dot .75mg
Current Illness: none
Preexisting Conditions: chronic back, neck pain, IBS
Allergies: Depo Provera, Tramadol, Penicillin, Bee stings
Diagnostic Lab Data: I went to urgent care on Friday, May 28, 2021. They prescribed a topical steroid cream and an antihistimine.
CDC Split Type:

Write-up: A week after I got the vaccine I had a couple of hives on my left arm, one being on the injection site. Over the pasr 11 days the area affected with hives has grown and spread from my upper left arm to my left forearm. I don''t have hives anywhere else on my body at this time, but I am concerned about them spreading.


VAERS ID: 1362110 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Headache, Influenza like illness, Nausea, Pain
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan
Current Illness: None
Preexisting Conditions: Arthritis
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Flu like symptoms, headache, body ache, no energy, nauseous. She just started feeling better on 5/30/2021.


VAERS ID: 1362173 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-12
Onset:2021-05-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 UN / IM

Administered by: Other       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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.


VAERS ID: 1362403 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)


VAERS ID: 1362426 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 2 RA / SYR

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

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

Write-up: loss of sensation/numbness of lower left and right of face, including cheeks, upper and bottom lip, chin, and along the jaw for first 72 hours after vaccine. After that, feeling returned to cheeks with only occasional numbness for the following 48 hours, while the nose/lip/chin remained numb until 5/28/2021.


VAERS ID: 1362459 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated:1921-05-18
Onset:2021-05-19
   Days after vaccination:36526
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Dizziness, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular 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
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme dizziness, weakness, numbness/tingling in arms and legs especially right leg and foot. Bed rest and lots of fluids. As of today May 31, symptoms are clearing but still some numbness in right leg and foot.


VAERS ID: 1362677 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Chills, Confusional state, Dizziness, Fatigue, Pain, Pyrexia, Vertigo
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Night of vaccine: fever, chills, body aches for 24 hours. Fatigue, mental fog, dizzy spells, vertigo still persisting after 12 days.


VAERS ID: 1362688 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fall, Feeling hot, Loss of consciousness, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (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), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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

Write-up: PATIENT STATED SHE FELT HOT WITHIN 2 MINUTES OF VACCINE ADMINISTRATION WHILE BEING OBSERVED. IMMEDIATELY AFTER SHE LOST CONSCIOUSNESS AND FELL OVER TO THE FLOOR. SHE WAS UNRESPONSIVE AND EMT WERE CALLED. APPROXIMATELY 3 MINUTES LATER SHE REGAINED CONSCIOUSNESS BUT FELT DIZZY. SHE WAS COHERENT AND INFORMED ME SHE WET HERSELF. EMT ARRIVED AND EXAMINED HER. VITAL WERE FINE AND TOOK HER TO HOSPITAL FOR PRECAUTION AND FULL EXAMINATION.


VAERS ID: 1362804 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-09
Onset:2021-05-19
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: No.
Current Illness: No.
Preexisting Conditions: No.
Allergies: No.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pulsating tinnitus in my left ear. The tinnitus comes and goes, but it is becoming more frequent than when I first started experiencing it after the vaccine.


VAERS ID: 1362813 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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

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

Write-up: Fever 103 at 9am loss of appetite


VAERS ID: 1362820 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, X-ray
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ER visit, xray
CDC Split Type:

Write-up: Acute right knee pain the day after 2nd covid vaccine


VAERS ID: 1362826 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Disturbance in attention, Fatigue, Heart rate increased, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (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: heart beat increased after a previous flu shot
Other Medications:
Current Illness:
Preexisting Conditions: high blood pressure
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day after receiving the 1st dose of Pfizer vaccine on 5/19, my heart beat increased to 95-103 beats per minute for the entire 24 hours. I was very tired and could not focus. I also had muscle aches. Then, on 5/20, my heart beat decreased to 85 without any treatment and I felt much better.


VAERS ID: 1362829 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Incoherent, Mental status changes, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: the day after 2 nd covid shot, family called to report fever 101.3 , mental status changes, incoherence, fatigue/tiredness, was instructed to call 911/visit ER for eval/tx. was admitted at Hospital and discharged after 24 h.


VAERS ID: 1363842 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Headache, Pain in extremity
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210554619

Write-up: DIARRHOEA; PAINFUL ARM; HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 19-MAY-2021 for prophylactic vaccination. The batch number was not provided and it has been requested. No concomitant medications were reported. On 19-MAY-2021, the subject experienced painful arm. On 19-MAY-2021, the subject experienced headache. On 25-MAY-2021, the subject experienced diarrhoea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from diarrhoea, and the outcome of painful arm and headache was not reported. This report was non-serious.


VAERS ID: 1363851 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Thrombosis
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), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210554839

Write-up: BLOOD CLOT; STROKE; This spontaneous report received from a patient concerned a 46 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: 202A21A expiry: 23-JUN-2021) dose was not reported, 1 total administered on 07-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-May-2021, the patient begun to experiencing confusion and could not think straight. On 23-MAY-2021, the symptoms progressed when the patient went to the hospital. The patient was diagnosed with blood clot and had stroke. The patient was hospitalized on 23-MAY-2021 and was discharged on 26-MAY-2021. The patient was hospitalized for 3 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the blood clot and stroke was not reported. This report was serious (Hospitalization Caused/Prolonged).; Sender''s Comments: V0: 20210554839-covid-19 vaccine ad26.cov2.s-blood clot and stroke. 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: 1363938 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Arizona  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Antibody test, Therapy non-responder
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Breast cancer; Non-smoker; Pollen allergy
Preexisting Conditions: Comments: The patient had no history of drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: Antibody test; Result Unstructured Data: Negative; Test Date: 20210526; Test Name: Antibody test; Result Unstructured Data: Negative
CDC Split Type: USJNJFOC20210556839

Write-up: CONFIRMED IMMUNOLOGICAL VACCINE FAILURE; This spontaneous report received from a patient concerned a 73 year old female. The patient''s weight was 150 pounds, and height was not reported. The patient''s concurrent conditions included breast cancer, pollen allergy, non-alcoholic, and non-smoker. The patient had no history of drug abuse or illicit drug usage. The patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 203A21A, expiry: 23-JUN-2021) dose was not reported, 1 total administered on 12-APR-2021 to left deltoid for prophylactic vaccination. No concomitant medications were reported. On 19-MAY-2021 and a week after, on 26-MAY-2021, the patient did antibody testing both of which came negative (confirmed immunological vaccine failure). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed immunological vaccine failure was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210556839-COVID-19 VACCINE AD26.COV2.S- Confirmed immunological vaccine failure . This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS


VAERS ID: 1364683 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-12
Onset:2021-05-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Gingival swelling, Nasal congestion, Oral candidiasis, Palatal swelling, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

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

Write-up: Total Mouth Thrush includes swollen tongue, palate, gums..adverse event happened for 2 consecutive weeks ...stuffy nose, difficult breathing


VAERS ID: 1364723 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blister, Blood test, Chest pain, Contusion, Dyspnoea, Electrocardiogram, Incorrect route of product administration, Local reaction, Paraesthesia, Skin discolouration, Skin erosion, Skin texture abnormal
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Drug abuse and dependence (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Norvasc 10 mg, Metformin 500 mg, Latuda 60 mg,
Current Illness: None.
Preexisting Conditions: Osteoarthritis in back and knees, diabetes, asthma, overactive bladder, obstructive sleep apnea, hypertension, bipolar depression, GERD, torn meniscus in left knee, neuropathy in both legs.
Allergies: Tetracycline, Cephalexin, Latex natural rubber, Bactrim DS, Gabapentin, Iodinated contrast media, iodinated diagnostic agent, metronidazole/HCL.
Diagnostic Lab Data: As above.
CDC Split Type:

Write-up: She got her vaccine, they had her wait an additional 15 minutes. She had tingling sensation the entire time and she went home. Around 5:27 she looked at her arm, it was bruised, it felt like alligator skin, rough to touch when she touched it and started to get little blisters around it. It looks like her skin is burnt like she had been in a fire. She went to the Medical Center and they told her that it was a local reaction and outlined it with a marker, and gave her an ice pack, which seemed to make it worse. They gave her Naproxen and then she decided to leave as they didn''t do anything, and said that she said it was a local reaction and that was going to get the second vaccine. She went home so on 5/20/21 she went to Hospital. She saw DO in the ER. She had chest pain, shortness of breath and two very large blisters on her arm with fluid in it when she was seen there. She was informed that whoever gave her the vaccine did not go in far enough and that they gave her the vaccine in the tissue and not the muscle. They did EKG, and they did blood work to see that it was no blood clots or in her lymph nodes, and said that it was a severe reaction from the vaccination, and that they had never seen anything like that before. 0n 5/21/21 she went to her PCP, she drained the numerous blisters that she had on her arm, she prescribed her Clindamycin, Motrin 600 mg, a skin cream Kenalog, she also gave her some aquaphor cream as well. She does not feel that this has helped much. Even after she drained the blisters, which the fluid was clear. She has been taking numerous pictures. The blisters came back, not as large but came back. The blisters would drain when she would take a shower and it was tannish in color and she called her PCP who told her to continue to take the antibiotics. She also bought some OTC cream, and an aloe vera plant which seems to be helping. She says that the dark skin has peeled off and the skin is pinkish and raw looking, which is a large area on her arm where every bump was. She said that the area is really really bad and is embarrassed to show her arm.


VAERS ID: 1364766 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Chills, Feeling hot, Headache, Hyperhidrosis, Influenza like illness, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: General arm discomfort from injection site
Other Medications: Armpit Thyroid Levothyroxine
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: Diflucan - mild rash
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Began experiencing symptoms similar to influenza in the early morning hours of May19th, 2021. Both chills and systemic warm body temp (felt hot) as day progressed. Sweated, headache, nausea and general overall malaise. Did not take temp but suspect fever. Symptoms subsided by following day (May 20th, 2021).


VAERS ID: 1364868 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW01878 / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Pharyngeal swelling, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Undiagnosed allergies
Allergies: Unspecified period reactions to food
Diagnostic Lab Data: No lab tests were done as far as I know.
CDC Split Type:

Write-up: Patient developed swelling in her throat and tongue within the 15 minute waiting time.. Nurses at the clinic administered an Epi-pen treatment and told us to go immediately to the emergency room. Patient was examined, monitored, and treated with three different drugs. We were at the ER for approximately two and a half hours. About four hours later she complained about similar symptoms and we returned to the ER. she was again examined, monitored, and treated again with one drug. The second visit was for approximately and hour and a half.


VAERS ID: 1365015 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-15
Onset:2021-05-19
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Dizziness, Fatigue, Hypotension, Somnolence, Tinnitus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: Right ear tinnitus(from every now and then to continuous), very dizzy and hard to keep balance when moving, Sleep and tired, low blood pressure


VAERS ID: 1365118 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-17
Onset:2021-05-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache
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: Persistent headaches for 10+ days.


VAERS ID: 1365120 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-15
Onset:2021-05-19
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dry eye, Eye inflammation, Eye pain, Ophthalmological examination
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Corneal disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: back ache, sciatica
Allergies: Penicillin
Diagnostic Lab Data: 5/21 - eye exam revealed eye inflammation and given medication for inflammation
CDC Split Type:

Write-up: eye pain, dry eye


VAERS ID: 1365123 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Pruritus, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Patient developed hives with itching to left upper arm 5 minutes after receiving vaccine. Patient BP was elevated, but stable. To reduce itching and swelling, patient was given 50mg of Bendryl. Hives then spread to right arm, chest, abdomen, and then developed swelling. 9-1-1 was called. Paramedics responded and transported patient to Medical Center.


VAERS ID: 1365251 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-07
Onset:2021-05-19
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 LA / IM

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

Write-up: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.


VAERS ID: 1365265 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-30
Onset:2021-05-19
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Migraine, Vertigo
SMQs:, Anticholinergic syndrome (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: Birth Control
Current Illness:
Preexisting Conditions:
Allergies: Amoxicilin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Experienced Vertigo on 51/9 and 5/20 in the early am before waking up. Room was spinning very fast along with a slight migraine. Following week, had slight dizziness during the day upon looking up or down and when going to sleep.


VAERS ID: 1365305 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-11
Onset:2021-05-19
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / UNK LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Laboratory test, Pain in extremity, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: gerd
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ultrasound, labs
CDC Split Type:

Write-up: Complained of Right lower leg pain, sent to radiology at local hospital for Ultrasound. Ultraspund was positive for DVT. Went from Radiology to Emergency room. Started on blood thinner medication and returned


VAERS ID: 1365334 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-27
Onset:2021-05-19
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Chest pain, Dizziness, Dyspnoea, Extrasystoles
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Eosinophilic Esophagitis
Allergies: Mild allergies to tomatoes, nuts, & hops
Diagnostic Lab Data: I was out of town so no formal medical tests so far. I am planning to visit a cardiologist as soon as i can be pencilled in. My Apple Watch tells me that I have a regular sinus rhythm with no signs of atrial fibrillation and i''ve been running it daily since 5/27.
CDC Split Type:

Write-up: Would occasionally have difficulty catching my breath while not doing anything. I occasionally felt my heart flutter or it would possibly skip a beat. Mild chest pain below above the sternum but I get that feeling from my Eosinophilic Esophagitis. I''ve become more concerned recently as I almost fainted once on 5/19 while working at my computer. I''ve had two other instances of feeling faint, most recently occurring on 5/27. I historically have had no heart issues and can ski and hike all day and feel great so this recent change has been concerning. After reading articles on the covid vaccines I realized that my symptoms are similar to the heart related issues and took ibuprofen when I felt additional chest pressure. That has helped to alleviate the pressure at least.


VAERS ID: 1365357 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

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

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


VAERS ID: 1365474 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Infection, Pain, Pain in extremity, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), 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? 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: Really bad sore arm. Can''t move arm all the way up without pain. Rash under the infection it is size of a baseball. Rash burns hurts an itching. It has been like this over 2 weeks now


VAERS ID: 1365529 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-29
Onset:2021-05-19
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram, Electrocardiogram, Headache, SARS-CoV-2 test, Streptococcus test, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (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:
Current Illness:
Preexisting Conditions: ibs, constipation, high blood pressure
Allergies: sulfur
Diagnostic Lab Data: ct scan, ekg, hasn''t done either, strep, covid
CDC Split Type:

Write-up: blurred vision, headache,


VAERS ID: 1366832 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A RA / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Constipation, Flank pain, Headache, Initial insomnia, Nausea, Urinary retention
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Back pain (Back pain due to car accident a year ago.); Dislocation of vertebra
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210600288

Write-up: FLANK PAIN; INABILITY TO FALL ASLEEP; HEADACHE; NAUSEA; INABILITY TO URINATE; CONSTIPATION; This spontaneous report received from a patient concerned a 31-year-old male. The patient''s height, and weight were not reported. The patient''s past medical history included back pain due to car accident a year ago, and dislocated disc in lower back and neck. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, RA10630, expiry: unknown) dose was not reported, 1 total administered on 19-MAY-2021 for prophylactic vaccination to left deltoid. No concomitant medications were reported. On 19-MAY-2021, for the first week, patient could not sleep at all and had a headache and nausea for about 3-4 days. Then it got better. As per patient, it was easier to sleep at the time of reporting, but still a little harder to fall asleep. Patient reported that he was having constipation and urinations issues since getting the vaccine. It was not painful to go to the bathroom but it took a while. Consumer woke up on 31-MAY-2021, and had excruciating pain in the back, flank area. It was hurting when he tried to move anyway to the left and if he used to touch it. He felt like he wants to scream. Consumer did consult with his PHP regarding the inability to fall asleep and problems with constipation. He was given some sleep medications and advised to take cranberry juice. HCP (health care professional) was not aware of the flank pain that consumer had that day. He was advised to call PHP or go to urgent care to determine cause of pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache, and nausea on MAY-2021, was recovering from inability to fall asleep, and had not recovered from constipation, flank pain, and inability to urinate. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0. 20210557948-COVID-19 VACCINE AD26.COV2.S - inability to urinate. This event is considered not related. The event 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 than the drug. Specifically: MEDICAL HISTORY


VAERS ID: 1366887 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-12
Onset:2021-05-19
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012A21A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AZOPT
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20211

Write-up: Blood clot in his lung; This spontaneous case was reported by a consumer and describes the occurrence of PULMONARY THROMBOSIS (Blood clot in his lung) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012a21a) for COVID-19 vaccination. The patient''s past medical history included No adverse event (No reported medical history). Concomitant products included BRINZOLAMIDE (AZOPT) for an unknown indication. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 19-May-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PULMONARY THROMBOSIS (Blood clot in his lung) (seriousness criterion medically significant). At the time of the report, PULMONARY THROMBOSIS (Blood clot in his lung) outcome was unknown. No treatment information was provided. Action taken with mRNA-1273 in response to events was not applicable. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded


VAERS ID: 1367233 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH WE0177 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Aphthous ulcer
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: PANTOPRAZOLE 40
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021569205

Write-up: lesions on the top of her mouth/It feels like the tissue is coming off the top of her mouth; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 66-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: WE0177; Expiration Date: 31Aug2021), via an unspecified route of administration, administered in left arm on 18May2021 19:30 (at the age of 66-year-old) at single dose for Covid prevention. The patient medical history was not reported. Concomitant medication included pantoprazole sodium sesquihydrate (PANTOPRAZOLE 40mg) orally at 40mg daily for acid reflux (has been taking several years). No history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations within four weeks prior to the first administration date of the suspect vaccine. On 19May2021 (Today as reported), she developed lesions on the top of her mouth and was reported as worsened. She wanted to know if that is a normal reaction. It feels like the tissue is coming off the top of her mouth. The outcome of event was not recovered. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1367241 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Contusion, Headache, Pain, Pyrexia, Tenderness
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (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: TYLENOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021577466

Write-up: Headache; Fever; Chills; I am aching; Little tenderness in my left cap, feels like little bruise; Little tenderness in my left cap, feels like little bruise; This is a spontaneous report from a contactable consumer or other non hcp. A 55-years-old female patient received the first dose of BNT162B2 (Formulation: solution for injection; Batch/Lot Number: EW0177) via an unspecified route of administration on 18May2021 (at age of 55-years-old ) as a single dose for COVID-19 immunization. Medical history included COVID-19 in Mar2020. Concomitant medication(s) included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. On 19May2021, the patient experienced headache, fever, chills, i am aching and little tenderness in my left cap, feels like little bruise. The patient woke up this morning with the terrible headache and took 2 Tylenol in the morning then took 2 Tylenol in the afternoon. So, the patient haven''t had any Tylenol since about 2 o clock this afternoon and the patient had a fever now. The patient just didn''t expect to feel sick after the first shot, the girl who administered the vaccine asked me if the patient had COVID before and the patient had COVID in Mar 2020, so she said some people who previously had COVID experience side effects after the first shot. The patient was concerned because still (on day of reporting) had really bad headache and fever and the chills and was aching. The patient took Tylenol and went to bed, drink water. The patient also had little tenderness in left cap, felt like little bruise. The outcome of events was unknown. Information on Lot/batch number is available; Further information has been requested.


VAERS ID: 1367243 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER6955 / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Body temperature increased, Headache, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Blood pressure high (Verbatim: High blood pressure); Cerebral cavernous malformation (Verbatim: Brain angioma); Emphysema (Verbatim: Emphysema)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: temperature; Result Unstructured Data: Test Result:102.2 degrees Centigrade
CDC Split Type: USPFIZER INC2021577756

Write-up: Headache after second vaccine; Body aches, after second vaccine; Temperature, feels like she is burning up, after second vaccine; This is a spontaneous report received from a contactable consumer (Patient). A 63-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection, Lot number: ER6955) intramuscular on 18May2021 in right arm as a single dose for COVID-19 immunization. Patient''s medical history included angioma (Caller re-ports it has been years, and used to go for MRI''s, every 6 months and angioma has haemorrhaged in the past), Emphysema (It has been years and patient has one lung), High blood pressure (caller states years ago, then clarifies as 15 years ago at least) and still ongoing. Concomitant medications included high blood pressure pills, pain pills and a Vitamin D prescription. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection, Lot number: ER8729) on 17Apr2021 in left arm as a single dose for COVID-19 immunization. Patient had no Vaccinations (within 4 weeks) prior to the first administration date of the suspect vaccine. Patient had No Family Medical History Relevant to AE(s) she doesn''t have any family left, they are dead. On 19May2021, the patient experienced Headache when she woke up, about 9 am, Body aches when she woke up in the morning, Temperature of about 102.2 degrees, like it is worse, like she is burning up when she got up in the morning, after second dose of vaccine and ongoing. Patient was not visited to emergency room and physician room. Caller asks if DSU agent has any recommendations as to how she can feel better. The patient underwent lab tests and procedures which included body temperature and result 102degrees. The outcome of event was not recovered. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1367267 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-05-15
Onset:2021-05-19
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: School       Purchased by: ?
Symptoms: Rash papular, Rash vesicular, SARS-CoV-2 test
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR; DUPIXENT; CLARITIN [LORATADINE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Latex allergy (known_allergies: Latex tape)
Allergies:
Diagnostic Lab Data: Test Date: 20210515; Test Name: Covid 19; Test Result: Negative ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021583395

Write-up: Blister rash on top left wrist; red raised bumps in index and thumb; This is a spontaneous report from a contactable consumer or other non hcp reported for herself. A 54-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: not reported), via an unspecified route of administration, administered in Arm Left on 15May2021 at 10:00 as 1st dose, single for covid-19 immunisation. Medical history included asthma and rubber sensitivity (known allergies: Latex tape) from an unknown date and unknown if ongoing. Concomitant medication(s) included Singular, Dupixent and Claritin (the patient received within 2 weeks of vaccination). On 19May2021, the patient experienced blister rash on top left wrist; red raised bumps in index and thumb. Patient did not receive any treatment. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been tested for COVID-19. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 15May2021 Nasal Swab. The outcome of both events was not recovered. Information on the lot/batch number has been requested.


VAERS ID: 1367313 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 LA / -

Administered by: Public       Purchased by: ?
Symptoms: Body temperature, Headache, Insomnia, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bee sting hypersensitivity
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: Body temperature; Result Unstructured Data: Test Result:101.5; Comments: fever (101.5 at highest)
CDC Split Type: USPFIZER INC2021592675

Write-up: Insomnia for about 36 hours; fever (101.5 @ highest); body aches; headache; This is a spontaneous report from a contactable consumer (patient). A 17-years-old male patient received second dose of bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration, administered in arm left on 19May2021 at 13:30 at the age of 17 years (Batch/Lot Number: EW0173) as 2nd dose, single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications received by the patient within 2 weeks of vaccination. The patient did not diagnose with COVID-19, prior to vaccination. Medical history included allergies bee Stings. The patient''s concomitant medications were not reported. The patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in right arm on 28Apr2021 at 12:30 PM at the age of 17 years (Batch/Lot Number: ER8736) for covid-19 immunisation. On 19May2021 at 11:00 PM, the patient experienced insomnia for about 36 hours, fever (101.5 at highest), body aches and headache. The patient has not been tested for COVID-19 since the vaccination. No treatment was given for the events. The outcome of the events was reported as recovered on an unspecified date.


VAERS ID: 1367331 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / UNK LA / -

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Breast pain, Chest discomfort, Musculoskeletal chest pain
SMQs:, Anaphylactic reaction (broad), Lipodystrophy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC ALLERGY
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021593153

Write-up: felt like an anxiety attack that lasted almost 3 hours; pressure on my chest; pain on the side of my ribs; It got worst on the 3rd hour and was localized then right under my left breast; This is a spontaneous report from a contactable consumer (patient). A 37-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0187), via an unspecified route of administration, administered in Arm Left on 17May2021 at 13:15 (at the age of 37-years) as single dose for covid-19 immunization. The patient medical history included: known allergies Zytromax. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medications included cetirizine hydrochloride (Zyrtec Allergy), Bloom Protein powder, bloom collagen. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient was not pregnant at the time of vaccination. On 19May2021 at 21:00, the patient felt like an anxiety attack that lasted almost 3 hours. Patient had pressure on her chest and pain on the side of her ribs. It got worst on the 3rd hour and was localized then right under her left breast. The patient did not receive any treatment for events. Since the vaccination patient has not been tested for COVID-19. The outcome of the events was recovered on an unspecified date in May2021.


VAERS ID: 1367336 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Epistaxis, Off label use, Product administered to patient of inappropriate age, Product use issue
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arthritis (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021593230

Write-up: Very strong nosebleed; Little pain in her shoulder; Inappropriate age at vaccine administration; off label use; unapproved population; This is a spontaneous report received from a contactable consumer(mother) or other non hcp. A 15-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number was not reported) via an unspecified route of administration in Arm Left on 19May2021 12:00 (at the age of 15-years-old) as 1st dose, single dose for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within four weeks, prior to the vaccination and adverse event following prior vaccinations. Caller was a consumer (Consumer daughter) calling regarding the Pfizer Covid-19 vaccine and his daughter was the patient, who will be 16 in 2 months got the Covid-19 vaccine on Wednesday, 19May2021. Caller reported that the patient didn''t feel anything bad other than a little pain in her shoulder. Next day on Saturday, 22May2021, the patient got a very strong nosebleed in the morning. Caller stated that he doesn''t know if the patient''s nose-bleed was related to the Covid-19 vaccination and maybe it''s not related. Caller reported that the patient''s second dose of the Covid-19 vaccine is already scheduled. Caller reported that the patient strongly believes that her nosebleed was not related to the Covid-19 vaccine. Caller stated that he does not know honestly if the Covid-19 vaccine was related to the patient''s nosebleed, but he does not want the patient to get the second dose if she had this kind of reaction. Caller inquired what they should do. Caller didn''t know the patient''s exact weight. Caller declined to provide his address and that he did not have the patient''s primary care physician''s information. The patient experienced just slight pain in her shoulder later in the day on 19May2021. Caller reported that the patient was done after 2 days with the arm pain and patient got the nosebleed on the morning of Saturday, 22May2021. Caller reported that he doesn''t remember the patient having any nosebleeds in the last 5 years. Patient''s nose bled just the one time and nose stopped bleeding within half an hour and an hour later the patient felt fine. Caller reported that the patient''s nosebleed was pretty bad. The whole sink was covered in blood from the patient''s nose. Caller unable to provide product details for the patient''s Covid-19 vaccine as he does not have the patient''s vaccination information with him at time of call on 24May2021. The patient Didn''t any AE(s) require a visit to Emergency Room and Physician Office. The outcome of the very strong nosebleed, little pain in shoulder was recovered and unknown for other events. Information on lot/batch number has been requested.


VAERS ID: 1367353 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MONTELUKAST; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; VITAMINS NOS
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Seasonal allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021595133

Write-up: Lymph node swollen since 19May; This is a spontaneous report from a contactable consumer (Patient). A 12-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection) dose 1 via an unspecified route of administration in Arm Left on 18May2021 17:15 (Batch/Lot Number: EW0162; 12-years-old age at time of vaccination) as single dose for covid-19 immunisation. Medical history included asthma and seasonal allergies. Concomitant medications included montelukast and cetirizine hydrochloride (ZYRTEC) and Smarty Pants Vitamins. The patient previously took Tamiflu and experienced drug hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 19May2021 at 07:30 PM, patient had lymph node swelling. No treatment was received for event. Prior to vaccination, the patient not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of event was not resolved.


VAERS ID: 1367394 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-05
Onset:2021-05-19
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / -

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Acid reflux (oesophageal); Blood pressure high; High cholesterol
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021601833

Write-up: tiredness; headache; chills; Achy; threw up; nausea; This is a spontaneous report from a contactable consumer (patient wife) reported for her husband (patient). This is the report 2 of 2. A 61-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration in arm right on 05May2021 at 15:45(at the age of 61-years-old) as a 1st dose, single dose for COVID-19 immunisation. The patient''s medical history included high cholesterol, ongoing from an unspecified date, high blood pressure, ongoing from an unspecified date and acid reflux, ongoing from an unspecified date. It was reported that, the patient takes medications for these, but the reporter does not feel these medications are relevant. The patient''s concomitant medications were not reported. Patient took Covid-19 vaccine to prevent Covid-19 virus. No other vaccinations within four weeks prior to the vaccination. The history of all previous immunization with the Pfizer vaccine considered as suspect was reported as none. Adverse events following prior vaccinations were reported as none. The caller stated that, 14 days after receiving the first Covid-19 vaccine, the patient experienced tiredness, chills, headache, achy, nausea and he threw up when he got to work on 19May2021. Stated that, she does not have her husband''s Covid-19 vaccine record card with her at the time of the call. It was reported that, no adverse events required a visit to emergency room or physician office. The relevant lab tests and procedures included were none and no investigation assessment was reported. The outcome of the events was recovering. Follow up (25May2021): This is a Follow-up spontaneous report from a contactable consumer. This consumer(patient wife) reported for her husband (patient) included RMH, Patient details, outcome details, suspect product details, event details. Information about batch/Lot number has been requested.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021599251 same report/drug/AE, different patient


VAERS ID: 1367697 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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

Write-up: Patients mother consented patient was 12 years of age at time of vaccination. Mother states pediatrician strongly recommended vaccination due to daughter almost being 12 years of age.


VAERS ID: 1368022 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-30
Onset:2021-05-19
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram, Facial paralysis, Headache, Hypoaesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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: Synthroid 0.05 MG Montelukast 10MG Loratadine 10MG Mometasone (Asmanex HFA) 100MCG INH ProAir HFA 90MCG Inhaler 8.5GM
Current Illness:
Preexisting Conditions: Asthma GERD Hypothyroid
Allergies: No
Diagnostic Lab Data: CT Scan 19 May 2021
CDC Split Type:

Write-up: Headaches started the following day (1 May 21) treated with Advil. On May 18th developed numbness in the left side of mouth. On May 19th developed paralysis on the left side of face. Went to ER, where they diagnosed it as Bell''s Palsy. Treatment given Valacyclovir 1 gram tablet 3 times per day for 7 days. Prednisone 20mg 3 tablets once a day for 7 days. After those next treatment was methylprednisolone 4 MG DSPK pack with 40mg Pepcid twice a day and Benadryl at night


VAERS ID: 1368171 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-20
Onset:2021-05-19
   Days after vaccination:88
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM9810 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Flank pain, Haemoptysis, Pulmonary embolism
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, venous (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I26.99 - Pulmonary embolism FLANK PAIN COUGING UP BLOOD


VAERS ID: 1368195 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-12
Onset:2021-05-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site pruritus, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (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: UNK
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: N/A

Write-up: 1 week post first dose of Moderna COVID-19 vaccination - individual called to report the appearance of a local reaction at the injection site. Erythema (diameter of approximately 5 inches) and pruritis. No other symptoms. Antihistamine cream applied at the injection site on day 1. No other treatment was taken. Local reaction subsided completely within 7 day period.


VAERS ID: 1368198 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling, Menstrual disorder, Pain, Pyrexia, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Red then black mark on arm with sensitivity to touch; Age 50; 11/21/2019;Fluarix Quadrivalent;
Other Medications: Klonopin Voltaren Gel Prozac Ibuprofen-Famatodine Mobic Multivitamin Calcium Omega 3
Current Illness:
Preexisting Conditions: Chronic bilateral knee pain Anxiety Depression with anxiety Degenerative disc disease, lumbosacral Arthritis
Allergies: Ambien Cymbalta Celebrex Hydrocodone Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Day of injection: Immediate injection site swelling, redness, pain and burning. 5/20/2020 - currently: Fatigue, hot sweats, fever, body aches, chills, joint pain (fingers), ringing in ears and headaches. Menstrual cycle has also stopped.


VAERS ID: 1368226 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-14
Onset:2021-05-19
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 2 LA / SYR

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

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

Write-up: Spotting outside of my menstrual period. Light spotting since 5/19/21


VAERS ID: 1368253 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-02
Onset:2021-05-19
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / UNK - / -

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

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

Write-up: J18.9 - Pneumonia of right upper lobe due to infectious organism


VAERS ID: 1368486 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-04-16
Onset:2021-05-19
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027B21A / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood culture negative, Blood glucose increased, COVID-19, Chest X-ray normal, Chest pain, Cough, Febrile neutropenia, Headache, Hyperventilation, Neutrophil count decreased, Pain, Pancreatic carcinoma, Pulmonary embolism, Pyrexia, SARS-CoV-2 test positive, Thrombosis, Urine analysis normal, White blood cell count decreased
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (narrow), Asthma/bronchospasm (broad), Haematopoietic leukopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Non-haematological malignant tumours (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: APAP-hydrocodone 325-5 mg 1 tab PO Q4h PRN aspirin 81 mg PO QD atorvastatin 80 mg PO QD famotidine 40 mg PO QD Breo Ellipta 100-25 mcg inh QD glimepiride 2 mg PO QD guaifenesin 600 mg PO BID insulin glargine 23 units SQ HS lisinopril 30 mg
Current Illness: pancreatic cancer on chemotherapy DM
Preexisting Conditions: pancreatic cancer on chemotherapy DM
Allergies: NKDA
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: Moderna Dose 1 3/5/21 (029A21A) Moderna Dose 2 4/16/21 (027B21A) COVID Positive 5/20/21 5/20/21: Presented to ED. The patient presents with fever. 61 year old male presents to the emergency department for a fever with an onset of 1 day. Patient was diagnosed with pancreatic cancer in April 2021. Patient states he has had 2 rounds of chemotherapy but states he could not have his 3 round last week because his white count was too low. Patient is also complaining of dull chest pain that is exacerbated with deep breathing, cough, and a headache but denies vomiting, diarrhea, neck pain, dysuria, hematuria, and nausea. Patient was diagnosed with blood clots on 05/09/2021 but states that he is not having similar symptoms to when he was diagnosed with blood clots. Patient is taking Xarelto. He has never had COVID but is vaccinated. Patient sees Dr. (Name) at the UI Oncology clinic. 5/25/21: 61-year-old male on chemotherapy for pancreatic cancer, also recently diagnosed pulmonary embolism on rivaroxaban, presents with 1 day of fever. Initially, did not have any cough or shortness of breath, was admitted to the hospital, where a chest x-ray, urinalysis and examination failed to reveal an exact source of the fever. His absolute neutrophil count was less than 500, so he was admitted for neutropenic fever. Cultures were obtained. IV antibiotics started. COVID-19 was tested and, surprisingly, came back positive. The patient has actually had both of his COVID-19 vaccines and basically, does not have pneumonia, shortness of breath, or hypoxemia. We did not use any medications for COVID while in the hospital, watching for any signs of respiratory compromise, but none developed. Blood cultures were negative. He was switched from ceftazidime to doxycycline at time of discharge. Will follow up with Dr. (Name) for his next cycle of chemotherapy. Because of his COVID-19 positivity, we will not schedule any immediate followup appointments, although the patient will call if he has persistent fever, dyspnea, or signs of hypoxemia. For the past 2 days, the T- max has been 99.9, and most the time 98.6. He was seen the day of discharge, doing quite well. Blood pressure 153/80, pulse 90, regular, oximetry 95% on room air. Glucose was 210. Discharged on Rivaroxaban 15 mg b.i.d., doxycycline 100 mg b.i.d., Robitussin AC as needed for cough, Lantus 28 units at bedtime, atorvastatin 80 mg daily, aspirin 81 mg daily. The patient did get 1 dose of Neupogen 480 mcg subcu while in the hospital.


VAERS ID: 1368507 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Migraine, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: About 8-24 hours after receiving 2nd dose: Vomiting, body aches, fever, migraine, fatigue, chills; 24-48 hours after 2nd dose: severe body aches, fatigue


VAERS ID: 1368636 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1820095 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Headache, Heart rate increased, Hypoaesthesia, Myalgia, Pain of skin, Pelvic pain, Pyrexia, Sensitive skin
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Meningitis and flu
Other Medications: Multi vitamin
Current Illness: None
Preexisting Conditions:
Allergies: Gluten, dairy, egg
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bad headache 102 fever Elevated heart rate Sensitive skin like a sunburn Muscle pain Joint aching Numbness in face, hands, and feet Took benadryl, Tylenol, and caffeine. Pelvis still aches


VAERS ID: 1368794 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: New York  
Vaccinated:2021-01-20
Onset:2021-05-19
   Days after vaccination:119
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3320 / 2 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: amlodipine, losartan, insulin lispro, insulin detemir, simvastatin, Tamsulosin, acetaminophen, buspirone, dabigatran, ferrous sulfate, folic acid
Current Illness: None
Preexisting Conditions: A-fib, Anemia, Anxiety, BPH (benign prostatic hyperplasia), Coronary artery disease, Dislocation of right shoulder joint, DM (diabetes mellitus), GERD (gastroesophageal reflux disease), HLD (hyperlipidemia), HTN (hypertension), Spinal stenosis, cervical region, and Stroke
Allergies: Aspirin
Diagnostic Lab Data: SARS-CoV-2 positive on 5/19/21
CDC Split Type:

Write-up: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 1/20/21). Patient was admitted to the hospital on 5/5/21 s/p fall. Patient was being transferred to HCF on 5/19/21 and on day of discharge was found to be positive for SARS-CoV-2 (5/19).


VAERS ID: 1369058 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-04-28
Onset:2021-05-19
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (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: Aleeve, red rice yeast
Current Illness: None
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data:
CDC Split Type:

Write-up: Ringing in right ear


VAERS ID: 1369064 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Peripheral swelling, Rash, Rash erythematous, Rash pruritic
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Rash on arm- big red swollen itchy patch that started the day of the shot and has lasted almost two weeks


VAERS ID: 1369075 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-05
Onset:2021-05-19
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Pulmonary thrombosis, Surgery, Thrombosis, Vaccination complication, Vena cava filter insertion
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: patient reported a couple weeks after 1st moderna vaccine (she was unsure of date, I guessed on the first page of the report because I had to put an exact date). she began to feel short of breath. eventually went to hospital where she was diagnosed with blood clots in both the legs and lungs. she said dr is saying it was due to the vaccine and told her not to get the second dose. she stayed 5 days in the hospital according to her. had surgery to place a filter for the clots and is now home on oxygen around the clock.


VAERS ID: 1369304 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Echocardiogram, Electrocardiogram, Supraventricular tachycardia
SMQs:, Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (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: none
Preexisting Conditions: past mild asthma, not using medication for this in last couple years.
Allergies: tree nuts, cherry, pineapple
Diagnostic Lab Data: echocardiogram, EKG done by cardiologist evaluation 5/21/21.
CDC Split Type:

Write-up: SVT, supraventricular tachycardia, occurred 29.5 hours after vaccine given. pt was transferred to hospital. The arrhythmia spontaneously resolved while he was receiving care in the ED. He had a cardiology evaluation subsequently. He has had no symptoms since that time.


VAERS ID: 1370586 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-13
Onset:2021-05-19
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Aphasia, Migraine, Myoclonus, Paralysis, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MORPHINE; NORCO; VALIUM; PROPRANOLOL; HYDROXYZINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Egg allergy; Ehlers-Danlos syndrome; Food allergy; Intractable pain; Migraine; Non-epileptic seizure; Soy allergy; Traumatic brain injury
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021567681

Write-up: Nightly sleep seizures/spastic seizure lasting 5 minutes of uncontrollable myoclonus only of the left leg; Temporary, passing paralysis; spastic seizure lasting 5 minutes of uncontrollable myoclonus only of the left leg; longer aphasia (inability to speak); severe migraines; This is a spontaneous report from a contactable consumer. This 32-year-old female consumer reported that she received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot Ew0179) on 13May2021 at 02:45 PM into left arm for COVID-19 immunisation. Medical history included Hypermobile Ehlers-danlos syndrome, non-epileptic seizures, migraines, mild traumatic brain injury, intractable pain, severe food allergies. Known allergies: Wheat, gluten, eggs, soy, estrogens. Historical vaccine included 1st dose of BNT162B2 (lot Ew0171) on 22Apr2021 at 02:45 PM into left arm for COVID-19 immunisation. Concomitant drugs included Morphine, hydrocodone bitartrate, paracetamol (NORCO), diazepam (VALIUM), Propranolol, Hydroxyzine. The patient had a non-epileptic seizure disorder that was well controlled. After the second dose she began to have nightly sleep seizures, severe migraines, but am writing because of a spastic seizure lasting 5 minutes of uncontrollable myoclonus only of the left leg, with longer aphasia (inability to speak) and temporary, passing paralysis. The symptoms passed in an hour but an epileptic patient could have died. Event onset time was 19May2021 06:30 PM. No treatment was received. The outcome of the event was resolving.


VAERS ID: 1370594 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Unknown  
Location: Ohio  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Pain in extremity, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021568154

Write-up: fainted morning after shot.; Sore arm; Headache all day; tired; This is a spontaneous report from a contactable consumer reported for self. This 14-year-old patient of unspecified gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot#: Ew0177) at single dose in left arm on 18May2021 16:00 for COVID-19 immunisation. There was no medical history, no allergies. Concomitant medication within 2 weeks of vaccination included cetirizine hydrochloride (ZYRTEC). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 19May2021 07:30, patient fainted morning after shot, experienced sore arm, headache all day, tired. There was no treatment received for the events. The reporter considered report as non-serious, not resulted in death, not life threatening, not caused/prolonged hospitalization, not disabling/incapacitating, not congenital anomaly/birth defect. The outcome of events was resolving. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1370609 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Facial paralysis, Feeling abnormal, Paraesthesia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021568983

Write-up: I am freaking out and don''t want to be permanently paralyzed.; 25 min ago my left eye became slightly blurred; left side of my face and left my eye were/are tingling/the left side of my forehead/temple area started tingling; I am freaking out and don''t want to be permanently paralyzed.; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in arm left on 19May2021 (Batch/Lot number was not reported) as 2ND DOSE, SINGLE for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 dose 1 on an unspecified date for Covid-19 immunization. It was reported that the patient received her 2nd Pfizer dose, in her left arm 2 hours ago (on 19May2021) and then she noticed the left side of her face and left her eye were tingling. She stated this started about 1 hour and 40 min after receiving her 2nd vaccine dose, 25 min ago her left eye became slightly blurred and the left side of her forehead/temple area started tingling. She was freaking out and doesn''t want to be permanently paralyzed. She asked if these are expected side effects and what she should do. The outcome of the events was unknown. Information on the lot/batch number has been requested. Further information has been requested.


VAERS ID: 1370628 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure; Heart disorder; Stent placement (Has had 4 stents)
Allergies:
Diagnostic Lab Data:
CDC Split Type: PFIZER INC2021571055

Write-up: left arm breaking out in hives; left arm broke out in hives: Was in his left arm all the way into his wrist and has gotten worse; This is a spontaneous report from a contactable consumer (patient). A 53-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Right on 18May2021 at 09:05 (at the age of 53 years old)(Batch/Lot Number: EW0185) as 2ND DOSE, SINGLE for covid-19 immunization. Medical history included Heart problems, Stent Placement (Has had 4 stents), blood pressure. Concomitant medication include blood pressure pills which he takes every day (Product Name not provided). No relevant family history was reported. Facility in which the vaccine was administered was a pharmacy. Historical Vaccine includes BNT162B2 dose 1 Lot #: EW0167 on 25Apr2021 in Left Arm and experienced Allergic reaction. No other vaccines were given within 4 weeks. In the morning on 19Mar2021, The patient experienced left arm broke out in hives, left arm broke out in hives: Was in his left arm all the way into his wrist and has gotten worse. Patient stated he was worried about breaking out in hives. He has heart problems. Treatment was given for the events. Patient took some Benadryl and stated if this does not clear he is going to the Emergency Room. The clinical outcome of the events was not recovered. Follow-up attempts completed. No further information expected.


VAERS ID: 1370640 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Dyskinesia, Feeling abnormal, Heart rate increased, Hyperhidrosis, Pain, Palpitations, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Irritable bowel syndrome
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021572855

Write-up: fainted; At 3am I woke up feeling very sore; came to drenched in sweat; felt very heavy; having trouble moving my limbs and holding my head up; experienced palpitations band an elevated heart rate; experienced palpitations band an elevated heart rate; threw up; diarrhea; This is a spontaneous report from a contactable nurse (patient). A 27-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0176, expiration date not provided), 2nd dose via an unspecified route of administration, administered in Arm Left on 18May2021 14:15 at age of 27 years old as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome (IBS). The patient''s concomitant medications were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0176, expiration date not provided), 1st dose via an unspecified route of administration, administered in Arm Left on 27Apr2021 14:15 as a single dose for COVID-19 immunisation. The patient experienced ''fainted, at 3am I woke up feeling very sore, came to drenched in sweat, felt very heavy, having trouble moving her limbs and holding her head up, experienced palpitations band an elevated heart rate, threw up, diarrhea'', all on 19May2021 03:00. At 3am she woke up feeling very sore so she got up and walked to the bathroom to take some Tylenol. Before she could take any she fainted. After it passed she tried to sit up with her back against the wall and fainted again. She came to drenched in sweat and felt very heavy. She was having trouble moving her limbs and holding her head up because they felt too heavy. She also experienced palpitations band an elevated heart rate during this. Then she threw up and had diarrhea. No treatment received. The outcome of the events was recovering. The report was reported as non-serious. The patient was not pregnancy at time of vaccination. The patient had no known allergies. The patient had not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received within 2 weeks of vaccination included oral birth control. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Information on the lot/batch number has been requested.; Sender''s Comments: Based on the current available information and the plausible drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of event faint cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1370651 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EV40177 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Dizziness, Hypoaesthesia, Nausea, Near death experience, Pain in extremity, Paraesthesia, Pruritus, Tremor, Urticaria, Vaccination site reaction
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), 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: CLARITINE; BENADRYL; NUVARING
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: Seasonal allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576421

Write-up: feel like I am going to die; felt dizzy; nauseous; The burning at the injection site lasted hours; itching all over my torso to my legs; get numbness and tingling in my lower left arm; get numbness and tingling in my lower left arm; right arm started shaking to the point I struggle to use my phone with my right hand; The pain in my upper arm is getting worse; I started getting hives on my left arm; The burning at the injection site lasted hours; This is a spontaneous report from a contactable consumer, the patient. A 34-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ev40177), via an unspecified route of administration, administered on left arm on 19May2021 16:45 (at the age of 34-years-old) as a single dose for covid-19 immunization. Medical history included seasonal allergies and had known allergies to penicillin. Concomitant medications in two weeks included loratadine (CLARITINE); diphenhydramine hydrochloride (BENADRYL); ethinylestradiol, etonogestrel (NUVARING). The patient had not received other vaccine within four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 19May2021 16:00, The patient experienced "vaccine burned when it went in, immediately she felt dizzy and nauseous. The burning at the injection site lasted hours. About 3 hours after the injection she was started itching all over her torso and severe pain in her left arm muscle. About 16hours after the injection she started getting hives on my left arm and the itching spread from my torso to my legs. About 20 hours after the injection she started to get numbness and tingling in my lower left arm. My right arm started shaking to the point she struggled to use her phone with her right hand. The pain in her upper arm is getting worse. She stated that "I feel like I am going to die". The patient did not receive any treatment. Outcome of the events was not resolved. Follow up needed, further information was requested


VAERS ID: 1370654 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Disease recurrence, Dizziness, Epistaxis, Headache
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bleeding nose
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021577247

Write-up: really bad bleeding nose; really bad bleeding nose; dizzy/lightheaded; light headache; This is a spontaneous report from a contactable consumer (patient''s mother). A 13-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on an unspecified date (Batch/Lot Number: EW0185) as 1st dose, single for COVID-19 immunization. The patient''s medical history included bleeding nose. The patient''s concomitant medications were not reported. The patient experienced really really bad bleeding nose at about 2:30 and he was dizzy on 19May2021. Mother did not know that if that came with shot or he had not had bleeding nose in years. Patient with no other symptoms. He was dizzy and lightheaded and then that the bleeding nose. When probed ongoing for the adverse effect: Mother stated, Nose bleeding was almost gone but he felt light headache and dizzy. Events seriousness were provided as unspecified by reporter. No treatment received for events. Schedule date for the second shot was von 09Jun2021. The outcome of events was unknown.


VAERS ID: 1370811 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose decreased
SMQs:, Hypoglycaemia (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: NOVOLOG
Current Illness: Abstains from alcohol; Cyclic vomiting syndrome; Developmental delay; Diabetic ketoacidosis; Esophagitis; Gastrooesophageal reflux disease; Gastroparesis; GERD; Hernia hiatal; Migraine; Nonsmoker; Type I diabetes mellitus
Preexisting Conditions: Comments: The patient had No known allergies. The patient had no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data: Test Date: 202105; Test Name: Blood sugar decreased; Result Unstructured Data: Below 30
CDC Split Type: USJNJFOC20210601568

Write-up: LOW BLOOD SUGAR BELOW 30 FOR THE PAST 2 WEEKS AFTER RECEIVING THE JANSSEN VACCINE; This spontaneous report received from a parent concerned a 24-year-old white and not Hispanic or Latino female. The patient''s weight was 115 pounds, and height was 50 inches. The patient''s concurrent conditions included diabetes type I, diabetic ketoacidosis, nonsmoker, nonalcoholic, developmentally delayed, cyclic vomiting, gastroparesis, hernia hiatal, esophagitis, acid reflux, Gastroesophageal reflux disease, and regular migranes. Patient had no known allergies. The patient had no drug abuse or illicit drug usage. Patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: 23-JUN-2021) dose was not reported, 1 total administered on 18-MAY-2021 on left arm for prophylactic vaccination. Concomitant medications included insulin aspart for diabetic ketoacidosis. On 16-MAY-2021 the patient was being admitted to hospital for diabetic ketoacidosis. After receiving vaccine patient started having very low blood sugar. Patient was on daily medications of Novolog Insulin using Pump with sensor for Keto acidosis. On 19-MAY-2021, the patient experienced low blood sugar below 30 for the past 2 weeks after receiving the janssen vaccine. Laboratory data (dates unspecified) included: Blood sugar decreased (NR: not provided) as below 30. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from low blood sugar below 30 for the past 2 weeks after receiving the janssen vaccine. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210601568-COVID-19 VACCINE AD26.COV2.S- low blood sugar below 30 for the past 2 weeks after receiving the janssen vaccine. 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: CONMEDS-OTHER SUSPECT DRUGS, MEDICAL HISTORY.


VAERS ID: 1371370 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Burning sensation, Feeling hot, Pain, Pruritus, Rash, Rash erythematous, Throat irritation
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Nonexistent
Allergies: Latex, penicillin, iodine, shell fish .
Diagnostic Lab Data: Returned back to the site where received vaccine , showed them pictures of my ruses and they advised against getting 2 nd dose but said that o have to go to see my primary care . Scheduled appt to see primary care .
CDC Split Type:

Write-up: On the same day in the evening had itchy throat and felt itchy all over my body. The next morning woke up in a lot of pain . Had very red patches all over my body. They very burning a lot and felt very hot . When touching felt like there were needles in those areas . On that day had more difficulty breathing but it was not to severe . The rush got even worse the next day and spread to more places . After about 1 week of pain they stated to peel . Now 2 weeks later it is still peeling .


VAERS ID: 1371397 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-13
Onset:2021-05-19
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041B212A / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hot flush
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: Armour Thyroid, multi-vitamin, elderberry
Current Illness: None
Preexisting Conditions: Low T3 Thyroid, arthritis
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I started getting severe hot flashes many times a day on day 6 after vaccine. I am POST-menopausal, haven''t had a hot flash in at least two years and never had very many when I did. This is so severe and frequent, I had more in the first week than I''d had in my lifetime up to that point. On day 16 now (day 22 since vaccine) and still happening all the time. I may have my estrogen checked to see if any changes since last test. Would like to know how long this might last.


VAERS ID: 1371407 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Disorientation, Dizziness, Feeling abnormal, Headache, Hypoaesthesia, Magnetic resonance imaging head, Ophthalmological examination, Paraesthesia, Physical examination
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: headache, dizziness, brain fog/disorientation, tingling/numbness in extremities.


VAERS ID: 1371540 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-04-28
Onset:2021-05-19
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN0167 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN0168 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dysgeusia
SMQs:, Taste and smell 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: Multi-vitamin & Statin
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Metallic taste in mouth (for 5 weeks now).


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