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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 134 out of 3,524

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VAERS ID: 1371621 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-04-21
Onset:2021-05-19
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041B21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 2 LA / 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient under the age 18 when received her 1st and 2nd doses of Moderna COVID vaccine. No reported reactions reported to this agency.


VAERS ID: 1371767 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-14
Onset:2021-05-19
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Antinuclear antibody positive, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, C-reactive protein increased, Cardiac imaging procedure abnormal, Cardiac telemetry abnormal, Chest X-ray normal, Chest pain, Condition aggravated, Cytomegalovirus test negative, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Full blood count normal, HIV test negative, Magnetic resonance imaging heart, Mycoplasma test negative, Myocardial oedema, Myocarditis, Nausea, Red blood cell sedimentation rate normal, Respiratory viral panel, Troponin I increased, Ventricular extrasystoles, Ventricular tachycardia, Vomiting
SMQs:, Torsade de pointes/QT prolongation (narrow), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bactrim and Keflex
Current Illness: abscess on right groin
Preexisting Conditions: hypercholesterolemia 2014 - myocarditis
Allergies: None
Diagnostic Lab Data: 5/19 - Patient''s troponin at outside was 34.5. CK-MB was 41.6. CK was 523, x-ray that showed no acute process, EKG at outside hospital shows sinus rhythm with occasional PVC. Mild diffuse settle ST elevation and no PR depression. Echo: Very poor echocardiographic windows. No significant valvar dysfunction. Qualitatively normal biventricular systolic function. No significant pericardial effusion 5/21 - Patient''s troponin has been up trending from 6.07-8.92. Repeat troponin at 10 AM this morning was 5.03. RPP at outside hospital negative. CMV negative. Mycoplasma negative. HIV negative. Follow up ECHO: Acute myopericarditis. Cardiac MRI: 1. Late gadolinium enhancement pattern and edema on T2 STIR images are consistent with acute myocarditis (and other nonischemic cardiomyopathies). 2. Normal biventricular size and systolic function. 3. No significant pericardial effusion. 5/22 - troponin 2.93 Patient was found to have positive TPOG, SS-A and Sm ab
CDC Split Type:

Write-up: Patient began with substernal chest pain 8 out of 10. Patient was taken to emergency room. At the outside hospital patient was given Motrin with improvement of pain. Patient''s troponin at outside was 34.5. CK-MB was 41.6. CK was 523. CBC was unremarkable. Sed rate was 15. CRP 1.46. Patient had chest x-ray that showed no acute process. EKG at outside hospital shows sinus rhythm with occasional PVC. Mild diffuse settle ST elevation and no PR depression. Upon arrival to the floor patient had no significant pain. On telemetry patient was found to have an episode of nonsustained ventricular tachycardia. Patient denies recent cough, congestion or fevers. Patient does have 2 parents and a dog at home. Of note patient got first dose of pfizer Sars-Covid-19 vaccine on April 14. Second dose of Pfizer vaccine was given on May 14. Initial troponin i-STAT presentation was 11.03. Patient also experiencing nausea and vomiting on 5/20.


VAERS ID: 1371884 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Washington  
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 (MODERNA)) / MODERNA 007C21A / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Angioedema, Dyspnoea, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: atorvastatin 40mg PO QD, epinephrine 0.3mg/mL PRN for anaphyla
Current Illness: Hypertension, hyperlipidemia, anxiety, depression, prostatitis
Preexisting Conditions: Life-threatening allergy, hypertension
Allergies: Bean, bee venom, egg, peanut, shellfish
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to ED via ambulance at 5:00am on 5/19/2021 after experiencing difficulty breathing and facial swelling about an hour prior. The patient has experienced significant allergic reaction in the past. On arrival of EMS the patient was noted to have difficulty breathing and angioedema of the lips. Patient received epinephrine 0.3mL IM and Benadryl 25 mg IV prior to arrival. On arrival to the ED the patient was noted to have no respiratory distress, signs of urticarial skin rash, vomiting, abdominal pain or diarrhea; no noted stridor or dysphonia; patient denied difficulty swallowing. ED notes state patient possibly ingested peanut-containing food prior to reaction onset, but this was not confirmed.


VAERS ID: 1371962 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Male  
Location: Texas  
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 (MODERNA)) / MODERNA 038C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Mental status changes
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad)

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

Write-up: I think it was the patient''s wife that told me that after the patient had his COVID vaccine, his mental status decreased. He wasn''t able to add or subtract, thought they were moving, but they weren''t moving. He has had symptoms for 2 weeks and getting worse. She told me that the doctor is doing a brain scan, not sure if patient has had a stroke.


VAERS ID: 1372563 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: California  
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 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac disorder
SMQs:

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

Write-up: - Strong side effect the day of the vaccination and the day after. - Hospitalized due to possible heat attack and diagnozed with possible inflamation close to the heart or minor blood clots.


VAERS ID: 1372761 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Oregon  
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 - / UNK - / IM

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

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

Write-up: SYNCOPE within an hour


VAERS ID: 1372920 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
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 EW0177 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Feeling hot, Hyperhidrosis, Joint swelling, Musculoskeletal chest pain, Neuralgia, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C, Claritin, Calcium, omega 3 (did not take on 5/19), cur cumin (did not take on 5/19).
Current Illness: None
Preexisting Conditions: Vertigo episodes, low blood pressure
Allergies: Sulfa based antibiotics, Amoxicillin, raglan (metoclopramide), doxycycline. Nuts, seafood, latex, fruit from trees (apples, nectarines, oranges, bananas), tomato, avocado, soy, dairy, eggs,
Diagnostic Lab Data: No tests.
CDC Split Type:

Write-up: 5/19 - Left side body pain. Nerve pain. localized to rib area. 5/20 - Left side body pain. Nerve pain. localized to rib area. Took some curcumin at lunch and pain went away for 5-7 hours and returned in the evening. 5/21 - In addition to left side nerve pain, woke up with right leg nerve pain. Localized to side of my right leg. Just a couple inches above the knee on the external side of my leg. I took curcumin at lunch and then again in the evening. Pain went away completely for my left side and my right leg. 5/21 - Elevated temperature. I would periodically break out into a sweat and then it would go away. I took my temperature and found it was slightly elevated. I normally run 97.5 or so. It was 98.9 when I took it. It would pass quickly (but it would happen if I was just sitting and working). 6/2 - Ankle swelling. Both left & right ankles swollen. Slept with legs elevated. It has been warm, but I have never had a problem with swollen ankles. 6/3 - Swelling was reduced on both ankles when I woke up on 6/3. As the day went on, left ankle is swollen. Right ankle is fine.


VAERS ID: 1373113 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Confusional state, Echocardiogram abnormal, Ejection fraction decreased, Haemorrhagic cerebral infarction, Ischaemic cerebral infarction
SMQs:, Cardiac failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypertension
Preexisting Conditions: Hypertension untreated.
Allergies:
Diagnostic Lab Data: Pt had an echocardiogram with Ejection fraction of 20 percent. Pt had this ischemic stroke a day after getting his second Moderna. He appeared to have an ACUTE ichemic left cerebral infact which bleed seconary a day after having the Covid shot.
CDC Split Type:

Write-up: Pt had second Moderna Covid shot. On May 18th, One day later started to become confused. I saw him on May 20. He was confused, no headache. He had a large acute left Cerebral ischemic infarct. Three was an overlying 2.6 X 2.2 CM hemorrhagic infarct. Blood pressure was elevated at 170/130, I controlled blood pressure with Cardene drip.


VAERS ID: 1373708 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Diarrhoea, Headache, Myalgia, Nausea, Pain in extremity, Pyrexia, Vaccination site swelling, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (if covid prior vaccination: yes)
Allergies:
Diagnostic Lab Data:
CDC Split Type: PFIZER INC2021575779

Write-up: muscle pain; joint pain; headache; fever; injection site swelling; nausea; diarrhea; vomiting; arm pain; This is a spontaneous report from a contactable consumer reported for himself. A 45-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 19May2021 (at age of 45 years old) 09:00AM (Lot Number: EW0179) as 1st dose, single for covid-19 immunisation. Medical history included covid-19, No known allergies. The patient''s concomitant medications received within 2 weeks of vaccination were none. The patient experienced muscle pain, joint pain, headache, fever, injection site swelling, nausea, diarrhea, vomiting and arm pain, all on 19May2021 11:00 PM, no treatment received for events, and patient was not recovered from events. Adverse events result in Congenital anomaly or birth defect and Seriousness criteria reported as Congenital anomaly/birth defect (pending clarification). Prior to vaccination, the patient was diagnosed with COVID-19, Since the vaccination, the patient has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No follow-up attempts possible. No further information expected.


VAERS ID: 1373718 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-03-15
Onset:2021-05-19
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 1 RA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LISINOPRIL; LOVASTATIN
Current Illness: Blood pressure high
Preexisting Conditions: Medical History/Concurrent Conditions: Food allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576469

Write-up: Post menopause bleeding; This is a spontaneous report from a contactable consumer (Patient). A 55-year-old non-pregnant female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Right on 15Mar2021 (Batch/Lot Number: EP7534) as single dose for covid-19 immunisation at the age of 55-year-old. Medical history included ongoing high blood pressure, Allergies shrimps. Concomitant medications included lisinopril and lovastatin. The patient experienced post menopause bleeding on 19May2021 with outcome of not recovered. No treatment received for the event. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine, was not diagnosed with COVID-19 prior to vaccination and hasn''t been tested for COVID-19 since the vaccination. Information about lot/batch number was available. Additional information has been requested.


VAERS ID: 1373719 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-16
Onset:2021-05-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MOTRIN [IBUPROFEN]; TYLENOL; IBUPROFEN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Menstrual cramps
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021576478

Write-up: itchy; hives all over her body/welts/Multiple whelps; This is a spontaneous report from a contactable nurse (patient''s mother). A 15-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 16May2021 (at the age of 15-years-old) (Lot Number: EW0161) as single dose for covid-19 immunisation. Medical history included mensuration cramps. Concomitant medications included ibuprofen (MOTRIN) taken for mensuration cramps; paracetamol (TYLENOL) taken for mensuration cramps; ibuprofen taken for mensuration cramps. She was taking Motrin and Tylenol. Motrin was 200mg and she was taking, she didn''t start Motrin until Wednesday, that would have been 18th and in 24hr. On Tuesday she took 400mg Motrin for the whole day and Yesterday she took about a 1000mg of Motrin in the 24 hour period. So she took it may be 3 times, so each pill is 200mg. She had her period and she was getting mensuration cramps, so that''s why she was taking it. It''s a gel cap. The Tylenol she was taking, she took on Wednesday that would have been the 17th she was taking Tylenol, so she was taking about a 1000mg coz they are 550mg per tablet and she was taking two times, may be three times. The patient received first of the vaccine on 16May2021. Last night 19May2021 around 11pm she was very itchy with hives/welts but then went away. Then at 4am extremely itchy on thighs stomach back, and then again today on wrist as well on thighs, stomach and back, down to her knees. She had been taking Benadryl and Zyrtec. She also got her period on 16May2021 and had been taking mostly TYLENOL and some ibuprofen. She usually took MOTRIN during her period and had no problems. The nurse stated "My daughter took the Pfizer vaccine on Sunday, 16May2021 and last night 19May2021 she developed multiple whelps, hives all over her body, her abdomen, her legs, very itchy and it still continued on today. Now, she''s 15, I have not taken her to doctor but I do plan to do that tomorrow but since you have a calling number for adverse reaction then I''m thinking this might be a delayed reaction to the vaccine, I''m not sure. Does that spell familiar?" Nurse stated "I have given her Benadryl and Zyrtec, only 25mg she got one last night that may be 5 in the morning and then she took another one about an hour ago 25mg. Two Benadryl 25 & 25 today and last night and she took one Zyrtec. The Benadryl is in 25mg tablet orally. She took Zyrtec now, she took one its 10mg oral." The outcome of the events was not recovered. For Causality, Nurse stated, "That''s what I''m thinking. She has not taken anything out of the normal, that the only thing I can think of. It could be."


VAERS ID: 1373930 (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: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Rash, Tongue disorder
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (remembers having no taste then.)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021634763

Write-up: diarrhea about every 30 minutes; rash on legs; circles over tongue, looks shinny, looks like no taste buds there; This is a spontaneous report was received from a contactable consumer (patient). A 30-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: not reported), via an unspecified route of administration on 19May2021 as 1st dose, single dose for COVID-19 immunisation. The patient''s medical history included COVID in Dec2020 and remembered had no taste then. The patient''s concomitant medications were not reported. On 19May2021, the patient experienced diarrhoea about every 30 minutes since then and experienced a rash on legs, which was getting better. The patient also had circles over tongue, looks shiny, looks like no taste buds there, but did have taste. The patient was recovering from the event rash on legs and outcome of rest of the events was unknown. Information on the lot/batch number has been requested.


VAERS ID: 1374325 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 AR / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: HPV vaccine age 24
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Generalized itching with eczematous rash which has persisted for 2 weeks so far.


VAERS ID: 1374362 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Syringe issue, Underdose
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: PCN
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client presented for second dose Moderna. After inserting syringe into arm, needle and syringe "exploded" apart and vaccine went all over client and nurse despite being tightened before insertion. Client was revaccinated per their request without incident. Syringe used was Magellan 3 ml , 25 G x 1 " Lot #028609


VAERS ID: 1374423 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Feeling abnormal, Pruritus, Rash, Skin burning sensation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Dementia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-Vitamin; Vit C; Vit D3; Fish Oil; B12; Probiotic; L-Tyrosine/caffeine /Yohimbine -Supplements for fat burning combo; DHEA and melatonin; Apple Cider Vinegar pills
Current Illness: no
Preexisting Conditions: auto-immune - Cheilitis Granulomatous - last time I had treatments for that was 2010 - collection of granuloma cells - lower half of face (usually) - had injection in lips
Allergies: aspirin products - possibly anaphylaxis; Macrobid - broke out in full body hives
Diagnostic Lab Data: no
CDC Split Type: vsafe

Write-up: I went to the gym - I did a shoulder and chest day at the gym about 3 or 4 hours after the vaccine. Everything was normal. At 04:00 the next day, I was at the gym and I was about to change my clothes - and I felt this wave of anxiety which is very unusual for me. I took off my top to change and I had a full body rash - it was everywhere and hadn''t been there an hour before. It was a histamine response that I was perceiving as anxiety. I was about 7 minutes from an ER, so I went to the Medical Center- nothing was swelling and I was able to breathe. They gave me two mls of Benadryl - they gave me a shot in the "tush." The other "cheek" got a steroid (but not prednisone) dexamethasone, I think. They also gave me Pepcid orally. Told to take Pepcid twice a day for 5 days. They gave me steroid - oral prednisone - three tablets - once a day for three days (20 mg). It stopped the allergic reaction. It was a miserable week or so. The next day, I did my cardio - I had such a bloom of hives on armpits - fire and itching at the same time. I did no physical exercise for about three days. Then I went back to my regular activities. I tolerated what was going on (I was exacerbating the symptoms) but the allergy was done. Every day it got better. At two weeks, I was totally fine. I have returned to all my regular activities.


VAERS ID: 1374443 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Headache, Hypoaesthesia, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Pain in extremity, Scan with contrast
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: valsartan, asthma inhalers, protonix
Current Illness: None
Preexisting Conditions: hypertension, gerd, asthma
Allergies: NKDA
Diagnostic Lab Data: MRI Brain without contrast 5/20/21 and MRI Lumbar Spine with contrast 5/22/21 both unremarkable.
CDC Split Type:

Write-up: Severe headache and excruciating low back and bilateral leg pain, numbness in both legs


VAERS ID: 1374462 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW-0187 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Heart rate increased, Loss of personal independence in daily activities
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rapid heart rate. Resting rate of 120 to 130 beats per minute for at least 2 days. Then 100 to 110 for another 2 days. After 2 weeks still having trouble with normal activities. Heart beat feels different and I get weak whenever moving quickly for example doing laundry or cleaning the house.


VAERS ID: 1374552 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-12
Onset:2021-05-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Constipation, Pain
SMQs:, Retroperitoneal fibrosis (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D, Rosuvastatin, Arnuity
Current Illness: None.
Preexisting Conditions: None.
Allergies: Penicillin.
Diagnostic Lab Data: Cat Scan
CDC Split Type:

Write-up: I started getting constipation around May 17th, and felt really backed up. I started getting sorer progressively each day and on Wednesday night, the pain was so bad that I checked into the hospital. They found that I had acute appendicitis and removed it on the 21st of May.


VAERS ID: 1375794 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Breast pain, Breast tenderness, Confusional state, Diarrhoea, Dizziness, Erythema, Fatigue, Headache, Heavy menstrual bleeding, Hyperhidrosis, Muscle spasms, Pain, Pain in extremity, Premenstrual syndrome, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Lipodystrophy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Paxil, 20 mg QD
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: my healthcare provider is ignoring me. i have an appt with immunology on June 7, 6 pm.
CDC Split Type:

Write-up: 3 hours after injection, developed profuse sweating on neck in air conditioned room followed by hives on neck and chest, itching, pain. was advised to take benadryl. fell asleep within one hour. Hives reoccured every day for one week. I still have redness and bumps. 12 hours after injection, developed very sore arm, pain with range of motion, headache which resolved with Motrin, fatigue-slept 18 hours. 3 days after injection developed diarrhea which is still occuring 3 weeks after. developed severe PMS 2 weeks earlier than usual which has never happened. Breasts not just tender-they hurt. terrible cramps, which i never get. bleeding through super ultra tampon every 45 minutes which has never happened. Unable to exercise because of dizziness and fatigue. I typically exercise 5 days per week including jogging, hiking, resistance training. today, June 3, I became very confused and felt like my brain wasnt sending signals to my body. I cannot remember what I needed to do 5 minutes ago. I went to fill up my sink to do dishes and poured water on the counter instead of drain, I poured coffee in my eye.


VAERS ID: 1375840 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-14
Onset:2021-05-19
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Fibrin D dimer normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, chlorthalidone, fluticasone nasal spray, latanoprost, metoprolol tabs, naproxen
Current Illness:
Preexisting Conditions: HBP, allergic rhinitis, arthritis
Allergies: Irbesartan, dust mite, grass, ragweed, trees
Diagnostic Lab Data: D-dimer was normal
CDC Split Type:

Write-up: more short of breath since


VAERS ID: 1375995 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Intervertebral disc degeneration, Magnetic resonance imaging abnormal, Pain in extremity
SMQs:, Retroperitoneal fibrosis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: CLL DMII h/o CVA HTN
Allergies: None
Diagnostic Lab Data: Workup including MRI showed degenerative disc disease
CDC Split Type:

Write-up: Severe back and leg pain


VAERS ID: 1376441 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial pain, Headache, Hypoaesthesia, Injection site pain
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Hearing impairment (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: Site: Pain at Injection Site-Mild, Systemic: Bell''s Palsy-Mild, Systemic: Headache-Mild, Additional Details: Patient noticed the numbing on her left side of the face the next morning after her vaccination. Her face was numb to touch, had moderate to severe pain on her jaw and face only on the left side. Patient took tylenol to help with the pain and it helped a little bit but the symptom lasted for two days. Patient is fully recovered now and is worried about whether she should get the second dose.


VAERS ID: 1376512 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2021-05-14
Onset:2021-05-19
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / IM

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

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

Write-up: Began having intermittent chest pain approximately 5 days after covid 19 vaccine. Also chest pain with deep breath. Slight fatigue. No other symptoms. Resolved after 4-5 days. Was seen by Pediatrician on 05/25. Vitals and assessment normal. Chest pain had resolved at that time.


VAERS ID: 1376638 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-17
Onset:2021-05-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis
SMQs:

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Appendicitis and Appendectomy


VAERS ID: 1376684 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Adverse event following immunisation, Chills, Haemoglobin normal, Haptoglobin normal, Headache, Immune thrombocytopenia, Immunoglobulin therapy, Lethargy, Night sweats, Petechiae, Platelet count decreased, Platelet transfusion, Prothrombin time prolonged, Pyrexia, Thrombocytopenia, White blood cell count increased
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No prescriptions. No over-the-counter medications. No drugs. Standard multivitamin, Vitamin C, and Vitamin D supplements (less than daily).
Current Illness: None.
Preexisting Conditions: None.
Allergies: No known food allergies. Strong seasonal grass and tree pollen allergy. Mild to moderate dermatographia. Had a reaction to Meningitis vaccine when I was 18 years old, which caused my upper lip to swell excessively. (Treated with steroids at the time.)
Diagnostic Lab Data: PLATELET COUNTS (10^3/uL) - 2 on May 19 (~4pm urgent care) - 5 on May 19 (~9pm emergency room) - 13 on May 20 - 17 and 18 on May 21 - 49 on May 22 - 96 on May 23 (discharged from hospital later that day) - 170 on May 25 - 243 on May 28 - 234 on Jun 2 TREATMENT (PATIENT REPORTED; YOU SHOULD CONFIRM WITH DOCTOR) - May 19/20: Steroids (70mg IV), intravenous immune globulin (IVIG, 0.5G/KG), 1st Platelet Transfusion - May 20: Steroids (70mg IV), intravenous immune globulin (IVIG, 1.0G/KG) - May 21: Steroids (70mg IV), 2nd Platelet Transfusion - May 22: Steroids (70mg IV), intravenous immune globulin (IVIG, intended to be 1.0G/KG but stopped halfway per hematologist when my latest platelet count came in at 49) - May 23: Steroids (70mg IV) - Post-Discharge: Prednisone (1x daily oral). Started at 70mg. Now at 50mg. Decreasing in 5mg or 10mg increments every few days per doctor''s orders. PTT (seconds) - 56 on May 19 (4pm urgent care) - 63 on May 19 (9pm emergency room) - 27 on May 28 HAPTOGLOBIN (mg/dL) - 135 on May 20 - 129 on May 28 HEMOGLOBIN (g/dL) - 14.3 on May 19 (4pm urgent care) - 14.6 on May 23 (date of discharge) - 14.5 on May 28 WHITE BLOOD COUNT (K/uL) - 5.3 on May 19 (4pm urgent care) - 7.7 on May 23 (date of discharge) - 12.1 on May 28 (I am told this is elevated due to the steroids)
CDC Split Type:

Write-up: I received my second dose of the Pfizer / BioNTech COVID-19 vaccine on Tuesday, May 18, 2021 at 1:53pm EDT. Many of the "typical" or "expected" side effects commenced about 12 hours later, including chills, night sweats, a slight fever (99.5), and headache and lethargy the following day. Nothing was particularly off-putting until the afternoon of Wednesday, May 19, 2021, when I noticed small red spots on my legs and feet. A Google search suggested petechiae and enough cause for me to go to a nearby urgent care clinic. The petechiae were present on both legs and feet (and eventually a few spots on my hands), though a little more pronounced on the left side (with one noteworthy cluster on my left leg). I had no apparent gum bleeding or bruising (maybe one bruise, but the urgent care doctor thought it was there beforehand). The doctor at the urgent care clinic confirmed petechiae and ran stat blood work for return that night. At ~9pm EDT on Wednesday, May 19, 2021, I received a phone call from the urgent care''s centralized lab informing me that my platelet count was 2 (10^3/uL) -- dangerously low, with risk of spontaneous bleeding and in the worst case scenario brain hemorrhage -- and my PTT was 55.6 seconds. They told me to report to an emergency room immediately, the nearest of Medical Center. The diagnosis was eventually Immune Thrombocytopenia (ITP). Every physician I''ve encountered has felt that the occurrence one-day post-vaccination points to the vaccine as the cause. (For what it''s worth, I do not think any of the doctors or nurses I encountered had never seen a platelet count so low. Most of them said as much.) My discharge papers officially note as the diagnoses: petechiae, thrombocytopenia, and adverse effect of vaccine. I have included details related to my platelet count, treatment course, and other figures below (and am happy to provide corroborating information where appropriate). The doctors did not run any d-dimers, PF4 HIT ELISA, or fibrinogen tests, and no imaging was performed, presumably because I did not present with any signs of simultaneous clotting (e.g., TTP or VITT). They''ve also told me that my haptoglobin and hemoglobin levels were normal (see below), which I am told helps support the notion that there was / is no clotting or "red blood cell breakdown." Search terms: decreased platelet count, immune thrombocytopenia, ITP, severely low platelet count, low platelets, petechiae, idiopathic thrombocytopenic purpura, immune thrombocytopenic purpura, vaccine-induced immune thrombocytopenia, vaccine-induced ITP


VAERS ID: 1376734 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial pain, Headache, Hypoaesthesia, Injection site pain, Pain in jaw
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Hearing impairment (broad), Osteonecrosis (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: Site: Pain at Injection Site-Mild, Systemic: Bell''s Palsy-Mild, Systemic: Headache-Mild, Additional Details: Patient noticed the numbing on her left side of the face the next morning after her vaccination. Her face was numb to touch, had moderate to severe pain on her jaw and face only on the left side. Patient took tylenol to help with the pain and it helped a little bit but the symptom lasted for two days. Patient is fully recovered now and is worried about whether she should get the second dose.


VAERS ID: 1377111 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-29
Onset:2021-05-19
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / -

Administered by: Private       Purchased by: ?
Symptoms: Audiogram, Computerised tomogram normal, Deafness, Deafness neurosensory, Hypoaesthesia, Tinnitus
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No known
Current Illness: None
Preexisting Conditions: None
Allergies: No known
Diagnostic Lab Data: Audiogram 6-5-2021
CDC Split Type:

Write-up: Patient received Moderna dose #1 on 3-28-2021 and Moderna dose #2 on 429-2021. I do not have the immunization location or injection site information. He developed right side facial numbness, right side tinnitus and hearing loss on 5-19-2021. He was evaluated at Hospital ER where a CT of Head was apparently normal; I do not have access to this report. No medication was given and he was discharged from the ER. He present to our (ENT) office on 5-6-2021. At this time he reports right side tinnitus and right side subjective hearing loss. He no longer had facial paresthesia. His ENT/Neuro exam was normal. An audiogram was performed and right sensorineural hearing loss was noted, the acoustic reflexes were consistent with the SNHL. He was administered high dose Prednisone


VAERS ID: 1377126 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aggression, Blood pressure increased, Brain operation, Cerebral thrombosis, Cerebrovascular accident, Condition aggravated, Confusional state, Decompressive craniectomy, Dysstasia, Facial paralysis, Fall, Feeling abnormal, Hemiparesis, Hypertension, Impaired quality of life, Intracranial pressure increased, Mental status changes, Movement disorder, Neurological symptom, Reduction of increased intracranial pressure, Sensory disturbance, Thrombosis
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (narrow), Hypertension (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), 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? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations: First vaccine, she felt dizzy and fell and knocked over the dog bowl and not able to get up for a while. She was always feeling
Other Medications: Vitamin D2, Meloxicam, Amlodipine, Atorvastatin, Metoprolol, Omeprazole.
Current Illness: None.
Preexisting Conditions: High blood pressure, high cholesterol, acid reflux.
Allergies: None.
Diagnostic Lab Data: As above.
CDC Split Type:

Write-up: She got her vaccine, she wasn''t feeling good right there and didn''t know what it was going to progress to. She then at 2:00 AM the next morning she rolled out of the bed and fell to the floor and got stuck between the bed and was not able to stand up, and crawled down 14 stairs and then couldn''t move. She could not tell him why she couldn''t and she was not able to stand up (large women). Her husband did not see any signs of stroke. They called his son and noticed that her face was sagging and he said that it looked like a stroke. They called the paramedics and they sent her to hospital and she was flown to Clinic and diagnosed with a stroke. She had surgery and they tried to remove the blood clot and her blood pressure went high and they cut a huge part of her skull to remove the pressure, but not able to remove the clot that he is aware of. She is in rehab right now, and it''s not really showing any signs of promise. She has a lot of stroke symptoms of being combative and she has a blood clot that has moved to her arm as well. She had 6 blood clots on her brain when they went into it, and now has blood clots in each arm. She is aware of her surroundings to some degree and thinks that she is somewhere else and feels like she has wet herself. Her husband said that the rehab does not look promising. She is still in the hospital and they are having a meeting tomorrow regarding how long they feel she may be there. She has very little headway in rehab. She cannot move her left side, hand or leg. She is able to move her right side though. Husband feels it has destroyed her life and it will be a miracle if she comes out of it.


VAERS ID: 1377157 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Laboratory test normal, Nausea, SARS-CoV-2 test negative, Stool analysis normal
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prozac, magnessium, vit b2,
Current Illness: none
Preexisting Conditions: none
Allergies: contrast dye, phenergan, benedryl, pcn
Diagnostic Lab Data: 2 COVID TEST, LAB WORK, AND STOOL SAMPLE, ALL WERE NEGATIVE
CDC Split Type:

Write-up: NAUSEA, DIARRHEA FOR 3 WEEKS NOW


VAERS ID: 1377706 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-16
Onset:2021-05-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK - / IM

Administered by: Work       Purchased by: ?
Symptoms: Headache, Sleep disorder, Stress
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: Daily headache that started 3 days after vaccination. Patient self treated with daily Tylenol 500mg Q8H for 2 weeks. No concerning neurological findings on exam. Discussed addressing stress patient reported and sleep disturbance patient reported.


VAERS ID: 1377937 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Guanfacine 3mg , Vyvanse 30mg, OTC Allergy meds (1x daily)
Current Illness: None
Preexisting Conditions: None
Allergies: Many environmental allergies. Trees, grasses, etc. Don''t have a list. Slight numbing of tongue from cherries, kiwi
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash formed on chin, jaw area. Reddish in color. Small and blotchy. Noticeable to him, but not painful or irritating. Also, appeared on his chest up to 10 days after. Nothing else in his life had changed...no new detergent, bed sheets, etc.


VAERS ID: 1378137 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products
SMQs:, Medication errors (narrow)

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

Write-up: Person received the Pfizer vaccine as their COVID vaccine on 2/02/21. They came in seeking their second dose at a Moderna clinic, 78 days after their first dose. The medial provider onsite suggested they get the Moderna vaccine and complete the second dose of Moderna. They then received their first dose of Moderna on 4/21 and second dose on 5/19/21.


VAERS ID: 1378404 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-18
Onset:2021-05-19
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042B21A / 2 - / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Adverse event, Blood creatinine abnormal, Blood culture negative, Computerised tomogram head normal, Culture urine negative, Malaise, Mental status changes, Pneumonia, Pneumonia bacterial, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: Diabetes Mellitus, Coronary Artery Disease
Allergies: NKA
Diagnostic Lab Data: Head CT ruled out CVA, Blood and Urine Cultures -no growth ever
CDC Split Type:

Write-up: Hospital Course: Patient was admitted to the medical floor with altered mental status, placed on empiric Rocephin/Zithromax for presumptive bacterial pneumonia. It was later revealed that he received his 2nd Moderna COVID19 vaccination on 5/18, having recovered from COVID19 in Dec 2020. This certainly raises the question as to if his symptoms are related to immune-response to the vaccine. He certainly seems to think so, based on timing of his symptoms and being in his usual state of health prior to getting it. Nonetheless, he is being treated initially for presumptive straightforward community acquired pneumonia. Quite unexpectedly, within 24 hours of his abrupt decompensation, he has returned to baseline. Off O2, mental status sharp and at baseline, no further fevers. This rapid improvement confirms suspicion that his presentation is likely adverse effect/immune mediated response to the 2nd COVID vaccine (Moderna). He became acutely ill within 24 hours of vaccine and resolved almost exactly 48 hours afterwards. Creatinine has returned to baseline 1.9-2.0 after IV fluids. Cultures remain negative.


VAERS ID: 1378529 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-16
Onset:2021-05-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Burning sensation, Chills, Fatigue, Injection site pain, Injection site rash, Pain, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 137mcg
Current Illness: None
Preexisting Conditions: Repetitive strain injury in arm Hypothyroidism
Allergies: Codeine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Left arm presented with what appears to be a broken blood vessels in squiggly line rash appearance. The area is mildly sore if she presses or lays on it. She believes that this is due to the vaccine itself. She also reported burning, which she may feel is just her imagination. Lastly, she reported weakness which she is unsure if it''s due to her repetitive arm injury or the vaccine. Patient reported chills, fever, body aches, and extreme fatigue for 3 days which gradually improved and were gone by the 4th day.


VAERS ID: 1379002 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site erythema, Injection site swelling, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)

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

Write-up: Patient''s arm was swollen with raised red area surrounding injection site. Patient''s arm was fixed/stiff and only had movement in her fingers. Patient was referred to see a doctor.


VAERS ID: 1381045 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Dyspnoea, Fatigue, Headache, Malaise, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: fever; Result Unstructured Data: Test Result:100 +
CDC Split Type: USPFIZER INC2021577282

Write-up: shortness of breath; Fever 100 +; left arm pain; malaise/feel sick; headache; feel sick and tired; This is a spontaneous report from a contactable other Health Professional (patient). A 62-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration, administered in Arm Left on 18May2021 14:45 (Batch/Lot Number: Unknown) at the age of 62-year-old, as 1st dose, single for covid-19 immunisation. Medical history included covid-19. Prior to vaccination, the patient was diagnosed with COVID-19. There were no concomitant medications. The patient previously received other Pfizer vaccine (unspecified name) on 27Apr2021 administered in left arm for immunisation. The patient experienced shortness of breath, fever 100 +, left arm pain, malaise, headache, feel sick and tired on 19May2021. No treatment was taken for adverse event (AE). Since the vaccination, the patient has not been tested for COVID-19. The outcome of events was recovering. Information about 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 shortness of breath 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: 1381055 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Diplopia, Disorientation, IVth nerve paralysis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IBUPROFEN
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 INC2021580961

Write-up: I woke up disoriented; I had severe double vision; loss of balance; severe nausea; diagnosed a 4th nerve palsy of my left eye; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EW0176), via an unspecified route of administration at the age of 43-year-old administered in arm left on 18May2021 10:30 AM at single dose for covid-19 immunisation. Medical history was reported as none. Prior to vaccination, the patient wasn''t diagnosed with COVID-19. The patient''s concomitant medications included ibuprofen received within 2 weeks of vaccination. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0176), at the age of 43-year-old at the arm left on 27Apr2021 01:30 PM for COVID-19 immunisation. The patient had his second dose of the Pfizer COVID vaccine at 10:30am on 18May2021. By 2:30am on 19May2021, he woke up disoriented and realized that he had severe double vision resulting in loss of balance and severe nausea. A 19May2021 visit with his primary care doctor diagnosed a 4th nerve palsy of my left eye. This was confirmed by a 19May2021 visit to an ophthalmologist. It is now 21May2021 and nothing has improved and an MRI (Magnetic resonance imaging) was pending. The adverse events result in Doctor or other healthcare professional office/clinic visit. Facility where the most recent COVID-19 vaccine was administered in Pharmacy or Drug Store. Since the vaccination, the patient hasn''t been tested for COVID-19. The outcome of events was not recovered.


VAERS ID: 1381080 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chills, Dyspnoea, Headache, Retching, Tremor, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LISINOPRIL; NICOTINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Blood pressure high; COPD; COVID-19 (prior to vaccination); Stroke (Prior history of stroke)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021582532

Write-up: Vomiting; dry heaves; difficulty breathing; weakness; shaking; headache; chills; This is a spontaneous report from a non-contactable consumer (patient). A 70-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 intramuscular on 18May2021 13:00 (Lot number unknown as not available/provided to reporter at the time of report completion) as 2ND DOSE, SINGLE DOSE for covid-19 immunization, at facility as "pharmacy or drug store". The patient''s medical history included High Blood pressure (BP), Chronic obstructive pulmonary disease (COPD), Prior history of stroke (not ongoing). The patient was diagnosed with COVID-19 prior to vaccination (not further specified). There was no known allergies. Concomitant medications (other medications received within 2 weeks of vaccination) included lisinopril, nicotine pills, blood thinners, and inhaler for COPD. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Historical vaccine included first dose of bnt162b2 intramuscular on 27Apr2021 (at the age of 70-year-old) (Lot number unknown as not available/provided to reporter at the time of report completion) for covid-19 immunization. On 19May2021 13:00, the patient experienced Vomiting and dry heaves, difficulty breathing, weakness, shaking, headache, chills. Per the patient, the events were serious as requiring hospitalization. No resulting in death, life threatening, disabling/incapacitating, nor congenital anomaly/birth defect. The events resulted in Emergency room/department or urgent care visit. The patient was not sure if treatment was received for the events. The outcome of the events was recovering. It was unknown if the patient has been tested for COVID-19 since the vaccination. No follow-up attempts are possible; Information about batch number cannot be obtained.


VAERS ID: 1381106 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021583628

Write-up: fainted; This is a spontaneous report received from a contactable consumer. A 12 years old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 19May2021 (at age of 12 years old, Lot Number: EW0172) as a single dose for covid-19 immunization. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient vaccinated after 4 minutes experienced fainted on 19May2021. The reporter asked if he qualifies for second dose or not recommended. The outcome of the event was unknown.


VAERS ID: 1381121 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster, Lymphadenopathy, Neuropathy peripheral, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety depression; Drug allergy (Cephalosporins allergy)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021584974

Write-up: shingles; Rash on right arm started to appear; Swollen lymph node above left collar bone/ swollen lymph nodes in right groin and right armpit; neuropathy; This is a spontaneous report from a contactable consumer (patient). A 30-year-old non-pregnant female patient received second dose of BNT162B2 (Lot Number: ER8736), via an unspecified route of administration, administered in left arm on 18May2021 at 09:30 AM at age of 30-year-old as single dose for covid-19 immunisation. Medical history included anxiety and depression, Cephalosporins allergy. The patient previously received first dose of BNT162B2 (Lot Number: EW0170), via an unspecified route of administration, administered in left arm on 27Apr2021 at 09:30 AM at age of 30-year-old as single dose for covid-19 immunisation. Concomitant medication included welbutrin 300mg long acting. Facility where the most recent COVID-19 vaccine was administered was pharmacy or drug store. The patient didn''t 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. The patient was diagnosed with neuropathy on 19May2021 at 7:00 AM (1 day after the vaccine), swollen lymph node above left collar bone on 20May2021 (2 days after the vaccine), swollen lymph nodes in right groin and right armpit on 21May2021 (day 3 after the vaccine), rash on right arm started to appear on 22May2021 (4 days after the vaccine), shingles on 23May2021 (5 days after vaccine). The adverse event resulted in Doctor or other healthcare professional office/clinic visit. Treatment received for the adverse event included Valacyclovir 1gm tabs twice daily (2x daily). The outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.


VAERS ID: 1381292 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal distension, Abdominal hernia, Lymph node pain, Lymphadenopathy, Lymphoedema, Nausea, Pyrexia, Ultrasound scan
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sinus infection (10 years years ago and that was to get an antibiotic for a sinus infection.)
Allergies:
Diagnostic Lab Data: Test Date: 20210528; Test Name: Ultrasound; Result Unstructured Data: Test Result:Unknown result
CDC Split Type: USPFIZER INC2021634605

Write-up: Lymph node swelling. It started on his left side then it spread all over; Nausea; Fever; Lymphedema in some areas; believes the vaccine went into his lymph node/lymph system instead of the muscle tissue in his arm; ER doctor believed the caller had a hernia due to the swelling in the lower abdomen; ER doctor believed the caller had a hernia due to the swelling in the lower abdomen; This is a spontaneous report from a contactable consumer, the patient. A 45-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0182; Expiration Date: Aug2021, NDC number: unknown) via an unspecified route of administration, administered in left arm on 19May2021 at 13:00 as 2ND DOSE, SINGLE DOSE for COVID-19 immunization. Medical history included sinus infection in 2011 (for which he visited a doctor 10 years ago to get an antibiotic). Other than that, he was healthy. Patient had no family history. The patient''s concomitant medications were not reported. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8735; Expiration Date: 31Jul2021) via an unspecified route of administration, administered in Arm Left on 28Apr2021 13:00 as 1ST DOSE, SINGLE DOSE for COVID-19 immunization. Patient had no problems after first dose. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. 6 hours after vaccine, the left side blew up. About 12 hours after the second shot in the middle of the night, patient had the initial reaction and pretty normal side effects (little nausea and fever). Patient had a lymph node inflammation/swelling, which was severe on his left side including his arm pit, down his side, even down into his groin. The reaction died down after about 2 days but spread to rest of the body. On 28May2021, Friday of last week (about 10 days later), everything just blew up. Every one of his lymph nodes went crazy. So many were down in his groin area, the lymph nodes blew up so badly. It was putting enough pressure in that region, it was cutting off circulation to his manhood. Patient had to go to the hospital around 1:00AM. Patient was diagnosed finally at 04:56 and clarified it to be an emergency room visit. Patient was seen in the ER for about 3-4 hours. He was never actually admitted into the hospital. ER doctor believed that patient had a hernia due to the swelling in the lower abdomen. Patient did not know all the tests that were done in the ER. When patient mentioned the swelling that cut off the circulation to manhood, the ER doctor had them ultrasound his manhood, but the doctor never actually listened to the patient. The doctor basically did not want to hear that there were any problems with the vaccine. Patient felt that administration led to lymph node reaction. Instead of sitting in arm for a couple of days or going into a fatty or muscle tissue, vaccine went into the lymph system and now his lymph system was going crazy. He believed this one time when the person jabbed the COVID vaccine in and squeezed the plunger, it put the product right into a lymph node and all of it right into the lymph system. Patient never had a lymph node problem. Patient still had severe lymph node problems. Patient was getting lymphedema in some areas. The only reaction that was abnormal was the extreme lymph node swelling. Outcome of the events was unknown. Investigation Assessment: Yes


VAERS ID: 1381353 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Poor quality product administered, Product temperature excursion issue
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210611759

Write-up: TEMPERATURE EXCURSION AND VACCINE ADMINISTERED; TEMPERATURE EXCURSION; This spontaneous report received from a pharmacist concerned a 21 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, batch number: 1821286, and expiry: UNKNOWN) dose was not reported, administered on 19-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-MAY-2021, the subject experienced temperature excursion and vaccine administered. On 19-MAY-2021, the subject experienced temperature excursion. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the temperature excursion and vaccine administered and temperature excursion was not reported. This report was non-serious. This case, from the same reporter is linked to 20210612503, 20210612311 and 20210612749.


VAERS ID: 1381862 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram, Electrocardiogram, Myocarditis, Troponin I
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adderall
Current Illness: None
Preexisting Conditions: ADHD
Allergies: None
Diagnostic Lab Data: 12-lead electrocardiograms and high sensitivity troponin I (on 5/23/21 and 5/24/21). 2D echocardiogram with Doppler on 5/23/21.
CDC Split Type:

Write-up: Acute myopericarditis


VAERS ID: 1382056 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Dizziness, Hypoaesthesia, Tinnitus
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hearing impairment (narrow), Vestibular disorders (broad)

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

Write-up: Severe worsening of tinnitus. I don''t remember exactly when but it was it was very noticeable the following day after receiving the first shot (and very possibly that night) and continued to worsen for the next few days. I''ve have very mild tinnitus most of my life, however this is *far* worse than anything I have ever experienced (can hear it very clearly over day-time background noise, conversations, etc. whereas before could only hear it when it was relatively quiet.) It has been 3 weeks and has not abated, and in fact is probably continuing to grow worse. It is probably noteworthy that within minutes of receiving the shot, a got quite light headed and my face felt slightly numb for a period of an hour or two. These symptoms went away, however the tinnitus has not.


VAERS ID: 1382083 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-09
Onset:2021-05-19
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Parosmia, Taste disorder
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: Metoprolol, protonix, lopid, Zoloft
Current Illness: None
Preexisting Conditions: Brugada syndrome
Allergies: Bee sting, ketoconazole
Diagnostic Lab Data:
CDC Split Type:

Write-up: Multiple things taste and smell like rotten onions. Onions, hotdogs, seasoned fries, breaded chicken, bacon, eggs,etc..


VAERS ID: 1382170 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-04-30
Onset:2021-05-19
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Herpes zoster, Muscle strain, Pain of skin, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: progesterone estrogen testosterone vitamin d vit b biotin
Current Illness: no illness prior or at time of vaccine
Preexisting Conditions: no chronic conditions Healthy
Allergies: nkda
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA I started to experience tingling sensation on my left side of my torso towards my back. It was also painful. I went to the doctor''s office on Friday May 21. I was diagnosed with a muscle pull to my rib area. Over the weekend, symptoms became worse when a rash showed up on my left side and expanded to my left belly area. Area remained painful and sensitive to touch like a cactus was on my skin. I recognized the symptoms as Shingles and saw the doctor on Tuesday. I was then dx with Shingles and prescribed an Anti viral medicine Valacyclovir for 7 days.


VAERS ID: 1382195 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 - / IM

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

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

Write-up: nose bleed. multiple 5-10 minute nose bleeds over the course of 2-3 days after vaccination


VAERS ID: 1382209 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / UNK - / IM

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

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

Write-up: nose bleed. multiple 5-10 minute nose bleeds for 2-3 days after vaccination


VAERS ID: 1382213 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO178 / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bloody discharge, Nasal congestion, Rhinorrhoea
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: Congestion and runny nose with some blood for 2-3 days after vaccination


VAERS ID: 1382220 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0162R?A / 2 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Condition aggravated, Cough, Dyspnoea, Fatigue, Headache, Pain, Pyrexia, SARS-CoV-2 test negative, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NuvaRing
Current Illness: none
Preexisting Conditions: Asthma
Allergies: NKA
Diagnostic Lab Data: Abbott ID now Molecular COVID 19 test negative. Albuterol MDI treatment with immediate improvement
CDC Split Type:

Write-up: On approximately 5/28 she began having tickle cough with minial mucus production with expiratory wheezing and shortness of breath. Initially after the vaccine she had mild headache, low grade fever, fatigue and body aches which resolved within 2 days. The SHOB and wheezing didn''t begin until over a week later. She can relate no other trigger for her asthma and has not had an exacerbation in several years until this. Note, one letter on vaccine card is unreadable.


VAERS ID: 1382264 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-05-17
Onset:2021-05-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Blood test, Computerised tomogram neck, Epistaxis, Infection, Lumbar puncture, Pneumonia
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations: Shingles immediately after Chicken pox. age 10
Other Medications: Zyrtec, Synthroid 137mcg, Adderall 20mg., Flexeral 10mg, Gabapentin 600mg, Depakote 125mg, Viibryd 10mg, Emgality 120mg, Eliquis 10mg, Lalita, IV Lactated ringers 2L.
Current Illness: Pharyngitis
Preexisting Conditions: Reactive thrombocytosis, Hypothyroid, POTS, Idiopathic intracranial Hypertension, DVPs
Allergies: Cipro, Shellfish, eggplant, bee and wasp
Diagnostic Lab Data: CDC''s, Blood test, spinal tap, shunt tap, shunt study, CT of throat, Blood panel 5/27-28/2021
CDC Split Type:

Write-up: 05/19/2021 Nosebleed and 20 to 30 to stop. Abdominal pain. 05/27/2021 Infection, hospitalized to prevent infection to shunt. 06/01/2021 Pneumonia


VAERS ID: 1382270 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anal incontinence, Disorientation, Oxygen saturation decreased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious diarrhoea (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin 850mg PO TID, Niacin ER 1500mg PO daily, Glimipiride 4mg PO BID, Aspirin 325mg PO daily , Pioglitizone 45mg PO daily
Current Illness: Rash on his face
Preexisting Conditions: Type 2 Diabetes, obesity, high BP, lyperlipidemia
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Incontinent of stool, disorientation, low O2 sats


VAERS ID: 1382712 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Loss of consciousness, Mydriasis
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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Dizziness, clammy skin and dilated eyes, followed by a temporary ?black out?


VAERS ID: 1382900 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-19
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anion gap, Blood chloride, Blood creatinine, Blood glucose, Blood potassium, Blood sodium, Blood urea, Carbon dioxide, Carotid artery thrombosis, Cerebral infarction, Cerebrovascular accident, Differential white blood cell count, Electrocardiogram, Feeling abnormal, Full blood count, Hemiplegia, Magnetic resonance imaging head abnormal, Paraesthesia, Ultrasound Doppler abnormal
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Clonidine Crestor Hygroton Metoprolol
Current Illness: None
Preexisting Conditions: ASTHMA, UNSPECIFIED HTN (HYPERTENSION) CERVICAL SPONDYLOSIS PREDIABETES CERVICAL RADICULOPATHY THROMBOSIS OF RIGHT INTERNAL CAROTID ARTERY RIGHT CAROTID ARTERY STENOSIS SCREENING FOR COLON CANCER ALLERGIC RHINITIS HX OF ENDOMETRIAL ABLATION ANXIETY POSTMENOPAUSAL HORMONE REPLACEMENT THERAPY HX OF TOTAL HYSTERECTOMY, NO VAGINAL PAP SMEAR REQUIRED HX OF VITRECTOMY HX OF RETINAL DETACHMENT REPAIR LEFT MACULAR PUCKER MENOPAUSAL HOT FLASHES
Allergies: Lisinopril, Losartan, and Amlodipine
Diagnostic Lab Data: Orders Placed This Encounter ? US DUPLEX SCAN BILAT EXTRACRANIAL CAROTID ARTS COMPLETE ? MRI BRAIN AND BRAIN STEM NO CONTRAST ? CBC W AUTOMATED DIFFERENTIAL ? ELECTROLYTE PANEL (NA, K, CL, CO2, ANION GAP) ? BUN ? CREATININE ? GLUCOSE ? WBC AUTO DIFF ? EKG 12 OR MORE LEADS W INT & RPT
CDC Split Type:

Write-up: on 5/19/21 pt experienced "tingling and a rushing feeling" throughout her body. she then could not move the left side of her body. Per ER records, pt suffered an infarct in the brain that day: .ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY THROMBOSIS OF RIGHT INTERNAL CAROTID ARTERY


VAERS ID: 1382908 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

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

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

Write-up: I had a high fever of over 101 degrees.


VAERS ID: 1384327 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: New Jersey  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Poor quality product administered, Product temperature excursion issue
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210612749

Write-up: TEMPERATURE EXCURSION OF PRODUCT; TEMPERATURE EXCURSION VACCINE ADMINISTERED; This spontaneous report received from a pharmacist concerned a 52 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, batch number: 1821286 expiry: UNKNOWN) dose was not reported, administered on 19-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-MAY-2021, the subject experienced temperature excursion of product. On 19-MAY-2021, the subject experienced temperature excursion vaccine administered. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the temperature excursion of product and temperature excursion vaccine administered was not reported. This report was non-serious. This case, from the same reporter is linked to 20210612503, 20210612311, 20210611759 and 20210612294.


VAERS ID: 1384561 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-30
Onset:2021-05-19
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Intraocular pressure increased, Neck pain, Vaccination site joint movement impairment
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021574747

Write-up: She also is diabetic and has high eye pressure.; The pain is going to her neck and does not let her raise her arm. She also mentions that she also have a sharp pain in her belly and she did not have it before.; Feeling that her shoulder is killing her.; The pain is going to her neck and does not let her raise her arm. She also mentions that she also have a sharp pain in her belly and she did not have it before.; she also have a sharp pain in her belly; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: unknown), via an unspecified route of administration on 30Apr2021 as a single dose for covid-19 immunization. Patient''s historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: unknown) via unspecified route on an unspecified date. The patient''s medical history included diabetes. The patient''s concomitant medications were not reported as single dose. It was reported that the patient felt that her shoulder was killing her. The patient stated that the pain was up to her neck and does not let her raise her arm. The patient also stated that she also had a sharp pain in her belly which did not had it ever before all on 19May2021. The patient also stated that she was also a diabetic and has high eye pressure. Patient called her doctor this morning and could not find him so she she left a message. Patient did not want to go to the ER and she wanted to know why she was having these adverse reactions after 20 days of taking the vaccine. The patient was explained about the reports of muscle pain and pain in the injection site, the possible duration and being more intense after the second dose. The patient was recommended to consult her physician to determine the cause of her pain. Therapeutic measures were not taken as result of AE. The outcome of the events was unknown. Information on lot number/batch number was requested.


VAERS ID: 1384896 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Limb injury, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Arthritis (broad)

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

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


VAERS ID: 1384949 (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: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Hypersensitivity, Injection site pain, Joint swelling, Oropharyngeal pain, Paraesthesia, Peripheral swelling, Pruritus, Swelling, Swelling face, Throat tightness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, daily multi-vitamin, collagen powder supplements
Current Illness: no
Preexisting Conditions: none
Allergies: Allergic to tree nuts (especially pistachios, walnuts, hazelnuts), poison ivy, mango, seasonal allergies but especially allergic to oak, juniper, birch trees. Allergic to anything that goes into an oak barrel for ageing (wine, vinegars, liquors). And yellow jacket stings trigger a very strong reaction, much worse than a wasp or bee sting.
Diagnostic Lab Data:
CDC Split Type:

Write-up: When I received my vaccine, I waited 15 minutes at pharmacy and didn''t notice any adverse symptoms. But around 4:00 pm, I stood up and noticed that my knees were swollen, popping and cracking when I walked. I have never had any problems with my knees, and exercise regularly, so at first I thought is was just a weird Covid side affect...but I couldn''t find that particular symptom on the list of Covid vaccine side effects. I took 2 Alleve and applied Arnica Gel to my knees. A couple hours later, my fingers, hands and wrists felt swollen. Then overnight, I noticed that I started to feel itchy, tingly in random spots all over my body. But I did not develop a rash. The next morning, my face was swollen, my throat felt sore/tight, everything felt puffy and swollen. My daughter asked me if I got Botox because "my wrinkles were gone"!! That''s when I knew it was an allergic reaction. I took 2 Benedryls and just napped all day. I continued taking Benedryl for 2 days, and eventually the symptoms went away. Other than swelling, I only had mild muscle pain at the injection site. No fever or muscle pain, just swelling and the tingly itchiness all over. However, the joint discomfort in my knees and hands is still there.


VAERS ID: 1384955 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-10
Onset:2021-05-19
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044A21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Coronary arterial stent insertion, Coronary artery occlusion, Feeling abnormal, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Other ischaemic heart disease (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Extremely Good Health:Very Low blood pressure, Good Lipid panel, Non smoker, Exercises regularly, 0 risk factors
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received the second Moderna vaccine shot on 041021.Wednesday morning at 6:15am , May 19 she felt bad that morning, She received a 4mm stent for the 100% blockage in the left anterior descending artery. She had a massive heart attck. She remained in the hospital for 3 days. She has 0 Risk factors for heart disease. Hospital. 3 day Stay May 19 before noon, released May 22 2021


VAERS ID: 1384976 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Joint swelling, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Multiple Joint Pain and swelling (Bilateral knees, bilateral ankles). Myalgia


VAERS ID: 1385182 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-21
Onset:2021-05-19
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SARS-CV-2 RAPID 03-jun-2021
CDC Split Type:

Write-up: TESTED POSITIVE WHEN FULLY VACCINATED


VAERS ID: 1385313 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Candida infection, Chills, Headache, Hyperhidrosis, Peripheral swelling, Pyrexia, SARS-CoV-2 test, Skin exfoliation
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Opportunistic infections (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: influenza
Other Medications: pantoprazole, lisinopril, ezetimibe, propranolol, diclofenac, metformin
Current Illness:
Preexisting Conditions: high blood pressure, tachachadia
Allergies: lactose intolerant, penicillin, amoxicillin, cephalexin, azithromycin, benzocaine, ciprofloxacin, atorvastatin
Diagnostic Lab Data: covid test
CDC Split Type:

Write-up: headache, chills, sweats, fever 103, swollen arm, skin peeled, thrush,


VAERS ID: 1385417 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Rash erythematous, Sensory disturbance, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unsure
Current Illness: She had a bit of a cold she was getting over - it was not COVID (tested negative); congestion - half cold and half allergies (no fever). Not really symptomatic the day of vaccine.
Preexisting Conditions: no
Allergies: Zithromax - full body hives; adverse to Singular - high levels of irritability and weird skin sensations
Diagnostic Lab Data: no
CDC Split Type: vsafe

Write-up: Within a minute, we had sat down and I looked over and I thought maybe she had gotten a sunburn - but then place where sun wouldn''t have hit - were getting very red; it was looking like - hives - back, arms, legs, face - all over her body. Rash didn''t start the injection site - it was her other parts of the body. Warm to the touch and spreading. By like 10 minutes, it had reached full body. She didn''t complain of itching. Nurses took her vitals - described heart as "tacky" -but as she calmed the heart was coming back to normal. She wasn''t in any stress until I pointed it out and she looked and saw she had an issue. The nurses had been give her Benadryl that I had brought - gave her 27.5 dosage of it - two pills. 1/2 hour after taking the Benadryl everything had subsided and we left. There were no further symptoms with her skin. She still had congestion etc but no further skin issues. I called her Primary care doctor to alert her but they said they didn''t need to see her.


VAERS ID: 1385823 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-05-14
Onset:2021-05-19
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuva Ring, Vitamin B, Vitamin C, Calcium, B-12, Vitamin D, OTC allergy meds, OTC hearburn meds, and Ashwaganda
Current Illness: None
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA. I had my first dose in May. Five days later I had a majorly swollen lymph node in my armpit on the injection arm. It took about 9 days for the swelling to go down.


VAERS ID: 1386008 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / IM

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

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

Write-up: Patient experienced raised rash to bilat arms & lateral trunk.


VAERS ID: 1386134 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

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

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

Write-up: Patients consent form list age as 12 but patient was only 11- date of birth listed correct Patients should not have received dose until 9-6-2021


VAERS ID: 1386293 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-02-24
Onset:2021-05-19
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 1 AR / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain natriuretic peptide increased, C-reactive protein decreased, COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea, Lung opacity, Peripheral swelling, Pulmonary congestion, SARS-CoV-2 antibody test, SARS-CoV-2 test positive
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Angioedema (broad), Interstitial lung disease (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen, albuterol, aspirin, atorvastatin, calcium carbonate, citalopram, clopidogrel, cyanocobalamin, fluticasone nasal, isosorbide mononitrate, omeprazole
Current Illness: SOB, lower extremity swelling beginning three days prior to admission
Preexisting Conditions: CAD, HTN, HLD, bladder cancer, GERD, CHF, atrial fibrillation
Allergies: morphine, demerol
Diagnostic Lab Data: 5/19 (day of admission): BNP 1917 5/20: SARS-Cov2 PCR positive 5/22: SARS-Cov2 IGG negative 5/22: CRP 2.29 (peak) 5/24: CRP 0.9
CDC Split Type:

Write-up: Intermittent SOB for several weeks, progressively worsening over three days prior to presentation to ED. Presented with SOB, bilateral leg swelling. CXR obtained in ED showed perihilar and RUL opacities consistent w/ multifocal pna or pulmonary venous congestion. SARS-Cov2 PCR resulted as positive. CT of chest showed bilateral pna, began treating as COVID pna with dexamethasone, lovenox. Treated for CHF exacerbation with aggressive loop diuretic therapy. Required 2Lpm O2 via nasal cannula. Discharged home after 6 days in hospital.


VAERS ID: 1386318 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dizziness, Head injury, Heavy menstrual bleeding, Injection site pruritus, Loss of consciousness, Malaise, Menstruation irregular, Nasal injury, Tinnitus, Tunnel vision
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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), Optic nerve disorders (broad), Retinal disorders (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Fertility 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: 2 weeks prior had come down with a cold. Fatigue, stuffy nose, dry cough. No fever ever. All symptoms but cough went away within a week. Cough took two to three weeks to completely go away.
Preexisting Conditions: Have had ruptured ovarian cysts occasionally (symptom of PCOS, but never been diagnosed). Bouts of depression, anxiety. None of that going on at the time of vaccine though.
Allergies: None
Diagnostic Lab Data: No tests done.
CDC Split Type:

Write-up: I was given the injection and immediately went to sit in the patient observation area for the required 15 minutes. I was feeling fine, made a quick phone call, and was just sitting and waiting. Then, 5 minutes after the injection, I noticed my arm at the injection site felt just the tiniest bit achy, but thought I was probably just imagining it. Then within several seconds of that observation, I could feel a blackout coming on--tunnel vision, ringing in my ears, general feeling of being unwell. I started to bend down to put my head between my knees, but that''s the last thought I remember before waking up lying on the floor with the pharmacist tending to me. He said I had only been unconscious for several seconds. I was completely weak and still felt generally unwell. I also sustained a bump on my forehead and a hurt nose from hitting the floor when I collapsed. I recovered enough to walk out about 30 minutes later, and rested the rest of the day since the weakness lasted through the evening. I don''t know if it was related or not, but I also started my period 4 days after that, which was 5 days earlier than expected, and it lasted a full 2 weeks (my period is typically 7-9 days).


VAERS ID: 1386345 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 5313 / 2 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 5313 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dry throat, Noninfective gingivitis, Oropharyngeal pain, Sensation of foreign body, Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propranolol 120 mg one time daily, Triamterene-HCTZ 37.5-25 one in morning, Vitamin D 1000UT, Calcium magnesium zinc one tab daily, fluticasone proprianate nasal suspension 50 mcg/act, Gabapentin 800mg two in am two in pm, Januvia 50mg one
Current Illness: Diabetes, Obesity, Migraines, Inflammation, mild COPD, Sleep Apnea, High Blood Pressure, Acid Reflux, Edema in legs and feet, neuropathy in legs and feet, DJD
Preexisting Conditions: High Blood Pressure Obesity, mild COPD, Acid Reflux
Allergies: Cafergot, Metformin,
Diagnostic Lab Data: none
CDC Split Type:

Write-up: sores in mouth on gums, roof, cheeks. dry lump in throat that ached and water wouldn''t quench it.


VAERS ID: 1386409 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Electric shock sensation, General physical health deterioration, Hypoaesthesia, Neck pain, Pain in extremity, Paraesthesia, Sensory disturbance, Sleep disorder
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: I am prescribed to adderall, and this is not a new medication.
Current Illness: None.
Preexisting Conditions: I have asthma.
Allergies: None.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: After I received my first Pfizer vaccine I had a sore arm. What followed has been a nightmare. I started experiencing severe shoulder pain in my left arm and numbness/constant tingling in my arm. The tingling started in my shoulder and went all the way down to the tips of my fingers. I began to not be able to sleep at night because of my shoulder pain and the numbness in my entire arm I was experiencing. After going to the doctor I was prescribed a muscle relaxer to help manage my pain. It''s been 3 weeks since I got the vaccine and I''m still having strange sensations through my body, the pain in my left arm/shoulder has gone away but it moved to the right side of my neck. When I try to turn my head I get this weird "electric"/tingling feeling that shoots up the back of my head and shoots down my arm at the same time. I can not function the pain is so horrible. I was a healthy 26 year old woman before this vaccine. I''m afraid I will never return to normal.


VAERS ID: 1386595 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Arthralgia, Back pain, Chest pain, Dry mouth, Dysphonia, Flatulence, Headache, Hyperhidrosis, Hypoaesthesia, Insomnia, Joint noise, Menstrual disorder, Nasal congestion, Oral herpes, Pain in extremity, Palpitations, Rhinitis allergic, Sneezing, Thrombosis, Tinnitus, Vitreous floaters, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Retinal disorders (narrow), Hearing impairment (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (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: Olive leaf, Astragalus, Probiotic, Multivitamin
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Wednesday, May 19, 2021 1st COVID-19 vaccination shot Summary: Wednesday, May 19, 2021 received my 1st COVID-19 vaccination shot. My body tried to reject it. I threw up 5 times. Ensued many unwanted side effects. I don?t think it would be good to get the 2nd vaccine dose. Given I am not fully vaccinated, I need an alternative solution to prevent being infected with the virus. Help!!!! Please Help!!! Bad Side Effects: Stuffy Nose Congested Nose Headaches Vomiting Nauseous Upset Stomach Unsettled Stomach Unusual Perspiration Pain in Left Arm Abnormal Period Menstrual Blood Clots Shoulder Pain/Tension Upper Back Pain/Tension Chest Pain/Tension Shooting Pain in Chest Heart Palpitations? Numbness Runny Nose Sneezing Profusely Allergies? Hoarse Voice Winded Dry Mouth Existing Worsened: Cold Sores Stomach Noises Snoring? Foot Numbness Ear Ringing Eye Floaters Joints Popping Sound Other Observations: Stomach Bloated Increased Flatulence Pseudo Conclusion: Given my body?s adverse reaction I don?t think it is wise to get the 2nd shot. It is obvious my body does not like it. I am disappointed because I really did not plan to get vaccinated; however, I felt I had no other option when the government made the announcement. When the government announced No masks for those vaccinated, I know there would be some NOT vaccinated & NOT wearing a mask thus putting me at risk. I am okay with wearing a mask for another year or even for the next 5 years. The doctors have said me wearing a mask is protecting others not necessarily myself. I concluded even if I continue to wear a mask there would be others (NO mask & NOT vaccinated) not following the rules potentially exposing me to the virus. Hence the only way to protect myself is to get vaccinated. The vaccine appears to have affected so many areas of my body. I regret getting the 1st shot, I want to remove every trace of it from my anatomy. Please let me know if it is possible to rid the vaccine along with all the bad side effects from my body. I do not want to subject my body to anymore of this vaccine; however, I still need a reliable solution to avoid being infected with the virus. I don?t know what to do. Details: Wednesday, May 19, 2021, I received my 1st COVID-19 vaccination shot around 3:30pm. The medical staff had all those being vaccinated to sit for at least 15 minutes for observation to be monitored. I stayed for monitoring for close to an hour (wearing my masks). I felt fine, I noticed my right nostril felt stuffy, congested with a slight burn sensation. I noticed a slight headache when I left. I had about 3 errands to do. 2 hours later I wasn?t feeling well. In addition to a stronger headache my stomach felt queasy. Around 6:30pm I had to pullover to vomit; I threw off my mask and threw up once and then a 2nd time. I sat in my car taking deep breaths until I felt I could make it home. I make it home around 7pm in time to throw up 3 more times, for a total of 5 times. The vomit tasted acidic, sour, citrusy, and metallic at times, and salty. I was only throwing up the vaccine it was mostly clear with white alka seltzer looking deposits. I last ate some crackers around 12 noon. Vomiting is NOT normal for me. I can?t remember the last time I threw up, many many many years ago. l had a headache, queazy stomach, and was exhausted; about 7:30pm tried to sleep. I got up around 10:30pm ate a few saltines and drank a little water but I still didn?t feel good so I didn?t eat anything else. Rough night trying to sleep, tossing and turning. Next day (Thursday day 2) I felt slightly better, not comfortable enough for real food so I drank plenty of water in small amounts and ate saltines; headache subsided. I also had more than usual underarm perspiration with a strong unfamiliar odor. Wednesday, May 19, 2021 1st COVID-19 vaccination shot It appears the vaccine affected my menstrual cycle. My period usually lasts for 3-5 days max, usually light blood flow on days 4 and 5. It was a normal light day 5 when I received the vaccine. After the vaccine, I began having heavy blood flow. The heavy blood flow is accompanied by blood clots. In the past I?ve had a blood clot here and there but not like this. Menstrual blood clots for 9 days after being vaccinated. This is NOT normal for my body. My period was 14 days. Prior to being vaccinated, I NEVER had a period last this long. To my surprise the vaccine affected my female organs. I am right handed, so the nurse recommended using my left arm for vaccination. Left arm where vaccine injected was very sore. Arm pain subsided after 3 days. Pain soreness tension primarily on my left side, shoulder, upper back, chest area. There is a shooting pain on left shoulder, down back to breast, chest heart area; pain comes and goes. Heart palpitations? Experienced this for over a week about 10 days. Numbness in left hand when I sleep on my left side, wake with my left hand numb. Numbness in both hands when I try to sleep on my back. Numbness in my feet after standing for about 15 minutes. Numbness in my leg and buttocks, primarily left side after sitting for an extended period of time. Before being vaccinated I only experienced numbness in my right foot after being on my feet for an extended period of over 4 hours. Last year my right foot/heel would began to hurt after being on my feet for an extended period of time ($g 4 hours). Then there would be pins and needles sensation. The solution would be to rest and elevate my feet. I also replaced my shoes (proper support). Post vaccination even before the time my feet would hurt now my right foot goes numb within 30 minutes of standing even while wearing supportive shoes. My left butt cheek goes numb when I am sitting with my legs elevated; this was my most comfortable position pre-vaccination. Since the vaccine my stomach feels upset or unsettled especially in the morning. I am also noticing bloating and more gas than usual. My stomach is also excessively more noisy. Before the vaccine my stomach would make noises when I was hungry or hadn?t eaten, but now there are so many stomach noises almost nonstop all day and night long all the time My nose is feeling congested with a slight burn sensation since getting the vaccination. Immediately after getting the shot my right nostril felt stuffy, congested with a slight burn sensation. This congested feeling comes and goes, especially noticeable when wearing a mask. Prior to being vaccinated I had not experience this issue even as I have worn multiple masks for over a year with NO stuffy nose. Saturday, May 29, 2021 (day 10 post vaccination) I get cold symptoms; runny nose and sneezing. I haven?t had a cold in years; I don?t really get colds; if so the symptoms are mild and quickly dissipate. Now my nose has been running pretty much non-stop causing me to blow my nose just as often. I am also sneezing a lot. This is NOT normal for me. I drank plenty of liquids; however, running nose and sneezing continued leading to hoarse voice. These symptoms prevented me from sleeping. I don?t know if these are cold or allergy symptoms. I had NO allergies before the vaccine. These symptoms finally subsided after 3 or 4 days. My neighbors are waking up in the middle of the night (2am, 3am, 4am, 5am). I began to wonder if I am waking my neighbors possibly with snoring. I don?t really know, no evidence. Throat feels winded and dry when talking especially when I try to whisper. I have to drink a lot of water. Ringing in my ear started In 2019. I thought this phantom sound went away; however, post vaccination I?m hearing the ringing sound again. It seems worse than before. 2018 diagnosed with eye floaters. I am noticing floaters more since getting the vaccine. I usually see the eye floaters when going to light from dark. Post vaccination I am noticing the floaters even in dim light; not normal. I started getting Cold sores in 2006. I thought I had them somewhat under control. Since the vaccine l keep getting cold sores, this may be due to my menstruation. Recently within the past year, my shoulder and elbow joints sometimes make this popping sound when I exercise/move my arm. Post vaccination my shoulders and elbows are making the popping sound every time I move my arm. Now sometimes my knees and ankles are also making a popping .


VAERS ID: 1387039 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-16
Onset:2021-05-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous
SMQs:, Termination of pregnancy and risk of abortion (narrow)

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

Write-up: Miscarried at 6 weeks


VAERS ID: 1387341 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Muscle twitching, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad)

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

Write-up: Pt called on 06/08/2021 to inquire if she needs to take the 2nd dose since she had Tingling of her whole arm after few minutes of the vaccine. She also recently started twitching her arms in last couple days. I referred her to consult with her doctor.


VAERS ID: 1387350 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Blood glucose decreased, Dizziness, Neck pain, Pain, Swollen tongue, Vision blurred, Visual impairment
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: none
Current Illness:
Preexisting Conditions: none
Allergies: environmental
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client reports on 6/9/21 that 3 days after first dose she experienced seeing black dots, blurred vision, neck pain that radiated to her head , dizziness and tongue swelling that lasted 2 hours. Client reports she never had shortness of breath. No history of chronic conditions, no medications taken . Client did not follow up with pcp. Client reports going to the emergency room and that everything was fine except her blood sugar was low.


VAERS ID: 1387353 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Diarrhoea, Fatigue, Flatulence, SARS-CoV-2 test negative, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DULoxetine - 40mg per day; CoQ10; eye vitamin; Omega-3; Collagen Peptides; Biotin; probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Got a Covid test on 6/4 just to make sure I didn''t have Covid. Test was negative.
CDC Split Type:

Write-up: In less than 24 hours, started experience gastrointestinal issues - diarrhea and gas. It was pretty severe for the first week. And still, 3 weeks later, it has not gone away. Other symptom was extreme fatigue, which started less than 24 hours later. And feeling exhausted after just going up a flight of stairs. And sleepy during the day. The worst of it was the first week, but still experiencing it 3 weeks later.


VAERS ID: 1387494 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Arkansas  
Vaccinated:0000-00-00
Onset:2021-05-19
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 260A21A / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Abstains from alcohol; Non-smoker
Preexisting Conditions: Comments: Patient has no known allergies and no drug abuse or illicit drug usage.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210614096

Write-up: SKIN TAG / SPOT ON SITE OF INJECTION APPEARS RAISED AND BLACK; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a 63 year old male. The patient''s height, and weight were not reported. The patient''s concurrent conditions included non smoker, and non alcohol user, and other pre-existing medical conditions included patient has no known allergies and no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 260A21A, and expiry: UNKNOWN) dose was not reported, administered on 19-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-MAY-2021, the subject experienced injection site pain. On an unspecified date, the subject experienced skin tag / spot on site of injection appears raised and black. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain, and the outcome of skin tag / spot on site of injection appears raised and black was not reported. This report was non-serious.


VAERS ID: 1387716 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Dizziness, Headache, Heart rate, SARS-CoV-2 test, Tachycardia, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Dehydration (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: SUDAFED 12-HOUR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to antibiotic; Allergy to insect sting; COVID-19 (had covid in back in Nov.); Drug allergy; Latex allergy; Penicillin allergy (Penicillin); Raynaud''s disease; Sulfonamide allergy (Allergic to sulfa); Surgery; TB
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: Heart Rate; Result Unstructured Data: Test Result:100 and above; Comments: Heart rate went to 100 and above at 10:00 am; Test Date: 202011; Test Name: Covid-19; Test Result: Positive ; Comments: I had covid back in Nov
CDC Split Type: USPFIZER INC2021582434

Write-up: Skipping beats; heart rate went to 100 or over at rest; Headache; loud ringing ING ears; Dizzy; This is a spontaneous report from a contactable consumer (patient herself). A 52-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EW0172) via an unspecified route of administration in left arm on 18May2021 12:30 as 1st dose, single dose for COVID-19 immunization. Patient was 52-years-old and was not pregnant at the time of vaccination. Patient medical history included Raynaurds, active TB, Allergic to sulfa, penicillin, tetracycline, erythromycin, experienced drug reaction due to prednisone, alleve (muscle relaxants), allergies to antibiotics, latex and wasp, had shoulder surgery after which used cold medicines, was not getting another, COVID-19 in Nov2020. The concomitant medications included birth control, pseudoephedrine hydrochloride (SUDAFED 12-HOUR). Facility where the most recent COVID-19 vaccine was administered was reported as Doctor office/urgent care. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was diagnosed with COVID-19, prior to vaccination. Patient has not been tested for COVID-19, since the vaccination. On 19May2021 at 10:00, patient experienced headache, loud ringing in ears, heart rate went to 100 or over at rest and was skipping beats and was out of rhythm, dizzy. She read studies from country that shows 1 shot for those who had covid is same as having 2 shot. She still was testing that she had antibodies. All she could do was drink water and wait till she metabolized whatever set her system off. She did not want go through that again. Device date was reported as 21May2021. Adverse events did not result in hospitalization. The outcome of the events was resolving.


VAERS ID: 1387763 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Conjunctivitis, Eye discharge, Eye pain, Hypersensitivity, Migraine, Oropharyngeal discomfort, Pain in extremity, Vaccination site induration, Vision blurred
SMQs:, Severe cutaneous adverse reactions (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Conjunctival disorders (narrow), Ocular infections (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:
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 INC2021603878

Write-up: migraine headache disease; her eye is producing gunk; Almost kind of like pink eye; felt like a thousand needles are in the patient''s eye; losing her vision; Blurriness; maybe allergies; arm started hurting worse than it did after the caller received the first dose; throat is all scratchy; spot where the caller received the second dose Pfizer Covid Vaccine was sort of hard to the touch; This is a spontaneous report from contactable consumer (patient herself). A 43-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the right upper arm on 19May2021 (Batch/Lot Number: EP6955) as 2nd dose, single for COVID-19 immunisation. The patient had no relevant medical history and no concomitant medications. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in the right upper arm on 28Apr2021 (Batch/Lot Number: EW0176) as 1st dose, single for COVID-19 immunization and experienced arm started hurting, felt like had a flu, started losing voice, had a hard spot, being lethargic, and had a hoarse voice. The patient had no other vaccinations within four weeks prior to the first administration date of the suspect vaccine. On 19May2021, the patient received her second dose Pfizer Covid Vaccine and her arm started hurting worse than it did after she received the first dose Pfizer Covid Vaccine. The patient has started losing her voice. The worst thing of it was, the patient was now losing her vision. She cannot see anything close up, all blurry. This began the next day after receiving the second dose Pfizer Covid Vaccine, 20May2021. She probably wouldn''t have thought much of it, mentioned it to her husband, who was a medic. The patient''s husband said something like allergies increase. She ignored it and the next day she had an online appointment with someone and that person mentioned the patient was clawing at her eyes. That was when the blurriness started. The white of her eye was not red, but during the day her eye was producing gunk. Almost kind of like pink eye. She wakes up in the morning and has gunk in her eye. The patient had been putting Visine Red Eye Comfort (lot numbers: KAB6601, expiration date: Jan2023) in her eye and it was not helping. She read online and searched and found a woman who lost her vision after receiving the Pfizer Covid Vaccine. She said Pfizer''s list stated inflammation may be possible and a list of more serious side effects listed was eye blurriness. Sher stated her vision was getting worse every day. The worst thing of it was now losing vision. If she closes her eyes like a little bit more than just blinking, closes where put eyelids together, this felt like a thousand needles are in the patient''s eye. Everyday her eyes have gotten worse. For example, while watching a program on television, she could not tell the faces of the people and said she didn''t know what was going on. Because it was so blurry, she thought maybe it was screen time and she tried everything. Today, the patient was quiet worried and it seemed like it has progressed. It had multiplied, everyday it gets worse by 20%. It was twice as bad today as it was yesterday. The patient was a little frightened. The patient''s throat was all scratchy. She had a headache but said that was kind of normal. She gets headaches on a daily basis, but the headache was not going away. She had migraine headache disease and doesn''t think she had headaches because of the second dose Pfizer Covid Vaccine. The patient stated she has quarantined and hasn''t gone anywhere, no group stuff, nothing. She was afraid it''s from the Pfizer Covid Vaccine, it was maybe allergies, even though she has never had allergies her whole life. If it was not pink eye, the patient did not want to take antibiotics. She only takes antibiotics for what was needed. She was confused if her eyes get worse, if it was more difficult to blink or more blurry. She knew one of the things she looked at said a very strained side effect was Covid Eye or whatever after receiving the Pfizer Covid Vaccine, but it blurs vision and may clear up after a few days. If she goes to the doctor and he says this might be a side effect, she doesn''t know that the doctor will do anything or know what to do. If better or worse the patient stated she will call Pfizer back to report. She does not know how many people got this batch of the Pfizer Covid Vaccine. The events did not require visit to the emergency room or the physician''s office. The patient stated she thought she better call because she doesn''t want other people getting the Pfizer Covid Vaccine if maybe it was off or the pharmacy was not handling the medication right. The outcome of the event ''arm started hurting worse than it did after the caller received the first dose'' was recovered on 25May2021, of losing her vision and blurriness was not recovered, and of remaining events was unknown. No follow-up attempts are needed. No further information is expected.


VAERS ID: 1387781 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Pharyngeal swelling, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FLOVENT; SINGULAIR; ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021607089

Write-up: shortness of breath; hives on nouth; throat swelling; dizziness; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 14-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), at same age, dose 1 via an unspecified route of administration, administered in Arm Left on 19May2021 (Batch/Lot Number: ew0177) as 1ST DOSE, SINGLE DOSE for covid-19 immunisation. Medical history included asthma. Concomitant medication included fluticasone propionate (FLOVENT); montelukast sodium (SINGULAIR); and cetirizine hydrochloride (ZYRTEC) and METHYLPHINATE. The patient previously took peanut, tree nut, coconut. The patient experienced shortness of breath, hives on mouth, throat swelling, and dizziness all on 19May2021 14:00 with outcome of recovered. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Treatment antihistamine was received for the adverse event. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19.


VAERS ID: 1387783 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO187 / 2 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anal incontinence, Body height, Fatigue, Loss of consciousness, Mobility decreased, Prostatic specific antigen
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), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (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? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRAMIPEXOLE DIHYDROCHLORIDE; VENLAFAXINE HCL; LIPITOR [ATORVASTATIN CALCIUM]; SOTALOL; FLOMAX [TAMSULOSIN HYDROCHLORIDE]; ELIQUIS; NEXIUM [ESOMEPRAZOLE MAGNESIUM]
Current Illness: Coronary artery disease; Dizziness; Mixed hyperlipidemia; Obesity; PSA increased; Tumor
Preexisting Conditions: Medical History/Concurrent Conditions: Acute kidney injury; Atrial fibrillation; Chest pain; Coronary stent placement; COVID-19 (He was hospitalized for 2 and a half months.); COVID-19 pneumonia; Depression; Restless leg syndrome; Urinary tract infection
Allergies:
Diagnostic Lab Data: Test Date: 20140610; Test Name: Height; Result Unstructured Data: Test Result:five foot, ten and a quarter; Test Date: 20140610; Test Name: PSA; Result Unstructured Data: Test Result:elevated
CDC Split Type: USPFIZER INC2021607949

Write-up: he had to have passed out; he defecated himself among other things; could not move; the fatigue.; This is a spontaneous report from Pfizer-sponsored program. A contactable consumer, the patient, reported a 76-year-old elderly male received the second dose of BNT162b2 (solution for injection; Lot EWO187 expiry information not provided) as a single dose via an unspecified route on an 19May2021 (at 76 years-old) for COVID-19 immunization. Relevant medical history included ongoing Type V hyperlipidaemia (12Aug2020), ongoing Coronary artery disease (31Oct2018), ongoing elevated Prostatic specific antigen (PSA; 10Jun2014), ongoing extradural extramedullary spinal tumor (04Apr2018), ongoing Dizziness (04Apr2018), ongoing Obesity (03Mar2021), Acute kidney injury (AKI), swelling of joint right upper arm, urinary tract infection associated with indwelling catheter (05Jun2020), pneumonia due to COVID-19 virus (hospitalized for two and one half months; 26Apr2020-02Jun2020), pneumonia due to COVID-19 virus (05Jun2020), restless leg syndrome, depression, and Atrial fibrillation (Afib), stent in his heart, and chest pain. Concomitant medications included pramipexole dihydrochloride for restless leg syndrome from unspecified date; venlafaxine hcl for depression from 1992; atorvastatin calcium (LIPITOR) for unspecified indication from unspecified date; SOTALOL for Afib from an unspecified date; tamsulosin hydrochloride (FLOMAX) for unspecified indication from unspecified date; apixaban (ELIQUIS) for unspecified indication from unspecified date; and esomeprazole magnesium (NEXIUM) for unspecified indication from 1998. The patient also received unspecified concomitant medications for the stent in his heart though he could not recall the name. The patient received the first dose of BNT162b2 (solution for injection; Lot EWO171 expiry information not provided) as a single dose in the left upper arm an 19Apr2021 (at 76 years-old) for COVID-19 immunization and experienced no adverse effect. The patient reported that on 19May2021 when he got home, he passed out and had to be taken by ambulance. When questioned, the reporter stated he had to have passed out. The patient reported that de does not really know, except he could not move; described as ''had a heck of a time moving''. The patient reported that he literally defecated himself among other things. The patient reported that his neighbor heard him screaming and called an ambulance who took the patient to the hospital, the emergency hospital and then the hospital itself. The patient reported that he was hospitalized from 21May2021 to 24May2021. The patient yawned and stated that this was another problem, the fatigue. The outcome of the events passed out, defecated himself, and could not move was recovering. The outcome of the fatigue was unknown.


VAERS ID: 1388188 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-04-07
Onset:2021-05-19
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Burning sensation, Erythema, Rash, Skin mass, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None taken
Current Illness:
Preexisting Conditions: Diabetes, RA, pseudo tumor cibre, asthma, thyroid, depression
Allergies: Imitrex, white eggs
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: After my vaccine, I broke out in a rash, felt like someone was burning me, like if I was burning me alive, hard to explain. It was a rash then the rash turned into these big red mass, these lumps were nasty and I could not sleep for three days. They were on my arms and legs, stomach, back, parts of my face. The rash went away and came back, was on different parts of my body. I went to the ER to get checked out but at the ER they did not do any exams for me, they just told me I had hives. It took 4-5 days for my hives to go away. I still get these little bumps, they are small growing around my back, chest and legs and at the bottom of my legs and body and they do not itch.


VAERS ID: 1388333 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-03-26
Onset:2021-05-19
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Mass, Pericardial effusion, Pleural effusion, Positron emission tomogram normal
SMQs:, Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Tamsulosin, Atorvastatin, Clopidogrel, Isosorbide mononitrate, Lisinopril, Carvedilol, Eliquis.
Current Illness: None.
Preexisting Conditions: Arterial disease (had stent placed in 2013), high cholesterol, high blood pressure. He also has had pneumonia 3 times in his life. He has a growth in his eye identified in 1996, has Fucks marginal keraitis, colon cancer in 2018 (had colon resection).
Allergies: Arterial disease (heart stent in 2013), high blood pressure, high cholesterol, Guillain Barre in 1998, (residual numbness in hands and feet to some extent).
Diagnostic Lab Data: As above
CDC Split Type:

Write-up: He got his vaccine, his arm was barely sore to the touch. He gets routine cancer check ups every 6 months, on 5/19/21 he had his usual CT scan of his chest, which showed a new pleural effusion and a new pericardial effusion. Then there was a growth between his pericardial fat 2 cm x 2 cm that is not cancer as he had a PET scan afterwards that was negative for any highlighted areas. His Houndsfield Units for the mass was 6.2 cm is 35-36 HU. He then saw his results online and they want to do biopsies to see what is in the growth and in the effusion. They have not figured out what to do yet for these symptoms. so he is going to be undergoing additional testing. He did not have any of these symptoms or problems on his previous 6 month check up and is concerned that it is due to the vaccine itself. He is in good health and exercises on a continual basis, does not smoke and never had, but does have a couple of drinks a day, but nothing to excess.


VAERS ID: 1388348 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-17
Onset:2021-05-19
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Craniocerebral injury, Fall, Limb injury, Loss of consciousness
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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter Fall while sleeping two days after receiving vaccine injured finger and head


VAERS ID: 1388412 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO186 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Headache, Hyperhidrosis, Malaise, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: gerd
Allergies: shellfiish
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt came to clinic for 2nd dose. described dev rash later that night after first dose on trunk and back, went away withi a few days on its own and reoccured 5 days after same area. c/o uticaria. also was sweaty with headahe and gen malaise 2 hrs after first dose


VAERS ID: 1388419 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Pallor
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: felt dizzy, became pale...was given water, VSS, school nurse aware and patient mother was called to make aware she felt better after water and color returned, she left the clinic on own within a hour


VAERS ID: 1388518 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

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

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

Write-up: Developed diarrhea and fatigue on same day of vaccine. Symptoms lasted 24 hours.


VAERS ID: 1388536 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-13
Onset:2021-05-19
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006B21A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046B21A / UNK - / -

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

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

Write-up: R07.89 - Other chest pain


VAERS ID: 1388838 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2021-04-14
Onset:2021-05-19
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Cardiac tamponade, Chest pain, Culture negative, Drain placement, Dyspnoea, Echocardiogram abnormal, Headache, Nausea, Neutrophil count increased, Pericardial effusion, Pericarditis, Red blood cell count, Red blood cell sedimentation rate increased, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin, Sulfa
Diagnostic Lab Data: 6/26 echo - large pericardial effusion. Fluid contains focal strands. Finds are suggestive of cardiac tamponade. Sed rate 68, CRP 18 (normal 0.00-0.29). Pericardial fluid red, cloudy, WBC 50,274, RBC3,404. Neutrophil 88, cult neg
CDC Split Type:

Write-up: Patient presented 0n 5/25/21 with chest pain, shortness of breath, nausea and headache. Work-up showed pericardial effusion with pericarditis. Drain placed. Patient responded to ibuprofen and colchicine therapy. Patient unsure of dates of vaccination. Stated April-May 2021.


VAERS ID: 1389195 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Wyoming  
Vaccinated:2021-04-22
Onset:2021-05-19
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

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

Write-up: Miscarriage discovered on 05/19/21


VAERS ID: 1389352 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Injection site pain
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:
Current Illness:
Preexisting Conditions: Diabetes, High Blood Pressure
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sever chills, head ache, no fever, pain in the injection site. Sudden bouts of fatigue, fatigue for 2 days following the shot.


VAERS ID: 1390330 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Influenza, Muscular weakness, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (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: chills, slightly feverish & weak, 41 age, 1998, flu shot, brand(?)
Other Medications:
Current Illness: cholesterol; arthritis; hand neuropathy; obese; general anxiety; low blood sugar
Preexisting Conditions: arthritis, obesity
Allergies: flagyl
Diagnostic Lab Data: none
CDC Split Type:

Write-up: serious Flu symptoms: fever, chills, muscle aches/weakness, fatigue, bedridden, lasted 2 days


VAERS ID: 1391135 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-05-18
Onset:2021-05-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Bone marrow disorder, Fatigue, Headache, Hyperhidrosis, Nausea, Pain, Pyrexia, Skin irritation, Vertigo
SMQs:, Acute pancreatitis (broad), Haematopoietic cytopenias affecting more than one type of blood cell (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Arthritis (broad), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: SARS-CoV-2 infection (she had Covid infection in January that lasted approximately 3.5 weeks)
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: body temperature; Result Unstructured Data: Test Result:104 Fahrenheit; Test Date: 20210520; Test Name: body temperature; Result Unstructured Data: Test Result:100-98 Fahrenheit
CDC Split Type: USPFIZER INC2021665145

Write-up: fever 104F/the second day her fever was 100-98 degrees; nausea; sweats; vertigo; arthritic joint pain; headache; skin irritation; bone marrow pain; tiredness after the first dose; body aches; This is a spontaneous report from a contactable consumer (patient). A 67-years-old female patient received BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0182, Expiration date: unknown), dose 1 via an unspecified route of administration, administered in arm left on 18May2021 as 1st dose, single dose for COVID-19 immunization. Medical history included Covid infection in January that lasted approximately 3.5 weeks. The patient''s concomitant medications included ongoing Vitamins. No history of all previous immunization with the Pfizer vaccine considered as suspect and no Additional Vaccines Administered on Same Date of the Pfizer Suspect. No Prior Vaccinations within 4 weeks. No relevant family history. On 19May2021 (Next day morning), the patient experienced 104 degree Fahrenheit fever, nausea, sweats, vertigo, arthritic joint pain, headache, skin irritation, bone marrow pain, body ache, tiredness because when she was sick tired, and she felt like she got the Covid all over again; and on 29May2021, the second day her fever was 100-98 degrees Fahrenheit. She reports that her symptoms post vaccination were mild compared to Covid infection and she was the only one she knows of that developed these symptoms post vaccination. Patient normal body temperature was reported as 97.7 degrees Fahrenheit. Skin irritation was explained as flashes of skin irritation where she didn''t want anything to be touching her skin; her skin was irritated by clothes, sheets, and the floor. States her whole skin reacted. No visit to Emergency Room or Physician Office. Therapeutic measures were taken with 2 Tylenol. No relevant tests done. No Investigation Assessment. The patient underwent lab tests and procedures which included body temperature: 104 Fahrenheit on 19May2021, and 100-98 Fahrenheit on 20May2021. Patient reported she didn''t have an allergic reaction. The outcome of event was recovered on 22May2021. Follow up needed, further information has been requested.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021669700 same reporter/ product, different patient.;US-PFIZER INC-2021667900 same reporter/ product, different patient.


VAERS ID: 1391193 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Ear pruritus, Pruritus, Rash macular
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CLONIDINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic to cats; Seasonal allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021669722

Write-up: itching all over, even in her ears; feeling short of breath; Chest hurting; itching all over, even in her ears; skin was red from scratching it, but thought it had been somewhat blotchy, too, on her legs; This is a spontaneous report from a contactable consumer (patient''s grandmother/Guardian). A 15-years-old female patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EW0167, Expiration date was not reported), via an unspecified route of administration, administered in left arm on 19May2021 at 16:30 hours as 1st dose, single dose (at the age of 15-years-old) for COVID-19 immunization. Medical history included seasonal allergy and allergy to cats (from an unknown date and unknown if ongoing). Patient had no covid prior vaccination. Concomitant medication included clonidine extended release (ER) at a dose of 0.1 mg daily taken for an unspecified indication, start and stop date were not reported. Patient was not covid tested post vaccination. 0n 19May2021 at 19:45 hours (about 3 hours after receiving her shot), patient complained of itching all over, even in her ears, patient also mentioned her chest hurting and feeling short of breath. Patient was not sure whether her skin was red from scratching it, but thought it had been somewhat blotchy, too, on her legs, possibly because that was the area uncovered so she could see it. The blotchiness and chest pain resolved quickly, but the itchiness continued. Patient also complained of stomach pain, which occurred after patient''s grandmother gave her a loratadine. The loratadine settled the itching down, but patient reported nausea the next morning and shortness of breath, as well. Patient received Claritin 24 Hr for the events as treatment. The outcome of the skin was red from scratching it, but thought it had been somewhat blotchy, too, on her legs and chest hurting was recovered on May-2021 and recovered for rest of the events in 2021 Follow up needed, further information has been requested.


VAERS ID: 1391284 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-06
Onset:2021-05-19
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Dehydration, Electrocardiogram, Heart rate increased, Myocardial necrosis marker, Palpitations, X-ray
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (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: Ekg, heart enzime test, xrays,
CDC Split Type:

Write-up: Heart palpatations, rapid beat,dehadration,


VAERS ID: 1391589 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Vaccine administered after 30 days of refrigeration


VAERS ID: 1391593 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Vaccine administered after 30 days of refrigeration


VAERS ID: 1391606 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Expired product 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: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine administered after 30 days of refrigeration


VAERS ID: 1391614 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Vaccine administered after 30 days of refrigeration


VAERS ID: 1391618 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 043B21A / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Product storage error
SMQs:, Medication errors (narrow)

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

Write-up: Vaccine administered after 30 days of refrigeration


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